My 1st successful CPR, Allhamdulilah!!!

dated 11th may.

For the record, my 24hrs duty, in which ever part of the world is tabooed with overwork, overtime, over energy n exhaustion to the limit!
The enery level drops as the time passes by and then there is a time when my battery is almost on a switch off mode when a critically ill patent collapses and requires emergency attention and management.
This was just another day, we were supposed to correct the electrolyte disorders in quite a number of children.
This one kid, immunodeficient, had a low calcium level, so we needed to inject calcium gluconate under cardiac monitering, as injection of calcium can cause bradycardia(low heart rate) upto a risk of cardiac arrest (heart stops beating).
His immunodeficiency status explained his severly malnourished ill health, fever, seizure disorders and poor oral hygiene.
The ward sister injects the meds and the docs are supposed to moniter the vital statistics. As the sister injected the med, the child was crying out loud, which itself increases the hert rate, so basically its a good sign. Apart from the crying, the child had a good heart rate and no drop until the entire medicaltion was infused.
We asked the mother to pick her child up and go back to her bed, just when the child developed seizures. This was unexpected. Though low calcium is one of the most common causes of seizures in children, his calcium was on a lower range but not so low that he would seize and that too after the treatment! His body remained stiff for about 3 mins, we told the mother to put her child back onto the table where i was monitering his heart, and i noticed the child turned blue. I placed my steth to his heart to get the heart rate, and to my shock, i coud not hear his heart beat, neither was he breathing. I rechecked his pulses, breathing, and thats when i relised the kid has gone into cardiac and respiratory arrest. The sister with me was very promt and got the ambu bag (for lung ventilation) ready and we started resusitating him. The mother started crying out,'Whats wrong? My kid was just fine'. Also amazed at myself to keep my calm, cause otherwise this is where i really panic! Just then my senior came into the scene and helped in the CPR ( its done better by 2 docs than 1). We intubated him just at the right time and continued CPR. We ordered the sister to give him adrenaline, as we continued for about 10 mins, and suddenly Allhamdulilah the kid blinked his eyes, we checked his heart, it was at the rate of 60/min.( we needed a higher rate, but were happy that the heart started beating.)
The rush i felt seeing him come back to life literally, i have ever felt in my career, as until now i hav done a few CPR's but its either too late already or the patient doest survive through it for more than an hour even if it was succesful.
This child revived, we aksed the father to hold on to the ambu bag and continue until we dont ask him to stop. In about 2 hours, he started coughing due to his gag reflex, and we were wondering shoud we extubate him (remove the tube) or shall we sedate him. We extubated him after about 3 hrs and he started talking after a few more hours. Ah.. what a feelingg to see him fine!
He is still an inpatient and doing absolutely fine. The only unfortunate thing is that he is an HIV patient. But this day i literally felt like a saved a life. Im so greatful to Allah and my parents who helped and encouraged me get in to medicine and be a doctor and have this amazing capability to save lives. There is no feeling greater than this in the enitre world! I hope to save more lives and be blessed InshAllah :)

Standing Midway.

Midway i stand,
Looking back,
Wondering what went wrong,
So blue.

Midway i stand,
Hard to focus,
Unable to understand,
No clue.

Midway i stand,
So alone,
Scared to walk ahead,
So true.

Midway i stand,
Wanting to cry,
No tears left,
Aint new.

Midway i stand,
Praying for a miracle,
Yet again,
Still due.

My teenage bro!!

How hard can it be?
To sit in one place for atleast half an hour to do your homework.
To be available for lunch and dinner on the dining table with family.
To be sleeping and waking up on time so you dont miss your school bus.
Since forever, we were worried abt my younger brother sitting on computer games for hours together, about his notebooks being incomplete so we dont have to hear his teachers complain, about him eating junk food all the time rather than healthy.
After so many years, now, the worry list has a whole new level!
We are bothered that he hangs out with his friends till 1am, hoping he's not falling in a bad company. We are worried about him trying out stuff which cud be harmful for his health, about his future as for him studying is not even the last thing on his to-do list for the day!! He plays football and has literally fractured the bones in his feet 3 times or may be more!
There is not a single day when he doesnt shock us. His best friend having a girlfriend! Oh my! Look at your age kido! Driving a car without license! Mocking their class teacher! And this list can go on for a bit!
Was it that we were a better batch of kids who respected every word our elders had to say and we still do! Why is it that kids have become so difficult to be in control today. They do what they like, they say what they like, they are just not ready to take any advice!
There is a very thin line between what is right and what is wrong and my brother is not at the age to understand that now, and i really wonder if he ever will! We cant take control over someone else's life because we love them and care for them. All we can do is trust them and pray for them.
Day by day, i see my brother growing up, having more friends than the day before, being more concerned about his facebook than his homework, spending much time on his hair gel than with family. I hope he grows up into a gentleman with good values and principles. Make us proud as we have high hopes on him! After all he's my one and only 15 year old brother!!!
Love you bro!! (despite the fact that you made fun of me last night:( )

Civilisation..What's that??!!

Living in eight biggest metropoliton city in the world whre the population is 12,5 million, i learnt a lot of things about life.
One of which is about the need of civilisation in the people of my country.
Being in the 21st century, in the year 2010, its really a sad situation that there is literally 'zero' civic sense amoung the people out here.
Im not making any conclusions about the majority here, but this is just a perspective of a person working in a hospital, using public transport on a daily basis. Well.. basically having to deal with the public of the city where ever i go!!
An exapmle of the metro for now...
We have been taught to offer our seat to elderly, children and pregnant ladies. We have heard this like a million times even while we travel on the recorded tape which is on repeat mode for like every 5 minutes but the men out here dont have this courtesy. They are way too selfish to offer a seat.
Another one from the metro...
While my station is just a min away, i prefer to walk towards the door so i dont get stuck inside by the huge crowd bombarding in! There have been times when the passengers wanting to get outside are unable to get out due to the impatient public on the station wanting to get in first even before letting us outside. (As if there is free food which they will miss if they dont get in first!!) I still dont understand what's the hurry???!! The metro is not going to shut doors without notice and there is enough time to get in without punching and hitting the other poor people trying to travel in peace.
People here dont have the decency to use the words 'excuse me', the prefer hitting you with their elbows and pushing you instead.
The condition in the public buses is even more horrifying. I shouldnt even start talking about it!
We also see the ones owning cars behaving no less better. They park their car right in the middle of the road, blocking the entire lane behind causing inconvinience to many. But not 1% of sensibilty to park at the designated areas.
So its not just the poor but also the rich who behave like uneducated. This is really sad and we cant expect everyone to behave in a civilised manner.
People are aware about this but they take pride in hurting the other as if they won some medal. They take pride in the fact they own a car and can park it on any road they want.
The attitude itself is completely wrong and even if 1 changes, it'll make no difference as to survive in this city, u sadly have to become like them. Uncivilised.

Happiness

I was never a rain person. I detested the after-effects. The dirty puddled water, the mosquitoes, the humidity, the clothes getting stained with dirty water splashes and taking forever to wash them clean and the list can go on for a while!! I never related rain with something to be happy about. I had always hated it and never enjoyed. Though, i used to enjoy havin a warm cup of tea by the window n watching the rain from inside my room as long as the drops dont fall over me!!
But since the time i realised how precious life is, i feel joy in da small things of everyday life, i cherish the simple things :)
We take stress for so many useless unnecessary things every hour of every day that we forget to smile. We forget how amazing this life is and how much more meaningful it can be if our attitude and choices are right.
I feel happy when i hear the voices of my loved ones, im far away from them and i miss them so much , when i see kids from my window playing hide and seek, remembering my childhood days.
I feel happy when i eat!! and for that matter anything i eat!!! :) im a big foodie!! When i have my tea!! (i am an addict by the way!!)
I feel happy when i get a peaceful sleep, from which im deprived mostly due to the routine changing everyday!
I feel happy to see some one else happy!
And now, I actually feel happy when it rains and i would love to go out and enjoy gettin wet in it too!!!!
So i wish happiness to all you lovely people!!!! :)
Keep Smiling!
Cheers!!