28 and 29 november

Went to Kasauli with Dr Hardip Singh Mann and joined other classfellows of the 75GOMCO batch for a get-together. Stayed overnight and came back next day. Met old friends – dr Dharam Pal, Dr Tarsem Rattu, Dr Ravi Dawra, Dr Brij Kishore, Dr Bhucho (Keshav Garg), Dr Zora Singh, Dr Sohan Singh, Dr Gursharan Malhi, Dr Surinder Gupta, Dr Harjit Singh (braather), and many more.

30.11.09

Wide local excision (a near mastectomy) of an indeterminate mass despite 2 FNACs and mammography in an 85 year old female (an ex health worker – ANM). HPE- IDC. Started on tamoxifen.

A potential disaster averted just in time – lap chole in a 65 year old male, very difficult procedure. Liver firmly stuck to abdominal wall and absolutely immobile. Thick walled gall bladder with a very difficult grasp. A very easily dissected CHD, misidentified as CD, was clipped and about to be divided, when better sense prevailed, clips removed and a further dissection revealed a very short and thick cystic duct which was ligated with extracoporeally tied vicryl. Stormy postoperative period with abdominal distension and vomiting, the NG tube poured greenish output for a couple of days and then everything settled!! Could never tell what happened!!. A postoperative US scan and LFTs were normal.

1.12.09

Units of surgery department reshuffled after retirement of Dr Karam Singh. Mine will be 4the now, ward 3.

4.12.09

Microdochectomy for a single duct discharge from left nipple. 30 F, a principal of a school. Biopsy showed a well-formed papilloma.

9.12.09

Seminar on early detection of breast cancer.

11.12.09

A recurred swelling left forearm near the lower end of ulna. Presumably lipoma, turned out to be a swelling arising out of the tendon sheath of the extensor of the little finger, the ulnar artery pulsating close by. Excised under GA, preserving the tendon.