Textbook Published

 I am very happy to inform you that our long awaited textbook of day care medicine and surgery has been published and is currently in distribution pan India.

As of now, we aim to have this book in the libraries of all the medical colleges in India as a supportive text to help them understand and start their own day care surgery and medicine units. These copies will be sent to the colleges entirely free of cost.

What we need from you is support towards making this book a bestseller online. The book is live on Amazon and delivers within one day. Ebook for kindles to follow soon.

Do support us and order the book now! 

https://www.amazon.in/Textbook-Day-Care-Medicine-Surgery/dp/1636404219/ref=sr_1_1?qid=1644832508&refinements=p_27%3ADr.+Dheeraj+V.+Mulchandani&s=books&sr=1-1

Dr. Dheeraj Mulchandani

How soon can we drink after surgery?

Modern medicine has been breaking bounds in the new era. Every year we come up with new and fantastic methods to fast track recovery after a surgical procedure. The entire day care surgery concept is based on this fact. Sometimes, however, our patients push us to the limit.

The gentleman we were operating upon for a bilateral hernia under day care surgery was a very good candidate for surgery. Medically fit, cooperative, not pain sensitive, motivated for day surgery, ready to walk back to his hotel room in the evening after surgery. He was given local anaesthesia in the inguinal region and we were operating upon him. We finished the Right side and went on to the left. All was going well until suddenly the patient decides to ask us a very interesting question.

"Can I have a beer as soon as the surgery is done?"

We were quite shocked and asked him to say that again. I think he realised what he said because he then tried something else. " I can smell beer in the OT. Can I have some. I can smell it in the oxygen tube" Maybe he thought it was an excellent way to recover early from surgery?

Now wouldn't that be a novel way to get drunk. Inhale some alcohol vapours! Superb absorption!

Asses can be stubborn!

Sometimes, I think medicine is just being re learnt and that our ancestors knew everything there was to know, without the genetic testing and millions in research being spent today. All they did was study nature.

Take for instance the fact that Asses are the most stubborn creatures out there! Now, I know you're thinking what the hell does this have to do with medicine. I'm getting there...

A Pilonidal sinus (a small opening at the cleft of the buttocks which usually results from hair in that area getting into the skin and causing an infection and a break in the skin) is an incredibly intelligent disease which chooses that particular region of the body which would be the most stubborn to heal (namely the Ass). It is more common in males (more males are asses than females), has been known as jeep's bottom and truck driver's disease (these particular male drivers are known to behave like asses) and occurs in hairy young men and hardly ever once you cross the age of 40 (need I say more).

Over the years, I've seen patients with pilonidal sinuses getting operated, choosing conservative treatments, trying ayurveda and homeopathy, lasers, photocoagualtion, cryosurgery and everything else you can think of. It just does not heal and though the recommended treatment is surgery, there is a 20% chance of it recurring. This increases if you close the wound. So what I'm saying is that it needs to be left open to heal, which can take about 8 weeks. 8 weeks of discharge, slime, pus, hair, blood with no riding on a bike or driving a car. Stubborn isn't it.

Funnily enough, the thought that came to my mind when I first read about it was whether the ass in humans was named after asses in nature based on this disease? Another thing, asses almost never ever suffer from pilonidal sinuses. So, who's the real ass here??

Swain Flue

A couple of days ago, I was to travel to the state border to a small town called Bhilad, which is next to Valsad (both of which birdy refuses to believe, exist) to perform surgery there.

When you travel to places you've never heard of before, you know things aren't going to go smooth during the day. The start was horrid with the hospital being unable to find our instruments which we needed to take there. Boss' driver, Wireface. had sweetly forgotten to have them picked up the night before. Well, the one box that we found was lugged by be by local train to a predestined spot where we were to meet and commence our drive to Bhilad.

The drive was a fairly nice one, sure some traffic with trucks driving in the fast lane, but green like you wouldn't believe possible, almost forest like and smooth highways.

When we almost reached the Gujrat border, we came across a check point at which was boldly printed, 'Swain Flue Check Point' in bright red. Not only did they spell really badly, they almost stopped no one crossing it. We had a good laugh at the sign and reached the hospital soon after, where we proceeded to tell the locals about it.



As the day was supposed to go, it turned out that the docs posted at that check point were from the very same hospital where we were to operate.
Anyway, the surgery went off well and they insisted we have lunch with them and see the new farm house that the doc was building for himself. The way to the farm house was like going through a jungle where we saw this huge one foot lizard. As the day was supposed to go, the lizard died under one of the car tires!!



Lunch was amazing with desi Murg (village chicken), Paplet (pomfret) and Mutton Kebabs....Yuummmm The house was really great with the hall ceiling being at 2 floors height, which really is just a huge thing to have so close to the city.

All in all a great experience and came back without Swain Flue to boot!