Zumba!!!!

Attending a group fitness class at the city council fitness centers was one weekend activity I was expecting. I love to attend the classes because they are fun doing the exercises at the same time in a short time period you get to do a complete Set of stretches and strengthen according to the class. Today I woke up early and was eagerly waiting to attend the B.A.T and Zumba classes. BAT is a program where lower abdomen and thigh muscles are worked out with a Swiss ball. Now, this Swiss ball is really good to assist you in exercises.

BAT was little trying to me as my abdominal muscles aren't that strong. Zumba was fun but the instructor was too fast and she enjoyed dancing to herself than to teach other people. Now, Zumba is a spanish dance. The steps are just like dance steps and it's a good workout basically but I couldn't keep pace with the moves as they were really fast and changed frequently.

Did my regular lane swimming, lazed for some time in the steam room and sauna, had a shower and came home.

The gyms and pools are a real attraction to the city I would say. The city council tries hard to keep people active. The gyms get busy at 6 am in the morning and the pools too. Since they are all heated it is real good.

Let me see how much I can use these to "build" up my body

christchurch diaries

today,

2/2/10

am: OPD saw a patient of habitual dislocation of bilateral shoulders examined her found how recruiting the infraspinatus can help in reducing the dislocation rate. Kibler’s concept of core stability to have good shoulder stability was explained. The patient had a proprioception problem.

pm: observed a reverse total shoulder arthroplasty

3/2/2010

Am: Rooms: pt with subluxing extensor tendon of the middle finger; pt with complete tear of the rotator cuff rt shoulder with ac joint artrhitis:pt wanted surgery we’ve put him on inj in the shoulder

Gave b/l first cmc joint steroid injections

Pm: rooms at St George clinic

Saw say about 20 of Malone’s personal patients. Many were interesting. One valid point was if subscap tests are positive and you find normal subscap at USG, suspect ant capsulitis and go for steroid in the Gh joint. The other is the test for PLRI. Saw a patient of PLRI secondary to cubitus varus post traumatic. Met a patient with gr III Ac joint disloc who has been planned for Tightrope. Clinic got over by 9 pm....walked down to the hostel...reached at 9 45.

Things to read:

Subluxing extensor tendons

Ac arthritis

Reverse total shoulder

Habitual shoulder dislocation

PLRI

Morrey is a good book for elbow. Hope I get it from the library. I would love to read it. I would also send a paper for the Ediburgh shoulder meeeting in Sep 2010.

Got to go to southern cross at 8 in the morning. May be a half an hour walk. Should have to wake up at 6 30.Bye.

4/2/10

Went to southern cross in the morning...did not find Ian thr was told he comes in the evening...went around to look for a coupla flats...got walking all the way...

Hectic list in the afternoon..8 patients...no time to think...2 knees and 6 shoulders...got to scope both the knees

Went on to put the portal and do diagnostic in 4 shoulders...make anterior portal in one...very efficient surgeon...i admire him

He was a real good teacher...love him for that....he did 5 subacromial decompressions and i double triple row repair of supraspinTUS TENDON. Wonderful Man!

Saw how efficient the whole team was!

Had dinner there at the hospital tea room

Will catch you again tom..have to go to Burwood in the morning at 7 is the bus...see you then...bye

5/2/10

Was up at 6 45 ready by 7 15 reached bus station at 7 30 was in the hospital at 8 00 had four cases two metal exit one shoulder arthroscopy and open cuff repair one scaphoid fracture fixation with bone grafting by dorsal approach

Was over by 2 pm

Went to st george’s waited for some time to meet Khalid over there...nice man...he took me to his house wonderful family they have got....he gave me a book on shoulder surgery and a suture table to practice...and a journal to read for the weekend....for the Friday meeting...

Has asked me to talk to Chetan about the AC joint thing...will possibly mail him tomoro...talked to mom dad yesterday...really felt very well...goin to sleep...

Had naan rice and malai kofta for 10 $ really wonderful and tasty...it’s a restaurant called little india...

Am goin to move to the room tomro any one either at Bealey ave or at sherbourne street...at the end of the day... Sherborne seems to be good...lemme think tonight...

14/02/10

Am one of the laziest buggers around....have not written a diary for so long

I have moved into a new house and it’s more than a week now...8 days

The house at Sherborne street

It’s good...my flatmates are Sam a chef from Auckland, Kathie from Korea learning English, two American girls and a french couple.

Today is Sunday.

Planning to do some useful work

Nothin I am gopin to gain from all this nuisance....drinking, partying and dancing to hip hop;;;

Every city is the same.

It has got people who try hard to earn money to spend it just to keep themselves on par with others;

Life runs in running after unnecessary things just to show;

Later on it becomes a routine that the inner motive is forgotten; a false sense of joy and satisfaction comes;

I have come here to learn shoulder surgery; I have to get serious; no time to roam around like a dog.

I have a lot to study. I see my consultants have worked hard and are still working so hard to keep up to their skills and knowledge. I am shallow and ignorant when compared to them. I have a lot to learn from them. I remember what Prof. Kotwal had said: “ Dont show off” it decreases the prospects of learining. It shows you are not prepared to learn. Prof Kotwal is gem of a person. Even if you know, dont show off. Ok...lemme do some useful reading today.

Bye

09/03/2010

I am atttending the clinical audit in the public. It is really really interesting. Registrars prepare and present all complications in the last three months.

Some of which I noted are

1. Patella TBW failure twice possibly due to malposition of wires in the distal fragment
2. Short PFN periprosthetic fracture – revised with recon nail
3. DHS cutout treated with blade plate but fell short and went to varus
4. Immobilize communited fractures – it may displace if mobilized early
5. Be careful about Tip Apex distance in DHS
6. Improperly contoured 3.5 DCP for fibula may pull out the diastasis screws
7. Short PFN has larger proximal screw than Long PFN and the biggest long PFN is 10mm
8. Look at X rays very carefully – can miss out subtle fractures
9. Never be overconfident!!!!!
10. --------do-------------
11. Longer neck cut – overbroaching – calcar fracture
12. Primary pyomyositis of hip!!!---?

14/03/2010

Much has happened since I last wrote. Most notable were my reading of “Half a life” and watching of “mystic masseur”. Both are stories of V.S.Naipaul, UK based author of Indian origin born in Trinidad. His childhood and his parentage are well traceable from his stories. He in the book talks about the problems or issues with people of mixed parentage. The hero of the novel happens to be one. His is father is a brahmin and his mother is a lower caste woman. In depicting his father, Naipaul has talked beautifully about the mundane man who is very comfortable in his routine life akin toa jail, ignorant or acting to be ignorant of it. His father breaks it by marrying a lower caste girl and then starts the problem. The hero, Willie starts hating everyone responsible for his status as a boy of mixed parentage, all including his father and mother. His father, he thinks had no direction and no ambiton and lived a wasteful life as a sant in an ashram. The author beatifully describes willie’s life and how he becomes very much alike his father.

We all seek hiding places...we all want to run away from problems...we want to be ignorant of problems and we are always afraid of losing the current comfort when it comes to taking up a challenge. That is how a common man is born, lives and dies. Willie’s father was expexted to lead a similar life marrying a same caste girl and working in the government for a maharaja. But he was not ready for that. But he was unsure of the next action plan. In a way, as the author says through him, he was destined to become a mendicant and run an ashram.

Willie sets out to study in London. He lives in London for three years. He writes stories and publishes them as a book.

Every man looks out for a woman who can accept and love the man as he is and more than that love for what he is. Willie is also on constant search and finds a woman in Ana. He becomes ready to do anything for Ana. He sets sail for Africa which is Ana’s place and lives there for 18 years.

An interesting story which has strengthened my desire to write. I will try and write as much as possible. The mystic masseur is another wonderful story about a pandit in Trinidad, his life and his acheivemnt.

A book appeals you only if you can identify yourself with some of the charachters in the book. Atleast that is how you start reading books. I have this peculiar instinct of doing stuff I see. If I read a book, i feel i should write one. If I hear a song, I feel I should sing.

Sam is sitting next to me and happily smoking a joint. He is a happy man. He always says I do what I like to do and I am happy. I really doubt if he ever wanted to be useful to others. I always wanted to be useful to others. But deep inside, being useful to others was a way to find your own identity and establish your own recognition. Of course, no one in normal ego life can live without that motive. This constant urge was which took me to New Zealand with all the arrangements made by almighty. When it comes to trusting him, then all arguments cease. A complete trust in Lord alone can deliver us out of the cycle of pleasure and pain.

I am finding a hard time figuring out the right statistical test for my analysis. I regret for not concentrating in the statistics workshop which i attended in Sep last year at lucknow. Every move of God has a purpose. The purpose is to deliver.

I am realizing that I am weak in English vocabulary. I have to figure out a way to improve it. I was reading the biography of Naipaul .This man does not have a straight personal life. After marriage, he was roaming with another married woman it seems. Writers or men with that bent often live in their own world.

I have to work on only few things:

1. Shoulder – enriching my knowledge and skills
2. Being truthful to my consultants
3. Physique – very important
4. Discipline – Self discipline

I ‘ll start writing my book soon.....:) Of course with Almighty’s direction!

22/03/2010

It’s been a good long weekend....

Went to Akaroa y’ day

In car

With Kathie

87 kms...

Went on the cruise

Went trekking

Had good food in the night

Contemplating now

Met Mr Mo Chaudhry on the cruise...he is a 65 yr old young man....gave me some advice

To make maximum use of this age

It seems i will regret later

Kathy’s advice was to hang out with girls...so that i can improve myself

Improve myself in taking care of my future wife

We set out from our house at about 8ish..

I’m receiving some good comments on the photos in orkut

I get into these things pretty late i suppose!

23/03/10 8 15 am St George’s OT

It’s been a thunderous night y day and i excused myself for getting up later than i planned today. But i am worried that I am not able to execute what i plan. I should be able to run for atleast half an hour from tomorrow.

Learning is on the lower side. Should start studying again..as hard as possible.

Not hardly....

8 pm Leinster chambers:

Looking into some literature...

Have to do a lot of reading!

Loads of other work to do as well!

Bye!

28/03/10

Complacency creeps in without notice. It is anature of the mind without thirst. It symbolises idleness and a harbinger of downfall. The urge to stay ahead is what pushes a man forward.

31/03/10

Morning, had a X ray session with Mckie, good Ilizarov case- done with TSF

BACK TO SCHEDULE

Its started becomin hectic again....marathon surgeries, unending casuality duties....patients, patients and patients everywhere.....starvation in Operating Room until you feel homicidal, anesthetists who really increase your homicdal tendencies, sucking instruments which mess up any surgery, irritating mess food and after all this the haunting loneliness.
I have to really do something to tackle the anestheeists. The first case was over by 12 30 and the next patient was takena t 3 30 pm imagine...3 hours of wasteful resident's time. Let me see what I can do for this.

Love, contd

this love is a complex feeling......when you think ther eis nothing, there is nothing.
When you think oyu are in love then you are done. you develop thousand other feelings,
yearning, meloncholy, fear, anxiety, happiness, hallucinations, belonging, jealousy, possessiveness,anger, disappointment, lust, fantasy,depression, hypomania..........and all that any one who was or is in love would know and appreciate.
The mind takes the shape and form of the object of our love. Evrywhere in the world, only that form seems t be present. IN every person, you start seeing your beloved. This is a real state of ecstacy. God has infact created this love for man to enjoy it not to sit and brood over and become sad.
If you are in love on some one, become happy, become joyous, dance nad sing with joy...give a love without any expectation to the person, do not worry on the response, you showing your love itself should give you all the happiness.
after all, love is not to become sad about at all.
THis love would of course make you mature, and mind you has the ability to keep you happy for ever no matter how the response from the other side is.
Just stand out of you and think about the monkey dance of your mind around your beloved.
Stand away and observe your mind and enjoy.
That is what is the real enjoyment of love.
ohho ....tooo too much of love ?...OK

My Love

This is a letter to that girl in my dreams....that girl who is part of me

This is just another letter to you…one of the thousands I write in my mind to send you right from the day I started feeling you as mine…different in one thing that this you are going to read..
Any relationship has to mature..Ours started so wonderfully, just like the blossoming of a flower. I have had my own fantasies, worries, doubts, anxieties about this relationship which, right from the beginning, I thought is going to be one of the most important things in my life.
I always loved to be with you. I sincerely yearned for it. But I had my doubts. I thought it is all one sided.. it is all ‘coz I m forcing you and you don’t want to make me feel bad. Many times I had this thought .
Eveytime you behaved well with me, I grew more guilty of not having done anything to keep you with me.. the same guilt kills me now too when I talk to you..
I never had intentions initially to be physically close to you…as days went on… I could not think of anything except you.. I started having the feeling.. it grew really really intense at one point of time..i began forgetting all other things… but when you were near me.. I just thought to have you with me for more time and nothing else. But till now I feel bad. I can never think of anyone else, Dear.
Though I feel getting physically closer does not mean anything or it is not necessary to be really close by heart, I love to be with you and I have no shame in telling this…if not now any time in this lifetime or next…you would be looking a Queen to me when you grow 75 or 80…
Nowadays, I really try to take away your thought from my heart but just as I try to do it, the thought pulls back its seat in my heart with double vigour..how to avoid thinking about you?
When I talk to you, either I should not feel guilty or I should not talk to you.. temme how not to feel guilty while talkin to you..’coz I hate the other option.
This is my version of the story..Was it just admiration and respect or something more on me..ask yourself and tell me..I hope you are getting along well there…I want you to be happy as ever..Take m y wish if you have ever thought I am important to you..Now that there is no need of hide and seek, you can tell me what all you really felt..I want you to be my best friend if not the best half..

the TRAUMA

I'M back in Trauma center from today....nightouts..
relay surgeries...lots and lots of patients and above all ....so much responsibility
A person who has a fracture does not become normal after the treatment...if the treatment has been invasive...Many patients remain "patients" even with united bones, modify their lifesyle and dont return back to their pre injury level work. Lack of aggressive post op care including physiotherapy, lack of strict followu p and documentation of such a thing happening in India are the probable reasons. Let's see if we can do something for that.
Had visited IG stadium y'day as part of our sports clininc.
Tha stadium is in shambles. Construction work goin on everywhere. the games would commence in 2010 but I dono whether these people would finish of building th stadium till that time. The clinic itself has been shifted to amakeshift building.
Injury to sports people is devastating....In INdia sports means cricket..but there aer thousand other sports other than cricket.
If an athlete sustains a fracture or sprain at the height of the season, he is done. Many lose their chance to enter national or intrnational team...the work all these days has gone waste..dreams are shattered..they become depressed dont gain the confidence to play again...some play despite the injry not listening to medical advice ending up in incapatitatiing disability.
My heart says I have to work for the betterment of sportspersons in INdia. Let's see What He plans.

Relaxing.....

Im having a very good time....
got up late at 7 today
it was raining outside
pleasant drizzle....lovely climate ....made me stick on to the couch for another hour
had some biscuits and coffee
went to Gymkhana and had a nice drill of Shuttle aftr a long time
then bath and good lunch
sleep again till 5 pm
what more than this is relaxation for a medico
trying to learn some yoga these days...
the experience at Rishikesh has been awesome
Ashram atmosphere is the one needed now
trying to recreate the same atmosphere here
let's see