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Showing posts from May, 2024

Navigating the Unseen: Lessons from the Pediatric ED : BCT XXVII

 As I stood, needle in hand, attempting to cannulate a restless 6-year-old, I felt the weight of uncertainty settling in.The cannulation failed. I realised it is going to be a challenge and plan was to seek help. Seeking guidance, I turned to a senior colleague for assistance. His response was simple yet profound: "Is the child difficult or cannulation difficult?" I paused, allowing the question to sink in. My initial response was hesitant: both. But in that moment, a nurse gently interjected, "The child is not difficult, the child is autistic." Those words hit me like a bolt of lightning. Suddenly, the barriers I faced took on a new perspective. It wasn't merely about the technical challenge of cannulation; it was about understanding and accommodating the unique needs of each child. Returning home, I delved into learning modules on autism and pediatric care. What I discovered was a glaring gap, not just in my own knowledge, but in the broader Indian healthcare ...

First experience consulting at a QI Clinic: BCTS XXVI

  First experience as a consulting at a QI Clinic was so similar to my seeing first patient as intern! Firsts are special ! I thought I should share it here! So, the candid definition of a QI Clinic is its a therapy session not for you but your Quality improvement project where we help you help your improvement initiative. I reflected on my journey from being a medical student immersed in textbooks and clinical shadowing to transitioning into a medical intern. In my final year, I recall moments of uncertainty regarding my continued interest in medicine (Deja vu). However, engaging in my first consult as a medical intern dispelled many of the concerns I had held then and sort of reassuring me that I can practice medicine. So ,after practicing "complex QI methodologies" for my project , I never had that confidence to state that I could help/advise people in their QI projects until the other day. I am now eager to participate more frequently in these clinics to play around with ...

First Night Shift Leading: Canvas Chaos to Calm Chap: BCT Series XXV

Hello All Ever had one of those nights where everything that could go wrong seems to do just that? Let me take you on a rollercoaster of candid chaos and unexpected brilliance, as I navigated my first night leading a shift in an unfamiliar center. Picture this: Stress levels through the roof, feeling like a fish out of water, and apologizing more times than I can count. My team's glances were a mix of skepticism and judgment, and I questioned every decision I made. Forgetfulness, clumsy mistakes, and endless apologies became the soundtrack of the night, and I found myself stumbling into the wee hours, going home much later than planned. The turning point came when I spilled my chaotic night to the senior who took over from me. His two cents were a revelation – insights, strategies, and a perspective that turned my canvas of confusion into a potential masterpiece. The consultant, in a one-on-one, shared even more wisdom on navigating the intricacies of a shift leader role. Feedback,...

From Spoiled Milk to Sweet Therapy: BCT XX1V

Ever had one of those days where everything seems to be conspiring against you? Picture this: I stumbled back home from a draining night call, craving the simple joy of a bowl of cereal with milk. But alas, 2.2 liters of spoiled milk dashed my hopes, leaving me hungry, exhausted, and downright upset. In a moment of desperation, I dialed up a friend and invited her over to my place on her day off for some fun activity which she reluctantly accepted. Instead of dwelling on the sour milk saga, I decided to embark on a sweet adventure – making Rasgulla, a delightful Indian dessert. As we transformed the kitchen into a makeshift Rasgulla workshop, something magical unfolded. Amidst the simmering sugar syrup and the aroma of cardamom, we found therapy in the simple act of cooking. The rhythmic motions of kneading and rolling became a form of meditation, and the bubbling syrup mirrored the release of pent-up stress. It was like turning a kitchen disaster into a culinary haven of solace.By the...