Khawsik sang vang a naupang kaih

 Tun tum chu tunlai a ka vei Mizo tawng ngei hian kan thawh ve ang e. Tangkaipui turin in lo chhiar hlauh takin. Word a ka ziah sa ka paste a, ka edit thiam tawh lo :P

Febrile seizure (Khawsik sang vang a kaih) hi naupang thla 6 atanga kum 5 mi velah a tam ber a. Naupang kaih chhan tlanglawn ber a ni bawk. Kum 2 hnuai lamah hian a tam lehzual a, kum 5 hnuah hi chuan kaih hi an nei zui tawh lo tlangpui.

Khawsik sang vang a kaih hi chhungkaw inchhun theih a ni a, unaute kaih thin nei chuan 10% in kaihna chance a nei a, a nu emaw a pa a naupan lai a  khawsik kaih a neih ve thin phei chuan 50% kaihna chance a nei bawk. 

An kaih hunlai chuan hlauhthawnawm thei hle mahse, khawsik vang a kaih hi thil hlauhawm a ni lova. A hnu a thluak lam chaklohna thlentu leh pangai zan lohna thlentu pawh a ni chuang lo tih hi hriat chian a tha.

In ven dan:

Naupang kum 2 hnuai lampang hi chu hritlang leh hrileng an kai hma em em a. An khawsik a san viau chuan an thluak la puitling lo chu kaih ‘trigger’ mai a awlsam bik a. Chuvang chuan naupang khawsik chu enkawl hma a tha ber.

1.  Nachhawkna (Paracetamol eg. Calpol, Sumo, UPC) pek hma a tha. Damdawi ei thei lo/duh lo chu mawng a hnawh chi (eg Just-in) ang te pawh hman mai a tha. Heta sawi tel ngai chu nachhawkna te hi damdawi dang ang bawkin side effect an nei vek a, darkar 4 aia zing lova pek hi a him ber. 
2. Naupang chu chei lum lutuk lo la, kawr thawl lam, awm leh ban khuh haktir la, inchhung thli thaw awm lohna a awm tir a tha. Vawt a tih viau pawhin tihlum vak vak hian an kaih duh hle. Shawl sin chung a puak lum te hian an kaih hma duh  lehzual tih hriat a tha. 
3.  Theihhram chuan chhungtin in thermometer (khawsik enna) hi kawl a tha. Khawsik chang a a san dan chhinchhiah hi a finthlak khawp mai. Taksa lumna pangai hi 37 degree Celsius or 98.8 degree Fahrenheit vel a ni a. Naupang khawsik 102⁰F (39⁰C) leh a aia sang anih hian an kaih tlangpui. 
4.  A khawsik chu a sat viau chuan, tui lum pip pep ah puan nem chiah la, fe deuhvin sawr la, chu chuan a taksa sa lai kha deh daih tum rawh.  Vur leh tuivawt erawh chu hman reng reng loh tur. 
5.  Febrile convulsion vawikhat nei tawh chuan a nei nawn leh duh tih hriat a, a khawsik san hma a tih daih vat vat a tha ber.

Naupang kaih awmdan:

Kut leh ke ti khawngin a mitmu a ti chho (meng pual) thei. Biak an hre lova, second 10 atanga minute 10 vel thleng a ni tlangpui. A din lai a nih chuan a tlu tawp thei a, zun te pawh a cheh thei. A then chu an luak a, an lei te pawh an seh thin. An taksa an vai vak vak loh pawhin an khawng tlat thei bawk. Thawk an lak loh chuan an hmai leh taksa te pawh a duk vek thei. Mahni fa leh tute kaih hmuh chu thil hrehawm tak a ni a, chiai loh hram hram a tha ber.

An kaih hnuah hian an mut a chhuakin an zawi viau thin a, hei hi chu a dan ve reng a ni.

Khawsik vang a kaih hi chi hnih ah then leh a ni a. Simple febrile convulsion chu minute 15 aiin a rei lova. Darkar 24 chhungin an kaih nawn lo bawk. Complex febrile convulsion ve thung chu minute 15 aiin a rei a, darkar 24 chhungin a kaih nawn a,  taksa che lai bik (eg, hmui tep char char, taksa peng chanve chauh che, etc) an nei thei.

A kaih a nih chuan:

1.     Pawm bet lovin khum/thuthlengah mut tir la. An taksa che vel chu khuahkhirh tum lovang che. An bul hnaiah intauh theihna leh anmahni tina thei a awm chuan laksan vat tur.

2.     Thil hmuam lai a neih chuan lakchhuah sak tur. A lei a seh chuan i kut zung tangin ven sak rawh. Fian leh slipper te ka a rawlhsak hi tih loh hram tur.

3.     Kawr tawt a hak emaw  a nghawngah muffler etc a awrh chuan phelh thawl sak rawh.

4.     Eitur/intur pek tum suh.

5.     A luak emaw, a chil hnang a tam a nih chuan a lu chu saisir indah la, zangthal a a mut chuan a hak a hlauhawm.

6.     A khawsik chu kan sawi tawh ang khian tihhniam i tum dawn nia.

Tih zui tur te:

1.   Naupang chu a kaih zawh veleh doctor pan pui a tha. Hospital a hlat  deuh phei chuan an kaih lai a hruai kher hi a tul lem lo. 
2.  A khawsik chhan chu hriat a enkawl vat a ngai. A tlangpuiin hritlang leh viral infection dang vang mai mai a khawsik an ni thin a. Natna hlauhawm dang vang eg. Meningitis (thluar har infection), encephalitis (thluak infection), brain abcess (thluak a hnai awm) a ni lo tihchian a ngai. Heng natna hlauhawm vang a kaih hi chu Complex febrile convulsion  kan sawi tawh ang khian an awm duh bik. Doctor chuan damlo a en in a hre hrang thei mai thin. 
3.  Simple febrile convulsion kan tih ang ah khi chuan test tam tak tih a ngai lo. Mithiam hovin an lo chhuina ah chuan CT scan te, EEG leh Lumbar puncture (hnungzang atanga thluak leh a har kar a tui test) te hi tih awmzia a nei lo tih an hmu. Amaherawh chu:

·        thla 9 aia naupang emaw kum 5 aia upa a nih emaw

·        a kaih vawikhat naah temperature sang vak lo emaw

·        Darkar 24 chhunga vawi 1 aia tam a kaih emaw,

·        A taksa thenlai chauh a kaih emaw,

·        Minute 15 aia rei a kaih emaw

·        Doctorin a en a thil tha lo a hmuh emaw

·        a kaih hnuah a awmdan a pangai zan loh chuan

heng test kan sawi te hi tih a ngai thei.

A pawimawh berah chuan Simple febrile convulsion hi natna hlauhawm a ni lo tih hi hriat a tha a. A hnu zelah rilru lam a chaklohna leh hnufualna a nei ang tih te a chhungte chuan kan hlau thin a. Kaih natna a neih chhunzawm zel te kan hlau thin.  A ven dan leh enkawl dan hriat a, a hlauhawm hun a doctor pan nachang hriat hi a tul (a chung a kan sawi tawh ang te khi). Kum 5 an tlin hi chuan a reh hlen tlangpui a, an nunah harsatna an neih zui phah bik chuang lo tih kan hrereng dawn nia.

A dying blog

Some wise guy predicted that Facebook would wipe out personal blogs. I think that's happening to mine.
It's just that nothing of much importance happens to someone as ordinary as me. And my facebook friends know I hardly even have status updates. So this could be the beginning of the end for this old blog. Totally deleting it seems a little harsh, it's like a diary of sorts. Maybe when Ruatfeli grows up and can read all the stuff I posted about her, she'll delete it herself :P

We're starting this project on building a house of own. Maybe I'll do a blow by blow post on that.

So far, we walled up the entire area because some people are, as some people can be, pretty unscrupulous. Then we put up a retaining wall, which we filled up with soil. Which we later decided was to be a water tank, given the scarcity of water, so we got people to remove the soil again. Huge waste of time and money, but we probably made the right decision because water harvesting is a must.

Then we found us an architect to design the house. We didn't give him an estimate of our budget, just told him what our dream house would have, garage, this many bedrooms, a curved staircase(!) etcetera. So he went all out and designed us what I think is going to be a beautiful house. But now I'm terrified about where we're going to get the money. We might have to rob a bank!

Anyhow, H went and got back from a month's training at Tata hospital, and he decided no more dilly-dallying. So he got some people to dig the 'holes' for putting up the 'columns' or whatever they call it, and they're almost done. The land is rocky as rambo, we might end up paying through our nose even for that little bit of work.

I spare myself the trouble of worrying about the harsh work, and instead dream of red kitchens and blue bathrooms. Hopefully in a four or five years we'll actually have a house of our own.

Aizawl a motor khalh etc

Hmanni lawk a motor khalh ve tan khan, motor ka khalh a ka harsatna tawh te atangin point tlem kan ziak ve teng.
Driver te tan:

• Signal pe lovin ding thut suh. Chho fahranah taxi kan zui chhova, passenger an mitsir a an hmu an han ding thut mai hi chu keini driver junior tan chuan buaina tham. A zawn chiahah i din loh pawn passenger khan a hman loh phah awm si lo che a, a chhak deuhvah, rem deuh laiah signal pein han ding la, i hnung a mite leh lehlam atanga lokal te tan chuan sawisel bo i ni mai tur.
• Kawngsir a din dawnin, kawng kawi lai takah hian ding lo thei hram ila. A lehlam atanga motor lokal a hmuh theih si lo, tlan pelh dawnin a harsa lehzual bik. Chhovah phei chuan buaithlak ve tak a ni.
• Kawngsir a din dawnin, motor din tawh na sa ah ding lo thei bawk ila. Lehlam lehlam a motor a din chuan kan Mizoram kawng zimah hian inpelh a harsa. Two wheeler kawngsir a ding pawh hi kawng te ah chuan hnawk vet vet tak a ni. Han tai hlek ila in rang ve mang bawk si lo, keini kan rang nghal ruai  bawk si.
• Speed lai deuhvin tlan bik suh. Chho ah chuan 20 kmph vel tal a tlan loh chuan 1st gear a ngai a, petrol man to ropui si. Kuhva in han insiam a, zial in han fawp a, phone in han be hmanhmawh lo lutuk hi chu a hnung a mi tan chuan a lawmawm vak lo.
• Two-wheeler i khalh vang khan kal hmasa ber tur i ni lo. Harsa tawkin motor kan han 'in-side' a, kal thei dawn maw tih veleh two-wheeler rawn inrawlh lut zung zung hi chu pen fawk an chakawm thei khawp mai.
• Car atangin bawlhlawh paih suh, i chhuk hunah bawlhhlawmbawmah paih mai rawh. I fate leh tu te zawng zawng pawh bawlhhlawhbawm a bawlhhlawh paih zirtir rawh.

Mipuite tan:

• Insa i nih chuan i kawng nek danin i mizia i ti lang. Bungrua-brick, lung etc etc in unload a nih pawhin, kawngsir thei ang berah thiar khawm tir rawh. Perek leh thil hriam dang phei chu motor ke in a ngeih lo nasa a nia.
• A huhova i kal vang khan motor hlauh loh phah suh. Inkhawm bang i ni emaw, sikul bang i ni emaw, inkhel en zo i ni emaw, kawngsirah kal hram ang che. A huhova kal vang a a tlar a kal kher a ngai lo, sut palh chuan a na thovang. Horn pek nawn pawh a inthiar fihlim duh miah lo hi chu ngeiawm ve hranpa.
• Kawng i cross dawn pawhin motor tlan laklawh loh lai chang hram rawh. Muang fahran a mi speed lai veka, ka van 'cool' em, inti niawm fahran a kawng cross hi chu mumang lamah tal tai in chakawm.

Kan vai tan:

• Motor lei dawn chuan a park na tur garage hi sa/luah hram hram ang u. Kan in zawn a kawng hi kan in in a chhawm tel lo tih hriat thar a tha. 
• Mipui ke a kal hi zahthiam an ngai, chep tawk tawkah ip titihin an kal laiin car leh two-wheeler kawngsirah kan park leh si. A tlan lai motor te hi chuan kawng chu kan mamawh, mahse a sir a ding hi chu mipui kawngsir a kal ai chuan an pawimawh lo  fe zawk. 

Food for thought:

     Sorkar hian kawngsir a motor dah a khap thei si lova, an dah theih lohnan sidewalk hi siam ta vek mai se kan hlawk phian ang em?

Training at Tata Cancer Hospital, Mumbai

My poor old blog hardly seems worth updating. I would sit down to write something, but someone would interrupt and all thoughts would go flying out.

In March and April, I was lucky enough to go for a two month training to Tata Memorial Hospital, Mumbai for Onco-Pathology training. It scared me initially, because I didn't think my kids would manage without me for a day. But H and my relatives were so supportive that I did go, with tears in my eyes...wishing the flight would get cancelled. But 2 months have passed and now I'm back, and the kids seem to have gotten along fine. God is good, especially to me and mine, I don't know why, but He always is, always have been.

 So when I reached Mumbai, it felt strange, but weirdly, I LOVED it. I loved the way people at Tata worked. They all worked so hard, so diligently. Nobody was looking over their shoulders, but everybody, doctors, nurses, technicians, IV grades, all just went about their work doing their job. I loved the way the hospital was so organized. No reagents in short supply. No power cuts. No unnecessary delays. No corruption apparently, no private practice on the sly (:P) It was work utopia. Their state of the art facilities and equipments make me salivate. And the pathology professors were so good at their jobs, and most of them were so nice! Dr Gujral especially, took some of us (trainees) out for dinner at his own expense.

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The work ethics of these non-believers humbled me. And I wondered how much I and the other Mizo doctors have to learn, in humility, professionalism and other things. Now don't think I'm bashing my fellow doctors, but the Mizo patients will tell you how nice and approachable most of the vai doctors are to them, while some of us are so rude to our fellow Mizos.

And talking of the Mizo cancer patients, they were living examples of courage and pure grit. I stayed at my allotted hostel in Chembur, but I would always try and spend my weekends at Mizoram House. Our prayer meetings were short but real. No lengthy sermons, but they were speeches from the heart. And you would realize how much people suffer, and yet how much unwavering faith they had in God. It humbled me. I don't know how I would handle having cancer, not as gracefully as any of them, for sure. Staying at Mizoram House was like being in a gospel camp, everybody behaved their best, all goodwill towards everyone else. Although I was initially a little apprehensive about being near the sick patients (I thought they would all be sad and suffering), when I actually stayed with them, they joked about their cancer, their treatment, and all took care of each other. Their sense of humour puts you at ease, and immediately make you feel at home. One point of importance I think is that they all tell me how tired they get at home, with so many well-wishers. Maybe we can learn to give people space and show them we care without tiring them out. Maybe send cards, letters, money, food and not insist on meeting patients face to face when we visit.

Contrary to above paragraph, this patient Actually doesn't mind me visiting!

Thu ka sawi e, te ka ti ve a.

Add caption

A tuarchhel ber, a huai ber.

Infit ber!

For fellow doctors

So actually living with the patients and their relatives made cancer more real, dark and scary. A diagnosis of cancer plunges a person into a dark abyss along with his family, condemning them to a life of chemotherapy, radiation and years and years of check-ups. Being a doctor, our hardwork and/or pure simple luck places us in a terribly vital position. For a pathologist, whether you give the right diagnosis of cancer in a biopsy or FNAC will allow the patient to be treated accordingly. If you say a non-cancerous tumour is cancer, the patient will be subjected to treatment which he doesn't need, and which will eventually probably kill him. If a clinician fails to refer or diagnose a case correctly, the patient will similarly have the same problem. So I think it's important to confer, to discuss with colleagues about our cases, and refer when something is out of our specialty. It is no sign of defeat to consult colleagues in these cases. At Tata, and other hospitals, there would be regular meetings of oncologists, radiologists, pathologists, surgeons, radiotherapists, gynaecologists etc to discuss cases. And these meetings are helpful not only for the patients but also for the doctors. After all, medicine is not something you pass and no longer have to ever study again. We have our textbooks, the world wide web. In difficult cases, I think we should defer giving diagnosis or treatment, till we read and know for sure what we're dealing with. Everyone can make mistakes, but making mistakes because of our egos, ignorance or carelessness is a sin I don't think God will easily forgive.

On the lighter side I also discovered Crawford market, which was a wholesale market with everything at slashed rates. This was a Capricornian haven, because, as Linda Goodman puts it, 'Capricorns like to buy the best things, but at a bargain.' Loved the malls too, but they were mostly just good to hang out at. Crawford market will always stand out as a place where you can get great handbags, toys, prints of famous paintings, most everything, and at a bargain!

I also loved the Elora Caves, or rather the ferry to the Caves. I never knew how much pull the ocean had on me, maybe because I had never seen one before!

So, my trip was a blessing, it taught me a lot academically. I attended conferences (Rs 5000 registration) for free, met many special people, learned lots of new techniques, and refreshed me emotionally. It also reminded me again of how much God takes care of me. For example, while other trainees got roommates who worked in different departments, I got one who was also in Pathology. So I could read her books, use her microscope, etc. I also was always safe everywhere I went, and treated mostly well by the residents and technicians, so I could smuggle back maximum information (I like to think, maybe other trainees feel the same way, haha). I also managed to co-write a scientific paper, for which the HOD assures me I would get first authorship. So yep, that's me, bragging, because things like that don't happen often!