Inside story

Its been months now completely out of this blogging world. Many things has happened in and around the world . Unfortunately today is the day leader GP Koirala has passed away . No matter how much we people hate him , his contribution in past couple of years is just applausable. He was the architect and the mastermind behind the fall of Monarchy in Nepal . And credit goes to him to bring Maoist group in political mainstream. Well this brings to the end of saga of Koirala family which is very much predictable now as no one can stood firm and infact no one has capabilities to lead from front in this historical political family. Time will tell .

Now the political situation in the country is at topsyturvy. Constitution yet to be written and time running out. Future is very pessimistic but yet the rays of hope shining in the far horizon. We Nepalese people have heights of patience and emotions . We have given every leaders a chance to lead our country and make it prosperous . We will continue supporting whosoever give us a hope. We need a leader , a true leader , a patriotic leader to lift us from proverty bring smiles in face of every Nepalaese people.......

VP shunt complication

Very unusal scene the peritoneal end of the shunt hanging outside the abdominal incision site

The shunt was removed and we will reshunt once the wound is clean

Operation frontoethmoidocele

Finally after long planning and arrangements this kid underwent surgery. Bicoronal craniotomy was done . dural adhesions to underlying bony surface was removed and anteriorly at the skull base dural defect was detected which was localised and finely demarcated . The big dural defect was sealed by fascia lata graft. Now she will have second stage plastic surgery to correct the facial defect.

Busy days on and still counting

For almost a month its been a busy schedule . Lots been happening around myself and the world. My work load has crossed beyond my capacity and I am accelerating and matching the speed of Ushain Bolt to be in the track. Concentration, judgement, analysis are the core abilities plus the stamina is the key to a surgeons success. Well no doubt focus is on..
Skills are learned no question sooner or later but the issue is whether or not its perfect and ideal . My theory is you watch learn and do yourself. No fear is the key to learning at the initial stages . Knife is in your hand and you can use it indiscrimiately, you have a license to use . But its not butchery but surgery that is what expected from doctor.
Who is a good surgeon ? One who performs surgeries well. Who is a better surgoen ? One who knows when to perform surgery.Who is the best surgeon? One who knows when not to perform surgery. Obviously all can peform surgeries but everyone not the best.