DR. WAJEEHA ISSUES

We were nagged . We are going to nag you , flog you . Why ?  Legacy .  Some senior doctors have this kind of attitude. But there has to be a way to channel out their frustration. Some smoke and drink to do the same . Sometimes that isn’t just enough and some don’t do anything. Where does the negativity drain? It drains down to the junior most resident. It’s an unwritten bond every junior medical resident  in the medical field  across the world has signed up while joining residency.  Some try to combat . Some give a deaf ear . Some shed a tear . All they wait is for the end of their residency or atleast joining of their junior. Because hey! They also have to channelise their stress out of their body. I find it a little weird when I read people leaving the job because they ain’t able to cope with this. How I deal with this ? Honestly I find it very funny.  There are times I get offended .  There are times I feel guilty when I realise I am at fault. The r

One of the saddest commentaries on my city that I see on an all too regular basis is the absolute lack of coping skills in the growing generation. We had generation X and then Y, and I guess they’ll need to call this generation W for whiners. Too pampered while growing up that they have no idea how to manage their own problems after they very effectively create them. I had the unfortunate experience of seeing A teenager who came to ER on three separate occasions seen by three separate ER physicians for what he described as chest pain. Day 1. Chest pain , Palpitations. ECG and all normal. Some anxiolytic and discharge. Day 2 . Chest pain , palpitations. ECG and all normal. Some anxiolytic and discharge. Patient insists on admission. Counseling and CIAO!  Day 3 . Palpitations. ( My day)  I heard Nurse while checking his vitals reassuring , you’re fine .  Nothing is wrong. She told me that the boy had appeared twice earlier to the same centre with chest pain . And

Hey! It’s not a pleasant situation to have ZERO control over  •What you think •How you think •Where you think For me it’s two poles . All good or all bad!  I feel like I want to murder someone and at the same time I don’t mind having a shawarma. • It’s tiring  •It’s exhausting  It’s must to speed dial your BFF when thoughts are out of proportion to Get out of unpleasant trial of thought. •I live more inside my head than outside it. There really is no bright or positive side to living with anxiety, and although each sufferer has a different experience .  P eople who immediately act on those ‘wild-card dangers’ are more likely to survive and preserve the lives of their loved ones.  People believe that those who suffer from anxiety have a better likelihood of being empathetic as they may be better at reading emotional signs as well as being attuned to certain energies. So far so much

hey all! Like a blue moon or eclipse I appear . Tell a tale and disappear . Today’s discussion is about the little dilemma book VS practice. Around 60 year old lady presented to ER in a drowsy state . Alleged h/o consumption of 10 tabs of 0.5 Alprazolam and 10 tabs of 500mg PCM 1.5hr back. No Vomiting / seizure / frothing/ sweating/ palpitation/ or any incontinence . KCO DM HTN CAD Depression Hemodynamically stable Patient drowsy  yet aggressive pupils 2mm RL+ Power 5/5 Lungs clear Abdomen soft B.S.+ MLC was registered Treatment wise  Pantoprazole Ondasetron  And Gastric Lavage was done They had affordability issues , they took the patient away. So the twist of the tale was OHEM says no gastric lavage for Benzodiazepines as it’s not fatal except for elderly and COPD cases . Only supportive management. Since pCM was 5g n she was elderly . ( mixed poisoning) It was not a blunder. But the consultants do gastric lavage for benzodiazepines. What t