Now that I'm an intern, I would like to give some pointers on excelling at 4.5 years of MBBS-

1. Seniors are not right all the time. Listen to what they have to say Adapt to only what suits you!

2. Play a sport for at least 1 hr everyday. Even if you have exams next day 3. Clinics- most important 3-4 hrs of your day. Don't sit in a corner & gawk at your phones in the hospital. You have theory lectures for that.

4. Observe. Everyone. The patient, nurse, attendant, relatives, residents, consultants. Read between the lines.
2/n

A week ago, we had a 20 yr old woman in the ICU, who was 5 months pregnant. She was a high risk patient. We tried saving both the mother & child. Obstetricians, intensivists, anesthetists all were extensively discussing her line of treatment.
(1) One day, while on rounds, her O2 saturation started dropping. We increased the O2 flow, calmed her, asked her to take deep breaths. She became stable only to deteriorate a few hours later.
With no option left, we had to sedate her & put her on mechanical ventilation.
(2)

I am posted in COVID ICU for 12 hours (night shift).
This duty has been extremely brutal for a no. of reasons-
Seeing more young people die.
Have to restrain a lot of them as they're uncooperative or self extubate. They cry and beg us to remove the restrains but we can't
(1) We're just jumping from 1 pt to another throughout the night as they deteriorate.
Staying in ICUs for so long have their own complications. So many pricks, procedures done on them everyday.
(2)