@acweyand Started screening for iron deficiency after seeing your posts even in patients with normal hb and found them iron deficient, and also started replacing iron in those whose ferritin would be in lower side of normal range..
The only thing you can change:
You can’t change your entire life.
You can only change your next action.
—
You can’t change a relationship with a loved one.
You can only change your next interaction.
—
You can’t change your entire job.
You can only change your next task.
—
You can’t change your body composition.
You can only change your next meal.
—
You can’t change your fitness level.
You can only start moving.
—
You can’t declutter your entire life.
You can only choose to get rid of one thing, right now.
—
You can’t eliminate your entire debt.
You can only make one payment, or buy one less unnecessary item.
—
You can’t change the past, or control the future.
You can only change what you’re doing right now.
—
You can’t change everything.
You can only change one, small thing.
And that’s all it takes.
P.S: Please follow
@Psychodoctor06
to learn the unique insights and experiences of a psychiatrist.
#KaalaiVanakkam! Acceptance of life's unexpected twists and turns, with grace and surrender, is the greatest form of spirituality. It is also the most practical thing to do!
Endocrinology is, in a way, a branch that deals with oddballs. We have patients who are too tall, too short, too fat, too thin, too dark, too flat and so on. So imagine my surprise when a stunningly beautiful girl walked into the opd. She must have been in her late twenties and looked like life incarnate.
I asked her, what the issue was. She wanted some medicine for weight loss. I thought I misheard it, so asked her again, just to be sure. She firmly said, she needed to quickly shed 3 kilos.
It was time to dig into the details.
I asked her point blank "May I know why you want to lose weight ? and why resort to medication for that ?"
She said, ' I work in a famous airline as cabin crew. I spend more time on the sky than on the land. It comes at a price. Inflight food is unhealthy. Besides that I have to be on my toes all the time - there's no margin of error. No room for goof ups. My sleep goes for a toss due to frequent night travel. I don't even have time to develop jet lag sometimes.
People expect us to look a certain way. The higher-ups in my field have strict guidelines for both men and women. If I gain too much weight, I will be shown the door. I know deep down that my lifestyle is unsustainable. I just try to make hay while the sun shines. Or while the plane flies"
I asked her, "Don't you get any breaks ?"
She smiled wryly "I just sleep when I get time doctor. That's all I have energy for. After all, I can't go to work with baggy eyes or dark circles, can I ?".
I felt sorry for her. She had tried everything from diets to workouts. Only pills and potions remained.
I had mistakenly thought that flying all over the world and getting free air tickets must be fun. In reality, behind the glitz and glamour, there is profound tiredness that seeps into the soul. Like medicine, only the insider knows the true story.
Same goes for looks. I remembered Emily Dickinson's poem that goes, "Success is counted sweetest by those who never succeed'. Average joes like us, think stunning looks will guarantee happiness. The reality is even those who look like angels have to face their own demons.
Perhaps happiness is a separate skill.
Just as I reminisced about life in the times of GLP agonists, I realized some jobs are like medicine, except you don't graduate to become a consultant. Instead you fade into oblivion. As a mere blip in the radar of time. Compared to that, the fruits of our labour, seem sweeter and far more bountiful.
PS: Did I prescribe her a drug ? I will leave that to your imagination.
A cancer patient on chemotherapy today told me to discharge him for a day
I asked him what’s the hurry ?
His reply taught me a big lesson of life
He said : “I have to look for my son who is having chronic fever and my wife who is on antidepressants after knowing my condition”
After hearing this I couldn’t imagine the strength the man must have endured to become like this despite being in a terminal condition himself
The man is quite often misunderstood because they couldn’t express emotions well , but only they know the cracks behind every smile they possess
If it’s not easy being a women , it’s equally not easy being a man.
Excellent read for all Doctors. A well written blog by Dr Rishi Grover, Urologist.
“Life is a race!”: Virus, 3 Idiots.
“There’s no such thing as a free lunch!”: Milton Friedman, Nobel-winning American Economist.
A blog on doctors starting with quotes from a Bollywood movie and an economist?
It may sound strange, but these are most relevant for what is to follow.
Most doctors are workaholics. I should know. I am a doctor; a Urologist with 20-plus years in the field. Most of my friends are doctors, in various specialties. In fact, I have very few friends who are not doctors, or ‘non-medicos’ as we docs call them.
Most of the docs I know are very hard working. Many are compulsive workers. It is very difficult to keep them away from their work. I used to be the same, constantly on the run, clinical work a priority; everything else being secondary.
In the initial years, everyone wants to get established. And we run, we run day and night to achieve a name, a reputation, and a steady practice. Contrary to popular perception, it is mostly not about the earnings. Yes, the earnings do matter, but primarily one is not running to earn, but to create an identity.
Physicians run from hospital to hospital seeing admitted and out-patients. Surgeons run around operating. Corporate full-timers wind up at their jobs and run private clinics till late in the night after their job commitments are over. Many government-employed doctors do private consultations, sometimes legally, sometimes not. Everyone seems to have one major goal: how to squeeze in the maximum amount of clinical work into 24 hours.
Everything else is secondary: spouse, kids, parents, friends, health, hobbies, everything.
The motivations to keep running change with time. Initially, it may be to get established and then to stay established. A few decades down the line, with wave after wave of new, ambitious doctors entering the ‘market’ every year, it may then become an attempt just to stay relevant!
There is always the surgeon’s ego which says that you are the best for your patients, or that others are less capable. There are always younger guys coming in who are equally or more skilled and equally or more competent. But a surgeon’s ego keeps him in a state of constant denial. Most surgeons steadfastly refuse to acknowledge that the next generation can be as good as or better than them.
Then there is this false belief that your patients are your diehard followers. Sorry to break your fragile hearts: they aren’t! We have occasionally read reports of people dropping dead or even committing suicide when their favourite movie star or political leader died, especially in the South Indian states. However, no patient ever stopped getting treated because his or her favourite doctor died or moved to another city. They will go and get treated by someone else, whoever is the current ‘number one’ or ‘top doctor’ at that time: a simple fact that very few of us seem to acknowledge. Even when taking a vacation, I hear this constant refrain: “What will happen to my patients?”. I, too, make alternative arrangements for my patients when I am away. While being concerned about one’s patients is a desirable attribute, getting obsessed is definitely not. Mind you, the obsession here is with oneself and one’s ego, not with the patients.
The last factor is the fear of losing your patients to others, the fear of becoming less relevant. For some, this factor is strong from the beginning, and for others, it may set in after many years of practice. There are very few contented characters who aren’t much affected by such thoughts. But it’ a fact, that in one’s clinical practice, everyone has faced days and weeks with less patient loads, low footfalls in OPDs and few surgeries.These are the times when one’s faith in oneself and one’s skill may get shaken. Everyone has faced this real fear of becoming irrelevant, or less relevant, or less popular at some time in their practice.
#Medtwitter
Ek bio student, MBBS me gaya, Barbaad.
2 bio student, 2 bio student, MBBS me gaye, MBBS me gaye, Barbaad, Barbaad.
3 bio student, 3 bio student, 3 bio student, MBBS me gaye, MBBS me gaye, MBBS me gaye, Barbaad, Barbaad, Barbaad.
There’s so much we can’t control. That’s the main reason why we are anxious. Instead of worrying, learn to focus on the things that we can control. Then put our trust in the Almighty to take care of things. Feel the weight lifted from our shoulders.