#medtwittter apparently #doctorbashing happening on twitter too!
My thoughts
1/n
1. Refuse exalted ‘you are demigod elevation’
2. If it’s a time critical/life death situation do not hesitate for a second (if can make a difference)
2/n

3. Do not ‘undersell’ by ‘discounting’ / free follow up /packages
4. Respect your time and space - late evenings and Sundays are for rounding and emergencies
3/n

5. Pvt healthcare is picking up not just business but the burden of an inadequate (sham of a) universal healthcare - but the public will never hold govt responsible

6. Never call it service and never call it a business either: It is a highly skilled job, period
4/n

7. Also recognise there are set ups/ fellow HCW where/who YOU wouldn’t trust

8. One real wish is, if our IMA, and academic societies stop being political platforms and genuinely work for patients and the science (not for the elected and as a trade union for Drs)
N/n
9. No one cares that we toiled and ‘wasted’ our youth - it doesn’t and shouldn’t matter to them: Never bring it up
10. You know it’s harsh so be decent and supportive of your fellow doctors.

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More from @FoolzWizdom

24 Sep 20
Dr Barrington draws attention to this well written open access commentary #MedTwitter #Neonatology #Disability #QoL A good life cannot be predicted from a brain scan!
Neonatologists often stare at seeming disasters early in the life of a newborn. Parents are distraught and ask how the road ahead would be? We are tempted to carry out tests and scans, lean on our personal experience and give our opinion: This itself has consequences 2/n
Research in keeping with the World Health Organization’s definition of QoL (a child or parent’s perception of their life) shows that disability severity has little relationship to life quality 3/n
Read 9 tweets
26 Jul 20
#ChildHealthMatters
#DevelopingBrain from 18 days post conception to early childhood is surreal
#First1000Days = critical for a lifespan of health + wealth of society
Let us marvel at some key facts on Developing Brain (Source: @UNICEF 'Building Better Brains: @TheLancet ) 1/n
The blueprint of the human brain includes 86 billion neurons and around one quadrillion synapses (which enable neural connections), coded in only 10,000 genes (Herculano–Houzel, 2009)
During the first years of life, neurons form new connections at an astounding rate of 700 to 1,000 per second (Shonkoff, 2009). Not even a viral tweet from the Oscars moves that quickly
Read 17 tweets
24 Jul 20
#MedTwitter
I had a joke about proctologist, but then thought why go there?
#MedTwitter
Then there was one about the surgeon, it simply did not cut
#MedTwitter
The joke I had about the neurologist, I forgot the lines, my memory is not the same these days.
Read 6 tweets
21 Jul 20
1/n
@BBMPCOMM with area wise hospital co-ordination committees one hopes both public and hospitals will have a seamless admission and discharge process.

suggestions for safe/panic free #bedmanagement
1. SPOC of each hospital + Arogya mithra update bed status every 4 hours
2/n
2. Each and every CCC should have a Covid Hospital overseeing. (govt/pvt) Hub and spoke each big hospital with several CCC in catchment area: Designated hotels, hostels, schools, function halls ( Current BEIC out of city is isolated and treatment escalation hard).
3. Streamline ICU care:
ICU Bed availability dashboard is most crucial/time critical.
a)Network all Major ICUs when 80% capacity is reached, we will need more to be created
b)Ring fence ICU beds for 'NON -COVID' critical care
c) Networking will off-load to step down HDUs
Read 6 tweets
12 Jul 20
#COVID__19 #BengaluruLockdown should open the window of opportunity to ensure 1. We can save more lives 2. We can fight the panic, both interlinked.
If neither nor, then we would have done nothing but harm.
@epigiri writes what precisely @BBMPCOMM can do to augment PH measures
2/n
@BBMPCOMM @DHFWKA
1. Need experts + feet on ground who can contact trace, crunch data and use it for capacity building
2. Stop spending energy on spraying, sanitising = 100Mi viral particles can fit in on a pin head!
3. Focus on people - triage - get beds
4. Do not demonise any healthcare sector: Find a way of working together
5. Do not lose HCW it will deepen crisis - ensure beds, insurance for them and their families
6. Crowded places = clusters - lead by example go digital for everything from meetings to press briefs
Read 6 tweets
8 Jul 20
1/n #COVIDBangalore #BedCrisis
@mla_sudhakar says over 70% beds not utilised yet
@Sowmyareddyr relates a bed hunt that went for hours
We read about HCW shortage/morale down
We hear doctors in line of duty struggling to find beds for themselves
There are 2 ways to go about this:
2/n
1. Say all is well and the problem 'goes away'
2. Accept there is a problem - first step towards solving one

Shall we for a moment set the first one aside?
3/n Bed maths
Bed = not cot+bedding+Monitor+/-Vent
Bed = All above + manpower
10 vent ICU beds = 3 nurses + 1 doctor /shift (least) = 15 nurses + 4-5 drs on roster
1000 such = 1500 -2K nurses and 500-600drs on the floor
+ All support staff (Housekeeping, lab, pharmacy....)
Read 6 tweets

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