Step 2: The Loading Dose.
Crucial caveat: ONLY if the ECG is suggestive OR clinical suspicion for ACS is very high. If so, do not wait for Troponin! Time is muscle.
• Aspirin: 300mg (chewed)
• P2Y12i: Ticagrelor 180mg OR Clopidogrel 300-600mg
• Statin: Atorvastatin 80mg
Modern medical residency was designed by a surgeon who was addicted to cocaine.
Not a joke.
Dr. William Halsted - one of the fathers of modern surgical training - developed cocaine addiction while experimenting with local anesthesia on himself.
And the system he built rewarded:
• sleeplessness
• endless work hours
• emotional suppression
• “suffering = dedication”
More than 100 years later, medicine is still trying to recover from that culture.
There are places we pass through in life… and there are places that become part of who we are.
Manchester will forever be my home.
To the city, the club, and every supporter, my sincerest thank you. These past four years have been unforgettable, filled with moments my family and I will carry with us for the rest of our lives. There simply aren’t enough words to describe the happiness and warmth we’ve felt here.
Thank you for every cheer, every memory, and for making us feel at home from the very first day.
Forever a Red Devil ❤️
Have you ever been a sacrificial victim?
My heart went out to a young boy I was seeing just the other day. When I asked why he wasn’t in school, he said his parents took the other 4 siblings to school and he was chosen to keep cattle.
In the process of moving with cattle in the bush, one eye was injured. Guess how it was treated - using medicine for killing ticks on animals.
The eye was killed just like that.
In the kraals, far along the border between Kenya and Uganda, the fate of those who fall sick lies in the hands of nature