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PPE ,summer and stamina!

Hey people, Ever been so tired that all you can do is sleep?  No depression, no evil eye  , no deficiency , nothing. All you do is sleep? Happens when the only choice you have is either to be safe or tired.The choice to rebreathe your own breath in a closed shield or wait to get your self ventilated trying to transfer a ventilated person from one facility to another. Transporting the patients to the CT scan bagging them , lead aprons hanging on your so called strong bodies . Bagging the patient till the CT is artefact free. With the summer on going you have plans... Plans your mind makes to study books , pray , update , socialise. You go home with plans , reach home.  Your body does nothing but falls on bed . Laughs at your mind and plans , giggles and says.  The world has slowed down, so should you, I can be out of energy , did it ever occur to you? You better understand this ,  Study and all plans can come later, Be thankful that you're alive! Eat,...

Cravings of a crash doctor

Hey all Yes , you guessed it right. My anxiety is just not letting me sleep . Anxious about? No not at all corona... I do what I do but now with uncomfortable clothing thats it. Before I go further , *Disclaimer: All the points written below are in a positive sense of wit , clumsiness and exaggeration.Crash area in emergency medicine is the resuscitation area , where the sickest patient is wheeled in. If you have a team of emergency physician , a crash doctor js designated based on experience and exposure to stabilize sick patient.These are high priority cases What can a crash doctor crave for?  Intubation : That endotracheal tube going into the trachea in just one go and your assistant saying negative , positive, positive, positive,  positive! Thats the first step towards saving a life because its only after *AIRWAY* comes breathing and circulation... How do I explain you??? Its like Qabool hai of Muslim Nikah ! ( Umm... Exaggerated a little, I guess its okay!) C...

Ramadan, Summer and PPE

Hey all, My tug of war with summer has not been as bad till it began clashing with Ramadan! Last three years, My patience gets tested with this combination...  This time CORONAAAA! With corona comes PPE ( Personal Protective Equipment) as much as it looks fancy ( I LOVE WEARING IT !)  hell breaks inside!  The condition is worse when a code runs. Due to limited exposure less people are allowed in the resuscitation area.  The situation is like ,  You're in a desert in scorching heat, wearing the most uncomfortable clothing in the world trying to help somebody come back to life. Pushing harder , faster . Making sure you're safe and your colleagues is safe. You can't ask people nearby for help, for safety reasons. You go out of stamina, try to get fresh air to breath but the area is so contained and your tight masks, won't let you breathe.  The guilt of not being able to help is worse when its a young or middle aged person who might have survived if...

All you need is a pep talk and a frientheraphist

Confessions of a Crash doctor

Heyyyy people Confession pages , posts are always entertaining!  *Disclaimer: All the points written below are in a positive sense of wit , clumsiness and exaggeration. Don't take it seriously.  Crash area in emergency medicine is the resuscitation area , where the sickest patient is wheeled in. If you have a team of emergency physician , a crash doctor js designated based on experience and exposure to stabilize sick patient.These are high priority cases. Now that you have a background... Let the rant begin. Its been around 9 months that I've been continuously handling crash . So , let the rant begin. 1. We are the most no-nonsense people. 2. Trust handover blood pressure like you trust politicians promise. 3. One day makes you feel the best person in the whole world , next day you feel like a ruthless beast. 4. One day you feel like Sherlock Holmes who has solved a mystery , the other day its supandi time. 5. Ordering things and getting them done are two different...

What scares frontliners more than COVID19?

Hey people,  My grey matter is churning so many things out , that I had no other choice but to write about it. Yes , I got a lot of time! Honestly , as medicos, thats our foundation as doctors, we deal with so many infectious diseases . Nothing really bothers us as much. The paranoia has never gone overboard.  Why COVID then? Honestly speaking I was not a first bencher in school . Having said that, I love being a frontliner in my professional life. Probably because I am single, I have relatively less responsibility?  But with me are some people who love what they do. But every respiratory case that appears before them draws chill down their spine.  Why? Haven't they dealt with a pneumonia? Did tuberculosis scare shit out of them? Did swine flu made them isolate themselves? NO! then?  Its usually married people, healthcare workers with kids or elderly parents who are more scared.  Being a carrier of the disease , being a cause of some...

"So , if I fall sick you're going to send me to a government set-up? "The physician asked . #COVID #coronaera

Heylo people! What's on? This lockdown I have decided to make my self more aware of the things I was ignorant about... The areas of Geriatric and pediatrics... I know you guys are honing your culinary skills , but my mind just refuses to go to kitchen. Lets end the banter here. Today's scenario We had an elderly female 80 odd years who presented with respiratory symptoms, I was the doctor attending her. She was by protocol isolated , given basic care. My team that comprised of nurse , doctor , housekeeping all wore Personal protective equipment.  The lady was old follow up case of the hospital for decades now. The family was very well off . Ready to do anything to keep her in good health , she was already bedridden. Her Xray Chest was suggestive of Pneumonia. The same day a rule (not on paper) was about to be passed. That all respiratory cases have to be diverted to the government setup. So the decisions with respect to the respiratory cases were taken b...

Where are Life-threatening emergencies? #COVID

Hey people Its been a while that I've blabbered. My friend pointed out that I don't have consistency. I happened to plan to do everything, but am left at point zero.  So , now ... idea is to blog consistently ( Don't mistake is as everyday 😜) You cannot take charge to annoy everyone everyday. Topic for the day... Where are Life-threatening emergencies ?  Its not that people aint dying... they are. But has the nature changed its way of cleansing earth by this crash detoxification method ? I mean where are the heart attacks, stroke , traumas , cancers , colics ... Its just lungs, lungs, lungs!!! Bacteria in the lungs , virus in the lungs , food in the lungs  !  I actually sat back thinking about it ... The occurrence of the disease has gone down or the what has lead to the steeping of the cases. Fear The COVID scare is so bad that people have boycotted hospitals altogether scared of the One for One offer for COVID that they may contract. ...

Foolishly Isshmart citizens #Coronaera

Hey people, Post All Fools Day , I don't think there is a better topic to talk about  in the Corona Era! Every doctor who is working in emergency is facing these what I call  "foolishly issmart attendants". Who are they ? They are citizens of India mostly or non citizens of India who are paranoid of corona virus. They are divided in all states , all religions , all economic backgrounds. What do they do ? Roam around the country, do mass gathering , celebrate festivals , parties incessantly giving a deaf ear to the warning of pandemic. They take it like cheating on a diet or their routine medication.  Why are they annoying ? They come to hospitals , hide or lie about the most important symptoms because of various reasons. Be it  travel history , fever , cough . Eventually expose more people . Why are they foolish ? They think eventually doctors would not know , blood work up will not show , examination will be missed. They don't understand the magnitude of trouble the...

Best time of the century to be EMERGENCY PHYSICIAN

Hey Quarantine Population,  It's been a while that I wanted to write this article. The title itself tells you how excited I am to share this.  No Bragging , but I've always been proud of my department and field .The care is delivered in the crisis never fails to amaze me. I feel very privileged to be in my residency during this pandemic. Yet again I feel really proud to be one of the frontliners in the COVID_19 pandemic. When even the loved ones are hesitant to touch a person, we take a call to talk , empathise , counsel and treat them.  The job of a emergency physician is only getting more critical as most of the specialists are scared of the pandemic. The first thing they ask before walking in is , is there a COVID suspect in there?  So we are donning multiple caps being a physicians, cardiologists, orthopedics , nephrologists , radiologists etc.  Multiple roles include 1.  Informers : To the local authorities about the pandemics...