More than a year back. It was a tensionful day. I was waiting for my turn for the viva-voce. Every one ahead of me were taking one hour in their turn. I was hopelessly hovering over the pages. Friends were chattering questions after questions… all needing search.
My turn came. R G Kar Medical College with their Eminent Surgeons sitting in a straight line. A single hard wooden chair for me to hurt me hard.
First question as I make myself comfortable, “where is the left atrial appendage in this chest X Ray” , a white beard man asked looking towards the X Ray hung in the view box.
Left atrial appendage? In chest X ray? I looked at the glowing box. Thousands of pages of the book flashes before my eyes, nowhere i noticed myself reading the same. As the silence in the room prevails, i managed to force an answer- ” Sir, out of the double atrial shadow, the extreme left of the left atrium is the left atrial appendage.”
Everybody looked at me, though i know it was not the right answer but i have nearly puzzled them. I sit nearly confident as the X ray was the patient of a Mitral Stenosis with shadow in shadow appearance of the atria.
One of the interviewer asked me show in the X ray. I got up and pointed my finger to the area. Someone wanted ,” be more specific”. “More specific.” Wow no!
They later switched over to read the X Ray in details. I showed my rapping talent there.
Till this day, I was a lay man, when I read about the location of the left atrial appendage. Those tunes in the examination hall “be specific” rang over my ears with its very purpose.
I read it again, again and again and quoting it for you, ” Anterior border of the left third rib where it meet the left heart border is the junction of the pulmonary artery and left atrial appendage.”
Wow no! How did I pass. That day, when i come out of the examination hall with a smile in my face, but today i feel it was a blessing of those examiners.