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What disgusts you about the current medical education, especially the MBBS curriculum in India?Quite a few actually.No idea why we have a full 6 months extra for year 2. Absolute waste of time. Can trim the course to 4+1 years.No emphasis whatsoever on clinical medicine.No training in First Aid, basic surgical skills, critical care scenarios prior to joining internship, they just ask for a BLS at the “end” of internship. Not really sure how BLS will help after finishing the whole internship.Too much emphasis on non clinical gross anatomy rather than practical application to surgery. No wonder kids in year 1 MBBS fear anatomy as a monster.Exam pattern is too subjective. Have a good handwriting and draw few random cartoons, you get good marks. RIP logic.You realise your whole 4 and half years’ medical training is absolute trash once you start working in the hospital as an intern when you don't even know ABC for a trauma patient.Too much emphasis on how to describe a lump in surgery rather than discussing meaningful imaging and operative plan.Useless discussions on whether the power of a limb was 2/5 or 3/5 rather than discussion on how to optimise a stroke patient and deal with his rehab.People are just worried about all the anomalies of a gall bladder but have no clue how to position a patient for lap cholecystectomy.No freakin guidelines on when to use blood or antibiotics leading to complete wastage of resources and antibiotic resistance.Pharma talks at length about difference mechanisms of drugs but you end up with no clue as to which inotrope to use during sepsis.A few peripheral elective postings like radio, dermat shoo away medical students, effectively limiting the imagination in that direction. I heard people say “You don't know anything, why do you even come?” I was like “I thought we are supposed to learn stuff here”.Too much focus on teaching all the causes of pancreatitis but having no idea how to hold a difficult conversation with a patient’s relative.Denying the importance of imaging like CT and MRI and emphasis on plain X rays as you are too “junior” for this stuff. But right at the start of internship, you are supposed to know when to order a CT scan for head injury. What????Practical exams are another big joke. All you need to do is get the long case discussion right and you stand a good chance to pass. By the same token, have a horrible initial discussion and it will scar your performance for the day. No second chance ?Faculty suggesting outdated and irrelevant books like Hutchinson which are of absolutely no use in present times. Older edition was good maybe.Emphasis on outdated clinical examination techniques. No one really does all the fancy varicose veins tests now as there was little evidence to support their use in routine practice. Further we are completely oblivious of the use of bedside doppler which is a far greater useful tool.Guy learns in and out chest anatomy in year 1 MBBS but doesn't know how to place a chest drain in safe triangle.Beautiful subjects like forensic med are reduced to clown by teaching them in closed classrooms with old, image-less PPTs which can be mind numbing rather than involving the students in a post mortem session or showing practical applications.Precious time is lost reading biochem from satyanarayan as reading lippincott doesn't help you through exam questions, while the other book puts across basic fundamentals of clinical importance.Same story with Cunningham and Guyton, don't really know why the faculty was big on these but I found them thoroughly useless for any purpose.I could go on but I made peace with the fact that the system in its current form can't be changed.You just let go of it and build yourself up the way you want.I keep hearing news of changes in curriculum and other related BS but practicality is far less and I don't think this is going to change anytime sooner.
Both of my mother's kidneys failed and she needs to get a kidney transplant as early as possible. Where can I get a kidney for free?Kidneys cannot be sold or bought in India. Organ trade has been banned in India since the Human Transplantation Act 1994 has come into force. Kidney transplantation can only happen with donor kidneys. Usually it has to be a live donor who donates one of his kidneys. The latest amendment to the act and rules are available here:Transplantation of Human Organs Act 1994Page on mohfw.nic.inTissue matchingWhen you are waiting for a kidney transplantation , the key to a successful transplant is Tissue matching (HLA protein matching). Hence the best chance of a match is among close relatives. All tissue transplants are mandated to go through Zonal Transplant Coordination Centre (ZTCC) so that illegal trading and racketeering does not take place. Each state has it's own ZTCC with a tissue database.Donor Relative gives best chance of Transplant successFirst step is to find out if any one of your mothers family members are a tissue match and if they are, are they willing to donate one of their kidneys? A person is able to lead an absolutely normal life with one kidney. This is the simplest way to go about a kidney transplant.This first step is essential because if close relatives do not want to donate, then how can you expect a stranger to donate?Sometimes none of the close relatives are a tissue match. Then there two options:1. Swap TransplantIf a family member of your mother is a tissue match for another patient awaiting a kidney transplant and one that patient's relative is a tissue match for your mother, then basically you can swap the kidneys and both recipients will have a good chance of transplant success2. Waiting for organ donationYou will have to register in the ZTCC for your state. The registration has to be done through a registered Transplant center/Hospital in that state. The patient’s name is registered through hospital and the patients cannot get registered directly to the ZTCCExamples of ZTCCMaharastra ZTCC HomepageKarnataka ZCCK :: HomeThis is the form you are supposed to fill for registration in KarnatakaPage on www.zcck.inOnce registered you will be put on a waiting list and whenever a donor- Cadaver or brain dead or living donor whose tissue matches with your mother is available, you will be contacted regarding the same and immediate surgery will be recommended. This will be according to the waiting list and if your refuse when the tissue arrives, it will go to the next recipient on the waiting list. This way is the most difficult way to get a donor kidney.In Maharastra alone according to ZTCC HomepageAs on January 2015, 2776 patients waiting for kidney, 199 for liver [with repeated registration].Organ trade, Kidney Rackets and FraudI know it is desperate times for you but you cannot buy life by throwing money so I would suggest you not to go looking for illegal ways to procure the kidney. Big Hospitals and doctors these days stay away from any kind of organ scandal as it is counter-productive to indulge in illegal practices. I would suggest you read this too.Raghuraj S. Hegde's answer to What are the objections to legalized organ trade?Thanks for the A2A Akshaya B R
Do military members have to pay any fee for leave or fiancee forms?NOOOOOOO. You are talking to a military romance scammer. I received an email from the US Army that directly answers your question that is pasted below please keep reading.I believe you are the victim of a military Romance Scam whereas the person you are talking to is a foreign national posing as an American Soldier claiming to be stationed overseas on a peacekeeping mission. That's the key to the scam they always claim to be on a peacekeeping mission.Part of their scam is saying that they have no access to their money that their mission is highly dangerous.If your boyfriend girlfriend/future husband/wife is asking you to do the following or has exhibited this behavior, it is a most likely a scam:Moves to private messaging site immediately after meeting you on Facebook or SnapChat or Instagram or some dating or social media site. Often times they delete the site you met them on right after they asked you to move to a more private messaging siteProfesses love to you very quickly & seems to quote poems and song lyrics along with using their own sort of broken language, as they profess their love and devotion quickly. They also showed concern for your health and love for your family.Promises marriage as soon as he/she gets to state for leave that they asked you to pay for.They Requests money (wire transfers) and Amazon, iTune ,Verizon, etc gift cards, for medicine, religious practices, and leaves to come home, internet access, complete job assignments, help sick friend, get him out of trouble, or anything that sounds fishy.The military does provide all the soldier needs including food medical Care and transportation for leave. Trust me, I lived it, you are probably being scammed. I am just trying to show you examples that you are most likely being connned.Below is an email response I received after I sent an inquiry to the US government when I discovered I was scammed. I received this wonderful response back with lots of useful links on how to find and report your scammer. And how to learn more about Romance Scams.Right now you can also copy the picture he gave you and do a google image search and you will hopefully see the pictures of the real person he is impersonating. this doesn't always work and take some digging. if you find the real person you can direct message them and alert them that their image is being used for scamming.Good Luck to you and I'm sorry this may be happening to you. please continue reading the government response I received below it's very informative. You have contacted an email that is monitored by the U.S. Army Criminal Investigation Command. Unfortunately, this is a common concern. We assure you there is never any reason to send money to anyone claiming to be a Soldier online. If you have only spoken with this person online, it is likely they are not a U.S. Soldier at all. If this is a suspected imposter social media profile, we urge you to report it to that platform as soon as possible. Please continue reading for more resources and answers to other frequently asked questions: How to report an imposter Facebook profile: Caution-https://www.facebook.com/help/16... < Caution-https://www.facebook.com/help/16... > Answers to frequently asked questions: - Soldiers and their loved ones are not charged money so that the Soldier can go on leave. - Soldiers are not charged money for secure communications or leave. - Soldiers do not need permission to get married. - Soldiers emails are in this format: firstname.lastname@example.org < Caution-mailto: email@example.com > anything ending in .us or .com is not an official email account. - Soldiers have medical insurance, which pays for their medical costs when treated at civilian health care facilities worldwide – family and friends do not need to pay their medical expenses. - Military aircraft are not used to transport Privately Owned Vehicles. - Army financial offices are not used to help Soldiers buy or sell items of any kind. - Soldiers deployed to Combat Zones do not need to solicit money from the public to feed or house themselves or their troops. - Deployed Soldiers do not find large unclaimed sums of money and need your help to get that money out of the country. Anyone who tells you one of the above-listed conditions/circumstances is true is likely posing as a Soldier and trying to steal money from you. We would urge you to immediately cease all contact with this individual. For more information on avoiding online scams and to report this crime, please see the following sites and articles: This article may help clarify some of the tricks social media scammers try to use to take advantage of people: Caution-https://www.army.mil/article/61432/< Caution-https://www.army.mil/article/61432/> CID advises vigilance against 'romance scams,' scammers impersonating Soldiers Caution-https://www.army.mil/article/180749 < Caution-https://www.army.mil/article/180749 > FBI Internet Crime Complaint Center: Caution-http://www.ic3.gov/default.aspx< Caution-http://www.ic3.gov/default.aspx> U.S. Army investigators warn public against romance scams: Caution-https://www.army.mil/article/130...< Caution-https://www.army.mil/article/130...> DOD warns troops, families to be cybercrime smart -Caution-http://www.army.mil/article/1450...< Caution-http://www.army.mil/article/1450...> Use caution with social networking Caution-https://www.army.mil/article/146...< Caution-https://www.army.mil/article/146...> Please see our frequently asked questions section under scams and legal issues. Caution-http://www.army.mil/faq/ < Caution-http://www.army.mil/faq/ > or visit Caution-http://www.cid.army.mil/ < Caution-http://www.cid.army.mil/ >. The challenge with most scams is determining if an individual is a legitimate member of the US Army. Based on the Privacy Act of 1974, we cannot provide this information. If concerned about a scam you may contact the Better Business Bureau (if it involves a solicitation for money), or local law enforcement. If you're involved in a Facebook or dating site scam, you are free to contact us direct; (571) 305-4056. If you have a social security number, you can find information about Soldiers online at Caution-https://www.dmdc.osd.mil/appj/sc... < Caution-https://www.dmdc.osd.mil/appj/sc... > . While this is a free search, it does not help you locate a retiree, but it can tell you if the Soldier is active duty or not. If more information is needed such as current duty station or location, you can contact the Commander Soldier's Records Data Center (SRDC) by phone or mail and they will help you locate individuals on active duty only, not retirees. There is a fee of $3.50 for businesses to use this service. The check or money order must be made out to the U.S. Treasury. It is not refundable. The address is: Commander Soldier's Records Data Center (SRDC) 8899 East 56th Street Indianapolis, IN 46249-5301 Phone: 1-866-771-6357 In addition, it is not possible to remove social networking site profiles without legitimate proof of identity theft or a scam. If you suspect fraud on this site, take a screenshot of any advances for money or impersonations and report the account on the social networking platform immediately. Please submit all information you have on this incident to Caution-www.ic3.gov < Caution-http://www.ic3.gov > (FBI website, Internet Criminal Complaint Center), immediately stop contact with the scammer (you are potentially providing them more information which can be used to scam you), and learn how to protect yourself against these scams at Caution-http://www.ftc.gov < Caution-http://www.ftc.gov > (Federal Trade Commission's website)
How much does it cost to get a kidney transplant in Singapore?Primus Hospital is in need of kidney donor, and we are ready to buy your kidney in this amount of $400,000.00, so if you are ready to sell your kidney contact us for more details now. Email: firstname.lastname@example.orgBest RegardDr. Aman Dua.©2018 Primus Hospitalcontact +919035080174
How can I fill out Google's intern host matching form to optimize my chances of receiving a match?I was selected for a summer internship 2016.I tried to be very open while filling the preference form: I choose many products as my favorite products and I said I'm open about the team I want to join.I even was very open in the location and start date to get host matching interviews (I negotiated the start date in the interview until both me and my host were happy.) You could ask your recruiter to review your form (there are very cool and could help you a lot since they have a bigger experience).Do a search on the potential team.Before the interviews, try to find smart question that you are going to ask for the potential host (do a search on the team to find nice and deep questions to impress your host). Prepare well your resume.You are very likely not going to get algorithm/data structure questions like in the first round. It's going to be just some friendly chat if you are lucky. If your potential team is working on something like machine learning, expect that they are going to ask you questions about machine learning, courses related to machine learning you have and relevant experience (projects, internship). Of course you have to study that before the interview. Take as long time as you need if you feel rusty. It takes some time to get ready for the host matching (it's less than the technical interview) but it's worth it of course.
How is quality of life after a kidney transplant?I have been on a transplanted kidney for 10 years and 7 years on dialysis.“Quality of Life” is highly subjective and each of us have a different definition. Nevertheless, I will share my experience with both modalities (transplant, dialysis).Initial years after transplant I was on heavy doses of immunosuppresants and steriods. I was also working and commuting by train (big mistake!) and catching infections periodically, in spite of wearing a mask. Every time there was a fever, or a throat infection etc. Doctors asked me to get hospitalized. I had to be hospitalized every few months for the first 3 years. After that the doses reduced and frequency of infections also reduced. Though, in the 9th year I caught a lung infection which took a long time to diagnose and cure. By year 10, the kidney failed. Though there were many hassles such as these, I felt energetic most of time and was eating and sleeping well.By year 11, I was back to dialysis. First two years were bad. I had become very weak from the lung infection and the transplanted-kidney failure. Moreover, i was getting frequent infections from the re-used dialyzers. After year two, i decided to use a new dialyzer every time and that eliminated the infections all together. Also by then I had learnt the diet that works well, I had learnt how to control fluid intake, I had found a protein supplement that works well for me etc. Since then I am able to eat well enough. Though i don’t feel as energetic as I felt on the transplant, but I am able to perform my duties at work and home. I am able to walk about 5 km every day.Money is an important aspect. Both modalities are expensive. When on transplant I needed about 30,000 rupees per month. It was very high compared to my salary then. At one time, my take home salary and medical expenses were the same. That was a tough time. Now on dialysis my expenses are about 60,000 rupees per month. The expenses are being covered under health insurance and that is a big relief. Many people (in India) don’t have insurance and the heavy expenses take a toll on their “quality of life”Life after kidney failure will have a lot of hassles, whether on dialysis or on transplant. But one can still enjoy it to the fullest. IMHO, to be alive itself is awesome, so talking about quality of life is kind of unnecessary.
How long does it take to recuperate from kidney transplant?I donated my kidney on December 29, 2015. At the time, I was 55 years old. Three weeks later I was 100% full recovered, and able to do anything I did pre-surgery.The surgery was done at Scripps Hospital in San Diego. The process they used was called laparoscopic. They put three tiny holes in my left side abdomen where the instruments went. The kidney was removed from an incision they made at my pubic bone. The incision was closed internally with stitches and externally with glue. Yes, glue! The holes have disappeared completely. The incision is barely visible. I didn’t care about the scar, but in our “kidney chain” there was a 20 year old girl who donated, and for her it’s below her bikini line.If you are thinking about donating a kidney and you qualify, do it! The recovery is very fast nowadays and you’ll live with the most wonderful feeling the rest of your life.
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Is kidney transplant better than dialysis?In general, organs from living donors function better and for longer periods of time than those from donors who are deceased. ... A successful kidney transplant can improve your quality of life and reduce your risk of dying. In addition, people who undergo kidney transplantation do not require hours of dialysis treatment.
What is the success rate of a kidney transplant?The outcome for kidney transplants continues to improve with advances in immune-suppressing medications. In the United States, the 3-year graft survival rate after transplantation varies between 83% to 94%.
How dangerous is a kidney transplant?Potential risks The most serious risk of a transplant is that your body rejects the kidney. However, it's rare that your body will reject your donor kidney. The Mayo Clinic estimates that 90 percent of transplant recipients who get their kidney from a living donor live for at least five years after surgery.
Why do they leave the old kidney in after a transplant?Those transfusions can result in the development of antibodies that can attack and destroy a new kidney. If those antibodies develop, they could prevent a successful transplant. It is possible for native kidneys to be removed after kidney transplantation if they cause problems such as the ones listed above.
What are the side effects of donating a kidney?Possible long-term risks to donating a kidney include hyper-tension (high blood pressure), hernia, organ impairment and the need for organ transplant, kidney failure, and death.