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VIP taxi in Emergency department

Hey all This article is picked from Dr Anthony Rodigin USA , was published on the iem journal. Found it really nice. Thought of sharing it. During your emergency care career, you will not be able to avoid seeing the so-called VIP (very important…) patients from time to time. Whether it’s a VIP according to someone else higher up, general society or even your own perceptions actually does not matter – the end game is one and the same. The best time to ponder and prepare regarding your future approach to VIP patients is now – before you are in the midst of the actual situation. Now, if you are an idealist, things may seem blatantly easy. You shall and you of course will evaluate each one of your patients the same, regardless of anything about them! It may in fact feel insulting if someone were to insinuate that this case deserves or requires that “special” or “above and beyond” care. Doesn’t that imply that all of your other patients so far have been getting just average or so-so treatme

Don't shrink with shame , Grow with vulnerability

Hey all What is really interesting is that it is not actually the shame itself that stops us from trying new things or doing what we want to do. It is our own unwillingness to embrace the feelings of shame and transform it into something rewarding. -Reclaim your power and choice – instead of letting shame decide your limits -Make shame, guilt, and anger your allies - instead of your enemies -Understand your own triggers and how to navigate them -Better meet your needs for respect, acceptance, belonging, and freedom? You don't grow unless you accept your vulnerability. So far so much

What will people say?

Hey all ,   I received a call from a colleague... He seemed sad and expressed his concerns. "Wajeeha , I am feeling bad for us.  We've not cleared our exams. People are going to say , we've taken 5 years for a 3 years course. It won't look nice. The Royal College Might or might not conduct the exams. Everybodys plans have been stalled. What do you want from your life?." I replied, All I want from my life right now is good health. To be healthy enough to jump back to work.  Don't you think just being alive is an accomplishment in itself after having worked in a deadly infectious atmosphere? I have plans. I am working on them. Exploring them. They will work out when it is time.  I honestly have never chosen a doctor for myself based on the university he has graduated, the number of attempts he has taken to clear exams . The years of expertise he has? Yes, that's a point I'd consider.  As a junior, I've never respected a senior

Thoughts after failing twice...

Hey people So , today is a 101 year old speaking her mind out. This apparantly is the first time , where failure didn't bother me after having put efforts into something. Not even a bit. Not sure if my priorities have changed, or I have turned tougher . I have never been so sober after failing the same exam twice. I've never failed so terribly. For those who don't know, it's my SAQ , FRCEM.  So , do I lose my vision ? No . My aim is still to be the emergency physician, not the best in the town, but someone who can help improve the quality of Emergency Medicine by improving quality of education, practice, protocols.Its just not a word aim ... It's a capacity , an endlessly renewable resource . If this needs me to re-read my book again. Bring it on 🤠👽😎 So far so much

Perfectly imperfect 😅

Toxic Leadership

ED burnout

Hey all Found an interesting article on Healthecareers.com by Emily O'Brien. On Doctor Burnout and what it means Burnout is tough on anyone. It disrupts happiness levels, relationships to those closest to us, and even our careers.  The Maslach Burnout Inventory (MBI) tool is used to measure emotional exhaustion, depersonalization, and dissatisfaction with work accomplishments and measures job fatigue as defined by the World Health Organization. MBI is recognized as the leading measure of burnout and authenticated by decades of extensive research.  A 2017 Mayo Clinic study declared that almost half of the United States doctors—an astounding 44 percent—report some degree of burnout. But for physicians, this exhaustion cuts even deeper.  There's a ripple effect : decreased patient care and an impact on the healthcare system. One key factor contributing to discontent is electronic health record systems. In fact, one study that found that for every hour physicians spend with patient

Break ke bad

Hey all, Life speeden up and gives you breaks when you expect the least. Probably that's how the life is supposed to be. I happened to take a break a decent one that usually practicing physicians don't take for personal reasons. Usually women take such breaks either for wedding or maternity, mine was different.  Before getting back to work , I had various reservations. The most fearsome being losing hold over procedures and clinical knowledge. As a team leader you're supposed to be the best person to do procedures . With so many speculations in my head , I decided to keep walking.  Day one , since we live in pandemic, I had to brush myself with the protocols. I did take help of the second in line. She was of immense help. The Central lines , arterial lines scared me. Yes, they did. I asked my consultant to stay as I was really unsure of my capabilities. I don't know if it's just me or people usually have this self doubt. He stood behind. I supervised the procedure a

Micromanagement

Hey all I am back again with food for thought. Because what goes up there in my mind kind of reflects in my blog.  The thing that's up today is micromanagement. Micromanaging people and our thoughts keeps us away from our goals and bigger picture. It's like halting on a race course criticising how poor the infrastructure of particular area is.  The idea that our mind should be cultivating is , I have been through this tract it's uncomfortable , let this pass. When in better position, I'll make it better for people who pass from here after me or create strategies to pass through the tract effortlessly.  Micromanagement distracts you. Exhausts you.I am learning to prioritise and have a bigger picture.  So far so much.