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Showing posts from 2013

newborn of ABC

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A newborn born earlier than he is supposed to and admitted in the nursery where he has crossed the 15 day of his life. He shows the sign that he can achieve the normal baby life after getting treatment here. He is still 1500gm and was born at 31weeeks of gestation. Once he has reached his feeding up to 15mL every 2 hourly but when started 20mL 2 hourly he could not tolerate it and stopped one feed tried to continue in 15mL and 10mL but he could not tolerate and became lethargic. So he was undergone full septic work up and antibiotics upgraded to meropenem and ofloxacin since high prevalence of enterobacter resistant to cefotaxime here. We kept him in intravenous fluid stopping oral fluid for 2 days and again started from 2mL every 2hourly and rest with intravenous fluid. Today he is able to tolerate 5mL every 2 hourly. It’s good sign he is trying to resume his healthy life and I am expecting to hand over him to his mother. It’s good thing he is getting better for these 2 da

a new journey

It’s been long time that  I have not written the travelogue since I am not able to travel nowadays. After 6 years gap, I joined residency in NAMS in general practice. Well it ‘s really hard to cope with the rigorous duty in hospital and firing of questions in morning conference: it’s kind of different environment and experience I have been going through.  Having good job in a good post and abandoning it for the new start of educational journey looks somehow weird and encouraging. Getting yelling from young registrars looks unusual but still have to accept the truth. What I was and i am now…  comes in mind sometimes….hehe anyway it’s part of education. Doing 36 hours duty covering night duty, next day being disoriented while getting questions in the morning conference is the unforgettable part of residency. Nothing comes in mind what I have done and what I am supposed to do and what’s my plan: it usually happens when you do not get rest in the night. Writing notes of the every pati