The outbreak of COVID-19 pandemic is changing the infection, transmission and safety practices of medical establishments globally. From evidence that is available presently, the risk of transmission of this virus is high amongst medical personnel involved in procedures and surgeries around the head and neck region- Ophthalmology, Otorhinolaryngology, Craniomaxillofacial surgery, Head and Neck Oncology, Neurosurgery including Anesthesiology. The field of Oculoplastic Surgery has risk factors common to both ophthalmology and all of the above craniofacial subspecialties. While clear directives and strategies to handle elective, urgent and emergency surgeries in SARS-Cov2 positive patients is constantly evolving, we herewith attempt to consolidate various guidelines from various relevant professional global medical societies which will be beneficial to the orbit, oculoplastic and ophthalmic trauma surgeon and also their hospital administrators.
There have been many incredible moments during my career as a surgeon but this story has to be the closest to my heart and will be for a long time to come.
I wasn’t a natural at being a doctor and struggled a little bit in medical school. Medical school was sometimes confusing and intimidating. I picked up empathy along the way and learnt to be compassionate to other people. I found out that I loved the difference that I bought to others and got better at doing my job. A lot of what I love about my job today, I discovered while being a doctor. If I hadn’t taken up medicine I would have never found out how much I would enjoy it.
The Vision Mission (TVM) travelled to Vietnam in July-August, 2019. TVM was collaborating with Alina Vision, USA to set up a Medical Retina Service and Oculoplastics service at Alina’s first eye hospital in Hanoi, Vietnam. TVM’s goals as an organisation has been at capacity building, sustainability and access to sub-speciality eye care in under-served areas in East and South Asia. This found mutual synergies with Alina Vision. This Project was named “The Alina Project”
I was part of a team of surgeons who went to Northern Sri Lanka to operate on poor patients there who couldn’t afford eye surgery. We went to a hospital in Vavuniya which was the biggest hospital in the northern province to do the surgeries. This region was the most affected by the 25 year old civil war which only recently ended.
We started this present trip with a CME in Bhubaneshwar, then moved to Bhawanipatna to witness the launch of the collaboration between Trilochan and SBI foundation to make the Kalahandi district of western Odhisha cataract blind free by 2021. We then moved to Sambalpur to commence Project Netra 2017. This year TVM is supporting TN for 2000 free cataract surgeries.
In this article, I intend to dispel some of the myths that lay people hold regarding doctors and healthcare in India.
I was recently reading up on the watershed moments in the history of modern medicine and I have to admit I was overwhelmed with information. The list below is the timeline since the end of the 18th century. I may decide to update the post at a later date. 1796- Small pox vaccine introduced byContinue reading “Medical advances since the 18th century!”
Storytelling forms the very basis of medicine. We doctors listen to patients stories, construct a narrative and tell other doctors those stories (case presentations, studies and case reports) comparing notes with existing scientific data and collective knowledge (conferences and peer-reviewed journals). Physicians are witnesses of human drama- life, death, suffering, fear, pain and joy- every day. This theater that plays out in front of them sometimes finds catharsis and bleeds onto paper.
Hierarchies are important in medicine but what is also important is safeguards to bypass the entrenched systems. Some things need to be said or this will never find a voice.