𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸

𝗜 𝗖𝗮𝗻 𝗦𝗸𝗶𝗽 𝗦𝗼𝗺𝗲 𝗣𝗮𝗶𝗻𝗳𝘂𝗹 𝗛𝗼𝘂𝗿𝘀 𝗳𝗿𝗼𝗺 𝘆𝗼𝘂𝗿 𝗟𝗶𝗳𝗲 🩺

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

A 36-year-old woman, brought to the emergency room in septic shock, gasping, mottled skin, BP unrecordable. The surgeons were hesitant. The physicians said it was too late. Her family was told to be “prepared for the worst.”

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

45 min .NO ONE GAVE UP And then
a pulse returned. A rhythm… fragile, but alive.
In that moment, exhaustion met relief. Eyes spoke what words couldn’t.

Some nights break you.
Some nights define you.

Tonight, we didn’t just treat a patient
we brought someone back to life.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

#ICUDiaries
45-year-old male. Post Whipples surgery.The ICU night felt stableuntil it wasn’t.Suddenly, he collapsed. Alarms shattered the silence.We rushed in. CPR started. Seconds blurred into endless minutes.Each compression carried urgency, fear… and hope.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

#NewProfilePic

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

@SheikhSaifAli_ With

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Follow him on Insta

Noddythechow

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

@SheikhSaifAli_ Ya

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

@DRSAJAD58 @Dr_Gazanfar1

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

NOW PLEASE STOP SAYING PATIENT WAS ASKING FOR OXYGEN AND DOCTOR NAE NAHE LAGAYAE

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

High FiO₂ (especially 100%) leads to increased production of reactive oxygen species (ROS).
•These free radicals can cause oxidative damage to tissues, especially:
•Brain → worsening neurological outcome.
•Heart → further myocardial injury.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Decreased Cardiac Output
•High oxygen levels can lead to increased systemic vascular resistance (SVR) → increased afterload → reduced cardiac output.

[𝙳𝚛.𝙱𝚄𝚁���𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

High FiO₂ (especially 100%) leads to increased production of reactive oxygen species (ROS).
•These free radicals can cause oxidative damage to tissues, especially:
•Brain → worsening neurological outcome.
•Heart → further myocardial injury.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Coronary Vasoconstriction
•Hyperoxia causes vasoconstriction of coronary arteries → decreased myocardial oxygen delivery, despite high blood oxygen content.
•This worsens cardiac function.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

National Medical Commission (NMC)

# Chapter 2.1.2 – Right to Choose Whom to Treat:

“A physician is not bound to treat each and every person asking for his services. Except in emergencies, a physician is free to choose whom he will serve.”

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Every slap on a doctor’s face is a slap on the face of humanity.
We are not gods, but we are not enemies either.
You assault one of us, you endanger all of us — and every patient we fight for.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

“A doctor at SMHS Hospital was assaulted while saving lives on night duty.
This is not just an incident — it is a disgrace.
We heal wounds, not cause them.
But today, it’s our own who are bleeding — not from disease, but from brutality.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

@DRSAJAD58 Ohoooo

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Tears in her Son’s eyes. A small thank-you note in shaky handwriting.

That was all.
No headline, no spotlight. Just another day in anaesthesia and critical care

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

A 36-year-old woman, brought to the emergency room in septic shock, gasping, mottled skin, BP unrecordable. The surgeons were hesitant. The physicians said it was too late. Her family was told to be “prepared for the worst.”

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Day 3: FiO₂ dropped to 40%.
Day 5: Sedation weaned.
Day 8: She opened her eyes.
Day 11: She was extubated.
Day 14: She walked out of the ICU.
Day 15: She went home.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

Monitored every beat, every breath, every millilitre of urine output.
Adjusted the ventilator through long sleepless nights.
Dialyzed. Proned. Reassessed. Fought.When others had given up, she held on to numbers and hope.
There were setbacks desaturations, arrhythmias.

[𝙳𝚛.𝙱𝚄𝚁𝙷𝙰𝙽 𝚆𝙰𝙽𝙸 @yourIbutilide]

But there, in the shadows of the ICU and OT, stood an anaesthesia resident — calm, composed, and focused.

He intubated the patient with trembling hands but unwavering resolve.
Started vasopressors, central line, noradrenaline on triple digits.