Tobias "Iso" Rieper// Offline

MD Medicine JR1,

Living life one hour at a time.
Sleeping off the rest….

[Tobias "Iso" Rieper// Offline @STUIsoMed]

How was NEET PG? For those who gave it.

The present JR 1s I’m sure have been waiting for this day so patiently 😝😝

[Tobias "Iso" Rieper// Offline @STUIsoMed]

JR ship and especially JR 1 has to be the worst form of torture that a resident doctor has to face especially in the core clinical branches.

I say this with no hesitation at all having been at the receiving end of it.

Fuck this system,
I hope it crashes and burns.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

110% agree.
As someone who survived MD Medicine JR 1 ship and that too for 18 never ending months, I can tell you first hand how horrifyingly difficult it is to handle those 48 hours of duties non stop.

It’s the system here that is broken, that is at fault and not the doctor.

[Dr.Dhruv Chauhan @DrDhruvchauhan]

A photo of a doctor asleep on a chair is viral . He’s been suspended, Branded negligent. The media wants blood

But no one’s asking what kind of system breaks a doctor so badly that he falls asleep mid shift, mid suffering and mid service ?

This isn’t laziness It’s “burnout in its final form” a body that gave beyond its limits after working 24 to 36 hours continuously in a toxic system that calls this inhumane labour as “Norm”.

When doctors die by suicide, there’s no outrage No suspension. Just silence. Hardly any media reports as a doctor life is insignificant for TRP.

This isn’t his failure. This is a sign of a system that devours its healers and then blame them for bleeding

[Tobias "Iso" Rieper// Offline @STUIsoMed]

55 year old male + Chronic smoking + Weight Loss history = suggestive of Lung Cancer.

Presence of SIADH is even more convincing here as a para neoplastic syndrome being present here thereby leading to Hyponatremia.

Answer is Option (C)

[MEDICINE MADNESS @Doctors_GUILD]

A 55-year-old male with chronic smoking presents with refractory SIADH, weight loss, and hyponatremia.
Most probable underlying malignancy?

A) Renal cell carcinoma
B) Prostate carcinoma
C) Small cell lung carcinoma
D) Pancreatic carcinoma

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Side Note : Had it been only UTI, avoiding SGLT 2 inhibitors would have been key I suppose.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Deranged Renal function, avoid Metformin here for T2DM.
Also, with a HbA1c of 11.5%, wouldn't starting with Insulin be preferred here?

[MEDICINE MADNESS @Doctors_GUILD]

A patient with type 2 diabetes presents with recurrent UTIs, HbA1c of 11.5%, and serum creatinine of 1.9 mg/dL.
Which drug should be avoided?

A) Sitagliptin
B) Metformin
C) Glipizide
D) Linagliptin

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Haven’t seen an organisation as incompetent as MCC, Behenchod ek Round tumse counselling ka nahi karaya jaata,
Phir se 3rd Round postpone kara diye.

Absolute dumb fucks

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Survived 15 months of JR 1 ship in MD Medicine

[Oksana @fadednailpaint]

No one is posting about their achievements and personal wins this year. Bleak af TL.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Get your degrees, establish yourself, earn your money, get settled and eventually grow old and pass away.

That’s it, you owe no one any favours, neither the individual nor the society.
Do what works for you and your family in the end.
I know I would.

Ciao

[Tobias "Iso" Rieper// Offline @STUIsoMed]

As much as I hate to say it, I’ll just re iterate in brief :

1. Nothing’s gonna change, protest this, protest that. Nothing’s gonna change and deep down inside we all know that. Find yourself some way to stay safe cause help ain’t arriving anytime soon. (1/n)

[Dr. Datta M.D. (Radiology) building CRASHLab.in @DrDatta_AIIMS]

🆘 Shocking attack on doctor in Chennai!

🚨A doctor, Balaji Jaganathan from the Oncology dept, was brutally stabbed by a man posing as a patient at 10:15 AM.

🚨The doctor is now in the ICU with serious injuries. The accused tried to escape but was apprehended by staff and handed over to the police.

🚨Minister MA Subramanian has reached the hospital to assess the situation.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

4. This profession is fast approaching its down fall and frankly, it’ll be bad when it hits.
Once again, nothing you can do about it in this country at least.
There’s nothing left here, let it go.

Hoping the doc makes it.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

@dr_co0l Discharge mat karna Concert me din bro 😈😈

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Bhai aap news anchoring karo naa,
Kya ye sab bekaar ka bakchodi kar rahe ho?

[Shiv Aroor @ShivAroor]

This week in mediocre foods:

ALOO PARATHA
**as opposed to other parathas

#ShivsMediocreFoods

[Tobias "Iso" Rieper// Offline @STUIsoMed]

Mere se to nahi ho raha ab bhai,
Seedha Bol diya hoon.

And I have no shame admitting it either.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

People joining as JR 1 this year, DO CONSIDER the aspect of work life balance and the quality of life you get in the branch you opt for.
People dismiss it as trivial saying it’s “just one year” but trust me, this one year can fuck you up real bad.

Speaking from experience here.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

P.S. This isn’t meant to discourage anyone from picking up what they want.
If you think and believe that you can slog and survive the harsher aspects of your preferred branch that might throw someone else off, by all means go ahead and take it.

Just be realistic is all.

[Tobias "Iso" Rieper// Offline @STUIsoMed]

@KanuS_28 Yes