Wednesday, August 20, 2014

Possible Bronchopulmonary Sequestration

This is a chest CT image of a young male with fever, recurrent cough. CT chest shows well defined area in left lower lobe with cystic component. Possibility of  sequestration was suggested in view of location and appearance, and CT angiography was suggested.  The most common appearance of sequestration  is a solid mass sometimes with cystic changes. Less frequent findings include a large cavitary lesion with an air-fluid level, a collection of many small cystic lesions containing air or fluid, or a well-defined cystic mass. Conventional CT does not consistently demonstrate the aberrant systemic artery,  Lack of visualization was thought to be due to the small size  or unfavorable orientation of the vessel.  CT angiography is the procedure of choice.


Intellectual Cowardice

This strange topic is centre point of how successful you are likely to get in life, both in material and non-material sense. There are people who exhibit a strange kind of fear or paranoid feeling when confronted with an intellectually challenging situation, and instead of getting into a healthy debate, they close off and usually escape. The questions might relate to way things are done in the organization, or may be related to their faith or their beliefs. When challenged by a non-conformal question, some people just back off. They are afraid to discuss, and they just blurt out that they know it all and there is no point at discussing any further.  The term that is used for such a behavior is intellectual cowardice. This implies and includes: the fear to question, the fear to use intelligence when confronted with a defying question which challenges the way you have been doing things so far, and questions regarding your strategy of life which seems to working for you so far. These people either back off from such questions or resort to aggression.    And that’s where all the progress stops. This is a sign of mental orthodox and complacent behavior. If you are able to take questions like these with intelligent thought process and able to modify your own set of beliefs based on logical reasoning,  you evolve and go to the next level.  Most successful people are those who have courage to raise questions and more importantly courage to face questions regarding their own selves.  These are people who help the organizations and process evolve by challenging and in turn promoting a culture of questioning from time to time, which is so vital for a personality or an organization to grow.    
If everything that you know was perfect and unquestionable, then why does science keep surprising us with new discoveries, why do people keep finding new ways to make profitable enterprises if all options are already exhausted?   Let’s all be aware of this sin called as intellectual cowardice, and avoid it by being open to questions which challenge our beliefs and see the things as they are, not as they are painted to us, let’s  not become so rigid that even sound advice doesn’t bend us.  According to a famous Talmud quote : We do not see things as they are, we see them as we are and I believe people with intellectual  courage challenge notions and perceptions while  people with cowardice become cynical.



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Wednesday, August 13, 2014

Passionate yet Detached


This is my mantra to success and is likely to sound paradoxical to most of the readers.Most entrepreneurs are passionate about their work for sure and yet very few are able to detach themselves from it. I always wondered why top business leaders like Steve Jobs also develop a spiritual side to them and I am sure most people don’t understand this.   Now with years of being engrossed in my work, my passion with medical education and technology, I have gradually understood the art of detached passion.  Sometimes overtly passionate leaders get involved in tiny things which actually don’t deserve their time and attention and getting involved into everything, they end up missing the bigger picture. Second preoccupation people have is being concerned about the returns and rewards all the time, they are important no doubt, but until and unless you detach yourself from the returns and results, focus on getting yourself on” your” road, the road that you want to travel in life, you will not evolve into true leader. Organizations need leaders who are passionate about the core values and mission of the company, yet detached enough to see what is happening from the correct perspective.   Detached, passionate leaders are able to take tough calls and then business goes beyond winning and losing, beyond profits and losses; that’s where entrepreneurship and spirituality merge.




Tuesday, August 12, 2014

Hypoxic Brain Injury-MRI

These are FLAIR MRI images of intubated, ICU patient showing hypoxic injury with hyperintense signal in the basal ganglia, thalami and hippocampus.


Pedunculated Cervical Fibroid Polyp

Large polypoidal endoluminal lesion is seen in cervix with fluid in cervical cavity surrounding the lesion and this lesion appears to have extension from the endometrial cavity-pedunculated polypoidal lesion possibly  fibroid.


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