DR. WAJEEHA ISSUES

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

Hey people The case was amazing. It must be a normal presentation for SVT but the first time I got to manage. Around 60/F kco HTn on treatment came with complains of chest discomfort  since morning associated with palpitations , blurring of vision , headache .  I thought MI first . Asked her to repeat the history and tried asking her chest pain hai Kya . She still insisted its chest discomfort . I asked the staff for BP and ECG . While I connected her to the monitor .  The heart rate was 210 ! Spo2 was 93. Ecg showed SVT pattern . BP was not recordable . Shifted her to priority area . Connected fluid ( later realised that it was unnecessary ). Sent the ecg to cardiologist . He came down. We were doing vagal manoeuvre and adenosine. He came n told to give 100 J synchronised shock . ( tab yaad aaya ! Arey warning signs🤦‍♀️ shock directly) sedated gave shock. She said aah 😅. (sedation didnt act even after 2 min I guess ). ACLS guides you to sedate but doesn’t teach you t

Hey all It's when you're sick you realise , you are important . The one who needs your attention the most is yourself.There were days when I thought about career , people but now I only think about the body I plan to live in till the end of my life.  It’s then when you realise you need your time , you want the time to slow down a bit so that you can heal your tired body. It’s then you realise you need care and attention from your loved ones. You know it’s viral fever , you know it will have its own course , you know it’s benign ... still you seek some empathy and attention. That’s human . That’s us . So far so much