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Every cloud has a silver lining

Hey people, I am in a good mood. Good mood to write . ICU Things! A little away from my covid warriors up above. There is nothing worse than taming a wild cheetah . The same way , there is nothing like saving a wild emergency physician in a ICU. But what makes you stay , you need some meat for survival . What meat does ICU give you ? Such meat is called Central lines , arterial lines, intubation . They just make up a bad morning to a good one! You understand and value Emergency department even more ... Why? Because taking a call to do such invasive procedure out there in open under such uncontrolled environment is no joke. So far so much Bye

Grey Hair Spotted - Mid twenties crisis

Hello people, Well ,if the title has not got enough attention let me tell you clearly. Last week I spotted grey hair on my scalp👵😓. Man! I've grown old! or I' m growing old! Meanwhile , I am busy thinking of the possible causes that might have led to it 1) I've grown old! 2) STRESS! Because I work in emergency?😒 3) I don't care of my health. 4) I've poor hair care! Advantage : My patients would take me more seriously thinking I am an experienced physician... Wait , I wear a headscarf. Good Idea to dodge matches away! Plan of care :  Forget all of it plan next nap in advance! So far so much!

Intensive Care Unit - A world away from world

Hello my fellow social media addicts, Whatsup? After my first blog , that was more about adjusting , rather tuning my pace in the ICU from ER . This is just the continuation. While in ER , where you're the aggressive one person who is counseling the family on what has acutely happened , the random febrile illness is a septic shock , the need for investigation and payment of bomb of a price for staying in a intensive care unit . The struggle is real. You explain every moment , you explain the progress minute by minute , hour by hour . You justify the need of investigation in sections . The amount of stress I realized is Oh my God! Yes , there is so much stress! As Emergency Physicians we juggle so much! to be precise "The Emergency Department".  You got to have that flair to differentiate you from every other medigeek ! You got to have that flair to differentiate you from a lawyer ! You got to have that flair that makes you better than any psychotherapist ! ...

Madam, calm down this is not ER!

Hey people, I am back. Chilled out.On a break From ...fast life ,annoying patient attendants...But wait ... I already miss emergency! For people who are clueless about the rant, I've been posted in ICUs lately.  Life is different here, very different... slow...  All the jugads you do in emergency don't seem to work here, things are static here.  The only thing the staff here tell me is , mam slow down! This is not ER ! Things here go slowly !Nothing will happen. It seemed like holding a cheetah in a zoo !  I go to a stable patient, reassess him . Run back to my ICU consultant...When can we shift him out? I am so not used to patient not moving out of my area when intervention is not required. The only thing that keeps me hooked up in the beeping walls is my book. Book , that teaches emergency. Few days away from PPEs!  Rest Almighty knows! So far so much.

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...