#Cliniciansdilemma
When doctor faces trust deficit, a part of clinician within each doctor is undermined at times resulting in unnecessary & insane tests usually at the behest of patient who's anxious to rule out Diagnostic delusion Clinical Dx is a challenge to any doctor
Inspite of informing to patient gravity of situation we risk everything esp when unexpected inevitable occurs
When we're prudent to patients impending situation at times patient disappears as they perceive exploitation/undue fear mongering

W Maharashtra
#covid19 has reached hinterland in tier 2 /3 cities & beyond becoming uncontrollable as all beds in different designated centers are occupied full with covid19 person
Admitted either due to breathlessness requiring oxygen or comorbidities abound requiring vigilance Pandemic Decipher
1/25
covid19 is an attack on our distorted might In our #Variedresponse most will overcome, some would suffer protracted misery & sadly unlucky few, FEW won't survive

We must empathize, urgently mitigate & strive best to protect humanity as we face this menace

Attack on doctor
Patients psyche ingrained by doctors
Favourable outcomes are easily attributable to care doctor provide some pride (variables forgotten) also sole reason why patient pay for results w'out realising input cost, efforts also expect compassion,kindness from doctor Lead from front Asses setup capabilities, most important don't be adventurous have policy decision & stick to it
Evaluate patient, relatives & their depth of social delinquency use social worker
After clinical assessment weigh in their expectations & outcome failure & then decide

Lets respect #COVIDー19 waging lone battle for own survival,while most of us are alive & contained in our secure abode to flatten the curve but in denial about action to other species pushing into oblivion~extinction exceptional species will rebel to thrive in survival battle1 viral phobia,madness leading to social & physical distancing is yet to set in, once this happens the actual & avoidance response will transform resulting in real impact that will be realised with lag effect, hygiene consciousness will set in as top priority2 #CORONADISTANCING

#lockdown
This pandemic is given us opportunity to care & tend to the aged in our homes
Start at home looking after the vulnerable especially those with whom we have lost touch, reconnect with them
This isn't time to dwell but protect & amend help the needy to keep them well #keepelderlysafe Be watchful focus within family for any chronic ailments in geriatric populn with HTN, DM, CKD, tumour remission
Hx past operation, focus on dementia, mental health, single, bed ridden & neurovascular conditions,
chr respiratory ailments do medication top up

#motherhood is cradle to ontogeny,enduring nature's ingenuity to propagate evolving distinctive life form with universal precision to genetic hierarchical dominance
Her subtlety to creation,resilience,tenacity & evolution no modern innovation can match efficiently & benevolently prior to embark'g on sacrosanct lifelong parenthood both must accept basic premise to embracing vow to respect, share-care & survive mutual harmony & hardships
Reciprocate with emotional maturity & integrity to family, making life pursuit meaningful & respect gender equality1/24

#COVIDー19 is dominating everything today for obvious reasons we have to be responsible & will be subjected to
Flight and fight response
Remember first priority is to survive this crisis
Social construct like economy, enjoyment ..will be taken care of when we're out of wood Be Responsible by
self control & be minimalist practice general activity inertia to reduce spread by hand washing when touch to every fomite & public surface No,no to spitting, cough with precautions, self segregate when ill & consult,self immobilise follow minimum touch policy

#PARENTINGJOURNEY👨‍👩‍👧‍👦 highly enduring evolutionary instinct to foster guidance till child's maturation Focus on child's holistic attachment, when initiated with untiring effort towards their authenticity has worthy purpose to achieve independence & yearn to their secure future 1/25 #parentaldrive an altruistic attachment to promote survival, provide secure connection to emulate loyalty & belongingness with impact on child's identity
Integrity, persistence & tenacity in context to primary competing attachment determines childs individuality & significance 2

#parentingpearls COMPILATION THREAD

Hold on don't give up, as
responsible parent we have to mould our future gen

Hold onto attachment, nurturing relationships to thrive
Hold onto curiosity, adding meaning to life
Hold onto vulnerability, always be humble seeker 1/10 Hold on don't give up, on originality as chaotic society is a reflection of deviant parenting

Hold onto yourself first, then serve humanity
Hold onto compassion, realising that privilege & entitlement we earn are transient & cannot supersede basic human dignity 2

#JNU All citizens rich/poor, celebrity/Not, open/ reserved, religious /not Have right to opinion but blindly deceive citizen on moral highground to opinionated call Consent to hooligans is worst mistake & foolish trap in chain of events don't fall for it
Be open/clear/read/learn Don't fall on conventional media most flashy news published r opinionated their posturing will put them into oblivion in long run with internet era above ⚡event help their revival
Try connecting dots
Those out of power are bound to spice up your imagination for their survival

#doctorhearout
Hear out patient until every iota of doubt surfaces from deep within Listen to their problem with intent to help Observe & absorb demeanour to relieve their burden, this can be ultimate confidence building against agony & discomfort to their suffering in management #clinicalacumen top down gen full body exam'n deserves time Normal clinical findings are levers to rest deviant abnormal signs with systemic exam'n to correlate vital loop to reach diagnosis help prioritize severity of disease Guide urgency to Invest'n & Rx with appro conclusion

As a concerned citizen of India
Efforts we taxpayer put to serve, earn & pay taxes to the national cause & uplift society is the effort worth it
Firstly pains me after seeing the vandilisation, riotous loss to public property & loss of accountability & morality from all eminent Elaborate long term TRIGGERS NEED TO BE IDENTIFIED as causes to PRESENT SYMPTOMS & REMEDY FOUND
society always falls back on roots social class & religiosity ;
Loss of morality in most of society is undeniably & always obvious top-down glance at major past elected crooks leader

#childrenday childhood deprivation is a burden to productive society
Maternal deprivation has cascading effect during &after preg' increasing susceptibility to poor brain growth in early life
Childhood stress &neglect harbinger susceptibility to mental illness throu adulthood1/7 #maternaldeprivation women's loss of independence & limit'n to own choices with opportunity cost in time,rest,food & management ; leading to self neglect
Social construct pressurizes her to enact normalcy
Family construct dictates her to daily grinds except to self freedom