Arrival in India

As I was traveling my last leg, I left Frankfurt and flew SE towards the Persian Gulf. We actually flew over Bagdad, Dubai. I saw the Black Sea, and portions of Qatar…over the India Ocean. I have seen Iraq from above. That was just cool. I grew up knowing about these places, but now I have sen them, traveled over them, pretty cool.

As soon as you get off the plane, you feel the hea=t and smel a mix of sage and jasmine in the air. Lots and lots of people with a myriad of languages, and ethnicities. The trafic is insane, dropping off people and trying to get out of it can nearly kill you.

We got a taxi from the airport to the home we are staying in. I am so glad I don’t drive. There was so much honking and lights flashing. Which is considered polite here.

The air has a distinctive smell in the van we are riding in. Stronger jasmine sent with some flowers are draped on the rear view mirror. The city is a mix of new and old buildings. The roads are like spigetti, I thought I was going to die…just kidding sweet wife… the driver was very skilled…and there was a lot of honking.

We got to the home safely, tok off our shoes, got our room with large fans and a cooler. I slept like a rock.

On my way to India, reading Indian History

I was reading about the Indus river civilization, and it’s amazing to think that they created fabrics! They were industrious, lots of trading, and had huge cities for that time. Apparently they were the largest old civilization of their time.
Pretty Cool.
Can you imagine an ancient civilization that we have NO idea how to read their writing? Or to even understand it?
Weird.

http://en.wikipedia.org/wiki/Indus_Valley_Civilization

On my way…

plane Wing

And that is the semingly small plane for the puddle hoppin plane I boarde to start me trip.  I’m heading from pittsburgh to washington DC, there to meet up with my group to head first to Germany..too bad my sister won’t be able to see me…and then to Chenai(Madras) India for day 1.

I kissed Julie and the boys goodbye, walked Gracie to her bus with the family this morning…she was sad…and now I’m off.   I’ve never flown over and ocean before.  Never left the continent.  I already mis my family.

The plain is particularly loud…prop planes, go figure.

Blog ya later.
David

image

Boy do I have a fat face..

I’m Going to India!

So, this is my first trip abroad. I’ve always wanted to go. And with the grace of my Sweetheart, Julie, I am going to India for 2weeks(2.5 counting the travel. I’ve never left the continent.
I will be flying Thursday to Germany, and then to Chenia, then taking a train to Madurai to work in the hospital there. I’m excited and nervous. It’s like a new rotation, with people I don’t know, in a place where customs are completely different. I’m taking our camera and my laptop, as I’m staying in my host doctor’s house, and can leave them safely there. I hope to post daily, while I’m there and tell my stories.
Here goes nothing!
David

Dr. K and Cardiology

I had an awesome cardiology Rotation, where I was able to see a lot of aspects of the care of a patient with and without cardiac issues. While I was there, my preceptor and I would often wax philosophic and he told me about the book, “The House of God” (which I have yet to read), and how there was an attending in that book with ten laws. I re-wrote them for Dr. K, in his honor, and thought they’d be funny to post.

Laws of the House of Kazienko

1. Crapsults are cardioprotective – the more a patient is consulted, the less likely they are to have a cardiac event.
2. Crapsults never stop
3. At a Code Blue, the first procedure is to find out who called it
4. ER Docs don’t diagnose myxomas, they trip over them.
5. Echos never come first.
6. There is no heart cavity that cannot be reached with an esophageal ultrasound or a catheter — and a good dose of sedatives
7. Digoxin is like holy water, a little bit never hurts.
8. (Age + HR) * 0.01 = Dig Bolus
9. The only good Crapsults are from real cardiologists
10. If you don’t order a stress test without symptoms, you wont find obesity induced dyspnea.
11. Show me a BMS going into GP who can understand a differential of CHF, and I will kiss his feet.
12. If the ER doc and the medical student both see raised troponins in the ER, then there can be no MI happening.
13. The delivery of good cardiac care is to do as much nothing as possible and keep the old timer GPs from doing more than that.
14. Your soul belongs to Jesus, but your heart belongs to me.

David S Keith, OMSIII, MSPH (Now DO, MSPH)
Thanks Dr. K

Bobby McFerrin Musician Extraordinaire

Do you remember this?

Bobby McFerrin always amazed me in the way he could make music.  I remember jammin to OceanSpray comercials, and listening to a Pixar short with him as the whole soundtrack.  Just amazing.  He is an inspiring musician and humanitarian. He can sing Multiphonic sound!

He recently did work with Neuroscience and music called the Music Instinct: http://www.pbs.org/wnet/musicinstinct/

Btw, I just wanted to point out he got his start at the University of Utah…  a lot of good things come from that school.

Diseases teach us in many ways

I was at the Opthomologist with my daughter for her to get an exam. Next to me was a sweet older woman who noticed my daughter, and commented on her beauty. She also noted that daughters are precious, and in the next 15 minutes, I came to learn that she had lost her daughter in the Polio epidemics in the mid-nineteenth century.  She lost her husband 6 months later from cancer, and had been alone ever since.  She told me her daughter had stayed for a year at Shriners of her day, was placed in an iron lunch, and that they were only aloud to see her for 1 hour every Sunday. They would bring her a gift every week and talk with her.  She didn’t live more than a year. 

I would never have known this by just looking at her. But I learned a lot about a condition I had just learned the day before had revolutionized what we knew about ventilating patients.  It was the beginning of what we cal l ICUs, and started us into intensivist medicine(medicine for the seriously ill and in need of ventilation management and multi-organ treatments).  Also, it was a time when medical philanthropy was started to blossom, as it was expensive to have an Iron lung and harder to get to them. 

It was a disease that has been recorded for millenia, and that when we started to become a more sanatized society, we actually decreased the exposure for children, and made them more succesptible to the disease’s devestating effects.  Hence the need for immunizations.

Poliowas a devastating disease and it killed a lot of people.  It affected millions and killed thousands.  If you contracted the disease, you were most likely to get better, but many had debilitation limb issues, and few lost the ability to breath or move.  Amazing how such a small thing could cause so much change-societal and personal.