Wednesday, November 27, 2024

General Outline of Medicine and M.B.B.S Doctors

General Outline of Medicine and M.B.B.S Doctors

With in six months of registration as a medical graduate, I became aware of my simple predicament.


I had the premonition and was convinced that in medicine, I could get 90% to 95% Right, after a full postmortem examination.

That was my reason for taking up Pathology.

Our late Professor of Pathology was a gentleman with a forensic mind. 

He loved reading detective novels and he was the first one to hit the new film that came to our Kandy town.
He had a heart ailment and he sits in the ODC, never in Balcony. 
I also hit the film on the first day and even though I preferred the ODC, I had to be satisfied with the second class seat. 

Every Friday we had a grand Postmortem Conference and every Thursday I had to go to Kandy Hospital and collect some cases.
He takes the kidney, heart and the lung.
I was left with the filthy gut which I had to clean to examine the stomach and duodenum for peptic ulcers and iluem for typhoid ulcers and the large bowel for amoebic ulcers. 

Infectious Hepatitis was rampant, then and I had to deal with the infected liver. 

He was interested in cirrhosis and he told me he had never seen an amoebic liver abscess in a cirrhotic liver and if I find one that has to be reported in Ceylon Medical Journal. 
We never found such an association.

Little by little, he began to trust me and one day he called me to his room, which was not normal. 

I thought, I had missed something.

He had a big laugh and said there is a good film coming and do not miss it.

No wonder he had noted me in the Film Hall. From that day onward until his death we had a very healthy relationship.

Now the crunch point.

When I was tabulating the postmortem data, he casually told me.
30% is Genetic, 30% is environmental and 40% is Totally Unknown.

Do not bother about the 40% he said and gave me a copy of American Pathology Journal siting the above data, over 30 year period.

That put me off completely.

Also told me never miss reading this journal. 
For our bad luck then Sirimavo regime banned all medical journals.
I had to subscribe for Medical Journals on my own. 

Of course, in later years, I subscribed for Linux Journal until I retired.

With that background let me dish out our M.B.B.S.

1. Teaching was hopeless.

2. Examinations were too many.

3. I tendered my resignation to my supervisor within a month
I told her I am going home and looking for a better job.
 
I gave my reasons and they persuaded me to carry on.

4. My father told me I could never become a doctor when I was studying for A Level.

I proved him wrong.

5. Medical Library was poorly stocked.
I donated lot of books as a graduate.

6. I ultimately did my entire postgraduate study in Ceylon well past 50.

My bone of contention was foreign postgraduate studies do not contribute to our (Ceylonese) well being.

7.  My thesis proved beyond doubt 28%, 32% and 40% ratios as stated above.

8. Any doctor who pretends that he knows everything is a Bogus Guy.

9. Good doctor always helps his fellows and we make decisions on collective basis.

10. We never tell the patients everything that they need to know. 
We dish out the minimum.
 
Full disclosure destroys our profession.

11. I do not do any consultation for the past 20 years but continue to teach and educate.

This blog site is an indirect medium of education.

I have some valuable instructions here including Meditation.

It is FREE and no charges.

That is the very reason I dish out this piece well past 70.

Of course, I write books on many topics, including aliens.

12. I never treat my Family Members.
It is a cardinal rule. 
Never dispense advice over the phone to one I have not seen with own eyes.

Now, I have become a freelance guy by default.

Why in Politics those who Lie are invariably successful?


I presumed that, long time ago, I posted a piece here, stating that those who Lie Habitually are politically very successful.
I surveyed my site but could not locate that piece or a similar piece.
I think, when I deleted all the politically sensitive pieces about 5 years ago, I have deleted that piece.

I think it is worthwhile revisiting that issue, not due to any particular reason.

By the way, this blog site's main objective is to promote Linux and make 10% of computer (PC) users use Linux by 2025.

It is currently hovering at 5%.

Coming to lies and politicians;
1. Subtle lie is the main political currency.

2. It is global in nature but in Ceylon, it is preveland from the time of SWRD (1956).

It started with changing the official language with in 24 hours.

3. Then we had the Sirima Sastri Pact.

3. Followed by the Dharamista Samajaya and a postal stamp to validate it.

4. Then, we had Ata Uta (eight types of grains) every day of the year.

5. Last successful lie was true racial integration under Chandrika from North to South to Center

6. The true racial integration lead to prolonged war with both sides registering undisclosed number of casualties.

7. Then we had the almost full recovery of the ecomy through taking loans to counter earlier loans.

8. Last is Total and Global recovery within a short period of time.

Political party who are good at lying invariably come to power.
Since NPP/JVP came to power with absolute majority, I believe that they were very successful in their global lies.

In other words, their lies surpasses all the 7 categories of lies mentioned above.

Im my opinion there is no room left in Apaya or Hell for these guys. 

They would probably have a get together in Hell after their demise.
That is for a "Global Lie Conference".

Naming the lies are OK but naming those politicians who successfully lie is inappropriate.
 
I hope NPP/JVP would be successful in this global strategy.
 
Problem is that the citizen's have to wait for nearly 4 years (one year before the next election) to realize that the above statements are Eternal Truths and not a Grand Lie.
 

Only The Corrupt Stay in Politics
 
I was following the American election with one thing in mind.
Will the Americans (both Democrats and Republicans) change from War Mongering to Peaceful Global Existence?

War is in American blood, the simple answer to the question raised is BIG NO.
 
I come from a country where we fought internecine war brought on by India for 35 odd years and I hate War.
 
The end result is our coffers are empty and we are no better than a sub-Saharan country, while the war mongers pilfered everything out of this country.
 
I think the Corona Virus pandemic was something welcome (low death rate) and ordinary citizens started coming to senses and coming back to basic human values without discrimination.
 
From nowhere America brought a War on Ukraine using a puppet actor
  
In our country minority raised against the majority but in Ukraine majority raised against the minority Russians.
 
That did not leave any room for Russia to sit and wait.
 
This War was started by America in 2014 with EU abetting.

Over 50% of the arms delivered to Ukraine is going elsewhere including to African subcontinent.
 
That is the American Design since Senate cannot approve them without oversight.
 
There is bipartisan support to pour in more and more weapons to Ukraine. 

Original idea was regime change in Russia.

For their part Russians did not meddle in US politics.

They knew whichever party comes to power Russo-Phobia will continue. 
 
On the contrary Russia is self sufficient in Oil, Gas, Food and Vodka whereas West is reeling with Economic Crisis.
 
Come Winter 2024 Germany, Italy and France are in dire straights.
 
UK is no different and seems to be the worst affected.
 
Coming back to today's topic:
 
Only The Corrupt Stay in Politics
 
I have to refine this statement bit further by saying that the corrupt take up politics and stay in politic for ever.

This is totally against the management policy, I used to a talk lot  about, many moons ago, "The Total Quality Management" training to which on a latter day was added the term "Equal Opportunity".

It looks like Quality does not apply to politicians of all colours and shades.

The basic ingredient is corruption.

I used to apply this only to developing countries and it looks like, the West is catching up fast, especially the Americans.
 
Just look at the amount of money the Democratic Governors added to the mid term elections (bills).

They are never accounted for  and they come as donations and are free from TAXES.

It is staggering high and they are openly boasting about it.
 
Whereas, the election officials who work over 8 hours are not paid enough to meet their family needs.
 
Of course, they cannot take trade union action to represent their needs.
 
Just giving a few old computers, poorly networked is not going to help. 

Actually the computers are a hindrance.
 
The American system is bizarre.
It takes weeks for the final result to come out.
They have no appetite for simplifying the process.
 
I will highlight only a few.
It takes days and weeks to count the ballot.
That leaves ground for malpractices.

If this method is applied in Ceylon we will have twice the number of registered ballot papers counted in a given polling station.

We know how to engineer elections.
 
We had a President who changed ballot boxes that come from the North of the country and exchanged for new and original ballot boxes (with marked ballot parers) in Air (I mean in helicopters and his security guys saying "Yes Sir" ).

In another event,
My father in law who passed away  3 months before the election came back from heaven and voted for a female president (on her second coming).

My father in law who was a teacher in Comparative Religion was so devoted to his duty he even voted as an absentee voter.
 
I was privy to this incident and verified this incident and made a formal complaint Nothing happened.
 
In my case I did not register for 20 years so nobody could steal my vote and I worked hard to get the National Identity Card as a prerequisite for getting the ballot paper to vote.
 
By the way, a current MP in parliament and his wife have multiple ID cards.

There are currently about 20 MPs who are ineligible to become a MP due to dual citizenship are enjoying the parliamentary privileges.

I call them political prostitutes.
 
The parliamentary secretary who is a Public Servant never checks or verify these facts, even though he is assigned for these jobs.
 
Then there is a Guy who is a total alcoholic and scrounger in parliament. 

For over 30 years he is a list MP.
 
He has the gift of the gab only when he has three times the legal level of alcohol in his blood.
He replenishes, it from the parliament bar.

His salary is not enough to pay the alcohol bill and other members pour him enough to get his tongue twisted to the need of the one who pours (other members) the drink (who is unable to speak for self).

With my management skills I can detect all the loopholes in a System of Voting whether paper based or digital.
It is common sense but I won't volunteer the US Government to detect any system faults.

I am totally against the vote in absentia (absentee ballot) for very good reasons unless he or she is working in essential services (really speaking this is also not necessary- one can give half a day break on full pay) on the day of the election.
 
Equally the elections should be done on day light hours of a non-working (either Sunday or Saturday) day.
 
The bottom line is that the process should be simple to administer and it is visible to the voter at the time of the voting. 

In Ceylon we have done all that is required to get the system in order.

Can you guess the final outcome?

The voter interest dropped to 60% from 80%.
 
We love corruption and the moment it is eliminated people lose interest in voting.
 
Our current president lost his seat in the last popular election.
 
He has (list MP by default) devised an ingenious (legally dubious) method to manipulate his entry into the parliament and catapult into becoming the President in 10 days.
 
I do not know what a crime I have done in my previous life to call him our president?

My resolution never to be born again in Ceylon.

The Americans have a lot to learn from our system, I beg them to make it MORE corrupt, so that only the corrupt ascends in power, like in Ceylon.

In that scenario, Democrats are the most corrupt on this planet.
 
That is why they have sent an investigative team to Ukraine, to do weapon inspection.
 
What a bright idea after 9 months of shoddy deals and pilfering? 

Ukraine is second only to America in corrupt arms deals.
America always comes on top or first in corruption.
60% arms are sold in the black market and the Ukrainians want more and more arms and the war to go on for ever.

Americans love war and no diplomacy is needed.
 
In America Diplomacy is Dead Meat and they want live ammunition to hunt each other, preferably in global scale.
 
But Putin does not believe in live rounds, his general believes in "to rain in" rockets, some experimental in design for better one to come in a later time, on the course of events, in the history of this globe.


LIE Detection Tape or PACHA Tape

This is a million dollar investment plan.

While I was doing a chapter on "Lies and Alcohol" and how an  alcoholic confabulator creates, an instantaneous lie for the next draft of tot.

The idea of lie detector came first.

It is to insert a "Lie Detection Tape on Our Politicians, starting with Wira Wansa.

Now we are manufacturing Face Masks for the entire globe, only a little modification to the manufacturing technique can achieve my goal, for two reasons.

It needs to be mandated how long one can wear a mask.

In my belief   it should be only 20 minutes.

The second is how to dispose it without causing environmental pollution.

My design of the Lie Detection has a color code inserted to the Face Mask..

White illuminance for truth.

Red for a While Lie.

Green for neutral conversation.

It should be located around the mouth and within seconds of a lie, it should dissolve into the mouth with a bitter taste.

One need not cut the tip of the tongue to get Kasthuri (Universal Medicine) out of an offending guy or girl.

This should not be allowed domestically, since the institution called marriage will not last.

In any case one need not wear a mask at home.

The first million doses or million batch should be given to Anthony Fausi for his consumption.

He is a Lie Factory and he has to finish the lot in one day for the million lies he uttered for China to go  scot free on Coronavirus origin.

One can modify this and copyright is left free.

If we use this technique in the next general election and the same old guys get elected we can say this country has only liars and we only love lies like a confabulating alcoholic.

By the way all our politicians are alcoholics and lying is their professional trade mark.

We need not have television to propagate propaganda of lies.

 

Origin of Lies

I did a little research recently to see at what stage when children start to lie. With my experience of children under 12 who were at one stage or another sick, I never felt children (unlike adults) lie either with symptoms or complaints, especially when they are in hospital.

For that matter the best history of appendicitis was obtained from a child under five, who happened to be one of my professors youngest child.

It was a textbook history.

As a medical student I made my diagnosis without a hitch.

He said, the pain was there and it is here now, pointing to the left iliac fossa. I gently kept my hand over the iliac fossa and looked at his face to see his reaction which was one of fear. I did not probe anymore but called the senior guy on call. Next thing that happened was I was given the task of explaining to him the evolving scenario.

I decided not to lie but to explain in simple English the next stage of the hospital stay.

I explained my own terms that we need to take a little finger (appendage) like thing inside his tummy out without any further do and he will be out of hospital soon. We would like to do that in his sleep and he would not feel any pain or discomfort.

Then, when he wakes up, his tummy would be little sore with a big plaster over a little cut where he had pain before.

Without much a do we took him to the operating theater and all went well in a matter of hours.

Mixing words with no meaning is probably the beginning of Grand Old Lies and it is Grand Old Party Symbol of Ceylon.

Sometimes, it is the grand old grandfather who confabulates even without a bit of spirits to elevate his moody moods of old age. With senile dementia catching up with age there is no return to reality of young age. He has already forgotten childcare and his childhood memories.

My maternal grandpa was a real gent but my paternal grandpa was a different kettle of fish who was indifferent and messed up with his life and health in general. He had frequent hospital admissions. I had to go and see him in hospital ever so often.

The fairy tales (with tails tagged) often of religious verbosity from Church, Temple, Kovil and Mosque that insinuate the young minds are an extension of the Lies and Life in particular.

Then we have the teachers, lawyers and politicians adding their bit to the global trading of lies. 

Every Tom and Dick take their appropriate place in our history.

Sometimes, the history itself is a grand old lie concocted long after the demise of the Kings and the Queens.

Sometimes, it is the religion, sometimes it is the race and sometimes it is the about the Kings and Queens.

The young kid begins to realize it is the way of life of adults and why not I emulate the basic traits.

At least till the age of 3 years, children do not have the traits of lies mapped in their brains or in their genes.

It is the very environment with the mother and the father adding their little tales like you came out from the belly button that initiate the grand old lies.

I often begin to think, even inside the uterus, the foetus hears a good dose of lies and he or she is not immune to, in his or her fluid environment that transmit sounds and ultrasounds very well.

The adults who invent and invest on lies and soon he or she begins to realize that to get a good school and then later to become a politician the concepts of lies is the fundamental prerequisite.

From home to preschool to national school lies get bigger and bigger and better and better and the entire country is ridden with lies.

The story that a kid was lost in a balloon illustrates the fact that, given the opportunity the kids do not lie. 

The little kid spilled the beans when he said, “We did it for a show”.

At the beginning it was for publicity but later the very survival of the story was at jeopardy.

With the election campaign in hot pursuit we must train the next generation of kids to lie and not get caught like the kid in America. 

We must send our kids to America to make Americans learn the tricks of the trade.

 
Lie Detection

If you live in a country where everybody lies, it is very easy to get sucked up by the smaller lies.

Our media and daily papers are very good at it.

They call it editing.

The editors of our local papers lie for their investors and for political convenience.

They best way to avoid lies is not to listen to daily media news or daily news papers.

I have been doing that for few years to gather my childhood sanity back into my life and home.

The first day of my working life was a big lie.

It was a police officer who lied to me.

His consorts were public health inspector, the village headman, school teacher, coroner and a few others.

All of them were involved in the killing of the local thug except perhaps the coroner.

I later added a few magistrates, into this list.

It was my postmortem labourer who guided me.

He said all of them are liars and not to trust them.

From that day I coined a phrase, “that everything in my working life is a lie until proven otherwise”.

One has to be paranoid about it.

Our lawyers are trained to lie from birth.

That is why they take up that profession.

I will finish with a true story.

To keep you excited, I will not tell you why this guy lied.

I had a brief practice in Kandy.

One day a guy came  the local residency.

I was new to this locality then and I did not know anybody except the pharmacist.

I visited a few pharmacies and tendered my signature and telephone number for verification (standard practice abroad).

This guy wanted whole body X-rays.

I declined and ordered only a chest X-ray and asked him to come back with films.

He did the next day and it was OK and I told him if you need more X-rays for the money tendered, I could order an I.V.P and that will clear any kidney problems.

Idea was to put him off with needles and because of his insistence ordered an abdominal X-rays and a nasty purgative to go with it.

From the first day, I had figured out this guy was an impostor of some sort.

Few days later he came back with the abdominal X-rays but it was of very poor quality with lot of gas shadows and he had not taken the purgative as proscribed.

It confirmed my suspicion.

Then he laid out the biggest lie of his time to me stating they went to Ratnapura and the vehicle crashed. between Kegalle and Ruwanwella.

I asked him the exact location of the crash and put him under duress and he could not.

I had worked in Ratnapura and Kegalle and I knew every possible accident prone location but his location was not verifiable.

I declined telling him a liar but asked my wife about the family and she told me not to trust them.

His father was a bogus M.E.P. candidate in my current locality.

I refused anymore full body X-rays and a week later, I got a call from Australia purported to be his relative and an engineer.

I point blank told him that he was a liar and cannot be an engineer in Australia.

Australians, particularly engineers, except perhaps (recent) cricketers are not liars, I told him.

Later, I figured out their plan was to get Visa under political victimization (they did not want to use JVP label but MEP was an easy victim).

That brings me to politics and our politicians are the best liars in the world.

Wait till the next Presidential election more lies will be laid down (RIP) and the biggest liar will win.