22nd April. One Year. Exactly a year ago, in the quiet hours of the morning, Dhirubhai left us. He was 86. It still feels unreal. Time slows when I think of him. When Dr. Sushila Nayar invited him in 1982 to take charge of MGIMS, he hesitated. โI couldnโt even pronounce the names of half …
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Hospital
The Attendant and the Superintendent
Remember Rama Jagtap? You should. The boy from Hinganghat village, the one who worked in the Paediatrics OPD in the late 1970s. Thin, eager, barely twenty, with eyes that held more hope than fear. He had just married. Life was beginning to bloom when a bolt struck from nowhere. Without warning, his services were terminated. …
The Silent Surrender
In our quiet ward, a son softly asked, “Can I take my mother home?” Usually, such requests mean relief. Patients leave with hope, their struggles behind them. Grateful families thank the doctors, smiling. It feels like a victory. But this time, there was no joy. No happiness. His question wasn’t about hopeโit was about saying …
A Hole in Her Heart
It was a typical Thursday, my OPD day. After completing rounds, I settled into the clinic, surrounded by my medical residents. The waiting hall buzzed with life, crowded with patients, many standing near the door, each waiting their turn. Mornings like these felt routine, but they never lacked purpose. Our hospital, a beacon of hope …
๐ง๐ต๐ฒ ๐๐ฒ๐ฎ๐น๐ถ๐ป๐ด ๐ง๐ผ๐๐ฐ๐ต: ๐ฅ๐ฒ๐บ๐ฒ๐บ๐ฏ๐ฒ๐ฟ๐ถ๐ป๐ด ๐๐ต๐ฒ ๐๐ผ๐น๐ฑ๐ฒ๐ป ๐๐ด๐ฒ ๐ผ๐ณ ๐๐ฎ๐๐๐๐ฟ๐ฏ๐ฎ ๐๐ผ๐๐ฝ๐ถ๐๐ฎ๐น
In the scorching summer of 1975, my elder sister, then in her 30s, fell seriously ill. Dissatisfied with the medical care she was receiving in Bhopal, we quickly moved her to Wardha, where my parents lived. Kasturba Hospital in Sevagram was still in its early stages back then. ๐๐ฟ. (๐ ๐) ๐ฃ. ๐ก๐ฎ๐๐ฎ๐ฟ, an Obstetrics and …
Kasturba Hospital Sevagram
Kasturba Hospital. What, why, how, where and when? A PowerPoint presentation.
Covid: Practical Hospital Level Care and Interventions
On 13 July 2020, I spoke on how should we organise hospital level care and use evidence based interventions to help our Covid patients. Dr Cliff Lane and Gagandeep Kang also spoke in this session. Here is a YouTube link to my PowerPoint presentation.
The struggle to keep India’s Covid-19 patients breathing
On May 10, 2020, we admitted the first patient with Covid19 to our hospital. We did speedily ramp up critical care, to provide oxygenatedย hospital beds, ICUs, medicines, and ventilators, gloves, N95 masks, PPEs, and back up supplies.ย Oxygen. Perhaps for the first time we realised how important was Oxygen, the sole therapy for managing COVID-19-induced …
iPad at the point of care
Smartphones and iPads are the future of medicine. In 2004 we introduced hospital information system in our teaching hospital. We realized that one day, we shall move from the desktops to the laptops, and subsequently to iPads and smartphones. Digital technology, to be effective, needs to be at the point of care. It cannot distance …
Pile of Papers
Medical case records carry a story. They describe the journey of patients from the admission to the discharge. They tell us, chronologically, why were the patients admitted, how were they diagnosed, why doctors couldnโt fix their problems, how were they managed, what complications did they develop, what made them stay long and finally how did …