Came out of my social media hiatus (I am working on my new book) just to direct your attention to an important matter.
The Maharashtra Association of Resident Doctors (MARD), an organization representing resident doctors in government and municipal medical colleges across Maharashtra, India has suspended outpatient and academic services in the State. Emergency services will continue for 24 hours after which, it will also be withdrawn. Tens of 1000s of patients will be affected.
The MARD is doing the absolute right thing.
The Maharashtra Government has brought in a new law which will empower Homeopathy practitioners to "work" like modern medicine doctors after they complete a 6 month certificate course in modern pharmacology. This is the most absurd piece crap rule any government can make.
On one hand, the Ayush Ministry is sending me notices and telling media not to call Homeopaths quacks or bogus doctors, and on the other hand, the same Ministry in cahoots with State government is trying to dress up quacks as real doctors by making new "side rules." If Homeopaths are not quacks or bogus doctors, then why do they need this bullsh*t certificate course?
Students and residents who have spent time, money, blood and sweat to become doctors through nerve-wrecking NEET exams are now witnessing quacks getting to become doctors through a green channel that the incompetent and pseudoscience shagging Government has made for them. Homeopathy practitioners who are taught vitalism and prescribe alcohol, cockroach and sugar syrup cannot one fine day become competent doctors if they do a certificate course.
The governments must stop trivializing the medical careers and doctors in India.
Dear young doctors, fight against this nonsense with full might. Don't back down. Don't give these frauds a chance to sit at your table. It was their choice to become scamsters and they must cope with it.
The Bachelor of Homeopathic Medicine and Surgery Certificate Course in Modern Pharmacology should be immediately suspended (I hope Courts will take the rational step here). The presence of such a certificate course that magically turns Homeopaths into modern medical doctors itself shows that Homeopathy is quackery and Homeopaths are legalized quacks. Prove me wrong. No two ways about it.
Summary of common critical drugs infusion in shock state in ICU/CCU
Dose of
1. Norepinephrine 0.2 to 1 mcg/kg/min
2. Adrenaline: 0.01 to 1 mcg/kg/min
3. Dobutamine: 2 to 20 mcg/kg/min
4. Dopamine: 5 to 20 mcg/kg/min
Formula for mL/h:
[ Dose (mcg/min) / Concentration (mcg/mL)] x 60
What else to share next? 🤔
🧵for the new residents and students on the meaning of 'French' and 'Gauge'.
We've covered this on here in the past, but a lot of new people are starting on surgical rotations, so let's look at them again.
As usual, we'll cover their history and what they mean.
(1/ )
Finally #MedTwitter and #MedX I found a way to remember antiarrhythmic classes without EVER forgetting or having to memorize. Read this thread to learn how:
Now Online❗️ AASLD Practice Guidance on Acute-on-chronic liver failure and the management of critically ill patients with cirrhosis ���� https://t.co/yLYGLi1Bfz #LiverTwitter @HEP_Journal
Here’s a video I made breaking down this very important #ECG case of a 40-year-old woman with chest pain and shortness of breath that woke her up from sleep
#FOAMed
ICU Extubation Tips:
Let’s admit it. As intensivists, we will never be as good in airway management as our Anesthesia or Emergency Medicine colleagues are. They intubate many more pts than we do & some of them under very suboptimal conditions. So, we can never match their skills
Good morning 🌞
23 Y 👩 32 Weeks ANC with normal blood pressure
Total Bili - 25
SGOT -180
SGPT-102
ALP -824
5H - negative
What are the D/D ??
#MedTwitter#MedX#FOAMed