Monday, March 30, 2015

Circle of Thought

There she was, sitting on a wheel chair, a very old woman, white hair wrinkled face and blank eyes. Waiting to be boarded on the flight.
There were younger people around , some posing for pictures, some excited about the next project , group of students going to school picnic seem so excited and loud.
Yet her eyes remain blank. May be she is thinking about the transience of everything that everybody else seems so excited about.
She is not sad but doesn't seem too happy either.
May be she is thinking of her family , may be about old friends or may be nothing. People pass by, move around, they don't seem to notice her.
Yet, her eyes remain blank.

Adductor Longus Avulsion-MRI

Case details: Football player with thigh pain shows fluid filled gap between the right adductor longus and pubic symphysis with retracted adductor longus belly.  Fluid and edema signals are noted at the anterior margin of the right side of the symphysis pubis, with disruption of the aponeurosis. These findings are suggestive of avulsion injury to the adductor longus from pubis with distal retraction of muscle belly.

Anatomy Learning Point: The adductor longus has tendinous and muscular attachments to the pubis, with the tendinous portion more superficial. The attachment site is immediately lateral to the symphysis and inferior to a bony ridge on the superior aspect of the pubis. The rectus abdominis attaches to the superior aspect of this bony ridge. The fibers of the proximal tendon of the adductor longus blend with fibers from the rectus abdominis tendon, a common aponeurosis that covers the anterior aspect of the symphysis pubis and the capsule and disc of the symphysis pubis.The distal attachment of the adductor longus is on the linea aspera of the femur.

Let them rule you out

Yes, they might rule you out based on your background, looks , grades and schools. They will tell you : You are not supposed to be win. You are not supposed to be the one here. You are just average.
There will be critics. They get uncomfortable with your non-conformist behaviour. They will do everything possible to keep you down.
They will keep ruling you out....
you keep proving them wrong .....

Vestibular Schwanomma-Radiopath series.

Continuing with our efforts to create integrated MCQs, Here is the next one in the #radiopath series, Vestibular Schwanomma.

Friday, March 27, 2015

Insecurity, Expectations & Freedom

Modern life can be defined as sum total of the relationships we cultivate. Family,work and leisure everywhere we are but a sum total of the web of relationships we create. There are components to relationships which are often not talked about.
Insecurity : every moment we have to confront our fears and concerns about inferiority of insecurity about our looks, our dressing, being poor or being rich. We all are insecure in some ways, but denying it is the root of most problems. Accept it and life becomes better for you and others around you.
Expectations : you have expectations out of people and people have expectations out of you. Mismatch between expectations and delivery brings dissatisfaction. My two cents is that I keep my expectations low and I always try to deliver more than promise.
Freedom: every relationship needs space as much as it asks for commitment. Be it your office or home, we need to understand just like you need freedom to be yourself, other people also need to be themselves; along with the fact that they are with you at that time.

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