Back from 2009 AIIMS and PGI exams

I have not told you where I went. Sorry for that. I had entrance examinations for AIIMS, New Delhi and PGI, Chandigarh. I gave the AIIMS in Kolkata and for PGI I had to go to Chandigarh as there were no other centre. AIIMS was on15th November. PGI was on 22nd November.

On 14th November I went to Kolkata via East Coast Express. Did my best in he examination the day after. Returned the same day. On 19th November i.e. Thursday I along with my parents was accompanied by dear Dipti and her father to Chandigarh. On 19th morning we left Cuttack via Jan Satabdi Express at 6.50 AM. We reached Howrah Junction, Kolkata at 1 PM. Waited there for our connecting train The Kalka Mail. We had a AC 2 tier reservation upto Chandigarh at 7.40 PM. Boarded the train on time and reached Chandigarh just 1.30 hours late at 5 AM on 21st November i.e. Saturday morning. Sat for the  examination. Our center Shree Guru Gobind Singh College experienced some irregularity, hence exam was delayed by 30 minutes and started at 9.30 AM. Exam was over by 12.30PM. We left Chandigarh via a taxi as Dipti and her father was to catch Purushottam on the same day at 10.30 PM from New Delhi Station. It took us 6 hours to travel 260 KMs due to heavy traffic in New Delhi.

I along with my parents resided in State Bank of India’s Guest House near Railway Station called Rishi Guest House. The next day we went to Taj Mahal in Agra, Krishna Janma Bhumi in Mathura and Vrindavan. On 24th of November I went for New Delhi sight seeing to Akshardham Temple, Lotus Temple, Qutub Minar, India Gate etc. Got an external harddrive 320GB from Nehru Place. On 25th I went to Lal Quilla, the Red Fort and boarded Rajdhani Express to Bhubaneswar at 5.20 PM and landed in my residence on 26th November.

I will post photographs and details of my visit along with some stories after some days . I am tired, I did not qualify for the entrance examinations and AIPGME is on 10th January. So all these pile up as big excuses. But I will update, that is a guarantee. Anyways I am looking forwards to some hard work in coming months to crack the next post graduate entrance examinations. This year has definitely been wasted in doing my internship. Btw I have the satisfaction that I have done my internship with utmost sincerety.

Bye for now, I can not promise to write tomorrow, but I will write for sure.

Dr Bikash Satapathy

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Kali Prasad Patra Gets BMGF funds for malaria vaccine

Malaria has been a health problem all over the world. Most cases and case fatalities occur in Africa and Asia. Traditionally the medicines available target to kill the parasite in blood of human beings. Other measures are directed towards vector control. The vector being the female Anopheles mosquito.
Kali Prasad Patra is working currently as a post doctoral scientist and principal investigator at the University of California, San Diego. His
research project aims at checking the development of malarial parasite inside the mosquito. The vaccine that Patra wants to make in a year with the help of $100,000 funding by BMGF (Bill and Melinda Gates Foundation).

The procedure will be to vaccinate human beings once. From this I guess the immunity that will develop in humans will not directly save the people
from malaria, but will infect the mosquitoes instead and thereby render mosquitoes’ internal environment not suitable for parasite propagation.

This possible mechanism of the vaccine is just my conjecture from different news articles. But anyways I am happy that people (like Kali
Prasad Patra) are working for the people who need it the most (As for centuries malaria has been a great problem for people of India and
Orissa in particular) rather than any European or American Peter J. Weina doing the job for Asian people.

If the above paragraph sounds racial then pardon me of wrong communication and pardon yourself of selective reading. My concern has

been the importance of participation in research oriented fields by indigenous people. Some time ago I made a post where an American pharmacologist gave us (doctors in India) some insight about malaria treatment. I have no problem if an American doctor is my teacher. My problem is that we Indians are lagging behind in research.
So when I find news like this it makes me very happy that we are also contributing towards the medical knowledge it makes me a lot happy
and proud.

Kali Prasad Patra completed his degree from Vikram Dev College, Jeypore and Post Graduation from Berehmpur University. Then he did his Ph.D from Pondicherry University. In 1987 he joined Vector Control Research Centre (VCRC) as a research assistant at Koraput and Malkangiri districts. Then he went to Pondicherry and USA in 2005 where he completed his 2 year post-doctoral training on malaria vaccine at University of Texas. Now he got BMGF funding.

Congratulations and Godspeed.

Popularity: 2% [?]

License to heal at last

At last I have the license to heal (practice) anywhere in India. Today I got my Permanent Registration Number 17002/2009 dated 9 November 2009. I need not apply to MCI separately. I can practice in all over India as an MBBS.

Let me describe the incident. Today i.e. on 12th November I went OCMR office near Pump House Square, BBSR. I went via Barang. Just after crossing Jayadev Vihar Square it rained. I managed to get to the OCMR Office. Got the license for which I have applied after my completion of internship on 28th October 2009. Actually it was due on 23rd of October 2009. But due to DMET, Dr PK Das’s orders we had to repeat 5days of duty as earlier this year we had gone on a strike to increase our stipend from a meager Rs5000 ($100) to Rs8640 ($175) per month.

Well then I went to I.M.S. & SUM Hospital to apply for the post of Junior Resident / Tutor. From there I returned via RasulGarh.

So that is how I became a Registered Medical Practitioner. My name is in the IMR (Indian Medical Register). But it is getting updated so you can not find my name in there. But from 1960 onwards one can find doctors from their name or registration number. Till now it has been updated up to 2007.

Hopefully when it updates 2009 we can see my name in the MCI Online database.

Have a God day

Dr Bikash

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Emergency care bill can be 6000 dollars per minute

However unreal this $6000/minute billing might seem, but this type of mockery has happened.

This whole incidence is about a homicide in dormitory of California State University, Sacramento. Scott Hawkins was beaten to death in his dorm. He was declared dead in the UC Davis Medical Center after 5 minutes following admission to the Trauma Center.

10 days after the death parents of Scott Hawkins got the bill of $29,186.50.

The charge for those five minutes: $29,186.50 – including a single-ticket item for $18,900.50, described on the itemized bill as “Trauma Rescue Service.”

The UC Davis Medical Center issued a statement promptly about this and clarified as follows.

“Our hearts go out to the Hawkins family for the terrible grief and pain they are experiencing. We deeply regret that a clerical error caused them to receive a letter that brought even more distress. The patient’s death in the emergency department should have been flagged as a death in the outpatient record. The flag would have placed a hold on all billing activity and, after 10 days would have initiated a letter of sympathy. This letter also would have informed the family that we billed their insurance or let them know that we did not have insurance information and to contact us. The form letter that was sent to the Hawkins family was a mistake. We have reviewed our system and strengthened our internal processes, which will prevent letters like these from going out improperly in the future.”

UC Davis also said in a statement that its “Level 1 Trauma Center provided the highest level of trauma care (level 5) to Scott Hawkins.”

“We followed Sacramento County’s 911 triage criteria and did absolutely everything possible to save his life,” according to the statement. “We have apologized to the family.”


Now I am making the point because I have heard sketchy reports that Medicare costs are very high in U.S. But the exact amount could have been so big was beyond my wildest imagination. And this is not an isolated case.

Consider the case of Dr Tony Brayer .

His son’s thumb was broken and what was the bill? $1920.00!!!!!

Many doctors in the medical blog sphere are worried about the prohibitive costs of not so big procedures. Take the case of Dr Rob.

Dr Rob is worried about the high cost of the medication just because it is presented in a manner, foam to be exact which has little, if any more efficacy than other medications for hemorrhoids.

The most intriguing part is the insurance system in U.S. Some procedures are covered and some are not. There are interstate discrepancies also. Now being from Orissa a very backward state of poor India by all western standards I feel a lot amused that though such high class medical amenities do not exist in our set up still then we doctors in rural India do a very commendable job without being hard on the pockets of our poor patients.

Excuse me for my sarcasm. Still I believe the importance of primary health care has to sink in better in the western countries. Along side I also want to see that patients of my poor country should have easy access to all modern facilities.

At the end I want give my condolences. Mistakes happen by system. But it is a lesson to learn for all of us.

Thats it for now. Now I have think of the category I have to place this post in.

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Alo lo mo jeeban radha – Oriya song

orissaThis is a video of the very famous oriya devotional song Al lo mo jeeban radha. On youtube there is another song called Are re meri jaan hai radha. Basically the lyric and meaning are exactly the same. But the video quality is superior in the later. We do not know who copied who. Still then I love the oriya song a lot more. It is more lively and is more energetic.

How did you feel. Do  Comment below.

Source/Idea:  Oriya Video Songs

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