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Professional Growth Spurts in EM

Hey all Once you're done with your residency . Things appear differently. Some people have a distant vision about such things while some realise at the moment. Nevertheless, the struggle is more or less the same. Remember going through growth spurts as a child? The too-short pant legs were embarrassing, but the achy limbs and joints made it miserable. Just like when you were a teen and all your comfortable clothes would no longer fit. These are tough adjustments “growing pains,” and they can throw your career way off its trajectory if you aren’t prepared to face them. While moving out of your parent institution is great, not everything is sunshine and roses. You can experience these growth spurts fast or slow. Some people are lucky enough to choose the pace. Some people have no choice but to give in. Confusion , Reduced morale, Unclear priorities , A decrease in productivity is very common.Sudden changes from one organization to another organization can lead to discomfo...

Doodle : Burnout

Hey all ,  Found this piece on Burn out from @sellercomics . Very well presented. Thought on sharing. So far so much

Keep your blockers close but Impediments closer

Hey people ,  In this raging pandemic of uncertainty we are all struck. I've lately come across this concept of blockers and impediments. Sorting them can prolly declutter our mind and work to an extent I guess. Let's talk . You have set a goal. You know where this is headed because you’ve been here before. You don’t like the direction, so back to the drawing board you go. You are built on a reputation of being consistent, timely, trustworthy, and reliable. If timelines are often delayed, then what is the point of having deadlines for project deliverables or progress check-ins with teams and departments? How will this blocker affect subsequent project timelines and regulation? Basic The Difference Between A Project Blocker and Impediment is blocked Work Can’t Get Done Until The Blocker Is Removed.Impediments can be predictable; therefore, hopefully, avoidable or manageable.  Whatever the cause, they all have the potentially risky effect: a delay or full stop ....

Dealing with trolls on YouTube and My website : How being emergency physician helps

Hey all , If you're somebody who is vocal about his /her thoughts be prepared for backlash. Be it at workplace or cyberworld. I had been quiet for a while but I thought I'd acknowledge the most important people in my journey on YouTube and blogger. Emergency medicine gives you a platform to face loud, polite, introvert, extrovert ,toxic and all kinds of people.You get the unique opportunity to stand for your patient fighting in the best interest of the patient looking at the bigger picture It helps you get out of tunnel vision. In my case my specialty has given me spine to Take a stand for things publicly.   My experience : The story starts with the me being vocal about my achievements my obstacles during my course of emergency medicine on my website. While some think it's commendable to talk about it in public there is another bunch that things it's fake or show off , everybody is entitled to have an opinion. No questions asked. Most of the people keep thei...

Productivity Guilt Versus Productivity

Hey all ,  When life gives you lemons , you're supposed to make lemonade. When you're unemployed, you're supposed to make most of the time . When you're unmarried you enjoy the best phase of your life. If you are no longer doing it , the guilt seeps in.  It’s the constant nagging feeling that you should be doing more. If you’re not doing everything, then you’re feel like lazy slacker who will never reach goals. Things are worse if you are somebody sliding in between both zones.  Employed v/s unemployed thought process As I sit unemployed ,I realised with my first hand experience that employed and unemployed people think so differently. They plan so differently. Their approach towards life is so different. So ,  I already know the percentage of people who'd agree or disagree.  As unemployed person , I know you have what others don't have time and opportunity. I also understand that I don't have what they have , support , stability and finances. Th...

The Jump - Resignation

Hey all, So, before joining my work after my sick leave. My boss asked me to talk to my Consultant and make a decision. There appeared a window. A window to jump outside. Outside to look for change. I had completed my residency. I could see testing waters. The idea of going back to work was overwhelming and not as positive as it used to be. I jumped out. Resigned. Yes, life happened. The resignation got accepted.  The clock had stuck the bell had rung. It was time to move on. The world has two types of people , people who decide what to have for dinner and then move out...The other type move out and decide what to eat. There are two types of people my boss told me , one who have a goal and reach it. The second type take small time goals and reach nowhere. Having a longterm goal is important. I however feel that none of them come out of it alive. The second one reaches small term goals everyday. The dopamine is released in small pouches. My belief is to enjoy the process.  Lets...

Accepting Emergency Medicine - When EM is a chance but not a choice

Hello people, I found a comment on my youtube channel , it was by somebody who has not chosen emergency medicine by choice but happened by chance. So , this doctor has issues "accepting" Emergency Medicine as his speciality .One cannot force ones thoughts over other but... I did share my perspective. Here is the comment. However my opinion is as follows                                       It's a practice in good institutions to let residents perform the procedure independently after they are done assisting and doing it under supervision. Your active participation is must. I have been intubating patient since 3rd month of my residency. We let a junior in 4th month intubate under supervision.Soft skills help. You can try simulation first. You can superspecialise . The growth never stops. If you give your mrcem exams , you ...

Discussing -Non Medical Life Threatening Emergencies : Emergency Medicine Day

 Hello people ,  On Emergency Medicine day , It will be great if we discuss about non medical life threatening Emergencies. What are they?  "violence and abuse" We have accepted it as a part of Emergency Room like people accept toxic relationships. This toxic doctor patient relation is overrated. Human is a social being responsible for his action . We are aware of exceptions.  While explaining this to oh so smart public will take time. As I write this innumerable doctors across the globe must be facing it through some wretch.  Problem We are taught to be indifferent to it and move on. Even if you ain't taught this , the atmosphere everyday makes you like that. You are going to face violence and abuse like you're going to face sick patients.Celebrities are for autographs , Medical personnels are here to replace punching bags. What can we do ? A barrier and a harbour against violence and abuse is to be created. Competence makes the differen...

Emergency Medicine Day - How discussion can help Emergency Medicine grow

Hello people A self proclaimed EM fanatic , today is my Emergency Medicine Day. The 27th of May. What would a 3 year old Emergency Medicine Resident have done on Emergency Medicine Day ? Cut a cake ?Clap hands for the awesome spirit I have had , munch the cake and walk away. As I grow another year older , surviving a pandemic... I have concerns.On this Emergency Medicine Day , I intend to not just cut a cake but also a piece of mind to think about growing my speciality apart boasting it. The Frontline EM is the gatekeeper and security net of the hospital which is already under a lot of pressure.Even in the middle of the night, even during the Holidays, even when they lack proper protections or when they are understaffed With COVID the EDs were more stressed and stretched. I sit down to think and work over services that could possibly minimise the physical and mental burnout.  How discussion helps ? Encourage citizens to talk about it As an undergraduate...

The murky fever : A doctor who is a pathetic patient

Hello people Sometimes your mind gets too overwhelmed , so you decide to write things down so that it feels lighter. As emergency physician , I have honestly not gone into the causes of fever beyond certain point. Probably, its  almighty way of teaching me fever evaluation through highway.  Its been almost a year , that fever has been a frequent visitor. In the pandemic that we're in , it has freaked me out n number of time . The thoughts that would crawl into my head are did I bring COVID home by any chance. The day or two would be horrible till I would get my covid report. The negative report would be a sign of relief , but the fear of false negative would keep me away from friends and family.  The disappointment of being struck at home just thinking and taking care of yourself when the country has hit the rockbottom during the pandemic is huge.Kills everyday. This works out if it is once or twice , I got tested for COVID 19 eight times, tested positive once...