Skip to main content

Department of Medicine - Day 1

Hey  people!
Fasting and blogging don't really work well. So , here is one after a break.
First day at Osmania General Hospital was so typical.

The moment I enter the hospital , I see a corpse . Half a dozen people crying . Surprisingly , Like a cold blooded creature I moved ahead . 

After collecting my unit order , I moved towards the wards . The filthy path with  annoying arthropods and bad odour.I find a familiar face yet again ! Having  A familiar person your co intern is such a luxury . You have somebody to laugh along . You have somebody to share a bad experience. 

Both of us ran to check vitals. Nerve wreck, your ears don't work . No systole , no diastole . Hell yeah , I have Littman's but what if my ears stop listening to the roz ka BP song.

What was new?
Checking RBS ,  
memorising the room no.s for all the Investigation Departments (Microbiology , Pathology , Biochemistry) .
Filling up Arogyashree Forms . ( Oh God ! I did it ! )
Draining ascitic fluid .
More Injections . (Other than zofer ,rantac , Monocef )

Dumb Charades :
Interns are like doorbells . Everybody asks them stuff , and most of the times , they are clueless. This incident was one of a kind. 
A random person approaches me , give me a prescription , asks me to explain when medications are to be taken. I first thought to let go. But then , the good samaritan ( Ramzan Mubarak 🙈😜) wakes up and the conscience makes you to take up the task. 
The prescription had 7 drugs . 1 painkiller , 1 antacid  and the rest were all Vitamins. Who thought such placebos can be so taxing !
The game began. With all silly actions I explained him the drugs that had to be taken once daily. 
Then came the twice daily ones . He asked me to write the time on paper . So 9am , 9pm . Thumps up.
This was not enough. He was ready to eat up my head now . He wanted to me to explain as to why his clotting and bleeding time was low. Like really?  Dumb Charades for Bleeding and Clotting time . I sent him away. 

Z positive cases.
My college never harboured HIV positive cases , OGH has plenty of them. Out of a dozen patients admitted in our unit , 3 were Z positive. So , you arm yourself with double gloves .  
One of the patients was really kind enough to say :

Injection bohot acha diye doctor . Dard hi nahi hua . 😋

So far so much.



Comments

Popular posts from this blog

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...

" 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...

MRCEM OSCE preparation and resources

Hello people Since I have cleared my OSCE in one go, I feel it's my duty to journal what all I have done to make it work.(humble brag).Thanks to ChatGPT for helping me pile up some humble generic sentence to make this blog wholesome.(Just kidding). The MRCEM OSCE exam is an integral part of the qualification which tests the clinical and communication skills of candidates. For Indian students pursuing this qualification, preparing for the MRCEM OSCE exam may seem daunting. However, with a few tips that helped me sail through fine. The thing that helped me the most is acclimatizing myself to the UK Clinical Setting Before appearing for the MRCEM OSCE exam, it is imperative for Indian students to understand the clinical setting in the UK. Sometimes , all they want to see is how you behave , your body language, your tone , and your organising skills. Diagnosis is not a critical thing here. You will not fail if you get a wrong diagnosis provided that you have done it systematically. So ...