Thursday, January 27, 2011

Bodypainthing ...circa std III textbook

Thought I would never find this ever....

Okee Pokee crack me crown
King of the island of Gulp 'em Down
Was thought the finest young fellow in town
When he dressed in his best for the party.

Okaa Pokaa Ching Ma Ring
Eighteenth wife of the mighty king
Loved her Lord above everything
And dressed him up for the party.

Satins and silks the queen did lack
But she'd some red paint, that looked well on black
So she painted her Lord and Master's back?
Before he went to the party

Crowns and stars and ships with sails
And flying dragons with curly tails
And so dressed Okee Pokee, without a coat or a vest
But yet, in his best for the party..

Saturday, December 4, 2010

Let us put the dialysers out of business

Never occurred to me why when we talk of Heartmate 2 and all that chutzpah, is there no such implantable device for the kidney.

Cleveland Clinic gets $3 million to create artificial implantable kidney

Maybe there might be an implantable MARS system for the lliver too!!

F.D.A. Studies Band Surgery for Less Obese - NYTimes.com

Interesting read about bariatric surgery in the NYT.



Think of the symptomatics-anyone who is obese and has symptoms- OA I guess is symptomatic obesity, or OSA- which everyone will have. So then suddenly 1/3rd of all Americans, including all those brobdignagian American football stars will qualify. Of course there is no debating the lack of a middle path- weight watchers and surgery are 2 extremes. One often feels stuck when managing obese patients who have no quick fixes than disciplining themselves. Lifestyle change often is a life changing event and not many want or are able to do that.

We know about the effect of bariatric surgery and the resultant weight loss on not just medical problems- I mean imagine coming off diabetic medications-, but also factors like mood- improving depression, as well as paradoxically, an increase in suicide risk!! But have you read the fine print in Love Bailey on dumping syndromes and other miscellaneous post gastrectomy complications?!! People do not appreciate how dramatic the weight loss can sometimes be- I have taken care of people who eat 1 cracker for breakfast, 2 for lunch and a few sips of juice for dinner which consists of a few raisins!!!! And lose 1o0 lbs or so in few months. One of my colleagues once presented a case of Wernicke's encephalopathy in a patient after bariatric surgery- aptly titled as "loss of weight and loss of gait" because the patient would just not eat anything at all. Surgical complications exist of course, and quite often the obese with COPD, OSA, CAD, CHF are poor candidates for surgery anyways given all the end organ damage which has already set in. One is stuck thinking as to where to start to remedy this lardaceous mess. I guess addressing it before it assumes gargantuan proportions is an option....but then...suddenly everyone's in. It is tricky ground..one has to loop before taking this leap of faith.




Technology Can Get Freaky | MakeUseOf.com

Wonder what wireless fidelity might be?!!



Technology Can Get Freaky | MakeUseOf.com

Monday, September 13, 2010

Classic Gas

Saw the most awesome X ray I have ever seen- 40 something guy with MR and hydrocephalus who keeps swallowing air. Also gets opiates for an ankle fracture and is immobile from it. So guess what shows: a hugely distended stomach, small bowel distended as well; colon is at least 20 cm in size with a Chiladiti sign.

It sounded like the Rime of the Ancient Aviator:
Air , air everywhere, and all our planes did float
Air air everywhere, watch his belly bloat!!!!

Obviously I cannot reporduce the image due to privacy concerns etc- but it is coming at a journal near your library soon.

Thursday, June 24, 2010

equanimates

How the morbidly obese lady who wore skin hugging jeans 4 inches below her Brobdingnagian rump and ringlets of gaudy colors tearing her pinnae apart ,and wetpaint for lipstick with jello in her hair and 12 inch high heels became a sorrowful, troubled, aching, short of breath person who sighed and panted to breathe her bellows to carpopedal spasm and funny perioral feelings; and sighed and fluttered her eyes, depressed her lateral canthi to convey a 9/10 pain that was sharp and localized to her tender chest wall and came from the heart.

How this transition happened once she wore the peekaboo hospital gown , how she donned the sickness role of a troubled soul whom misery had struck a machete on after disability had sapped the energy off , seemed clear to me when, once "ruled out"- this perversion of American medicine- she got her percocet, dressed up, painted her nails, took her cellphone and hollered, " Sebastian, get your f#@*ing ass here to fetch me."

I feel….

Memories are like holding a fistful of sand, which is to say that the instinct to secure them—to close the hand, to make a possession of wha...