Dr.She

living a period of life where I call myself not a resident anymore

madam apki ab MD anesthetist hai 😎

[Dr.She @drshe227]

Sharing piece of my article here too@

[Dear Son. @DearS_o_n]

I fell in love with this sentence:

"Forgive yourself for not knowing earlier what only time could teach."

[🍂 @Lovandfear]

Attachment says, 'Be mine.' Love says, 'Be free..🤍✨

[Dr.She @drshe227]

@DrDatta_AIIMS Bring something for anesthesia also😁

[Karthik Balachandran @karthik2k2]

One of the things that make residency hard is people expect the maturity of a 50 year old from a 25 year old doctor

[Dr.She @drshe227]

@MayankSodani Moreover this is the period that teaches most important surviving skill of residency and life
" patience " when we don't have anybody its just us and way we manage or emptiness without going to anyone to fill the void! Try meditation this helped me at that time!

[Dr.She @drshe227]

@MayankSodani That's when actual birth of my twitter happened 😂 though i used to call my friend and rent about how my scores sucks 🤓

[🍂 @Lovandfear]

When someone doesn't choose you fully and freely, you're not in a relationship, you're in a lesson

And that lesson is to choose yourself

Your body feels the truth before your mind can admit it - the tightness, the anxiety, the unease

But your mind tries to justify it with: "They're just busy" "Maybe I'm asking for too much" "It'll get better"

Meanwhile your nervous system knows that love shouldn't feel like confusion, waiting or walking on eggshells

The real work is learning to stop settling for half hearted love and to start standing fully in your worth

Because the love that's meant for you won't make you question your value, it will meet you with peace!!!

[Dr.She @drshe227]

He carried on saying atleast once in a year man and kids were given responsibility of managing home to realise it's not an easy job that she does.

[Dr.She @drshe227]

Today I heard Papa and cook conversation where he was saying I don't get men who underlines the women's role in managing home, it's a toll taking job home maker's are doing . He realised this in last 9m while managing home almost single handedly as mumma has been sick.

[✒ @Aarzaai_Ishq]

@Lovandfear Your absence has become the quietest part of every room I enter.

[Dr.She @drshe227]

I was lately wondering how sometimes we watch,observe and even understand but fail to convey it as something holds us . Is that we have understood the reality and now we are trying to protect our heart with harsh reality tornado that stands at doorstep to hit.

[Dr.She @drshe227]

@DrRohanAcharya Real danger is such self obsessed people in power ! Write down reality in logbook so everybody knows this

[Dr.She @drshe227]

@DrRohanAcharya Whatttttt😬😬🙄🙄🙄

[Dr.She @drshe227]

I wrnt home and papa telling me how he fired nth care taker BCOZ:

She applied moisturizer to mumma on hands and legs and used same unwashed hands to apply on face.
Period

[Dr.She @drshe227]

There was a discussion at workplace on how i manage to stay calm in terrible situations be it a patient thing or with staff or colleagues or with peers.

[Dr.She @drshe227]

I told them day old incident of home 🏡

[Dr.She @drshe227]

Not wrong to use insta to build image but do only if you are good at😅 bcoz I have looking at average videos in my feeds 😉 I m a heavy judgemental 🙂

[Dr.Kartik Sonawane @KartikBSonawane]

🎯 𝐌𝐀𝐒𝐓𝐄𝐑𝐈𝐍𝐆 “𝐀𝐏𝐏𝐑𝐎𝐀𝐂𝐇 𝐓𝐎 𝐀 𝐏𝐀𝐓𝐈𝐄𝐍𝐓 ” 𝐈𝐍 𝐄𝐗𝐀𝐌𝐒 (𝐖𝐑𝐈𝐓𝐓𝐄𝐍/𝐕𝐈𝐕𝐀)- 𝐒𝐭𝐫𝐮𝐜𝐭𝐮𝐫𝐞𝐝 𝐀𝐧𝐬𝐰𝐞𝐫 𝐁𝐥𝐮𝐞𝐩𝐫𝐢𝐧𝐭📝

#RegionalAnesthesia #EDRA #ApproachToAPatient #PerioperativeMedicine #OrthopedicAnesthesia #HighRiskPatient #MultimodalAnalgesia #ERAS #VivaPrep #AnesthesiaEducation
#TipOfTheDay #MyRATips

𝐓𝐢𝐩 𝐨𝐟 𝐭𝐡𝐞 𝐃𝐚𝐲 :

How to answer 𝐂𝐎𝐌𝐏𝐋𝐄𝐗 𝐂𝐀𝐒𝐄 𝐒𝐂𝐄𝐍𝐀𝐑𝐈𝐎 questions:

Managing IHD ❤️ | DM 🍬 | Thyroid 🦋 | CKD 🩺 | Frailty 👴 | Anticoagulants 💉 | Difficult airway 😮‍💨 patients for hip 🦴 | knee 🦵 | shoulder 💪 | trauma 🚑 surgery requires a 𝐏𝐀𝐓𝐈𝐄𝐍𝐓 𝐉𝐎𝐔𝐑𝐍𝐄𝐘 – 𝐁𝐀𝐒𝐄𝐃 𝐏𝐄𝐑𝐈𝐎𝐏𝐄𝐑𝐀𝐓𝐈𝐕𝐄 𝐒𝐓𝐑𝐀𝐓𝐄𝐆𝐘.

🔍 𝟏. 𝐊𝐍𝐎𝐖 𝐘𝐎𝐔𝐑 𝐏𝐀𝐓𝐈𝐄𝐍𝐓

🎯 𝐂𝐨𝐫𝐞 𝐅𝐨𝐜𝐮𝐬:
🔹 Age & functional reserve
🔹 Comorbidities & organ status
🔹 Airway + spine challenges
🔹 Surgical blood loss risk
🔹 Medication profile
🔹 Frailty / rehabilitation potential

💊 𝟐. 𝐌𝐄𝐃𝐈𝐂𝐀𝐓𝐈𝐎𝐍 𝐌𝐀𝐒𝐓𝐄𝐑𝐘

✅ 𝐂𝐨𝐧𝐭𝐢𝐧𝐮𝐞:
🔹 Beta blockers
🔹 Statins
🔹 Thyroid meds
🔹 Antianginals

⚠️ 𝐎𝐩𝐭𝐢𝐦𝐢𝐳𝐞 / 𝐇𝐨𝐥𝐝:
🔹 Diabetic drugs
🔹 Anticoagulants (ASRA guided)
🔹 Antiplatelets
🔹 Selected antihypertensives

🛡️ 𝐑𝐮𝐥𝐞: Balance thrombosis vs bleeding risk

🌙 𝟑. 𝐍𝐈𝐆𝐇𝐓 𝐁𝐄𝐅𝐎𝐑𝐄 𝐒𝐔𝐑𝐆𝐄𝐑𝐘

𝐆𝐨𝐚𝐥𝐬:
🔹 Anxiety reduction 😌
🔹 Better sleep 💤
🔹 Preemptive analgesia 💊
🔹 Stress suppression 📉

🚑 𝟒. 𝐎𝐍 𝐀𝐑𝐑𝐈𝐕𝐀𝐋 𝐁𝐋𝐎𝐂𝐊 = First Physiologic Intervention

🎯 𝐁𝐞𝐧𝐞𝐟𝐢𝐭𝐬:
🔹 Rapid pain relief
🔹 Blunts stress response
🔹 Stabilizes hemodynamics
🔹 Prevents sugar surge
🔹 Reduces immune suppression
🔹 Builds patient trust
🔹 Facilitates positioning

💡 𝐌𝐚𝐧𝐭𝐫𝐚: Analgesia First, Surgery Next.

🎯 𝟓. 𝐏𝐑𝐄𝐄𝐌𝐏𝐓𝐈𝐕𝐄 𝐁𝐋𝐎𝐂𝐊

🔹 Continuum of care
🔹 Easier neuraxial positioning
🔹 Reduced opioid need
🔹 Better intraoperative stability
🔹 Reduced central sensitization

⚡ 𝟔. 𝐈𝐍𝐓𝐑𝐀𝐎𝐏𝐄𝐑𝐀𝐓𝐈𝐕𝐄 𝐏𝐑𝐄𝐂𝐈𝐒𝐈𝐎𝐍

𝐂𝐡𝐨𝐨𝐬𝐞 𝐰𝐢𝐬𝐞𝐥𝐲:

🟢 RA | 🔵 GA | 🟣 GA + RA

🔹 Hemodynamic preservation
🔹 Cerebral perfusion maintenance
🔹 Blood loss management
🔹 Temperature & glucose control
🔹 Multimodal analgesia

🩹 𝟕. 𝐏𝐎𝐒𝐓𝐎𝐏𝐄𝐑𝐀𝐓𝐈𝐕𝐄 𝐒𝐔𝐂𝐂𝐄𝐒𝐒

𝐁𝐥𝐨𝐜𝐤 𝐠𝐨𝐚𝐥𝐬:
🔹 Dermatomes
🔹 Osteotomes

𝐄𝐑𝐀𝐒 𝐩𝐫𝐢𝐨𝐫𝐢𝐭𝐢𝐞𝐬:
🔹 Early mobilization 🚶
🔹 DVT prophylaxis 🛡️
🔹 PONV prevention 🤢
🔹 Rehab enhancement 💪
🔹 Opioid minimization

🧠 𝟖. 𝐑𝐀 = 𝐉𝐎𝐔𝐑𝐍𝐄𝐘, 𝐍𝐎𝐓 𝐏𝐑𝐎𝐂𝐄𝐃𝐔𝐑𝐄

𝐑𝐀 𝐬𝐮𝐩𝐩𝐨𝐫𝐭𝐬:
🔹 Arrival stabilization
🔹 Preemptive analgesia
🔹 Intraoperative physiology
🔹 Postoperative recovery

🧠 𝟗. 𝐇𝐎𝐖 𝐭𝐨 𝐈𝐌𝐏𝐑𝐄𝐒𝐒 𝐄𝐗𝐀𝐌𝐈𝐍𝐄𝐑𝐒

Always:
🔹 Be sequential
🔹 Be patient-centric
🔹 Use headings
🔹 Mention safety
🔹 Justify decisions
🔹 Include guidelines

🛡️ 𝐏𝐨𝐰𝐞𝐫 𝐊𝐞𝐲𝐰𝐨𝐫𝐝𝐬: ASRA • ERAS • MMA • DVT • PONV • Early Mobilization • PROSPECT Guidelines.

✍️ 𝟏𝟎. 𝐅𝐎𝐑 𝐖𝐑𝐈𝐓𝐓𝐄𝐍 𝐄𝐗𝐀𝐌

Use:
🔹 Flowcharts
🔹 Bullet points
🔹 Tables
🔹 Mnemonics
🔹 Structured headings

🔥 𝐅𝐈𝐍𝐀𝐋 𝐓𝐀𝐊𝐄𝐀𝐖𝐀𝐘𝐒

🏆 𝐆𝐨𝐥𝐝𝐞𝐧 𝐅𝐨𝐫𝐦𝐮𝐥𝐚:
Follow the Patient Journey
Admission ➝ Optimization ➝ Planning ➝ OT ➝ Recovery ➝ Discharge

🎤 𝐅𝐨𝐫 𝐕𝐢𝐯𝐚, 𝐒𝐩𝐞𝐚𝐤 𝐥𝐢𝐤𝐞:
Clinician + Academician + Regional Anesthetist

🚀 𝐓𝐨𝐩𝐩𝐞𝐫’𝐬 𝐅𝐨𝐫𝐦𝐮𝐥𝐚:
Knowledge + Structure + Clinical Judgment + Presentation = High Score

🏅 A great answer is not about 𝐖𝐑𝐈𝐓𝐈𝐍𝐆 more, it is about 𝐆𝐔𝐈𝐃𝐈𝐍𝐆 the examiner smoothly through the patient’s journey.