ಕಣ್ಣರಿಯದ್ದು..........

ಪ್ರೀತಿ ಅಂದರೆ ಇದೇನಾ? ಅವನ ಒಂದು ಕಣ್ಣ ಸನ್ನೆಗೆ, ಒಂದು ಕಿರು ನಗುವಿಗೆ, ಒಂದು ಪಿಸುಮಾತಿಗೆ ದಿನವೆಲ್ಲ ಕಾಯುವಂತೆ ಮಾಡುವುದೇ ಪ್ರೇಮಾನ? ಅವನ ಒಂದು ಸ್ಪರ್ಶಕೆ ಹಂಬಲಿಸುವಂತೆ ಮಾಡುವ ಶಕ್ತಿ ಇದೆಯಾ ಈ ಪ್ರೀತಿಗೆ? ಪ್ರೀತಿ ಮಧುರ ಅಂತ ಒಂದು ಕ್ಷಣ ಅನ್ನಿಸಿದರೆ, ಮರು ಕ್ಷಣಕ್ಕೆ ಪ್ರೀತಿ ಮೋಸ ಅನ್ನಿಸುತ್ತೆ.

ಪದ್ಮಳ ಕಥೆ ಕೇಳಿದ ಮೇಲೆ ಯಾಕೋ ಪ್ರೀತಿ ಮೇಲೆ ನಂಬಿಕೆ ಹೊರಟು ಹೋಗಿದೆ. ಪ್ರೀತಿ ಅಂದರೆ ಕಾಮದ ಇನ್ನೊಂದು ಮುಖ ಅಸ್ಟೆ ಅಂತ ಅನ್ನಿಸ್ತಿದೆ. ಆದ್ರೆ ಮರು ಕ್ಷಣಕ್ಕೆ ಎಲ್ಲರ ಪ್ರೀತಿ ಇದೆ ರೀತಿ ಇರೋದಿಲ್ಲ, ಎಲ್ಲೋ ಒಂದು ಕಡೆ ನಿಜವಾದ ಪ್ರೀತಿ ಇದೆ ಅಂತಾನು ಅನ್ನಿಸುತ್ತೆ.

ನಾನು ಮುಖ್ಯವಾಗಿ ಇಲ್ಲಿ ಹೇಳೋಕೆ ಹೊರಟಿರೋದು ಪದ್ಮಳ ಕಥೆ. ಕಥೆ ಅಲ್ಲ ವ್ಯಥೆ ಅಂದ್ರು ಸರಿ ಹೋಗತ್ತೆ.

ಅರೆ ನನ್ನ ಪರಿಚಯಾನೆ ಮಾಡಿಕೊಡ್ಲಿಲ್ಲ ಅಲ್ವ? ನಾನು ಸ್ನೇಹ. MBA ಮಾಡ್ಕೊಂಡು ಒಂದು MNC ಕಂಪನಿಯಲ್ಲಿ ಕೆಲಸ ಮಾಡ್ತಿದಿನಿ. PG ವಾಸ. ಬೆಂಗಳೂರಿಗೆ ಬಂದು ಒಂದು ವರ್ಷ ಆಯಿತು. ಮೊದಲ ಬಾರಿಗೆ ಅಪ್ಪ ಅಮ್ಮನನ್ನು ಬಿಟ್ಟು ಇರೋದು.

ಕೆಲಸದ ಸಲುವಾಗಿ ಬೆಂಗಳೂರಿಗೆ ಬಂದು ೧೫ ದಿನಗಳಾಗಿತ್ತು ಅಸ್ಟೆ, ಅಮ್ಮನ ಕೈಯಡುಗೆ ಅಸ್ಟೆ ತಿಂದು ಅಭ್ಯಾಸವಾಗಿದ್ದ ನಂಗೆ PG ಹಾಗು MNC ಕಂಪನಿಯಲ್ಲಿ ಕೊಡುತಿದ್ದ ಊಟ ಸರಿ ಹೋಗದೆ ಆರೋಗ್ಯ ಕೆಡೋಕೆ ಶುರು ಆಯಿತು. ಬಂದ ವಾರದಲ್ಲೇ ಕೆಲಸ ಚೆನ್ನಾಗಿ ಮಾಡ್ತಿನಿ ಅಂತ ಹೊಗಳಿಸಿ ಕೊಂಡಿದ್ದ ನಂಗೆ ಎರಡನೆ ವಾರದಲ್ಲೇ ಟೀಂ ಲೀಡರ್ ನ ಕಟು ಮಾತು ಕೇಳಬೇಕಾಗಿ ಬಂತು, ಕ್ಯಾಬಿನ್ ಇಂದ ಕಣ್ಣೊರೆಸಿ ಕೊಂಡು ಬಂದದನ್ನ ಸುಹಾಸ್ ನೋಡಿ ಬಿಟ್ಟ. ಹೊಸ ಕಂಪನಿಗೆ ಬಂದಾಗಲಿಂದ ತುಂಬ ನೆರವಾಗಿದ್ದ ನನ್ನ ಕೆಲಸಗಳಲ್ಲಿ. ತುಂಬ ಚೂಟಿ, ಕೊಂಚ naughty, ಎಲ್ಲರ ಪ್ರೀತಿ ಪಾತ್ರನಾಗಿದ್ದ. ನನಗಿಂತ ಒಂದು ಎರಡು ವರ್ಷ ಚಿಕ್ಕವನು. ನನ್ನ ಸಮಸ್ಯೆ ತಿಳಿದು ಕೊಂಡು ಊಟಕ್ಕೆ ಒಂದು ಮನೆಗೆ ಕರೆದು ಕೊಂಡು ಹೋದ. ಅದು ಪದ್ಮಳ ಮನೆ. ನನ್ನ ಹಾಗು ಸುಹಾಸ್ ನಂತಹ ಒಂದು ಇಪ್ಪತ್ತು ಮಂದಿಗೆ ಅನ್ನದಾತೆ. ಶುಚಿ ರುಚಿ ಎರಡು ತೃಪ್ತಿ ಕೊಡುವಂಥದ್ದು. ಎಲ್ಲರಿಗೂ ಆಕೆ ಪದ್ಮಮ್ಮ. ಸುಮಾರು ೫೦ ವರ್ಷದ ಕಟ್ಟುಮಸ್ತಾದ ಒಂಟಿ ಹೆಂಗಸು. ಕೆಲ್ಸಕ್ಕಿದ ೧೫ರ ಮನು ಮತ್ತು ಆಕೆ ಇಬ್ಬರೇ ಆ ಮನೆಯಲ್ಲಿದದ್ದು. ನಂಗೆ ಇಷ್ಟವಾಗಿದ್ದು ಅವಳ ಜಡೆ. ಈ ವಯಸಿನಲ್ಲು ಅಲ್ಲೊಂದು ಇಲ್ಲೊಂದು ಬಿಳಿ ಕೂದಲು ಬಿಟ್ಟರೆ ಕಪ್ಪನೆ ಕಪ್ಪಗಿದ ಹಾವಿನಂಥ ಜಡೆ. ಪ್ರಾಯದಲ್ಲಿ ತುಂಬ ಸುಂದರವಾಗಿದ್ದಳು ಅಂತಾನೆ ಹೇಳಬಹುದು........

ಮುಂದುವರೆಯುವುದು..................

Smile Please

Transcribed by MT: Consultant shared car with patient (shared car = car pooling??????)
Dictated by Dr: Consultant shared care with patient (shared care = mechanishm of sharing patient care )

T: Thank you for referring this very present 25-year-old lady
D: Thank you for referring this very pleasant 25-year-old lady

T: Mum uses oil item for bath
D: Mum uses Oilatum for bath (Oilatum bath formula for itchy, irritating, dry skin)

T: The patient has been given restroom for sleep ( restroom= toilet that is available to the public)
D: The patient has been given Restoril for sleep ( Restoril= given for short-term treatment for sleeplessness)

T: The patient denies any recent sex bites. (OMG ???????????)
D: The patient denies any recent insect bites. (allergy to insect bites)

T: Patient is to follow up with the Plastic Card Allergy Clinic
D: Patient is to follow up with the Plastic and Cardiology Clinic

T: I reviewed and discussed the case laying with the patient's daughter and the staff.
D: I reviewed and discussed the case in length with the patient's daughter and the staff. (in length = in detail )

T: The patient is on a constipated sweet diet ( constipated= unable to pass motion)
D: The patient is on no concentrated sweet diet (the patient is diabetic here, so no sweets)

T: He has been given 125 kg of Seroquel twice a day (kg ????????? medicine given in milligram (mg) just one letter difference and what a blunder!!!!!!!!!)
D: He has been given 125 mg of Seroquel twice a day (Seroquel= medicine given for treatment for psychotic disorders)

A CODE OF ETHICAL BEHAVIOR FOR PATIENTS

A CODE OF ETHICAL BEHAVIOR FOR PATIENTS

1. DO NOT EXPECT YOUR DOCTOR TO SHARE YOUR DISCOMFORT.
Involvement with the patient's suffering might cause him to lose valuable scientific objectivity.

2. BE CHEERFUL AT ALL TIMES.
Your doctor leads a busy and trying life and requires all the gentleness and reassurance he can get.

3. TRY TO SUFFER FROM THE DISEASE FOR WHICH YOU ARE BEING TREATED.
Remember that your doctor has a professional reputation to uphold.

4. DO NOT COMPLAIN IF THE TREATMENT FAILS TO BRING RELIEF.
You must believe that your doctor has achieved a deep insight into the true nature of your illness, which transcends any mere permanent disability you may have experienced.

5. NEVER ASK YOUR DOCTOR TO EXPLAIN WHAT HE IS DOING OR WHY HE IS DOING IT.
It is presumptuous to assume that such profound matters could be explained in terms that you would understand.

6. SUBMIT TO NOVEL EXPERIMENTAL TREATMENT READILY.
Though the surgery may not benefit you directly, the resulting research paper will surely be of widespread interest.

7. PAY YOUR MEDICAL BILLS PROMPTLY AND WILLINGLY.
You should consider it a privilege to contribute, however modestly, to the well-being of physicians and other humanitarians.

8. DO NOT SUFFER FROM AILMENTS THAT YOU CANNOT AFFORD.
It is sheer arrogance to contract illnesses that are beyond your means.

9. NEVER REVEAL ANY OF THE SHORTCOMINGS THAT HAVE COME TO LIGHT IN THE COURSE OF TREATMENT BY YOUR DOCTOR.
The patient-doctor relationship is a privileged one, and you have a sacred duty to protect him from exposure.

10. NEVER DIE WHILE IN YOUR DOCTOR'S PRESENCE OR UNDER HIS DIRECT CARE.
This will only cause him needless inconvenience and embarrassment.

THANKS TO HOYSALA AND THANKS TO THE ONE WHO GENERATED THIS CODE.

MT Matters

Transcribed by MT: We have professionally arranged surgery for 15th July. (professionally = In a professional manner)
Dictated by Doctor: We have provisionally arranged surgery for 15th July 2010. (provisionally = Temporarily and conditionally)

T: I have tried to persuade her with regard to surgery and radiotherapy but she has patently refused the two options. (patently=Unmistakably )
D: I have tried to persuade her with regard to surgery and radiotherapy but she has blatantly refused the two options. ( blatantly = Without any attempt at concealment)

T: She is a musician and performs on light events. (performs on light events)
D: She is a musician and performs on live events. (performs on live events)

T: Referred her to us as a ?caner. (caner= strong but often flexible stem)
D: Referred her to us as a ?cancer.

T: She feels the spring or tickle with the right side of her neck (spring = The season of growth; A natural flow of ground water)
D: She feels a sting or tickle at the right side of her neck (sting = Cause a sharp or stinging pain or discomfort)

T: Fertility Clinic will not even see a patient until they are under a body of 30. (under a body of 30)
D: Fertility Clinic will not even see a patient until they are under a body mass index of 30. ( under a body mass index of 30.)

T: I arranged for her to be removed in the Fertility Clinic.
D: I arranged for her to be reviewed in the Fertility Clinic

T: His eminent further course of chemotherapy (Eminent = distinguished, praiseworthy)
D: His imminent further course of chemotherapy (Imminent = about to happen)

T: His platelets are low at 45 and he will obviously require platelets report for this. (platelet report)
D: His platelets are low at 45 and he will obviously require platelet support for this. (platelet support)

T: To rule our recurrent Crohn's disease.(to rule our)
D: To rule out recurrent Crohn's disease.(to rule out)

T: Patient would certainly seem delighted today. (delighted )
D: Patient certainly seemed brighter today. (brighter)

T: it involves plenty of patients both from her and her boyfriend. (patients)
D: it involves plenty of patience both from her and her boyfriend. (patience)

T: I have organised a transvaginal scan and tumour makers. (makers =A person who makes things)
D: I have organised a transvaginal scan and tumour markers. (markers = Some conspicuous object used to distinguish or mark something)

T: She is not complaininig of any dysmenorrhoea, dyspareunia or fancy per vaginal discharge. (fancy = Not plain; decorative or ornamented)
D: She is not complaininig of any dysmenorrhoea, dyspareunia or offensive per vaginal discharge (offensive = Unpleasant or disgusting especially to the senses)

T: I reviewed this patient who has suddenly felt that she has made better progress. (suddenly)
D: I reviewed this patient who has certainly felt that she has made better progress. (certainly)

MT Avanthara

T: she is still exercising severe hot flushes
D: she is still experiencing severe hot flushes

T: although the patient thinks that she is very good.
D: although the patient’s English is very good.

T: Will you please come to clinic 3D for a blood test as soon as possible.
I have left a phone in the clinic to allow you to do so.
D: Will you please come to clinic 3D for a blood test as soon as possible.
I have left a form in the clinic to allow you to do so.

T: I am pleased to hear that she has now decided to leave work and work
band shifts in the clinic instead.
D: I am sorry to hear that she has now decided to leave work and work
bank shifts in the clinic instead.

T: He revealed his BMI of 30.
D: He is a builder with a BMI of 30.

T: both Dr Renzoni and Dr Stone now have to get hold of me if there is a need
D: both Dr Renzoni and Dr Stone know how to get hold of me if there is a need

T: only one embryo is replanted.
D: only one embryo is implanted.

T: on each cycle using sperm pronation, one embryo was implanted by
unfortunately she did not feel pregnant
D: on each cycle using sperm donation, one embryo was implanted but
unfortunately she did not fall pregnant

T: There should in fact have been a coma after the word development (coma = A state of deep and often prolonged unconsciousness)
D: There should in fact have been a comma after the word development (comma = A punctuation mark (,))

T: to proceed with this closure work
D: to proceed with disclosure work

T: I encourage result of both tests
D: I enclose the results of both tests

T: baby's vomiting apparent with no bleeds and less so with solid.
D: baby's vomiting apparent with milk feeds and less so with solids.

T: situations which caused her embracement ( embracement = The act of clasping another person in the arms)
D: situations which causes her embarrassment (embarrassment = The shame you feel when your inadequacy or guilt is made public)

T: he had a B infection in April
D: he had a venesection in April (venesection = Surgical incision into a vein)

T: She accepts that she saves her left armpit regularly with a razor.
D: She accepts that she shaves her left armpit regularly with a razor.

T: I will arrange a scan as soon as she has some phone,
D: I will arrange her scans and as soon as we have them, will phone her

T: patient frequently visits which turns to me Nigeria
D: patient frequently returns to Nigeria

T: I advise that she will be admitted over to Crawley's Cabin urgent CTPA
D: I advise that she be admitted or at the very least have an urgent CTPA

T: Palpation of the abdomen was impossible and restricted pain
D: Palpation of the abdomen was impossible as this triggered pain (triggered = to cause, generated)

T: This require an urgency assistance
D: This require emergency assistance

T: Bowel consistent with male rotation

D: Bowel consistent with mal rotation (Malrotation is twisting of the intestines)

T: Patient reports the stool is essentially stained.

D: Patient reports the stool is offensively smelling.

T: although has had x-rays and put some weight on the foot.
D: although, he has had episodes where he has put his foot on the floor
and put some weight on the foot.

T: he has been aboard to Poland (aboard = On a ship, train, plane or other vehicle)

D: he has been abroad to Poland (abroad = To or in a foreign country)

T: non left big toe.
D: numb left big toe.

Vitamins: Benefits, Sources and Deficiency

VITAMIN A
Known as anti-opathalmic, vitamin A is essential for growth and vitality. It builds up resistance to respiratory and other infections and works mainly on the eyes, lungs, stomach and intestines. It prevents eye diseases and plays a vital role in nourishing the skin and hair. It helps to prevent premature ageing and senillity, increases life expectancy and extends youthfulness.

The main sources of this vitamin are fish liver oil, liver, whole milk, curds, pure ghee, butter, cheese, cream and egg yolk, green leafy and certain yellow root vegetables such as spinach, lettuce, turnip, beets, carrot, cabbage and tomato and ripe fruits such as prunes, mangoes, pappaya, apricots, peaches, almonds and other dry fruits.

A prolonged deficinecy of vitamin A may result in inflammation of the eyes, poor vision frequent colds, night blindness and increased susceptibility to infections, lack of appetite and vigour, defective teeth and gums and skin disorders.

FOLIC ACID
Vitamin B9 or folic acid, along with vitamin B12 is necessary for the formation of red blood cells. It is essential for the growth and division of all body cells for healing processes. It aids protein metabolism and helps prevent premature greying.

Valuable sources of this vitamin are deep green leafy vegetables such as spinach, lettuce, brewers yeast, mushrooms , nuts,peanuts and liver.

A deficiency can result in certain types of anaemia, serious skin disorders, loss of hair, impaired circulation, fatigue and mental depression.

PANTOTHENIC ACID
Vitamin B5 or pantothenic acid helps in cell building, main- taining normal growth and development of the central nervous system. It stimulates the adrenal glands and increases the production of cortisone and other adrenal hormones. It is essential for conversion of
fatty and sugar to energy. It also helps guard against most physical and mental stresses and toxins and increases vitality.

The main sources of this vitamin are whole grain bread and cereals, green vegetables,peas , beans, peanuts and egg yolk. It can be synthesised in the body by intestinal bacteria.

A deficiency can cause chronic fatigue, hypoglycemia, greying and loss of hair, mental depression, stomach disorders , blood and skin disorders.

VITAMIN B12
Vitamin B12 or cobolamin, commonly known as "red vitamin" , is the only vitamin that contains essential mineral elements. It is essential for proper functioning of the central nervous system, production and regeneration of red blood cells and proper utilisation of fat, carbohydrates and protein for body building.

It also improves concentration, memory and balance. Valuable sources of this vitamin are kidney, liver, meat, milk, eggs, bananas and peanuts.

Its deficiency can lead to certain types of anaemia , poor appetite and loss of energy and mental disorders.

VITAMIN C
Vitamin C or ascorbic acid is essential for normal growth and the maintenance of practically all the body tissues, especially those of the joints, bones, teeth, and gums. It protects one against infections and acts as a harmless antibiotic. It promotes healing and serves as protection against all forms of stress and harmful effects of toxic chemicals. It helps prevent and cure the common cold. It also helps in decreasing blood cholesterol.

This vitamin is found in citrus fruits, berries, green and leafy vegetables, tomatoes, potatoes, sprouted bengal and green grams.

A deficiency can cause scurvy marked by weakness, anaemia, bleeding gums and painful and swollen parts, slow healing of sores and wounds, premature ageing and lowered resistance to all infections.

VITAMIN D
Vitamin D is necessary for proper bone and teeth formation and for the healthy functioning of the thyroid gland. It assists in the assimilation of calcium, phosphorus and other minerals from the digestive tract.

This vitamin is found in the rays of the sun, fish,milk, eggs, butter and sprouted seeds.

A deficiency can cause gross deformation of bones and severe tooth decay.

VITAMIN E
Vitamin E is essential for normal reproductory functions, fertility and physical vigour. It prevents unsaturated fatty acids, sex hormones and fat soluble vitamins from being destroyed in the body by oxygen. It dilutes blood vessels and improves circulation. It is essential for the prevention of heart diseases, asthma, arthritis, and many other conditions.

It is available in wheat or cereals germ, whole grain products, green leafy vegetables, milk, eggs, all whole, raw or sprouted seeds and nuts.

Its deficiency can lead to sterility in men and repeated abortions in women, degenerative developments in the coronary system, strokes and heart disease.

VITAMIN K
Vitamin K is necessary for the proper clotting of blood, prevention of bleeding and normal liver functions. It aids in reducing excessive menstrual flow.

This vitamin is contained in egg yolk, cow’s milk, yogurt, alfalfa, green and leafy vegetables, spinach, cauliflower, cabbage and tomato.

Its deficiency can lead to sufficient bile salts in the intestines, colitis, lowered vitality and premature ageing.

FUN TIME WITH MT

T: She came for excision, found that this is a day case procedure in the Breast Clinic.

D: She is keen for excision, and so I have booked this as a day case procedure in the Breast Clinic.

T: whether I simply understood his history

D: whether I simply misunderstood his history

T: It is worth checking his clothing and liver function tests

D: It is worth checking his clotting and liver function tests (clotting = Change from a liquid to a thickened or solid state; blood clotting)

T: I am not keen to look at those

D: I am not keen to rock the boat, (rock the boat = do something that risks upsetting a group situation)

T: It is left to decide between you two, increase the dose

D: It is left to decide between you to increase the dose

T: she can covert back to the earlier medication (covert = Secret or hidden)

D: she can convert back to the earlier medication (convert = change)

T: Abscess of haematuria (Abscess = localized collection of pus; haematuria = presence of blood in the urine)

D: Episodes of haematuria

T: in view of his agents previous attacks of anxiety

D: in view of his age and previous attacks of anxiety

T: Also asked her to advice about Cranberry juice

D: I have also advised her about Cranberry juice

T: Her mammogram was right

D: Her mammogram was alright

T: wanted it to be done on the records

D: want it to be down on the records

T: I have given advice which also includes bringing up by tablets in her next appointment

D: I have given advice which also includes bringing up her tablets in her next appointment

T: exertional dyspnoea accommodating in an acute pulmonary oedema (exertional dyspnoea = Shortness of breath during exercise; accommodating = Provide with something desired or needed; acute pulmonary oedema = a condition in which fluid collects in the lungs )

D: exertional dyspnoea culminating in an in acute pulmonary edema (culminating = End, especially to reach a final or climactic stage)

T: Problems: Right understanding testis. (understanding = Know and comprehend the nature or meaning of)

D: Problems: Right undescended testis. (undescended = remaining in the abdomen instead of coming down into the scrotum)

T: She has nice dressing continents

D: She has no stress incontinence (stress incontinence = involuntary loss of urine that occurs during physical activity, such as coughing, sneezing, laughing, or exercise)