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The department to get started with

Hey there guys!

I hope all of you are in good health.

First of all, thank you so much for such a great feedback.

I’m sharing this one suggestion from a current intern, who suggests to keep an extra pair of clothes in the 🎒; ‘While this may sound really great, I think you won’t really be needing an extra set of Tee in your bag because, Firstly you wouldn’t be working, not more than a 24hr shift. And, if you happen to drop something onto yourself you’ve got the apron to cover it’. Again it depends on your personal needs. Though I’m not sure if you’d want to change in a hospital washroom.

All of us have been anxious about; which department will we be going first to, how it’s going to be there. Which one should I pick if I got the choice. Haven’t we?

The question arise which rotation is ideal, which department you should start your internship with and end. One school of thought is, you should start with your favorite specialty. While other is you should begin with the lighter ones and end with heavy ones. I’d say it totally depends on you. It may depend on your favorite department, your friends, like which rotation they are talking, whether you are preparing for a certain exam, when’s that exam due and you’d like certain time off during the exam, and certain other personal factors .

I’m here gonna give you an overview to help you decide, pick your ideal rotation.

When I was choosing my rotation, my seniors advised me to pick General Medicine first, because it’s considered one the heaviest (heavy in terms of work load and patient inflow), and turns out a lot of people wanted Medicine 1st, we a group of friends wanted to take a rotation together so we ended up picking Community Medicine ( Preventive and Social Medicine) first. And, that turned out a great decision for me as well as my friends.

We started with less patient exposure at UHTC followed by, acting as an independent doctor/Leader at RHTC, followed by all the heavy considered posting Gen. Medicine, Gen Surgery, Obstetrics & gynecology… ended with just lighter ones like ENT and Ophthalmology

We learned the basics at Community medicine, so we didn’t enter General Medicine blank, similarly before we went on to General Surgery and OBGYN, we had General medicine knowledge which gave us an edge. By October we were done with all the heavier ones and now we had more time to study for the exam coming in January. Also we had our last posting just the OPD based ones. By the end of internship year you do start to exhaust somewhat. Ending with lighter ones was a great decision, that gave us the time to complete our documentation right before the official end. That’s about how we did it.

Here’s some points you should keep in mind while picking your rotation, remember there is no hard and fast rule, eventually you have to go through all of it.

  • I suggest you should take a rotation with your friends. There will be times when you can’t make it to work due to some reason, you need your friend to cover for you. Also working along with your friends is more fun. Do keep your personal and professional life separate.
  • Plan the year in advance, like at a certain time you need some time off, consider having a rotation that gives you off at that time, believe me at every college there are some super strict departments, while others are some super chill.
  • If you are preparing for a certain exam, plan accordingly, lighter posting a couple months before the exam and heavier after the exam. That gives you more time to study.
  • If you have already decided a speciality, picking your rotation in that order would be better. You would want to enter your favorite department with all the enthusiasm and energy. Don’t plan too much on this. Usually internship happens to change your perspective.
  • If you get to choose a rotation, that’s great. Turns out you were allotted a different one take it as a challenge and nail it.

Nothing is perfect or ideal, Take what you get and make the best out of it.

Most importantly,

Don’t miss out the orientation program.

Almost every hospital organizes an orientation program for new coming interns. Don’t miss out on that. Even if you think you know all that the programme is going to cover. Even if you just did your BLS and ACLS courses. Do attend the orientation. Not only it will be giving you an overview and teach you some basic skills, it will also introduce you to the doctors and other staff from different departments. Every department has certain rules you need to abide by and orientation is the best way for you to gather all the information.

Lemme know if there’s a particular department you’d like to read about.

Next coming up a little lengthy post on one of the heavy rotation. Stay tuned.

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Covid19: Doctors, work and Family life balance

Hey there brave men and women,

Who are working in various hospitals against all the odds. You guys are real legend.

Thank you.

Thank you

A few of current intern asked me to write on this topic. One of them told me how his parents asked him not to go to his college, that he could have his MBBS degree a year later. They don’t want to lose their son. I’m really inspired by this guy. How he convinced his parents. A couple others told me how their friends are planning to shift away from their homes. Because they don’t want their families to get infected with the SARS Cov2 virus.

Parents are parents, they want their kids safe. I don’t blame them. Even my mom told me that I’m not bound to work, I should take a leave.

Worried to take infection home

You guy’s, who are working right now, I understand how worried you are, that your interactions with the patients can put you and your family at risk. That very thought of taking the infection home is petrifying. You love your family and you want them safe and you definitely don’t want to be the one who puts them at risk.

But, please lemme know one thing, does your family agree with your decision of you shifting to a new place, temporarily? I really wanna understand the situation you are going through.

I was hesitant to write about the pandemic in particular, because there is so much information out there about it, and I think I’m not even qualified enough to tell you anything about the pandemic. Whatever I’m going to mention here is ‘what we are doing here, at my place. And what I think is a better option, that can help minimising the risk, and keep you and your family safe.

Those who plan on to shift to a new place nearby the hospital they work; I’d say you have all the rights to. But, Here are a few things I want you to consider, before you do shift.

  • Flat hunting is tiring. And during this situation I don’t think, much landlord will be willing to except new tenants.
  • Shifting to a new place is hectic. New place does give you stress. It takes time to accommodate there and right now, it’s gonna be even more difficult.
  • You have to do everything by yourself. Cook, get groceries and supplies, clean everything and much more.
  • Moreover, you will suddenly be isolated. At your place you might not be with your family but, they are with you. They are there for you.
  • If you plan on to shift with your coworkers. That kinda increase the risk of ‘all of you’ getting infected. They might transmit the virus to you or vice versa. While at your place, it’s mainly you who could transmit it to your family. So you have to isolate yourself. But with other doctors, each one of you have to take the necessary precautions. Which one do you think is comparatively easy?

A couple week back, I followed a few rules and luckily I didn’t bring any infection home. My dad who is a Cop, his duties includes a lot of traveling and coordinating with a lot of people. Even you might have heard the news, of Cops and their families getting infected. Fortunately my family is safe.

Universal precautions.

For a couple of disease like Hepatitis and HIV you are taught to assume ‘every person is potentially infected’, in this case assume yourself too. That will push you to take all the necessary measures.

       Prevention is better than cure!

Here’s what I suggest,

  • At your home, isolate yourself even if you think you have slightest chance of exposure. Shift to the room nearer to main entrance and the one with attached washroom.
  • Avoid touching anything, when you go back to your place from the hospital, instead of ringing the doorbell call your parents to open the door. If you need a water bottle from the refrigerator, ask your sibling to drop it outside your room.
  • Change your clothes immediately, as soon as you are home. Sanitise yourself properly.
  • Your clothes should be washed separately. I suggest wash your own clothes. So that other family members have less chances of exposure. If you can’t wash your clothes everyday, store them in plastic bag in your room only.
  • You all share a common area with your family so you have to make sure that you are not passing any potential infection on by touching the common household items. Proper hand hygiene is must.
  • Take necessary precautions. Make yourself a safety kit with a bottle of sanitizer, wet wipes, tissues, hand wash, face masks. And keep it with you. Sanitize yourself before you step in the house.
  • Be extra careful when at work. Follow all the instructions and preventive measures.
  • Meet less people. Interact from a distance. Not just patients and the hospital staff. But with your family members too.
  • By now, I hope you all are habituated to wear masks and constantly washing your hands or sanitizing before and after examining the patients.
  • Keep your immunity up, eat right, take adequate rest, take supplements if needed.
  • Take all the necessary measures you have to. But don’t stress yourself out. You definitely don’t want to raise the cortisol level in you.
  • And while you are there in the house, make sure other family members are taking all the precautions, whether they are getting groceries or other supplies from the market.

It is a very good opportunity to boss around at home. Kidding🤪. Keep an eye on your siblings.

Another fact I want to stress upon is, stay up to date. But, read from a trusted source, don’t just believe on anything.

I’ve this habit that I can’t put something down, until unless I know everything about it, I know it’s not possible to know everything about anything. Still I try.
I’ve read a lot of different articles from CDC, WHO and Oxford and...
I’m more than happy to share those with you, if you are interested. Feel free to ask any questions you have
Here’s one article I really like, besides WHO and CDC
https://delhi.apollohospitals.com/blog/what-must-know-to-protect-from-covid-19/

And, to all those people who thinks it’s not a big deal all I want to say is, If you are just going on with your life as if nothing will happen, then my friend you are setting yourself as well as your family up for the infection.

I’ve spent almost 10yrs away from my family, and for me it’s still difficult to live without them. Maybe that’s why I’m more inclined towards staying home.

At last, all I want to say to you guys is ‘you guys are so strong that you can handle any situation, and you are doing great. Stay safe while you save some lives’

Internship bag pack

Hi there future doctors!
How you all doing?

Well! as promised, I’m here with the essentials you all gonna need during your internship year. Before that, I’d like to address some common questions which i recieved in past few days;

All of you who shared your ‘to do list of internship’ guys,I asked you to prepare one because, that list of yours is going to keep you motivated throughout the year. Whether your list is ok or good that’s not the point. What you want to do is totally your choice. Resuscitation, intubation, or delivering a baby is almost on everyone’s list and that’s a good start.

My suggestion is whenever you are asked if you’d like to do a particular procedure, never say No. You don’t know the procedure say so, but add ‘I’d really like to do it, if you’d please guide me‘.

About the site asking you to enter your email to let you comment and other things, that’s wordpress’s policy and as of now I can’t do much about it. Yes it’s safe and secured website, if you do subscribe you can have my blogs in your email as soon as they are published. Or you can DM me at Instagram or Facebook, I’d try to respond to all of you.

Now, let’s get started with our list of essentials, shall we?

  • The very 1st thing on my list is a lightweight, nice waterproof bag with lots of pockets. Why pockets? To comparmentalise. You definitely don’t want to waste 5minutes searching for a pen or blood collection tube.
  • Next is, a lightweight water bottle, not less than 1 litre capacity, you can get yourself a coffee sipper too if you are someone who lives on caffeine. It’s really important that you keep yourself hydrated.
  • A bunch of average size notepads, those can fit in the pocket of your apron.
  • A waterproof marker, black or blue. You’d need those to label a lot of stuff without smudging.
  • Packets of pen, preferably ball point- because the paper at most government hospitals isn’t of that good quality also, you don’t want your apron turned blue or black, I personally don’t like people with ink spots on their apron nor does any of my colleagues. Don’t go for the costly ones, because you are going to lose them if not by yourself, to your residents. Most residents never return anything, whether it is pen, stethoscope or your apron.
  • Couple of aprons, and of course a stethoscope.
  • A waterproof and scratch proof watch, again don’t wear those Armani or DW to work.
  • Clothes, invest in comfortable and formal clothing. My advice buy plain t-shirts and shirts in different colours, stretchable pants preferably dark coloured. You won’t be getting much time to do your laundry. And will be spilling blood, vomit, betadine, amniotic fluid etc. on yourself more frequently than you expect. From an intern nobody expect to dress up all formal. Yet you need to look presentable. Girls can opt for kurta etc. too.
  • Good footwear, I said in my previous blog too. You would be running a lot. Comfortable, durable and preferable covered footwear is must have. I personally prefer sneakers for most days, and for OPDs and short time duration some comfortable open sandals.
  • Also get a pair of slip ons or surgical clogs for OTs. I’ll suggest get your own scrubs too, if you haven’t yet. For postings like Anesthesia, ICUs and other surgical ones you’d need them. But it depends on your hospital too, some hospitals provide while others don’t.
  • Most importantly Books, let me tell you, you need not to buy any specific book just for internship, rather you have to plan which subject to read where, carry those smaller and lighter subjects to work, read while you can. Or you can simply download some pdfs and other apps.
  • You have to go grocery shopping too, get some chocolate, protein bars, glucon-D and yes, some instant made food items too, if you live on your own.

These are some of the things you should get already to make your internship a little less hectic.

Let’s come to the stuff you need in your everyday bag. The bag you are going to carry with you…

  • Notepad, a couple of pen, that permanent marker. Take notes of whatever you think is important.
  • Stethoscope, apron and hand sanitiser. And please keep your aprons clean, You’d hear some residents or house officers or others saying, if your white coat is that white you aren’t working. Don’t listen to it. Look like a doctor.
  • Chocolate or protein bars, candies or biscuits. Just carry something to eat. Please don’t faint anywhere in the hospital. Don’t forget to dispose off the wrappers following BMW management rules.
  • Few blood collection tubes and lab forms, syringes and needles. Radiological investigation forms and blood requisition forms. A pair of gloves. Medical tape- transpore and lignocaine jelly. You don’t have to buy any of these, you will find this in your wards but get a couple in your bag, just a couple. Don’t forget to compartmentalize them. Otherwise, what good that multipocket bag of yours is?
  • Always carry your own water bottle, if you expect a long shift’ a sachet of glucose powder too. Sometimes you’d have to lend that to your residents and nurses too.

I think this stuff got you covered, with these and the basic rules; “Don’t be late, don’t be lazy”. You are gonna rock it.

There are couple more general things I’d like to tell you before wrapping this up;

  • You are walking to the hospital with your headphones on that’s fine, before you step into the hospital, put them out. Wearing earphones in hospital is completely unprofessional.
  • Greet everyone, whether it’s the head of the department or the nurses. Greet them, some of them might not respond to you but don’t let that change the manners your parents inculcated in you.
  • When you are leaving the premises, even just to use restroom, inform someone, anyone. You don’t have to explain it, just say ‘I’ll be back in a sec’.

Those small small things, gestures defines you. Internship is the base of your upcoming practice. Set some solid ground work!

Don’t hesitate to ask me, if you have any sort of doubt…

Until Next Time.

Internship

Congratulations!
You finally cleared your final MBBS exam and now you are going to start with your 1yr of compulsory internship.
Are you excited? Nervous? or like mixed feelings? You made it. The very fact that you gave your final exam of MBBS, feels good. Isn’t it? But, here’s the twist, now on the real journey begins, all those 4.5yrs were preparing you for this.

Most of you already know that during this 1yr you will be posted in different departments. Being a MBBS doctor you are expected to have certain knowledge of all the 19 subjects, more importantly the clinical ones. During this 1yr you are supposed to observe and learn all those clinical skills and implement them to patient care.

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What internship expects from you?
Most important thing that you have to master in internship is patient Interaction. You need to know how to approach a patient? Suppose you are posted in ER and a patient comes with a stab injury? What is the 1st thing you are going to do? Or in OPD with pain in abdomen or chest pain.

Remember, communication is the key.
You would have been told in all your clinical postings and exams to focus on history. It is of utmost importance. At this particular stage, you need to know ‘where you have the time to take a detailed history’ and ‘where you have to go for a quick one’. Which questions you of have to ask, rather I’d say you must ask. More importantly listen to your patient, there lies your diagnosis. – All these things you already know, you have been told repeatedly by your seniors.
What I’m going to tell you is, how you are going to learn all this.

  • Observation. Observe your seniors, how they are doing it.
  • Don’t be shy of asking questions to your seniors.
  • When in doubt, wait for your seniors to take the lead. 99% of the time you will have residents or consultants around you.
  • Take charge, but start slow, in presence of your seniors. Remember nobody is going to teach you, if you are not willing to learn. And this is your only time.
  • Accept the fact you are going to make mistakes. Don’t be afraid of making mistakes, but don’t repeat them. Learn from it.

Know the fact that you are at the bottom of the food chain of the hospital. On the bright side, not much is expected from you.

Harsh truth of internship.

If you have watched a lot of Medschool based sitcoms. This is the time you delete those from your memory. It’s going to be nothing like that. You’d find yourself doing almost everything and not really treating patients. You would be acting like a lab tech, nurse, ward-boy, personal assistant and what not. You’d often find yourself running. My advice invest in comfortable footwear. You would be fetching reports from labs, files from nursing stations to your consultants, drawing blood and sending it to the labs, if needed you have to take those samples to the lab all by yourself. Sometimes you have to get your seniors coffee too.

Question: What’s is an Intern’s job? Answer: Anything and everything .

You will be subject to lot of pressure, nobody is going to appreciate your work, Many a time nurses and residents will be just yelling at you, sometimes for no reason at all. Whenever, you feel bad about any of this just look at your 1st year resident. That poor thing is having worst.

Now, I want you to ask yourself ‘what you expect from internship and write those points down.’

Keep learning, keep rocking future doctors. All the best.

Don’t miss out on my next blog which is about ‘things you need for internship, from clothes to books, everything’

Welcome

Hi, I’m Dr. Namrata

Hereby, I’m bringing first hand experience of Medical life. From getting into a government medical college to emerging out a better version of myself.

I’m the first from my family to get into this profession, and I had no one to guide me through it. That’s the very reason I’ve started this blog and my sole purpose is to guide you, so that you don’t make the same mistakes I made. So that, you don’t have to waste your time searching the web or asking people what to do? Which books to read or how to manage your time?, how to prepare for a particular exam or what are your options after graduation and moreover with what field you should go with?

Feel free to ask me any sort of doubt, regarding anything, personal or professional and I promise to guide you through that particular difficulty you are facing. In order to become a good doctor and being able to help others you need to be healthy. Physically and more importantly mentally.
I believe;


“Help in every other way you can, contributing towards the society besides just doing your job.”





@Dr. Nam
Be a better version of yourself.

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