Tests this year were very much transparent! Each candidate was given a carbon copy of his answer sheet which he can tally with the final result displayed on the result day so there was no chance of incorrect marking which was rumored last year.

After that, the interview was just about seeing the candidate once and asking him which department he wants to join (among the available seats in each one) and not meant to test or ask him questions again.

Overall, the housejob tests this year were very much fair and fine.

Final list of house officers for each departments will be displayed tomorrow on 6th February 2012 and Joining will commence within couple of days.

Good luck to all those who got selected for the housejob!

During winters, skin becomes tight, dull, dry and lacks moisture due to cold weather. It can even result in skin conditions like cracking, flaking and eczema in some patients. Ignoring your skin in winter means bad skin in winter ofcourse, but the same bad skin continues in the summer until it gets fixed . . . or more ruined.

We’ll discuss some of the common bad practices in winters which lead to damage to the skin.

1. Discontinuing Sunscreen / sunblock

One thing which almost all people do, is discontinuing sun screens in winters. Sun is still out there, with same ultraviolet rays, same glare and harmful affect which can cause skin darkening, wrinkles and aging affect, specially around the eyes. Keep using sunblock all round the winters like you do in summers, to protect your skin from the harmful affects of direct sunlight before going out in the sun.

2. Keep the skin moisturized

Skin needs alot of moisturization in winters. The harsh weather causes the skin to lose natural oils. Also, heaters dehydrate the skin further, making it more fragile and prone to damage. Make a habit of moisturizing the face and body on daily basis. Use moisturizing soaps for shower too.

Make sure you use the proper moisturizer in winter. The same moisturizers which work in summer not always are best for winters. Use an oil based moisturizer which will help create a protective layer on your skin and retain more moisture. Don’t use any oil as it may damage by clogging the pores and cause more skin problems. Non clogging oils are avocado, mineral, sandalwood or primrose. Shea oil shouldn’t be used.

3. Don’t take too hot showers

Hot showers make the skin dry. Try to avoid hot showers. Warm the water only to the required and acceptable range and take shower from it. Make sure you don’t take “cold” showers in winters as it might lead to other complications too! Just a normal temperature thats just under the acceptable range.

4. Heaters and humidifiers

Indoor heaters dry out the air in the rooms, thus affecting skin too. Use humidifiers to keep the air in the room humidified. Placing a big open bowl of water in front of gas heaters specially help in humidifying the room air.

Both male and female skin needs to be cared all round the year and not just summer. Make sure you keep good care of your skin in winters to keep it beautiful and attractive and healthy ofcourse.

So coming to the point, how to lose 1 kg in 1 day ( or 2 kg in 2 days and so on).

You might already be knowing that losing initial 5 kg weight is relatively easy to losing weight after 5 kg.

Also, its easiest to lose weight the first time you wake up out of your sedentary life style and decide to get slim. With each repetitive try your body becomes more hard to shed weight.

So anyway, losing first 1 kg or 2 kg of your body is not an issue at all. Seriously. You can lose 1 kg per day for 2 to 3 days easily if you’re really determined to do so.

How to lose 1 kg in 1 day

This will include 2 things, as usual, 1 exercise, 2 diet control

As for the diet part, simply follow these:

• Don’t take carbohydrates (bread, potato, rice, etc)
• eat protein normally (not like eat all protein that you can, but try to live on protein – meat, pulses low in carbohydrates, egg white only, etc)
• almost no fats (avoid any fats as much as possible)
• no junk, no soda, no nothing, nothing goes in your mouth, and no fruits too! yeah!
• have plenty of desired water

That was pretty simple han? to lose 1kg per day! yeah right. Here’s more to it.

If you follow this diet only, believe me you’re gonna lose atleast half kg in 1 day (or lose 1 kg in 2 days)

If you’re fine with it, perfect, otherwise add these exercises to your routine to get to lose 1 kg in 1 day.

Well there are no specific exercises for that, just tips to keep in mind while trying to lose 1 kg per day:

• don’t lie flat on the bed!
• do normal daily tasks
• do atleast 40 minutes (or 1 hour if possible) jogging + walking (walk when you’re unable to jog, regain strength and jog again)
• hike or swim if possilbe, nothing is better than that.

Ok there, 1 more thing, don’t jump on the scale straight away to check if you lost weight or not right after 1 day.

Your intestines still need to be empty before they show you some real weight of yours. So go empty yourself and see if you really lost 1 kg in 1 day or not ?

Let me know your experience regarding following these steps to lose 1 kg per day.

Its much more painful than it seems, so should be treated promptly.

Signs and Symptoms of Acute Otitis Externa (swimmers ear)

Signs and symptoms of AOE (actue otitis externa) include diffuse pain and infection in external ear of acute origin.

There is associated tenderness of tragus and pinna

Sometimes temporomandibular joint (TMJ) is tender too due to acute otitis externa.

Patient has a feeling of fullness in his ear.

Itch is present

Decreased hearing due to canal occlusion occurs secondary to edema.

The external ear canal can be erythematous with purulent (watery) discharge.

Differential Diagnosis of Acute otitis Externa

Differential diagnosis of Acute Otitis Externa include:

• Acute otitis media with tympanic membrane rupture
• Acute otitis media with otorrhea secondary to a chronic perforation or tympanostomy tube in place
• furunculosis
• herpes zoster / viral otitis externa
• sequele of foreign body in external ear
• fungal external otitis
• contact dermatitis (secondary to contact by offending cosmetics, nickel, drugs, plastic in some hearing aid, etc)

Diagnosis is confirmed on the basis of history and examination by ruling out the possible differentials.

Causes of Acute Otitis Externa

Acute infection in the external ear occurs when the normal epithelial barrier is disrupted.

Infection is 98% bacterial in origin and very uncommonly fungal.

Acute Otitis Externa usually develops secondary to Pseudomonas aeruginosa usually and seldom secondary to Staphylococcus aureus.

Risk factors include trauma from aggressively cleaning ear by the patient, removal of wax, chromic skin conditions like eczema and water exposure (thus named swimmers ear).

When there is enough wax to block the canal, water gets trapped behind it, providing the best medium for bacterial growth in the external ear canal.

Treatment of Acute Otitis Externa

Acute Otitis externa (swimmers ear) requires immediate treatment.

Opiods such as codeine combined with acetaminophen or anti inflammatory drug are given.

Topic therapy via ear drops is the main treatment of choice for acute otits externa.

Bacterial resistance is not a major issue with topic drops.

Culturing the ear is not required prior to treatment.

Irrigation of external ear canal with water and or saline are not recommended in a patient with acute otitis externa. It can even make condition worse.

Oral therapy don’t have any specific use in treatment of acute otitis externa. It’s used usually when the infection has spread to pinna and skin around the ear.

If celulitis has developed as in severe cases, I/V therapy is given.

Treatment is typically effective in first 24-48 hours after which AOE starts to resolve.

If the condition of AOE persists, then referral to a senior or ENT specialist is required, also to rule out carcinoma (squamous cell carcinoma).

Ear drops are safe generally if the tympanic membrane is intact.

Some drops used for ear have a combination of antibiotic and steroid which help in reducing the inflammation and infection in the external ear which can reduce the discomfort and pain associated with the presenting complain or active disease.

So before advising any ear drops to a patient, make sure that the tympanic membrane is intact otherwise it will enter the middle ear and cause further damage in some situations.

He was not having any signs of cerebral edema though, but the history was clearly indicating a concussion and he lost short term memory too – of the event.

After managing the patient and stitching his wounds, he was good to go.

I advised him a few things but specially to immediately report to the hospital if he has vomiting. Although only 1 episode of vomiting is not significant in such a case, but repeated ones are.

Several advices for a patient with concussion include to get alert when vomiting occurs, slurred speech, loss of memory or any other conscious functions disorientation. However patient has no restriction on sleeping after a concussion - but there should be someone around looking at any signs of cerebral edema while he’s sleeping.

He did report that week with the history of episode of vomiting but the attending medical officer overlooked the accident history and didn’t take it serious.

He died almost 1 week after I received him in the ER. . . The medical officer still labelled it as not related to the accident, I’m sure just in an attempt to hide his incompetence.

He was really brave boy! he asked me to take his picture and mms it to him from my cell phone too . . .

I still have his picture with me . . blooded and wounded brave boy . .

How to relieve period pain fast by medicine

Well the fastest way to relieve period pain is by using a medicine. Simple pain killers or analgesics help in reducing menstrual pain. Please note, the medicines work when taken in proper amount, below that they don’t work, so try not to be a doctor yourself and follow the prescription (in other conditions too).

You can use any of the following medicines to relieve periods pain fast

• Panadol 2 tablets (total 1000mg)
• Paracetamol 2 tablets (total 1000mg)

How to relieve period pain naturally 

These tips work (and they really do) to relieve periods pain quickly.

• Take warm beverage, like Tea, Coffee, or other herb teas, etc
• Have a message on your abdomen in clockwise direction
• Place a warm water bottle on abdomen
• Don’t take cold water

Hopefully these tips will help you reduce menstrual pain and help you relieve period pain fast and efficiently as they worked for my patients.

Please share any tips that have worked for you too to relieve periods pain.

Make a wild guess and see if you can answer correctly that which part of the body don’t increase in size with age!

It’s an interesting riddle, I hope atleast people who have read anatomy / embryology in their medical sciences would be able to guess it some how!

Ok the answer is in the next line:

.

.

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Answer: Eye

That’s right, a human eye don’t increase in size and the size remains the same through his life, from birth till death!

Most of these observations are either completely or partially false. Corruption has many names, but commenting on a situation which you never know about is called???

1. Just to begin
Well, before going to bigger parts, just review, they are the highest qualified and skilled people around you. Not only they study longer (minimum 17 years, then housejob,part 1 and specialize for 4 years making almost 23 years of study) they also learn how to manipulate the best and complex creation of God, human beings.

2. Doctors Pay (in Pakistan)
Government has increased the pay of fresh mbbs to almost 24000 now (before it was 12000 or so) and of a post graduate trainee to 40,000 (Which was almost half too) Even then, almost 70%  of doctors server for free for 1 year after completing their housejob. People argue that its their internship, but NO! they “work” and server there. When you goto hosp in emergency at 1 am at night when your friend fall from a bike or your dad get a heart attack, its that housejob doctor working for free maybe who treats him there (in most hospitals) so its a full job, not internship

3. Putting their life in Danger
do you know if a needle pricked on a hepatitis or aids patient pricks us, it can transfer disease too? All doctors know that, and still they keep serving the patients, all day, with needles in their hands. Think for a second if you will put your life in that situation easily? Other than that, every now and then in government hospitals, when someone dies, the attendants even start beating the doctors there, for what?

4. Treating for free
nearly all doctors treat many people for free who they think can’t afford. Doctors do make money too from vairous means, but they know where to earn, and where to give it for free

5. Getting cut from labs
Most doctors agree with the labs that when they send a patient to them, instead of giving them the cut of sending a patient, they give discount to those poor patients. what would you call this?

6. Living a doctor 24/7
when your doctor uncle come to visit you, how many of your family members ask medicines from him? when he goes to village, how many villagers come to get treatments even when he is there for vacation? when passing on a road, an accident happens and a doctor is around, does he say I’m off duty?

Come on guys! everyone needs money, but making it an issue and calling doctors a bad part of society? what shall i say!

I am a doctor myself, and i know how tough it is to be one! It is easy if you want it to be, but its hell tough, and most chose the tough part, to serve YOU!

We feel proud when God choses us to be the one to save the life of your relatives having a heart attack or your friends who had a major accident on the road, which might kill them otherwise.

The message says:

ATTENTION. …..Medical research Authority of the US have found that new cancer in human beings caused by ‘Silver Nitro oxide’. Whenever u buy recharge cards or calling cards don’t scratch them with ur nail as it contain ‘silver nitro oxide’ coating and can cause skin cancer. Copy and paste this status and spread awareness please

What’s fake in this rumor is:

1. There is nothing like Silver Nitro Oxide in chemistry (according to a chemist)
2. The numbers on the back of scratch card are covered by Latex