(Meant for my younger colleagues)
32 Years in Medicine: Lessons Beyond Guidelines
I saw my first OPD patient on 1st Feb 1994, during internship. This is my 33rd year as a doctor.
Over the years, I have followed the guidelines laid down by regulatory bodies. But some of the most valuable lessons in patient care are not written in any manual. They are learned, observed, and practiced daily.
Sharing a few principles that have consistently improved my doctor–patient interactions, especially for younger colleagues:
1. Respect time.
Keeping appointments on schedule builds trust. If delayed, inform early. If delay is due to an emergency, explain honestly.
2. Start with a smile.
Patients often walk in anxious. A warm greeting can ease half their stress.
3. Speak their language.
Even a few words in the patient’s language can instantly build rapport.
4. Listen; truly listen.
A missed detail in history can lead to a missed diagnosis. Good listening is good medicine.
5. Be fully present and avoid distractions. The patient in front of you deserves your complete attention.
6. Be fair.
If a patient has come to the wrong specialty, guide them appropriately and consider refunding the fee.
7. Know your limits.
If someone else can offer better expertise, don’t hesitate to suggest a second opinion.
8. Respect colleagues.
When a patient comes to you for second opinion and you find that prior treatment was appropriate, say so. There is no need to undermine another doctor.
9. Think from the patient’s perspective.
If they have traveled far to consult you, help them find care closer to home or consider teleconsultation when feasible.
10. Communicate clearly.
Explain diagnosis, treatment options, duration of treatment, possible side effects of medications, and follow-up plans in simple terms.
11. Promote healthy living.
Never miss the chance to reinforce lifestyle measures. Healthy diet, exercise, and sleep matter more than most prescriptions.
Medicine is both a science and an art. Guidelines teach us the science. These small, human touches define the art.
To the younger doctors:
Your knowledge will earn respect, but your empathy will earn trust.
Dr Sudhir Kumar @hyderabaddoctor
#MedTwitter
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No pain, no drama just quiet damage.
You can feel fine and still have dangerously high blood pressure.
Repeated high is high risk.
It can lead to stroke, heart attack, kidney failure and blindness.
Many sudden collapses were silent blood pressure for years.
Don't Wait for symptoms, check your blood pressure.
The Mau Mau weren’t ‘savages’ or ‘terrorists’ like Britain claimed. They were Kenyans pushed to the edge by land theft, forced labor, and colonial violence. When people have nothing left to lose, resistance gets labeled as madness instead of survival.
Ashleytheebarroness