Wednesday, April 15, 2009

Day 5

Day 5

April 15, 7:07 am, Vellore
I slept much better with my blanket! I still woke a few times and had
to turn off the AC at one point, but I actually slept until
Katherine's alarm went off. Finally.

11:34 pm
Well I'm exhausted tonight. I went the whole day without a nap, so I
think my clock has finally reset itself to Indian time. But yeah, i'm
tired so I won't write too much tonight. It was a pretty good day
though.

We were with pediatrics again today. I really like them a lot. They
are super nice to us. They are very careful to make sure we are
included and answer all of our questions an stuff. Especially the
doctor that I was working with yesterday. She is great.

I was impressed today by how much they know! I don't feel like there
is any lack of knowledge or skill in the physicians here, only,
perhaps, in their resources / facilities. But I really feel like they
know a lot and provide high quality of care to their patients.

First thing this morning they had one of the MD candidates present a
case. Sort of a morning report type meeting. I guess I should explain.
My doctor explained to me that after medical school here you have
something called an mbbs or something like that. It is a bachelor's
degree in medicine and surgery. Then you do a year internship, where
you rotate through specialties, and then finally you take an entrance
exam and depending on how well you do you have a choice of what
specialty program you get into. This would be the equivalent of our
residency, except that they get they're MD at the end of that, instead
of at the end of medical school. Anyway, so he presented a case of
possible systemic JRA, SLE, or maybe even acutle leukemia. It was an
interesting case. But the doctors grilled him pretty good and they
went into tons of detail. It was kind of impressive. I think they
memorize their text books here.

Then later we rounded in the ward. We seemed to see a lot of
encephalopathies. We saw some asthma, a pneumonia with an
parapneumonic effusion, along with some other patients I can't recall.
Oh, a couple of atypical febrile seizures too. Again, they were very
thorough and provided as good or better of teaching as any of my
attendings back home.

Later today we finally managed to get tickets booked to Kerala for
next weekend. Such a hassle, like everything else! I'm excited though.
We'll leave next Thursday evening at like 9 something and do an
overnight non-AC sleeper car and get there at like 6 in the morning.
Should be fun.

Then we went around trying to find a new place to stay for next week.
It was a trek. We walked all over. I'm not sure what we'll end up
doing. I think we want our own rooms, at least I know I do. It's just
to cramped in this tiny little room with 3 people. I have to get out
of there. Plus the people here are so shady! They actually charged my
credit card twice when I checked in and put down some advanced money.
They doubled it!! Can you believe these punks? Anyway, I've had enough
of Aavana in. We looked at stuff over by the college campus, but
everything was either full or didn't have shower and/or toilet. I'm
okay with just a bucket shower and the little squat toilet (really
just a porcelain hole in the ground), but Katherine wants a real
shower and Aurora wants a real toilet, which are understandable I
guess. Haha. Anyway, we'll see hat happens.

We went and had dinner tonight at the hotel darling. Every wed night
all the international students go and eat up in their rooftop
restaurant. It's pretty nice up their, nice breeze and view. We didn't
really get to talk to many people because we got there later... but
maybe next week. The hotel darling special ice cream was tasty though.
Grape, vanilla, pistacchio and mango ice creams with some fruit mixed
in. Mmm. Okay I'm off to bed. Tomorrow after work we're going to head
out of town and go to mamalapuram and Pondicherry for the weekend.
Should be fun!

day 5 photos

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