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Showing posts with the label Emergency Medicine

Cravings of a crash doctor

Hey all Yes , you guessed it right. My anxiety is just not letting me sleep . Anxious about? No not at all corona... I do what I do but now with uncomfortable clothing thats it. Before I go further , *Disclaimer: All the points written below are in a positive sense of wit , clumsiness and exaggeration.Crash area in emergency medicine is the resuscitation area , where the sickest patient is wheeled in. If you have a team of emergency physician , a crash doctor js designated based on experience and exposure to stabilize sick patient.These are high priority cases What can a crash doctor crave for?  Intubation : That endotracheal tube going into the trachea in just one go and your assistant saying negative , positive, positive, positive,  positive! Thats the first step towards saving a life because its only after *AIRWAY* comes breathing and circulation... How do I explain you??? Its like Qabool hai of Muslim Nikah ! ( Umm... Exaggerated a little, I guess its okay!) Central Li

Ramadan, Summer and PPE

Hey all, My tug of war with summer has not been as bad till it began clashing with Ramadan! Last three years, My patience gets tested with this combination...  This time CORONAAAA! With corona comes PPE ( Personal Protective Equipment) as much as it looks fancy ( I LOVE WEARING IT !)  hell breaks inside!  The condition is worse when a code runs. Due to limited exposure less people are allowed in the resuscitation area.  The situation is like ,  You're in a desert in scorching heat, wearing the most uncomfortable clothing in the world trying to help somebody come back to life. Pushing harder , faster . Making sure you're safe and your colleagues is safe. You can't ask people nearby for help, for safety reasons. You go out of stamina, try to get fresh air to breath but the area is so contained and your tight masks, won't let you breathe.  The guilt of not being able to help is worse when its a young or middle aged person who might have survived if the conditio

Confessions of a Crash doctor

Heyyyy people Confession pages , posts are always entertaining!  *Disclaimer: All the points written below are in a positive sense of wit , clumsiness and exaggeration. Don't take it seriously.  Crash area in emergency medicine is the resuscitation area , where the sickest patient is wheeled in. If you have a team of emergency physician , a crash doctor js designated based on experience and exposure to stabilize sick patient.These are high priority cases. Now that you have a background... Let the rant begin. Its been around 9 months that I've been continuously handling crash . So , let the rant begin. 1. We are the most no-nonsense people. 2. Trust handover blood pressure like you trust politicians promise. 3. One day makes you feel the best person in the whole world , next day you feel like a ruthless beast. 4. One day you feel like Sherlock Holmes who has solved a mystery , the other day its supandi time. 5. Ordering things and getting them done are two different

What scares frontliners more than COVID19?

Hey people,  My grey matter is churning so many things out , that I had no other choice but to write about it. Yes , I got a lot of time! Honestly , as medicos, thats our foundation as doctors, we deal with so many infectious diseases . Nothing really bothers us as much. The paranoia has never gone overboard.  Why COVID then? Honestly speaking I was not a first bencher in school . Having said that, I love being a frontliner in my professional life. Probably because I am single, I have relatively less responsibility?  But with me are some people who love what they do. But every respiratory case that appears before them draws chill down their spine.  Why? Haven't they dealt with a pneumonia? Did tuberculosis scare shit out of them? Did swine flu made them isolate themselves? NO! then?  Its usually married people, healthcare workers with kids or elderly parents who are more scared.  Being a carrier of the disease , being a cause of somebody elses misery is some

"So , if I fall sick you're going to send me to a government set-up? "The physician asked . #COVID #coronaera

Heylo people! What's on? This lockdown I have decided to make my self more aware of the things I was ignorant about... The areas of Geriatric and pediatrics... I know you guys are honing your culinary skills , but my mind just refuses to go to kitchen. Lets end the banter here. Today's scenario We had an elderly female 80 odd years who presented with respiratory symptoms, I was the doctor attending her. She was by protocol isolated , given basic care. My team that comprised of nurse , doctor , housekeeping all wore Personal protective equipment.  The lady was old follow up case of the hospital for decades now. The family was very well off . Ready to do anything to keep her in good health , she was already bedridden. Her Xray Chest was suggestive of Pneumonia. The same day a rule (not on paper) was about to be passed. That all respiratory cases have to be diverted to the government setup. So the decisions with respect to the respiratory cases were taken b

Where are Life-threatening emergencies? #COVID

Hey people Its been a while that I've blabbered. My friend pointed out that I don't have consistency. I happened to plan to do everything, but am left at point zero.  So , now ... idea is to blog consistently ( Don't mistake is as everyday 😜) You cannot take charge to annoy everyone everyday. Topic for the day... Where are Life-threatening emergencies ?  Its not that people aint dying... they are. But has the nature changed its way of cleansing earth by this crash detoxification method ? I mean where are the heart attacks, stroke , traumas , cancers , colics ... Its just lungs, lungs, lungs!!! Bacteria in the lungs , virus in the lungs , food in the lungs  !  I actually sat back thinking about it ... The occurrence of the disease has gone down or the what has lead to the steeping of the cases. Fear The COVID scare is so bad that people have boycotted hospitals altogether scared of the One for One offer for COVID that they may contract.  Awareness P

COVID Caution in Aam Aadmi

Hey people, How's the quarantine life going? Chilling or killing time? Since all doctors are stressing on how they're being on high end as people actually facing the virus , I just noticed some cautious moments that shows the caution and panic the quarantine has created. Instance # 1 Wheeled into resuscitation area today was an elderly about  88 year old female  who was brought with history of unresponsiveness for more than an hour. Active resuscitation took place. Despite best attempts I had to declare her dead. I went out to look for family, I saw nobody. Till then I was in the code, my team was communicating with the family. I went out of the Emergency room looking for them. When I saw the family, everybody was wearing a mask , not a disposable one , the other N99 mask, with hand sanitizer in their hands. They were OKAY with the death news. The thing they were worried about was walking into ED.  They just wanted me to do the formalities fast , so that

Weird midnight request

Hey people !  Back to weird topics with weird headers. The other day , it was past midnight, I'd accompanied a patient to the ICU, I notice an elderly lady stand near the elevator . Honestly, I didn't even notice. I dropped the patient came back she was there.  She walked towards me hastily and asked, hello doctor. I smiled back said Hi and tried walking fast to the emergency room.   Doctor if you don't mind I've a request . There was pin drop silence ,everything she told was loud and clear.  With no other choice I asked her what the request was.  Can you drop me on the second floor. I've a relative who is sick , I've to go. I cannot stand alone in a elevator. Please? I nodded. Dropped her to her requested floor , came back.  There was nothing so OMG about the incident.  I somehow find it spooky. Also when I look back . Shows little anxieties that people have in them , that otherwise don't surface. So far so Much Bye.

1 year as Instructor for Lifesavers

Hey people,  Hows life?  Mine is good , saving few lives here and there , messing my own now and then.  So I ve just completed one WHOLE year after my AHA instructor course . So... experience sharing time! The best decisions happen when you're not looking for them.  This is one of the example of the same. Since its celebration time , I am only going to share the best parts, or the best glimpse from last year. 1 . The first experience The course started in English and we realized the staff there was not well versed with English all the house keeping staff et Al . My lead instructor chose to promptly change the medium to Telugu , and there I am clueless. Being a person who murders Telugu Everytime I speak it. I chose to take a back seat and help correcting people. This was my first experience in the lifesaver course. 2.  Thought process Everyone has that one event in their life that changes their perspective towards something. It was after going th

2 years in Emergency Medicine - 22 realisations!

Hey people *Clears throat* Today happens to be the day I enrolled myself in Emergency Medicine Residency two years back. Its a special day of course. Definitely, close to my heart , liver and kidneys. My mentor asked me how the two years went by. I didn't say much. Because sometimes you have a hundred things running in your mind and you dont know which trail to catch.Thoughtfully jotting things down.Keep calm and read on. 1. Patience : I've lost it. As emergency physicians it is important for us to act fast. Having said that it is equally important to hold back and watch for response with patience. I think I've lost it in last 6months. Trying my best to get hold of it.  Still working on it. 2. Filtering Advices : When a code runs , everybody has a set of protocols and advice. Being firm , right is important. Handling my fickle mind. Still working on it. 3. Identifying Addictions $  Burnout I overtime realised addiction might