After seeing so much "outrage" among fellow doctors about this issue, I was wondering what the division percentages were. ๐Ÿค”
so out of 100 seats
60 are "reserved"
40 are for open category

seems fair for everybody in my view

so what's the problem?

why don't you ask for more colleges to be opened?

why change the ratio?
I don't see the people who avail reservation seats asking for a bigger share

i do see however is open category "unreserved" folks asking for a bigger share

empathy and humanity... what is that?
It is sad to see so many fellow doctors so easily forget our core principles when it comes to this issue
Bring out example of "rich IAS fellow who took reserved category sending his son to take reserved category seat"
Isn't that supposed to be checked by the "creamy/noncreamy"
but we all seem to forget

Affirmative Action or Reservation as we call it here IS NOT poverty alleviation

paradoxically

Nobody will question "management quota" seats by the way because it doesn't suit their narrative
but let's move away from that for a minute

whether it is open or reserved or management every single students HAS to pass all the exams every year to become a licenced doctor

there is no "reservation" there

That person is a DOCTOR

does anyone question think about that?
Do you as a patient ask your doctor "are you open category or reserved category"?

all you need to know is if your doctor treats you in a competent way or not
In my class i've had reserved category students score higher than me in the exams, i've had open category students fail years, i've had management quota students drop out of the course entirely
Anything is possible because the PASS MARK is the same for all!
Almost every country in thr world has some sort of similar programs
Australia has a program for their indigenous peoples
USA has such programs too
Ironically enough many Indians who live in USA avail of these programs but then turn around & deny a similar concept here in India
Another common trope I have seen

"I'm unreserved, I got where I am thanks to my intelligence alone"

Congrats!
Becoming a doctor is no small matter at all!
It is an incredible achievement no question and you deserve all the credit for it.

But what is intelligence really?
There are so many definitions to this.

The most common one is straight from Google
"the ability to acquire and apply knowledge and skills."
eg: "an eminent person of great intelligence"

We are all mostly born with this "ability" at roughly on average similar levels
yes there are extremes to this bell curve but let's ignore that for now and take the average

human beings on average are superior in intelligence compared to other living creatures on Earth

let's agree on that point

but such a definition of intelligence betrays it as well
How psychologists define intelligence

again talks about ability

but it is missing something don't you think?
similar
again something feels missing?
this is getting close now

"understand the worlds"
"use resources effectively"
in my view i think this is the best definition
it can apply to all forms of intelligence including artificial
any form of oppression negates the freedom of the individual

we cannot deny what years of caste based oppression has done during the history of our people

we can try and re-write history of course and there are clearly various attempts to do this but i won't go into that
Affirmative Action helps people
It uplifts them in a society where they don't get any other chance
Even after they become successful people still judge them

going back to my earlier point about the IAS fellow

you are still judging him and his family
so if you want to call yourself "intelligent" go ahead
you earned it

but you cannot deny your privilege which gave you "access"

i tweeted this the other day in context of men having privileges just for being men

but it holds true here too
"I will remember that I remain a member of society, with special obligations to ALL my fellow human beings, those sound of mind and body as well as the infirm."

Let us not forget who we are
redid this thread for the obvious calculation error ๐Ÿ™

i'm no expert on this matter

in fact when i got to med school i was against the concept of reservation too

only when i met and got to know the lives and experiences of my colleagues who took up the option did i finally see
I finally learned what privilege meant

I was and am extremely fortunate to be as privileged as i am

took me along time to understand what that actually meant
Just some further news

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More from @just1doctorwala

14 Jun
Some people are on social media just to get a few likes/shares/retweets etc

They will give up their integrity and dignity to say the most vile things

All in the aim of getting the online attention they so desperately crave to substitute their pathetic offline lives
For the rest of us who have a lot IRL social media is just an "escape"

A means to take a break maybe connect with some "online buddies"

None of this online stuff should ever be taken seriously. This isn't real life. Real life is out there. Just look above your screen
I find it fascinating how some people are so disgusted with their own lives that it seems their only distraction is to try and spread hate to others online. And it frustrates them even more that if you disengage from their antics. Treat them kindly and it enrages them.
Read 6 tweets
13 Jun
Unfortunate remnant of our British past
In UK even today the ED is called "Casualty"
The term Casualty in India has negative connotations
As we have been trained with American based books and protocols we are more used to the term Emergency Medicine Department or ED
In India historically and in many places to date "Casualty" was staffed by junior inexperienced freshly graduated MBBS doctors who were poorly trained in emergency situations. They were employed with minimal pay and for these doctors it was a chance to gain soke experience.
Now that emergency medicine has become a recognised specialty in India we need to educate the general public of the change and that ED docs are now well trained to handle all emergency cases. Unfortunately this is still a growing specialty. And the awareness is only spreading.
Read 8 tweets
12 Jun
"There are 3 kinds of truths in our world today.
1. Objective truth
2. Personal truth
3. Political truth "

Neil deGrasse Tyson
American astrophysicist

#TIL
#FoodForThought
1. Objective truth
This is what is proved by science. Whether you believe it or not it is scientific fact. It has faced numerous testing, experiments & has been proved to be true by multiple people across the world using different methods & materials yet coming to same result.
Government policies should ONLY be made as per objective truths. No place for pseudoscientific mumbo jumbo. We go where the science takes us. Where the evidence takes us.
Read 7 tweets
1 May
Rapid sequence intubationย (RSI) is an airway management technique that produces inducing immediate unresponsiveness (inductionย agent) and muscular relaxation (neuromuscular blocking agent) & is the fastest & most effective means of controlling the emergency airway.
RSI is particularly useful in the patient with an intact gag reflex, a โ€œfullโ€ stomach, and a life threatening injury or illness requiring immediate airway control

Some people also call this as "Drug assisted Intubation"
โ€˜modifiedโ€™ RSI is a term sometimes used to describe variations on the โ€˜classicโ€™ RSI approach (e.g. ventilation during apnea, titration of induction agents);
Read 15 tweets
30 Apr
"The dictate that one 'not speak ill of the dead' is (at best) appropriate for private individuals, not influential public figures.

While the supporters of this person will rightfully feel aggrieved the opponents equally have their right to react how they please."
So enough with the moral high horse shithousery
People can say what they want about him
That's their right
And people can abuse each other for it
That's what social media is for isn't it?

Personally it makes no difference to me what happened to him except for one tiny point.
A very simple point really
I just want to emphasize that
1%
Those 1% are people who were loved or hated
People who meant something to someone
Remember that the next time you decide to spew the 1% bullshit in your propaganda
At least let that be the good that comes from his death
Read 4 tweets
28 Apr
let's get a little more technical with this explanation

so we know that atmospheric air is 21%

but when the lungs are damaged we need to give oxygen support in higher concentrations to overcome the damage and allow oxygenation

we use different delivery devices for this
Nasal cannulae
Deliver 24-30% oxygen
Flow rate 1-4L/min (4L will dry the nose, 2L is more comfortable)
Hudson mask
Delivers 30-40% oxygen
Flow rate 5-10L/min
Read 11 tweets

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