H/O: Self-fall
One of my patients went to a local hospital after a simple fall, just a scalp swelling, nothing major. She wasn’t on any medicines, completely fine otherwise. And she has already received TT three times in the last two years.
I mean, why TT again?
Why an injection painkiller for a minor fall?
Why an antibiotic when there’s no wound?
Why a PPI? Why a CT scan?
And why in the world, a B-complex?
Still this was the prescription. Not even one in the prescription is justified, given the presentation. And atrocious - that it was written that the ‘patient is not willing for further investigations’. Seriously?
This is the kind of thing that makes you shake your head.
I see this almost every single day - and it’s frustrating.
Whenever you talk about this, there are usually two responses from my colleagues:
1.“Patients demand it.”
Many say, “They won’t go unless we give something.”
I don’t agree. What they really need is someone to explain, to reassure. That’s part of treatment too.
2.“Don’t post such things.”
I’ve spoken about this so many times - about the overuse of medicines and tests, but it feels like nobody wants to talk about it seriously.
We have to admit - these kinds of prescriptions hurt everyone.
Patients lose faith. And the image of our whole profession takes a hit.
Sometimes, doing less is actually the best form of care.
Here is the result of 100+ gram protein, zero smoking and alcohol with 7 years of honest weight training.
Tom is night duty, hence had to push.
Morning 6 am scheduled.
Zero excuses.
Here is the result of 100+ gram protein, zero smoking and alcohol with 7 years of honest weight training.
Tom is night duty, hence had to push.
Morning 6 am scheduled.
Zero excuses.
Honestly, I’m just sick and tired. Everywhere I look, antibiotics are handed out for everything. It’s becoming exceedingly rare nowadays to see prescriptions without antibiotics.
Flu gets a 3rd-gen ceph + doxy,
Dengue gets Pip-Taz,
Asymptomatic bacteriuria gets quinolones,
Venous ulcers get linezolid.
It’s not about patients “demanding” them. Convincing people not to take antibiotics is actually easy, and I’ve done it for 15 years without a fuss.
The problem is us. Prescribers. Is it a skill issue or zero accountability? And no one to call it out.
Doctors blame pharmacists, but the prescriptions I see are mostly from doctors of all strata. ERs, DMOs, recent pass-outs, experienced practitioners, literally everyone.
We desperately need strict regulations. Because antimicrobial resistance is not a far-off theory, it’s already here.
"She doesn't give a f#ck
It's been 3 months since the breakup, and I'm still not over her
But she? She went on trips, moved to a bigger city, and is out there enjoying life. And when I reached out bcz I'm the idiot who still cares-she talked to me like I meant nothing"
#breakup