Medical internship is a truly humbling experience. Especially in a government setup interacting with not so well to do patients on a daily basis. Most patient relatives in our hospital cannot speak English but today was a different kind of experience which made me introspect. 1/n
A non affording patient just bought me juice despite my hesitance because she'd seen I hadn't eaten anything since morning and these are the little things which make my day in internship 🥺
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Gave CPR to a patient for 20 mins > he couldn't be revived , then the next minute my food arrives and I have to get on with it while I actually move on to the next task at hand . Sometimes the brainwashed indifference for my own mental well being shocks me ngl .
12 admissions in the surgery trauma ward yesterday, 6 of them severe head injuries with fixed pupils and poor GCS all due to two wheeler accidents. One thing which has changed completely for me in this surgery posting is I no longer see two wheelers to be safe.
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I've been posted in the Surgical ICU close to 15 days now as part of my anesthesia posting . Have seen too many critically ill patients die and also pull through. Major respect for Anesthesiologists for all they do. 1/n
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New MBBS batch getting admitted today . Can’t believe i’m in the oldest batch in the college rn and I hardly recognise any faces in the campus nowadays . 5 years flew by faster than warp speed . Makes one feel old affff
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Everytime I attend rounds with my Medicine HOD , I realize how incredibly lucky I am to be in this institution . Being taught by him and all the brilliant minds around me is what makes me want to go to work everyday
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Bruh I realized for real how old I've become omg - walked into the college canteen to not recognize even a single face.Being part of the oldest batch in college who is busy in internship and seeing all the new faces makes you realize how fast these 4.5 years of mbbs flew by 🥲
And also how privileged I am in my life despite the constant cribbing over dumbfuck things . Honestly it brings things into perspective and drives me to do more for the people who don't have much . 5/5
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Rural posting update : you know you’re day is going to be full of adventures when you manage patients with Viper bite, Scorpion Bite, Dog bite and Human bite in a span of 6 freakin hours 😂
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Seeing a 2 year old girl with Burkitt's Lymphoma die in front of your eyes due to Resistant Gram Negative Sepsis is what happened today and I think it'll take a while for me to get out of this one . STOP indiscriminate use of Antibiotics !!!!
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It's remarkable how we doctors become so numb seeing death everyday that it simply doesn't have the impact it does for a non medico. Yet , everytime a patient dies I end up saying a silent prayer for them. Learned about 5 mins ago that the patient in the ICU 1/n .
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Journals are the most pointless things In mbbs. You achieve and learn nothing while writing them and you end up wasting a lot of time running behind people for signatures.
Everyday I go to sleep with a content mind knowing that I won't have to give NEXT 1 and NEXT 2 just to qualify being a doctor. Batch of 2017(hopefully) has narrowly escaped this time
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If one wants to know the true extent and impact of chronic alcohol use , just go to a government hospital medicine ward and you'll find minimum 5 patients of decompensated cirrhosis just waiting to be discharged to get admitted yet again after a few weeks .
He had to abandon his dream , passion and life's work and now works as a security guard .He went on to thank me for the procedure we were about to do on his father. Experiences like this make me realize how unfair life can be 4/n
I don't know who to talk with right now about this so here I am on Twitter . A Friend Passed Away unexpectedly just now back home in Mumbai and I'm in shock . Life is short . Be grateful if you have one requirement fulfilled and nothing else- you're Alive .
Currently the threshold for satisfaction is so low that I be feeling good when hospital staff/residents call me by my name instead of "Ayyyyy, intannnnn".
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Finally Convocated from
@LtmmcM
,Sion Hospital. It's been an epic journey of 6 years full of learning , triumphs , setbacks and personality development. Extremely grateful for all the opportunities . Upwards and Onwards to the next chapter of life !
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He goes on to tell me how he loves studying dinosaur bones and that he discovered the biggest dino bone cluster in India but never got the appreciation neither the remuneration for it . He was even selected for a PhD in Scotland but due to not being so well off financially 3/n
The Patient I'm accompanying today is a rapper and star b-boyer . Man just casually free-style rapped for me what he wrote yesterday for 10 minutes. The amount of undiscovered talent in Dharavi is insane 🤌🏻🤌🏻🤌🏻
A huge shoutout to the volunteer workers in government hospitals -
On my first day of internship in a busy chemo opd of over 300-400 patients I was told to go start IV lines on patients for their chemotherapy. Being the clueless intern I was on day 1 I looked 1/1
Finished 8 weeks of obgyn rotation today and this last 48 hour double emergency has been the heaviest in internship so far. I've come to the conclusion that there's nothing more of a dynamic environment than a labor room in a heavy government hospital.
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Posted in FMT rn & the Fallacy of economic equality - Assisted in the autopsy of a 9 year old girl yesterday who died of an RTA (A bus ran her over ) . She had the misfortune of being born as a labourer's daughter .
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1/n
People might say countless times that internship is a lot of useless work . But IMO , arranging blood for that ruptured ectopic patient within the hour so she doesn't bleed out , sending and reporting blood for seizing patients, counts. All of it counts.
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14 year old patient today praised me and said "waah kya doctor ho aap sir " after I took his ABG in the first attempt . Imma count this as a win for today 🥰🥰
Today I was taking a morbidly obese patient with BMI 46 for a 2D echo when the relative suddenly started speaking to me in polished English. I go ahead and ask him what he does and he tells me that he's an archeologist specializing in Paleontology . 2/n
First obgyn emerg . 3 Eclampsia patients, two of them in Status epilepticus and 2 ruptured ectopic pregnancies in a span of 1 hour . Promises to be a wild night.
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#obgyn
How do you console your grieving father over the loss of his mother ? Funny how Adulthood thrusts into situations you never thought you’d ever have to face .
Good news for MBBS Interns of central government Hospitals!
Their stipend has been increased and it will be ₹26,300 per month now!
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@FordaIndia
Put 10 IV lines in on my first day of internship in the Chemo OPD and ma kasam joh doctor waali feeling aayi >>>>>> , internship in Sion hospital is wildddd
Was watching Munnabhai MBBS and it made me realize that life's peak goal should be to manifest "tension kaayko leta hai, ye le Chana kha " energy , baaki sab scam hai...
Absolutely hate it when homeopaths and ayurveda quacks advise non proven , pseudo medications . Saw a hypothyroid patient today with TSH levels - 355 mlU/L who was blatantly advised by her homeopathic doctor to stop her levothyroxine and start his own pills.
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Casualty Postings in a Busy Government Hospital in India and the amount of varied cases you get to see just in an hour's worth of time are absolutely insane -
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(1/n)
Taxi Driver today is a sweet 65 year old man who was just happy for me as I get to be a doctor . The man couldn't get educated beyond 5th grade and has the heart to appreciate and be happy for others and their achievements ❤️
My wife had joined MAMC gynae through NEETPG before taking PGI gynae.
In MAMC she and her co JR used to order breakfast, lunch, dinner daily for all senior JRs, SRs and Consultants.
Per month bill around 40k per person. And this is a ‘tradition’
FTW
As IMGs, we need to accept our privileges which have allowed us to pursue this financially and mentally draining path towards securing a residency in the United States. Most people do not get this opportunity .
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#USMLE
The Year is 2018 - I'm sleeping in an fmt lecture in 2nd year and miss out on attendance when the fmt intern takes it and curse him for the same.
Fast forward 2022 today- I am that FMT intern who takes attendance and gets cursed at 😂😂😂.
The irony of life
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Making that smooth transition from talking to every batchmate at lunch you see in 1st year to avoiding them in internship immediately because your social battery is dead
She went on to start IV lines for over 50 people and and gave me the confidence to go solo and do my own work.I learnt later that she's a nurse by profession and the dots connected instantly.However my gratitude to her for showing me the way will be everlasting 3/3
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A couple had just lost their 2 month old baby . That is when it struck me , a bit of humanity and empathy separated from the medical and scientific aspects of our field after exhaustive training in a super heavy government hospital is a need of the hour . 5/5
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Seeing all this MUHS trauma the juniors are going through takes me back instantly to last year lol . So glad I’m done with that stuff , hang in there kiddos the grass is not green on the other side courtesy neet pg and nbe☠️☠️☠️
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#Muhs
The more I read about the NEET-UG mess and the insane rank inflation in the past few years , the more I feel better that I never have to do that again lol.
Another day another taxi driver asking me for medical advice the moment he gets to know I'm a doctor 🙄 . Abhise I'll say I'm a patient going to Sion hospital bas hogya bhai 🙂
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Have lived in this city all my life but today i realized why immigrants consider it truly special . Forgot my phone in the rickshaw , panicked and started frantically calling my phone . The driver picks up and says he's already on his way back to give it back ❤️.
#Mumbai
Will probably get a lot of hate for this but every new Taylor Swift Album feels like the newest Iphone they release every year . Same stuff with little or no modifications attached to a great brand so it sells .
13 lakh people gave the exam when I gave it for 55,000 mbbs seats . The chances of getting a govt seat back then for a UR student were less than 5% . Today it gets significantly worse .
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I'm glad that I was able to secure an MBBS seat when competition was way lesser than how it is now.
You've to be the best amongst the best to secure an Unreserved seat with this level of competition.
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#MBBS
#NEETUG2023
You know surgery is getting to you when you come home from a 30 hour shift and in the sleep you've been looking forward to all day, you hear in your dream the sound of the ventilator beep 🥲🥲
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#MBBS
Final year MBBS practical exams have literally transformed me into a zombie. Sleep deprived and facing daily relentless onslaught of vivas for four continuous days has been quite an experience.
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#MBBS
On her way back she collapsed at the station and was brought dead to our casualty . Many of us are extremely privileged in life is what we should accept . By misfortune or by virtue of poverty , precious lives like these are often lost.
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3/3
Whenever I read maple syrup urine disease, my mind can't help but think who the F thought oh let's taste some wacky urine and compared it to what they just had for breakfast
Forging new friendships in adulthood is all about maintaining that delicate balance between sharing and not sharing anything at all . Take me back to the school days when I could openly talk about how I embarrassed myself and my friends did the same .🙂
From administering CPR to hourly HGT monitoring to delicate inotropic adjustments for the slightest changes in vitals I've gotten a chance to do a lot under them . I never realized the true scope of anesthesia till this posting . 2/n .
It's an ultra dynamic environment,one moment you'll be administering cpr to a crashing patient the next you'll be required to do an emergency intubation on a desaturating patient. One that requires deep clinical knowledge + amazing skills . 4/n
We have to do better than just making interns run around for investigations and filling out forms , the objective here is to learn something and not just do clerical work
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The amount of clinical knowledge required from interpreting ECGs to checking the IVC diameter to gauge fluid replacement requires an incredible amount of expertise which I had no clue this speciality is required to have. 3/n
Its Quite frankly organized chaos. A typical scenario which happened yesterday- I'm suturing an episiotomy while the patient beside my patient starts seizing ,the one beside her starts to deliver and the one besides collapses and goes into pph while walking.
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Fourth edition of my first book-in less than a decade since I started my medical writing. Unbelievable as it sounds.A very special gratitude goes out to all my teachers and students for having ignited the passion of teaching and writing in me.This is from all of me to all of you.
Sister is annoyed that Siddharth-Kiara wedding pictures haven't come out yet , I ask why tf do you care so much ,
Sister : I want to see if he's happy with her ,if not I might still have a chance
Me :👏👏😃😃👍👍👍
First Experiences almost always shape our mind for the better . Be it good or bad . Asking
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here , did your first ever clinical posting in MBBS shift your interest towards a certain speciality and your opinions rarely changed later ?
Alzheimers and Dementia is such a cursed disease to have . To see the person you love completely disoriented and confused and trapped in their own mind is extremely disheartening to see. The most cheerful person you know can completely change into a different person
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