SNAKE BITES

By BISHAL GYAWALI 



1. Snake venom is a cocktail of proteins: many (>20) are enzymes like phospholipase, ATPase, nucleotidase and other non enzymatic compounds like neurotoxins, hemorrhagins, and cardiotoxins. The outcome of snake bites is very unpredictable ranging from virtually no effect to death.
2. Local pain, paresthesia(altered sensation) and swelling suggest Cobra bites. Tissue necrosis suggests viper bites.

3. Nausea, vomiting, tachycardia, syncope, cold and clammy skin soon after the bite. These features are seen due to fright rxn.

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Rabi Lamichhane set the world record for longest television talk show.

Nepalese television presenter Rabi Lamichhane (L) is presented with a certificate by a Guinness World Records official after taking the world record for hosting longest television talk show in Kathmandu on April 14, 2013. Lamichhane set the world record for the longest television talk show by staying on air for 62 hours and 12 minutes, organisers said Sunday. One hundred guests, ranging from former Maoist rebel leader Pushpa Kamal Dahal, to the Indian ambassador to Nepal, to Nepalese television celebrities and common people joined Lamichhane during the programme. AFP PHOTO/ STR

THE PURPOSE OF LIFE

This article was published in the annual magazine "Souvenier" published by FSU, IOM.

-Dr. BISHAL GYAWALI

MBBS IOM Topper 2068

MBBS Entrance Topper 2062

SLC Board First 2059

Being a medical student, we have to accept many harsh realities of life, most important being death. Its really difficult to believe that every people dies one day, including ourselves. We have seen many deaths by now, and may be have tried to counsel the relatives in many of those occasions. And it feels, in many of those occasions, that its THAT GUY who has died, its SOMEBODY ELSE who suffered, or even sometimes as “he deserved the death” and we never realize that similar trauma could very much occur to ourselves or our dear ones. Maybe it’s the reason why our behaviour as junior doctors to the patients and patient party has been far from exemplary. But this conduct stuff is not what I want to talk about today.