Me at the start of O&G placement: I’ve admitted a 29 year old lady, 10 weeks pregnant, with PV bleeding
Senior over the phone: what’s her Rhesus status?
Me: errr she’s 29 and pregnant so presumably for full escalation and CPR?
Senior:
Me: ... oh
right time to explain the tweet. With pregnant ladies we ask about their ‘Rhesus’ status, ie their blood group (positive or negative). If they’re Rhesus negative, ie their blood group is O negative or A neg or B neg etc, and bleeding, we give them a special antibody
Completely separately, when we’re admitting patients into hospital (and especially if they’re old, frail etc) we ask about their ‘Resuscitation Status’ or ‘Resus’ status - ie: have we had the conversation with them about whether we would perform CPR if their heart were to stop
For a 29yo pregnant lady, the senior was asking about her Rhesus status. I heard ‘Resus status’ which is why I was baffled about why that’s even a question for a young fit healthy pregnant lady, and replied with ‘err I think we should resuscitate her if her heart stops’
The senior however, was completely baffled as to why I would reply the way I did to a simple question about ‘what’s her blood group’. This confusion was funny
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We all want to get the best night's sleep possible.
Here's a mega thread of top tips to improve your sleep routine 🧵
1) It starts in the morning 🌞
Exposure to light in the morning sets our body clocks properly. Taking a walk first thing will give your body the light it needs to tell the time and start your day right.
2) Take 20 minute naps 😴
The occasional afternoon nap can be really beneficial. As long as you don’t sleep for more than 20 minutes, you'll wake up more alert and with more energy for the rest of your day. Try it next time you're procrastinating 😜
When we’re feeling really stressed out, it can be tempting to drop everything and hide in bed, ignoring our responsibilities and numbing ourselves with Netflix or doom-scrolling.
You might feel better in the short term, but in the long run this tends to cause more harm than good. Your mood will drop and you’ll only get more behind, leaving to even more anxiety.
So instead, let’s explore three methods which can reduce your stress AND help you stay productive.
When we hear the words ‘beginner’s mindset’, we might conjure up some negative ideas. Perhaps you think of amateurism, or a lack of commitment or knowledge.
But it turns out that thinking like a beginner can help even the most talented people perform at their absolute best.
It is part of what turned Michael Jordan into a legend.
In the 1980s, the Chicago Bulls dominated the NBA. They were led by Phil Jackson, their coach, who found inspiration in an unlikely place - the teachings of Zen Buddhism.