Yuuuutttt___

IMT3 currently specialising in answering bleeps, studying for exams and completing portfolio stuff. Joys, or lack thereof! She/her.

[Yuuuutttt___ @anotherdoctor_]

Monday mood 🙃
#MOODENG

[Khamoo.andthegang @and_khamoo]

เสือนอนกิน มันธรรมดาไป 😌
#hippo #PygmyHippo #ขาหมูแอนด์เดอะแก๊ง #หมูเด้งจะเด้งกี่โมง #Moodeng

[Yuuuutttt___ @anotherdoctor_]

No thoughts, only chomps.

Also in case you haven’t noticed - for the next few days, this is strictly a Moo Deng fan account.
#IconsOnly #MooDeng

[yammi @sighyam]

Moo Deng the most beautiful girl in the world

[Yuuuutttt___ @anotherdoctor_]

Me when A&E / surgery try to refer a patient to medicine at 7:55. 🙃

Smol but will bite! #MooDeng #Obsessed #MedTwitter

[House ⚔️ @mrmatthouse]

moo deng is a lifestyle icon and i need all of yall to get onboard:

- inexplicably moist at all times
- slightly blurry in most photos
- probably screaming or sleeping
- round

[Yuuuutttt___ @anotherdoctor_]

@BBsup3rfan Also, shoutout to him personally taking on the responsibility of being the most well dressed in a place like Harrenhal. knee deep in debt, but knows his priorities. Such a diva. We Stan! 🤩

[Yuuuutttt___ @anotherdoctor_]

@Targ_Nation That didn’t confirm shit. Jon is the prince that was promised in the books, Azor Ahai. He is literally the song of ice (stark) and fire (Targaryen), the one who fulfills the whole prophecy.
Dany’s cameo was in keeping with dragons’s return after 150 years.

[Yuuuutttt___ @anotherdoctor_]

@westerosies Solid 9.8/10 🔥

(Deducted 0.2 coz it’s episode 7 and we’re STILL getting Daemon trippin on acid scenes). Give over!!!

[Yuuuutttt___ @anotherdoctor_]

@Medic_Russell Chest pain - likely cardiac sounding.
Plan : Pt to be admitted under medicine. (Brownie points for these golden words)

[Yuuuutttt___ @anotherdoctor_]

@morefluids Dermatology team called in to consult an ICU patient for a “rash”

[Yuuuutttt___ @anotherdoctor_]

The most bittersweet thing that I’ve read lately... 🤍

[TheLiverDoc™ @theliverdoc]

I am a Hepatologist.

Arguably, I care for the sickest group of patients in medical practice – end stage liver disease.

I see death almost every day in my ICU.

Some are natural deaths, leading to multiple organ failure triggered by a failing liver.

Some are decided. The family decided to pull the plug. They decide it was time to let go.

And every time, I see the heart rate drop, the blood pressure fall and the electrocardiogram go flat.

And I wonder. What goes on inside a dying brain?
Was it a small black hole, that gets bigger and bigger and then engulfs the field in darkness as the heart shuts down taking the brain away with it?

Or was it just all light at the end of the tunnel and then darkness, once the destination had reached?

A group of doctors did something strange. Something unimaginable.

And it led to them witnessing something melancholic, but beautiful.

They went inside an ICU. Saw that four patients were unconscious.

They were not clinically dead, yet. And not brain-dead. But were comatose.
They were kept alive by a machine that pumped oxygen into their lungs.
Three had brain injury due to cardiac arrest. One had haemorrhaged into the brain.

All were unresponsive for a very long time and sadly, the family decided to pull the plug on them.
To let them go away, peacefully.

But before they did that, the loving family did something bittersweet. They signed a document which was made by the group of doctors, allowing them to study their beloveds’ dying brain.

The group was led by Dr Jimo Borjigin of the Department of Molecular and Integrative Physiology, University of Michigan School of Medicine, Ann Arbor at Michigan.

The doctors fitted machines to the heart and brain of the dying patients and then withdrew their life support by removing the breathing tube.

Immediately after the tube was removed, the brain activity did not show anything different.
But as the brain got closer to death, about 300 seconds before death, a power surge. And it occurred in the regions of the brain which was associated with conscious experience. Like the dying was suddenly yearning to live.

And make no mistake, these were not “some bursts” of electrical activity that happens when the brain cells withered away without oxygen. This was a special kind of activity.

These power surges increased connectivity in a region in the brain called posterior cortical “hot zone” – an area crucial for conscious perception – when it came to just before dying, the brain cells were having a cross-talk, not dying away into oblivion.

They were passing final messages to each other within the regions of the brain, while the physical body lay, limp and motionless.

And the doctors were heartbroken – because the final electrical pattern of surge that the dying brain was showing was the similar to those seen in dreaming humans.

All the patients in the study died.
But before they died, they taught us something.
That even in death, our minds are resilient.
That we clutch at only everything that is good.

What were they dreaming of?
A husband, about his loving wife?
A mother, her children?
Children, their parents?
Or maybe a scene from a movie that changed you?
Or a song under a starry sky?
Or a pet who loved you unconditionally?
We will never know.

But know this, even in death, the mind conquers – with dreams and love, not nightmares and hate.

Remember, nothing perfect lasts forever, except in our memories.

Make good memories while living, so that we can re-live them in death.

Go hug you family, take your children for an ice cream. Walk your dog into the sunset.

Sources:
➡️"Surprising brain activity moments before death" by Dr. F Perry Wilson @fperrywilson via https://t.co/g2NmWlMrAs

➡️Research Article: Surge of neurophysiological coupling and connectivity of gamma oscillations in the dying human brain from @PNASNews https://t.co/YqvZIlDaxN

[Yuuuutttt___ @anotherdoctor_]

@hasyourregtried @veggieequallife Apart from the other WPBAs, would this also require MSF from 12 people?! 😅

[Roshana 🦴 @RoshanaMN]

What. The. Actual. Fork

[Yuuuutttt___ @anotherdoctor_]

@ivymycin *Cries in £507* 😭

[Yuuuutttt___ @anotherdoctor_]

@walsh_joe 101%

Started the program with so much expectations and enthusiasm. Dawned on me that this is a complete scam and is just a glorified rota gap to fill in with the added burden of portfolio and there’s no real training. 🤮

Enthusiasm level now : 0/100
Training : minus /100

[Yuuuutttt___ @anotherdoctor_]

@miller_element *Bleeps Med Reg in 3….2…1*

[Matt Bilton @DrMattBilton]

Such strength of feeling in Oxford. This will NOT be resolved without negotiation.

❌ 6% doesn’t DENT the 31.7% lost in real terms since 2008.

❌ 6% does NOTHING to stem the haemorrhage of doctors quitting the NHS.

❌ 6% is NOT good enough Rishi Sunak. Try again.

[Yuuuutttt___ @anotherdoctor_]

@alexinlaw This is ridiculous!

First Brexit - big mistake.

Now being obstructive to the immigrant workforce who constitute a large part in any workplace setting - even bigger mistake.

Be prepared for staff shortage everywhere.
That’s Tory rule for you. 🤬

[Yuuuutttt___ @anotherdoctor_]

Why are we striking?
As part of the inflation, my rent went up by an additional 250£/month in June.
@RishiSunak’s final and generous offer of 6% pay “rise’ = extra 100£/month which will barely cover this.

Make it make sense!#JuniorDoctorsStrike #BMA #NHS

[Yuuuutttt___ @anotherdoctor_]

@zackferguson Or the ones remaining are so exhausted from being severely burnt out that they’re physically & mentally unable to spare 10 mins to feedback. 😒

[Joanna Liberty 💙 @Joanna_Liberty]

This month:
GMC: £433
Mandatory conference + travel/accommodation: £800
Exam: £380
Indemnity: £140
College fees: £195

£1,948 in ONE MONTH just to keep doing my job… No wonder it often doesn’t feel worth it any more.