ECHO Chambers refers to people within groups, that believe in set of ideas or beliefs and distance themselves from contrary ideas. There is often a lack of correcting and moderating influences and, If they are there, they are generally quickly silenced or "blocked"
When a critical patient suddenly develops an intense and desperate thirst for water, they are about to crash until proven otherwise. Trust me on this one.
Dr Sagar Solanki
2007 batch MBBS; 33 year old cardiologist;
just started practice after qualifying. Cardiac arrest in OPD.
PLEASE LOOK AFTER YOURSELF FIRST 🙏🏽🙏🏽🙏🏽
#OmShanti
I am not sure if you have watched this bittersweet, devastantingly effective video by @MedCrisis on "Should Doctors Help People End Their Lives."
He speaks about his mother's terminal illness brought on by progressive bulbar palsy (which results in progressive loss of speech and swallowing) and an isufferable end. It was not a good way to die. My condolences and thoughts are with him at this time. May the departed rest in peace.
Medically assisted dying is a compassionate and ethically driven aspect of caring for the terminally ill who is fully mentally competent and I wholeheartedly endorse it.
If terminally ill people want to control their own death, they must be given that option, because it is what they would choose deservingly.
People who are critically ill also have the option of having their treatments witheld to allow a natural death - an overwhelmingly bearing burden that I decide on for my critically ill, young, advanced alcohol-related liver disease patients, along with their families in my ICU - almost on a daily basis.
We either remove them from their ventilators and allow them to breathe their last or trickle down the life supporting medications to ever comfortingly, let that weak, waiting to rest heart, give way after prolonged days of forcefully letting it beat with the help of inotropes and vassopressor medications. There is a relief in seeing the flatline, but also the aftermath that becomes a scar for life in your heart. You learn to be tough outside, while every single time, you are just melting into a goo inside, and want out.
In this video, modifying his personal loss and grief into a rational and critically though process, weighing pros and cons, @MedCrisis educates us about lessening suffering in death, in those living to die. It is a masterclass. The last few minutes are not easy to watch, because this is real.
"When possible, we must prevent suffering."
Please watch.
https://t.co/UK5PIKjXkN
@theliverdoc@MedCrisis As doctors we must try to save and treat as much as we can , but when there is no hope the one who suffers should be helped complete the journey with lesser pain and with peace. I was with the same predicament when lost my mother, if only I could have eased her suffering.
@OGdukeneurosurg Allen’s test , to check collaterals of palmar arch before putting an arterial line.
This one is a positive test , putting radial line increases risk of compromising blood circulation of the hand due to poorly formed collaterals of palmar arch.
Just push through, you may see darkness but don’t let it put out the flame of your soul, it may flicker in the winds of turmoil but just cover it, if no one does use your own hand and push through, there will always be a light eventually.