iRADiX

In response the Blog Article ‘Limitations and Radiologists’, Dr. Himanshu Maniar brought out a very sensible and realistic issue.

He said

“While taking a stance on such issue, we should keep in mind that it may not be possible to change machine so frequently in a private set up. The problem is when you give your machine for buyback the deal is invariably against you as either you get a very small amount (Which may not even cover the loan margins) or you are made to pay more” -

However...Medico legally…Can we safely argue that …… due to the financial limitations resulting in difficulties to upgrade the machinery ….there was error in my diagnosis and my lord… pardon me!

This seems really a burning (business) issue among individual radiologists and sonologists, running own diagnostic centers. Unfortunately switching over to better machines is not that simple as buying a cell phone or laptop or buying a new dress every week for the favorite secretary.

Dear All,

It has been observed that PC & PNDT Act has become destructive tool in the hands of appropriate authorities. Every CMO uses it at its own whims and Fancy. At so many instances the ultrasound machines are being sealed on drop of a hat. The objections are being raised that improper filling of Form “F”. The referral slips do not have obstetric history, the record is not proper. Everybody knows how the record is being kept at civil hospitals versus private diagnostic centre. Every Civil Surgeon feels that by Gagging the Radiologist the female feticide will stop. But alas the results are not much encouraging. We need to dig in the details of this social evil and better results could be obtained. Not by keeping radiologist as evil doer but as a team member.

here are some suggestions to control skewed sex ratio

They are laying more focus on methodology to fill the Form F and Paperwork rather nabbing the culprits. Which generally proves to be a futile effort? As someone doing this illegal work will not keep any record of this act. And will keep the timing at odd hours when the controlling authorities are least expected to <!-- @page { size: 8.5in 11in; margin: 0.79in } P { margin-bottom: 0.08in } -->nab them. More over it is possible only in connivance with the authorities itself in some cases. But most of the civil surgeons are struggling hard to stop female feticide.

I read somewhere –“When in Rome, do as Romans do". If this was true, I would have become redundant as a Radiologist.

Libyan Radiology is a complete disaster.

The hospitals are well-equipped with latest diagnostic machines which are either out of order or not being used for lack of technicians or radiologists.

The surprising fact is that no Libyan radiologist performs Ultrasound examination or reports on conventional radiographs.

Everyone is busy reporting CTs or MRIs. And the reports can send any sane mind into turmoil!

The reports are not structured and very often are off the mark. They discuss about hypothetical diseases and tend to create an unusual disease manifestation. The reports would suggest the gravest disease when there none exists.

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It is true that that Radiology is the ‘backbone’ of any institution. If you have to forecast the success of any medical centre, one must start from the radiology department.  And this is not just at local level, its a global phenomenon. Institutions have been catapulted to heights of success by their strong radiology team.

However, Radiology in Africa takes a back seat.

Let us take a closer look into radiology practice in North Africa first.

The countries comprise of Egypt, Libya, Tunisia, Algiers and Morocco.

Radiology practice in Tunisia is at par with Indian standards with ‘cut’ culture. The equipment is ‘state-of-the-art’ only in the capital city of Tunis and the radiology skills are equally good. Elsewhere, the radiology machines are quite old. Most of the radiologists in Tunisia are educated in France which explains the reason for high-standards. There is quackery too, no doubt, as in India. For example, there are quacks with large size refrigerators and tall cupboards claiming ‘miracle’ treatment.

Egypt fairs equally well with a fair mix of ‘good’ and ‘bad’ radiologists. The equipment is both ‘state-of-the-art’and pretty obsolete too in a few centres. One could count good radiologists on finger tips. The best centres are based in Cairo and Mansoura cities along the river Nile. Egyptian radiologists score over all African nations in research publications and scientific presentations in international conferences.

Radiology in Morocco and Algiers is not even worth talking about.

"For clearing an exam you have to master the exam, not the subject."

DNB Theory

Most of the questions asked in DNB theory are from previous papers. So please do prepare all the 10 years question papers. (Previous question papers of DNB are available for free download on the iradix website).

One must draw at least one diagram per question. Examiners have separate marks for diagrams.

It is criminal to leave a question unattempted. Even if you do not know the exact answer to a question, please do answer it.

Attempt all questions in order. You have to attempt ALL the questions so it is useless waste of time to decide which question to answer first.

DNB Practical

The examiners look for basics, not advanced knowledge.

Basics should be clear. e.g. Is it a lung mass or mediastinal mass? You should know the differences clearly and thoroughly. Most of the times the whole viva is based on this and the student are unable to answer the basic question.

Some of my closest doctor friends and teachers have been General Surgeons.

Grey Scale Helps the Red scale

On a lazy Saturday afternoon, sipping tea on the katta with VJL, I discussed animatedly how green and beautiful some parts of our campus were. Surely, this must be one of the high points of living on the campus - especially on the third floor of the AD bungalow - for I see beautifully blooming yellow gulmohors at this time of the year as I sleepily open the living room door to welcome the milkman!