Be a Life Saver !

 

Sudden cardiac death from cardiac arrest is the most common cause of death worldwide. Cardiac arrest is defined as the cessation of cardiac activity as confirmed by the absence of signs of circulation.

Cardiac Arrest occurs suddenly, disrupting the blood flow to the brain and other parts of the body. With a cardiac arrest which is left untreated, irreversible brain damage occurs within 3-8 minutes and death rapidly follows. About 90 percent of people who experience an out-of-hospital cardiac arrest die.

Even in patients who are resuscitated (revived) from cardiac arrest, post-cardiac arrest brain injury is the main cause of death, and the main cause of long-term disability in those who survive the acute phase. This is attributed to the fact that even though the brain constitutes only 2% of body weight, it receives 15–20% of total blood volume pumped by the heart for its normal functioning.

Brain tissue viability strongly depends on consistent supply of oxygen and glucose, and cessation of blood flow to the brain results in an immediate interruption of brain activity, causing a hypoxic brain injury – similar to that of comedian Raju Shrivastava after suffering a heart attack.

A young 37 year old male was brought to Global Hospital Emergency last week with a history of sudden onset of chest pain 30 minutes prior to arrival, followed by unconsciousness. On arrival, the patient was gasping, there was no pulse, spontaneous breathing, or recordable blood pressure with pupils which were non-reactive to light – no signs of life – in cardiac arrest.

The team of experts immediately started cardio-pulmonary resuscitation (CPR), his initial rhythm was a ventricular fibrillation and he was shocked immediately, intubated and all life-saving drugs were given as the medical team frantically tried to revive him.

After a gruesome 22 minutes, his heart started again, he was immediately rushed for an angioplasty as his ECG and bedside 2D Echo were suggestive of a massive heart attack.

Against all odds, this patient walked back home with no neuro-deficit. He was clinically dead for 22 minutes, but miraculously, doctors brought him back to life, a tale nothing short of a medical miracle.

Not everyone is lucky like that patient. Hence, bystander and first responder resuscitation become extremely crucial. CPR effectively keeps blood flowing and provides oxygen to the brain and other vital organs, giving the victim a better chance for a full recovery.

CPR saves lives! Get trained – You have the power to save a life.

Need of the hour !

‘0 percentile can get super speciality medical seat’ – A shocking but real truth which shows the mirror to the wrong policies in medical education in the country.

With close to 750 super-speciality course seats going vacant this year, and 100s of seats going vacant every year even in premier institutes, the government and authorities surely need to relook at the current prevailing policies.

Even after 4 rounds of admission this year including 2 regular rounds, mop up round and a special mop up round, 100s of seats out of the 4500 super-speciality course seats lie vacant, causing a loss of close to 800 crore to taxpayer money.

The government must understand that post graduate doctors can’t be treated like bonded labour. Asking doctors to serve a compulsory 3 -10 year service bond in rural areas or pay 2-5 crore to the government for opting out of the bond service, after a 3 year super speciality training is the main reason behind doctors not wanting to opt for a super-speciality course, and that too at around 30 years of age (after post-graduation) when everyone would like to professionally settle down and start earning like their peers.

At the same time, practising broad specialisation gives a better career and money compared to extra years spent pursuing the super speciality course. Other reasons include inadequate seats in popular courses, in-service reservation, introduction of NEET-Super Speciality Exam and problems in transfer or choice of service location, to name a few.

The Supreme Court too declined to consider a plea recently to limit service bond period for super speciality course uniformly in all states to maximum of 2 years and a discontinuation penalty of Rs. 20 lakhs.

We are already going through tough times when more than 70 % of the doctors I know not wanting their children to pursue medicine now, and the remaining wanting their child to go abroad after their medical graduation in India.

The far fetched effects of such faulty government policy might not be palpable immediately, but it will surely be detrimental to the Indian Healthcare system in the years to come with lack of adequate number of good doctors & super specialists in the country.

Shocking! Study shows 30% Indian doctors suffer from ‘VIP syndrome Headaches’.

Mumbai: In a first-of-its-kind ground breaking study in India, it has been found by researchers at the Quackdoses Multispeciality Hospital (QMH) that more doctors are now suffering from headaches owing to the increase in the incidence of ‘VIP Syndrome’ among the general population.

‘VIP syndrome’ is described as a cycle of patients expecting doctors and healthcare workers to meet their unrealistic expectations, kiss their ass and also provide special privileges, including 24x7 Whatsapp availability for their chronic non-emergent queries or zero waiting time for the stool pan. Earlier it was commonly seen in arrogant and abusive patients, especially in Emergency Departments, who created difficulty by dazzling or intimidating the care team like certain employers maltreat their domestic helpers, but now many patients feel that they own the hospital immediately after paying the OPD Consultation charges.

In an exclusive interview with us, the CEO of QMH Dr. Kabhi Mat’bann said, “Thanks to an endless parade of health care startups that have turned medical treatments into direct-to-consumer goods, more people than ever before have access to nurses, doctors, and more, available to act on their medical whims. Even we had allowed patients to Vlog their OPD visit and their brain tumor surgeries (guaranteed zero scar & zero blood loss ™) to make their hospital visits more impactful on their Instagram story & other social media feeds, but the other day we had a patient who wanted a Facebook live while undergoing a rectal examination saying that he wanted to show his butt like Ranveer Singh and become famous. How ridiculous can patients get?”

Unconfirmed sources have claimed that Harrison’s Principles of Internal Medicine will include the detailed classification and pathophysiology of the ‘VIP syndrome Headaches’ in its next edition as the 1st chapter.

Orthopedic Surgeon prescribes new antibiotic, shock waves felt in OTs around the country.

Mumbai – In a surprising incident which has sent shock waves in Operation Theaters (OT) across the country, the pharmacist at Quackdoses Multispeciality Hospital has claimed that he received an indent for an antibiotic never heard of – for a patient admitted under an orthopedic surgeon.

It is a well-known fact that Orthopedic Surgeons in India are aware of, and are taught about only 2 antibiotics during their residency, ‘Supacef’ before surgery and ‘Ceftum’ at the time of discharge of a patient. Arguably, a famous cliché that has been passed down in generations of medical practice is that, ‘the only difference between an orthopedic surgeon and a carpenter is that the carpenter knows at least 3 antibiotics’, a claim not rebutted by any surgeon so far.

In an exclusive interview, the pharmacist Dis’Kount Dey said, “When I received the prescription indent, initially I found it ‘humerus’ thinking that it was a joke by the nursing team. But I was left in utter disbelief and panic when they confirmed that it was in fact a prescription for ‘Cefakind’ from the orthopedic surgeon. Only when I realised that both ‘Ceftum’ and ‘Cefakind’ had ‘Cefuroxine Axetil’ in it, did my hyperventilation stop and I had a sigh of relief.”

The Orthopedic Surgeon Society of India has meanwhile downplayed the incident, claiming that the norm of sticking to only 2 antibiotics throughout is to contribute in reducing the crisis of antibiotic resistance in the world.

Unconfirmed sources have claimed that Aamir Khan, who is now the brand ambassador for PharmEasy, has been often seen roaming around with MRs to meet doctors, for pitching prescription of newer drug brands, in exchange for the useless healthcare awards (with zero credibility and can be easily ‘purchased’ like the Bollywood awards these days).