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Medical Encounters: True stories of patients – Memoirs of a Physician

Medical Encounters: True stories of patients – Memoirs of a Physician

By

Dr. S. K. Jindal

(Ex-Professor & Head, Department of Pulmonary Medicine, Postgraduate Institute of Medical Education & Research, Chandigarh, India)

Medical Director, Jindal Clinics, Chandigarh

Publishers:  Partridge India (a Penguin Random House company)

 

Introduction

The book, meant for general reading chronicles the stories of some of the patients seen by the author during a career of about half a century. It provides glimpses of the trials and tribulations faced by patients and their doctors in their heroic struggles against disease and death. It also tends to project the physician’s handling of the myths and dilemmas about disease management and treatment modalities faced by different patients.

The pen portraits reflected in this fascinating book encompass the lives of Prime Ministers, Governors, Chief Ministers, Judges, highly placed officials, army-men, police officers, newly married couples, precocious teen agers, wealthy men and farm labourers. It is a captivating story of life and living process. Full with vignettes from history, classical civilization, epics and mythology, it is enjoyable to read and meaningful for the doctors, the patients and the care-givers into disease management. A brief synopsis of its contents follows:

Foreword

Prologue

  1. The Childhood Adventures: Life in a community riddled with superstitions about health in a haunted house during 1950s in small towns of Punjab. Medical practice was rather scarce and simple maladies were often handled in medieval fashions. 
  2. Dissection Hall: Vivid scenes from the ‘dissection hall’ of the medical college (Government Medical College, Patiala) during the author’s first year of MBBS in 1966-67. Does the virtual dissection now provide the same attachment with human body?
  3. Patient with Scalded Palms: Lessons during bed-side case demonstration in the Skin Out-patient department. Was the reason of scalded palms in an otherwise healthy young man?
  4. Labour Ward: Melodrama in the busy ‘labour-room’ of the hospital while witnessing the first delivery by the author during the final year MBBS.
  5. Bhag Singh: A former army soldier who used to brag about fighting with enemy forces and cockroach sized mosquitoes was admitted with cancer. Both he and the doctor were quite afraid of catheterization at night for urinary obstruction.
  6. Emergency Ward: Facing the first death in the over-crowded Emergency of the Postgraduate Institute of Medical Education & Research, Chandigarh in 1972.
  7. JP – The quintessential Leader or 1975: Story of Jai Prakash Narain during the period of Emergency in India when he was interned in the hospital at Chandigarh. His care was a real challenge for which the author along with senior doctors faced political reverberations.
  8. Sherlock Holmes: A senior police officer who suffered from a relatively uncommon respiratory disease, was quite reluctant. It was Sherlock Holmes who helped in treatment.
  9. The two oustees: Struggles and superstitions of two village folks who suffered from chronic respiratory disease, both were displaced from the land where Chandigarh was built as the state capital of Punjab after Indian partition.
  10.  Culture Shock: A young man from Denmark developed illness while visiting as a tourist. Both he and his friend had a tough time in the hospital in the beginning; both got adjusted very soon. On the other hand, Griffth who suffered from chronic obstructive pulmonary disease was evading law because of drug abuse and trafficking.
  11.  ‘Morrie’ of Punjab: A senior Professor had a chronic muscle disease; his life was almost a replica of the Morrie immortalized by Mitch Albom (see ‘Tuesdays with Morrie’).
  12. The American Dream: Handling of a friend with asthma in Seattle during Fellowship in USA in 1982-83. He was a tough nut to crack - willfully avoiding treatment for his problem.
  13. Pickwick Papers: Obese patients with respiratory sleep disorders. The main character like the fat Joe of Pickwick Papers was blissfully unaware of his illness.
  14. God’s own People: Patients with respiratory problems belonging to ‘below poverty-line’ category faced multiple hardships. Their innocence was often overwhelming and over-bearing.
  15. Perseverance: A resolute youth was determined to cure disabling emphysema of his grand-father. His misdirected treatment proved disastrous.
  16. Mr Prime Minister: Visit to Nepal for a medical consultation. The Prime Minister had an exceptional medical knowledge.
  17. Mountain out of a mole hill: Pleasure of curing small problems which looked threatening to others. But one needs to know the problem!
  18. Corporate Honchos: Treatment of the rich and the mighty. One of them who suffered from a respiratory sleep disorder was quite secretive about his visit to the doctor.
  19. ‘If a man’s lungs pant with his work’: Problems of handling two senior judges who suffered from brittle asthma! The severe and almost near-fatal attacks used to develop with an electrifying speed.
  20. Erythrocyte Sedimentation Rate: Misconceptions about and misinterpretations of non-specific medical tests! The test report was a good excuse for the two patients to repeatedly visit the hospital.
  21. Teenage Hiccups: Abrupt and angry outbursts of sick teenagers who needed tender care.
  22.  Weakness of the Powerful: The powerful politicians including Chief-ministers and Governors who suffered from asthma or other respiratory diseases were as weak as the ordinary folks. Inhalation therapy was particularly difficult to teach and gullibility was the greatest weakness.
  23.  Marital Woes: Sickness as a stigma for ‘soon to marry’ girls and boys. One young lady who suffered from asthma defied medical advice with serious consequences.
  24.  The Stigma of Inderjeet: Isolation of young Inderjeet for her tuberculosis. She conquered her illness with courage and bravery.
  25. University Dons: Teachers at the University were generally difficult to convince. Professor Ahuja used to underplay his illness, while several others were over concerned, sometimes about hypothetical illnesses.
  26. Swami Anand: A pious and spiritual man who imbibed the greatest human values!
  27. The Devilish Test: Misinterpretation of a simple medical test brought an engagement almost to a break-point. It was the medical counselling which helped.
  28. Yasin Mohammad: A bear performer who suffered from asthma was quite magnanimous. Petty favours by unrecognizable patients proved to be pleasant, sometimes even embarrassing.
  29. Barriers: It was difficult to communicate with an old man with hearing impairment. Yet the old man was quite satisfied!
  30. The Big League: The VIP attitudes of a few senior officers often interfered with good medical management. It was always better to shed the mask of bigness while seeking treatment.
  31.  Holy Water – The Last Wish: A holy priest was afraid of admission in the hospital for the fear that his last wish may not be fulfilled. The medical personnel and the facilities need to respect the wishes of patients with terminal illnesses.
  32.  One More world to go: ‘Not to be defeated’ attitude of a terminally sick patient.
  33. Dilemma of Critical Care:  The real question is ‘When to opt for assisted respiratory support?’
  34. Knowledge – Explosion: 21st century – the era of lung transplantation, advanced life-prolonging treatments and internet with a quagmire of information.

Epilogue

Vocabulary

The book is available for purchase at:  Partridge India    000 008 10062 62

                                               This email address is being protected from spambots. You need JavaScript enabled to view it.

www.partridgepublishing.com/india    www.amazon.co.in   www.nobleandbarne.com

www.jindalchest.com

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Family Planning

MTP                                      Govt. authorized center for upto 20 weeks.     
Sterlization                            Govt authorized center for laparoscopic tubal ligation Mini Lap Vasectomy
Interval Contraception            Cu-T, Pills, etc

Project Director

 

  
After obtaining  postgraduation in Obstetrics and Gynaecology with honours medal from the Postgraduate Institute of Medical Education and Research (PGI), Chandigarh in 1980 and graduation from Government Medical College, Patiala in 1977 Dr. Jindal subsequently served as a senior resident and as an Assistant Professor in the WHO (CCR program) at the same Institute. She worked as a Fellow in Maternal fetal medicine in 1982-83. She received her IVF/ICSI training at the Institute of Human Reproduction Kolkata India and Reproductive Science Associates, Kansas City, USA. She has also been a visitor to many other IVF centres in USA, India and Turkey.

During her tenure as an Assistant Professor for over 4 years in the WHO/CCR unit she was actively engaged in clinical research, teaching and organizational activities related to human reproduction as incharge of the infertility clinic of the department of Obstetrics and Gynaecology of PGI, Chandigarh. Some of the ongoing research projects related to infertility and sponsored by the WHO on which she worked were:  I) Investigation and diagnosis of infertile couple. ii) Epidemiology of infertility; iii) ATP in semen – its significance in management of infertility; iv) Treatment of oligospermia with Clomiphene citrate. She has also serves as a guide for various trainees and research fellows.

Dr. Jindal is a member of several professional associations such as the American Society for Reproductive Medicine, European society of  Human Reproduction and Embryology. Indian Society for Assisted Reproduction, Indian Society of Perinatology and Reproductive Biology, Federation of Obstetrics and Gynecological Societies of India (FOGSI), Indian Fertility Society, National Association of Voluntary Sterilization and Family Planning of India, and Indian Medical Association and Indian Menopause Society. She was the founder of the Chandigarh Obstetrics and Gynaecology Society and has held important offices in regional and national societies.

She is also a faculty member for many national and regional conferences, has delivered numerous lectures and chaired scientific sessions. Her publications include several research articles published in national and international journals and presentations at scientific conferences in India and abroad. She is a reviewer for the international journal of tuberculosis.

She has got over 30 years of experience in the field of infertility. She was the first one to start specialized infertility services in Chandigarh including IVF and ICSI and several 100 babies have been born with these techniques. Her center Jindal IVF and Sant Memorial Nursing Home in Sector 20 is well equipped with a state of ART ISAR accredited IVF laboratory and equipment. Comprehensive infertility services including endoscopy, IVF– ET, ICSI, sperm bank, embryo cryofreezing, ICSI with testicular sperm and assisted hatching are provided at this center with excellent results.
The center is recognized by the FOGSI for ultrasound training and many candidates have already gone through the programme. The center also imparts short term training and CME programmes in various fields of ART. The centre has held five annual CME programmes. The 12th National congress of Indian Society of Assisted Reproduction on ART and Advanced Infertility Management (ISAR-2007) and fertivision 2008. The 4th National Conference of Indian Fertility Society was hosted and organized by Dr. Jindal in Feb. 2007 and 2008 respectively.

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Facilities

 
  • IUI-Intra Uterine Insemination
  • Donor Insemination Programme
  • Semen/Cryopreservation
  • IVF-ET (In Vitro Fertilization)
  • ICSI-Intra Cytoplasmic Sperm Injection
  • ICSI with Testicular Sperm (TESE & PESA)
  • IVF with Ovum Donation
  • Surrogacy
  • Assisted Hatching
  • Embryo Cryopreservation
 

Fetal Medicine

Multifetal Pregnancy reduction

Amniocentesis

Triple Test

Dual Test

NT Scan

Choronic Villus Biopsy

Cordonentesis

 

We provide the facility of cashless hospitalisation for the following TPA members.

1. E. Meditek (TPA) Services Ltd.

2. Medi Assist India TPA Pvt. Ltd.

3. Vidal Health TPA Private Limited

4. Genins India TPA Ltd

5. Vipul Med Corp TPA Pvt. Ltd.

6.  MD India Healthcare (TPA) Service (Pvt.) Ltd.

7. Safeway TPA Services Pvt. Ltd

8. Universal Medi-Aid Services Ltd.

9. Reliance General Insurance Co. Ltd.

10. Happy Insurance TPA Pvt Ltd.



 
Neonatal Nursery
Attached with independent Neonatal ICU & premature Nurseries which are well equipped with ventilators and other facilities for the care of premature and low birth weight babies.
 

  • Mamta Clinic          : #1024, Sector-18 C, Chandigarh
  • Chaitanya Hospital : Site No. 1&2, Sector-44 C, Chandigarh
  • Cosmo Hospital      : Sector-62, Mohali, Punjab
 

   

  • Ultrasound     
  • Hysterosalpingography (HSG)     
  • Ovulation monitoring & ultrasound     
  • Hormonal assays
  • Biochemistry and Microbiolosy laboratory, collection center of Sehgal Clinical Laboratory which is situated within the campus.     
  • Other tests
 

24 hour Obs Gynae emergency by a team of dedicated qualified doctors. LSCS and all types of normal and complicated cases managed including Painless delivery, IUGR, premature delivery, multiple pregnancy, pre eclampsia, eclampsia etc. Also have facilities for amniocentesis and multifetal pregnancy reduction.


Genetic screening and testing : We do routine screening for genetic diseases and informations. The center is authorized to conduct amniocentesis.


In cases of multiple pregnancy we can do embryo reduction.

 

Hysterectomy

Myomectomy

Prolapse repair

Tubal recannalization using microsurgery

Metroplasty/ Vaginoplasty

 

 

 Morning

Mon-Fri                9.00 am- 3.30 pm
Sat                        9.00 am – 2.00 pm
Mon, Wed, Fri         Unit I
Tue, Thur, Sat         Unit II
Evening
Mon-Sat                 5.00 pm-7.00 pm
Mon, , Wed, Fri         Unit II
Tue, Thursday          Unit I

Sunday                 11.00 am- 1.00 pm
Consultant on duty
Sr. Resident on duty

Consultants

Unit I

  • Dr. Umesh Jindal (MBBS,MD)
  • Dr. Yash bala (MBBS,MD,DNB)
  • Dr. Swati Verma (MBBS,DGO)
  • Dr. Nidhi Sharma (MBBS,MS)

Unit II

  • Dr. Umesh Jindal (MBBS,MD)
  • Dr. Yash bala (MBBS,MD,DNB)
  • Dr. Anupam Gupta (MBBS,DGO,DNB)
  • Dr. Sheetal Jindal  (MBBS, MD)

Sr. Residents

  • Dr. Tejinder Kaur (MBBS,MD)
  • Dr. Sonia Gupta (MBBS,DNB)
  • Dr. Juhi Goel (MBBS,MD)
  • Dr. Shikha Sardana (MBBS,MD)
  • Dr. Singh Monalisa ( MBBS,MD)
 
Operative Hysteroscopy




  • Tubal cannulation
  • Uterine septum resection
  • Submucous myoma resection
  • Lysis of intrauterine synechae
  • Polyp removal
  • Removal of retained IUCD
  • Bone chips etc.
 
 
 

Operative Laparoscopy

  • Endometriotic cysts
  • Ovarian drilling
  • Hydrosalpinx
  • Adhesions
  • Tubal ligation
  • Ectopic pregnancy
  • Dermoid cyst
  • LAVH
  • Myomectony.

 

 

Pioneers in IVF


First to introduce IVF in

Chandigarh


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 All rooms equipped with attached toilet, AC, telephone, TV and attendant’s bed. 

Canteen facility for meals and snacks available


 

 


 

  Operation Theatres   
 

Operation theatre 1 Obstetric Surgery

OT II Endoscopy

Complete Endoscopy Set up

Well equipped Labour Room

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Air filtration system Class – 10,000

Forma Scientific USA and Hareus (Germany) CO2 incubator

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RI Micromanipulator (UK) with Olympus inverted microscope

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Cryofreezer (Australia)