ER Diaries : Why Emergency Medicine

Hey all!

The most impatient Doctor speaking up! Confessing !

Why Emergency Medicine ?

For a person who wants hand on everything , a person who can’t choose a best friend among a group of friends , a person who can’t pick a favourite cuisine instead wishes to have it all! I just couldn’t have asked for a better place.

I love dynamic things!

I love the way things in emergency come to conclusion , like you treat / stabilise / just send him home ( live / dead ).

I love the way the heart restarts for every shot of adrenaline!

I love the way the Glasgow Coma Scale improves .

I love the way entire team works endlessly turn by turn to resuscitate .

I like going home tired , unaware of the surroundings , only to hit the sac.

People often asked me which specialty you liked the most ... medicine / surgery / gynaecology ? I would respond all of them but only on the duty days (Emergency Days).

I hated the way physicians wait for weeks together for medicine to work . Then work on the reason of failure if it doesn’t . ( Mostly due to poor compliance ).

I hated the way surgeons waited and prayed for wounds to heal . Surgery was not about cutting and stitching it was about having patience that the wound heal for days and week together.

I hated the way Obstetrician followed up a case for 9 months for the lady to deliver and then waited and followed up a case till the lady’s post partum.

The hate made me realise something I didn’t have - Patience .

This lead me here.

So far so much!

Comments

" Consulting a psychiatrist would be a question mark on my spirituality " Said the patient.

Hello everybody I hope everybody is safe and healthy. it's been a while that I've been receiving lot of patients in the emergency with mental illness ,thought of sharing an incident of its kind. Not sure if its the awareness of mental health these days or the pandemic, I am developing keen interest in patients with mental illness .I try to take an extra effort to make them feel comfortable and try to create an insight of what is happening and offer them options of what all can be done. Since this it seems like a step towards patient care , I thought I'd share it here as well. This would probably not be the best approach but I welcome any type of constructive criticism , additions or subtraction to my approach because end of the day we are here for best patient care. A 50 years plus old gentleman ,presented to the emergency with the complaints of chest pain radiating to left arm , breathing difficulty, choking sensation in the throat, inability to open his ey...

Experience Based Co Design : BCT Series XXIX

"Experience-Based Co-Design" we have all witnessed its essence unknowingly . My family home is the example I can reflect on .Growing up I didn't like how my house was designed. We (the whole extended family) wanted my dad to sell the house . Dad let his architect friend design our house and would not sell his house (for obvious reasons!). Mum had to balance out the situation so she decided to make small changes. So, it was one change idea each year .She would talk to us individually and listen to our perspective and review her sphere of influence and the impact /utility the idea had.For my siblings the colors were not welcoming while I pointed the flooring. Mum wanted the stairs to be personalised. My grandparents wanted certain conveniences around the toilets. It took her about 4-5 years to make the house a home that was acceptable . From color preferences to spatial arrangements, each family member contributed insights. The lovely thing about it was , the keystakehold...

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Hi all This us again not an original article written by me. but found this article too good, not to reshare. Ill share the link to the orginal article at the end of the post. Having seen this in and out of department since day 1 of working in corporate hospital , felt nice as I found more literature on this topic. I am yet to study in detail about it. A gist of articles and tools you can use to make your or your colleagues life easy. I would be surprised if you told me that you've never seen or experienced it at some point of your career.But we can work towards making the life easier for our colleagues just by acknowledging it. It happens in the ED , ICU , wards everywhere. Being a healthcare professional is about lifelong learning, and occasionally getting things wrong. We have a duty to provide feedback to colleagues about this and take on board feedback ourselves. Sometimes when feedback is given, with the intention of improving competence and confidence ov...

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