Hardship, insomnia during residency~ life of a medico

Before commenting about whether lack of sleep actually causes any impairment of judgment or not, it surely does hamper the young intern’s health in the longest way possible, cause this is not a matter of one day or two, this over scheduling continues in residency, fellowship, post graduation, super speciality! Everywhere , so we can say these habits interns count as building blocks or rather foundation to their long term stressful, over worked, disempathetic lifestyle.

The biggest irony is that credits are not counted as how many lives saved, how many right decisions changed the outcome of prognosis , neither in terms how many decisions were made under duress , doesn’t matter if you save 9out of 10 lives, the one you couldn’t will be accounted, tried and tested against you!

So, dear OP, I beg your pardon if I fail to quench your brilliant enquiry about the statistical data how much human is actually a doctor, or if an intern is allowed to do mistakes under the clause sleep deprivation, the answer is a single NO.

Doesn’t matter how much sleep deprived an intern is, there’s a hierchy system in our health care, the consultant decides the protocol even in emergency! He is usually a person well experienced and knowledgeable enough. Can’t he go wrong? ( If you actually consider him human, then to err is human) but then he is surrounded by atleast 6_10 people, including unit heads, senior residents, residential medical officer, emergency medical officer, resident trainee doctors, all of them or any of them might oppose if anything they found not tailored to patient’s need.

Oh yes, I almost forgot the overworking part! You see we do want to have an 8hour schedule, to eat, sleep, work 8 hours and repeat! And obviously to socialize. Some of us does! Some lucky of us get opd jobs, but most are unlucky and end up having emergency duties! And well what can I say, if we protest about it we are tagged as inhumane sociopaths! If we do not protest about it such questions are posted in social media, some think we work more for earning more that is not the case in government set up, not in my state. Health care is free here, duty load is more as patients to doctor ratio is ever increasing…spouses and significant other halves don’t understand it, they think we are sociopaths cause not protesting against overwork!

Actually I think it takes greater motivation to protest after such rigorous working schedule, very few understand that, most of the people who has not undergone it usually are happy with statistical data showing intern’s faults due to overwork!

Yes , most interns take it positively (as if we are given options!) It’s time others start to accept the truth and start protesting about producing eligible, apt , doctors who are not overworked. Only then a quality health care can be provided to all!(irrespective of any bias)


Maths and Medicine

​Can mathematics save someone’s life?

Yes, it can. Literally.

Body fluids drains out very rapidly after extensive burns. The lost fluid must be re-introduced in the form of Intra venous Infusion. Now the rate at which fluid to be given has to be calculated. Most commonly used formula(parkland formula).

The Parkland formula is mathematically expressed as:


where m=mass is in kilograms (kg), A=area as a percentage of total body surface area, and V=volume in milliliters (mL). For example, a person weighing 50 kg with burns to 20% of his or her body surface area would require 4 x 50 x 20 = 4,000 mL of fluid replacement within 24 hours. The first half of this amount is delivered within 8 hours from the burn incident, and the remaining fluid is delivered in the next 16 hours.

Have you blocked other paths to walk on your own to achieve your dream?

Yes I have.

And I believe there are several fellow medicoes who have/had done the same in past.

  • During undergrad – I had a keen knack for storybooks, so much was of an avid reader. Blocked. Had a sharp love for painting, blocked. Stopped singing as I kept lying to myself that I lacked time, stopped dancing as I moved to a new city for college.

Yes, those were sort of disappointing sacrifices I would say I was forced to implement as I took a bit longer time to understand new concepts and in Bachelor of Medicine and Bachelor of Surgery Degrees there are plenty.

What I’ll say qualify as blocking other paths to achieve my goal is my current lifestyle.

I am currently preparing for NEET 2017 medical entrance examination, which is going to be first of its kind in India.

Am I stressed?yes!

What paths exactly I blocked? Well a few to mention including

  1. Financial security- parents were more on get married and/or take up a government job, in fact I was counselled to take up whatever brunch I get in last AIPGMEE . I refused, took up the challenge, got myself junior residency, yes stipend is less compared to a job but leaves me plenty of time to study, attend coaching classes, most importantly to work towards my dream brunch of choice. But yes am on my own and it does get hard at times.
  2. Emotional security- not to mention the previous point has already explained how my relationship with parents are screwed.
  3. Friends- here comes the big thing. Medical school is so exhausting we hardly get time to make friends that is also not too many, and even now they are also preparing:-| friendship with non medico Friends are already screwed by the time we reach final year as inevitably all of their marriage, birthday or any kind of celebration clashes with our ever gruelling exams.
  4. Social gathering – no we don’t have any that is also in this AIPGMEE Preparation phase! That leaves us a socially recluse, awkward person who is normal on the outside and panicked inside. All the time the one thing running through mind “did I messed up that topic! Oh what was the mechanism of action of that drug! How do I interpret ecg?” And all kind of unsocial stuff!

So yes, I blocked these paths, made myself reserved only and only to achieve what I dream!

12 Facts that can save your life.

1. The area between upper lip and the lower part of nose is called dangerous area of face. Never ignore any infection or injury at this part.

2. If you are having a minor nosebleed, lean forward slightly with the head tilted forward. This will prevent the blood from getting backwards to your sinuses or lungs. Pinch all the soft parts of the nose together between the thumb and index finger. Hold the nose for at least five minutes. Repeat as necessary until the bleeding stops.

3. If you are stabbed/penetrated by any pointed weapon (e.g an arrow), leave it as it is and go to hospital. Don’t pull it out. If the arrow (or whatever the object is) has hit an artery or major vein, pulling it out could kill you in minutes.

4Don’t smoke. It causes cancer and other diseases.

5. If you are bitten by a snake, remember as much as you can about the snake so the hospital can administer the correct anti-venom.

6. Chew aspirin tablets during a heart attack. 

7. If you break a bone, try not to move that part of the body. 
(Here’s what you can do, from another answer of mine)

There has been an accident. The victim is injured and you can clearly see a broken bone. And you don’t have emergency medical facilities. 
Try to immobilize the part of the body which is affected. So that there is no more movement in the broken bone. 
A thumb rule is to secure the joints just above and just below the fractured part. 
Make sure those two joints can’t be moved. 
You can use common items like sticks and ropes for that purpose. It will be almost as effective as a plaster of paris splint. 

8. If you get a headache that’s “worst headache of your life”, make sure you say it to your doctor. It can be a brain haemorrhage. 

9. If you are feeling unusually thirsty and/or hungry for few days, get a doctor. It can be diabetes. 

10120 ml of alcohol taken daily can reduce the risk of cardiac morbidity,  according to American heart association. Although it also “cautions people NOT to start drinking … if they do not already drink “.

11Lungs and tympanic membrane are the most commonly injured organs due to a bomb blast.

​12. Here’s what you should do if you accidentally amputate a body part