IL Dottore

I’m going to be very honest with you. If I was ever admitted to the hospital, I would not want to be admitted over a weekend. It is well known that hospitals everywhere operate a skeleton staff over the weekends. Many departments are not open, there are not as many doctors in the hospital, and certain non-urgent tests are not done on Saturdays and Sundays. This is also reflected in a large body of research which suggests WORSE outcomes on weekends. I can only speak for myself, but as a doctor who has worked many weekends — I still dress the same and always wear a tie on Saturdays and Sundays. This may sound very insignificant, but it’s actually very important. Let me explain why. I’ve worked in dozens of hospitals over the last few years, and I’ve noticed consistently that doctors tend to dress down on weekends. Many will come into hospital to round on their patients in jeans and T-shirts— assuming they are not wearing scrubs. These same doctors will dress completely differently Monday to Friday. My thought process is this: would you ever see a 5-star hotel, classy restaurant, or even an airline pilot flying you 30,000 feet in the air— dressing down because it is a weekend? Absolutely not, what sort of message does that convey? That you are not fully on the ball at weekends? Significant outcomes often start with small shortcomings. Doctors can choose to dress as they want, but as far as I’m concerned— dressing down on weekends sends the wrong message. Hospitals are 24/7, and must maintain the highest standards every hour and every day.

almost cried watching this actually

the dedication of indian teachers on youtube is unmatched.😂

Courts are sending a hidden message to the Indian men. If you want to marry her and she is not agreeing, then... R her. I know you all find my comment, disgraceful. But seriously, what else is the court saying?

The evidence is uncertain There is logic to its use inasmuch as -aspiration is a significant complication and efforts to prevent it merit careful examination -cricoid occludes the upper GI tract (hypopharynx) -the metrics for correct cricoid are well defined 3 kg one hand unable to sustain > 5 mins -it’s easy to teach (closed 50 ml syringe, compress air from 50-32 ml) achieves good accuracy +/-0.5 kg which keeps in effective and safe range -when applied correctly it has either nil or minimal impact on airway management -if its causing a problem, take it off and you’ve lot nothing The biggest challenge is -teaching it correctly -correctly identifying cricoid ( we should use more USS) -misinformation and a view that absence of evidence equals evidence of absence of benefit Embrace and accept uncertainty So I use RSI in high risk cases

🫀💪30 minutes of CPR requires a lot of energy‼️ Think twice before assaulting doctors 🔥❤️

🚨 HE WENT TO BED - THEN SPENT ALL NIGHT TRYING TO SAVE A PARALYZED STRANGER A neurosurgeon turns on the camera at 9:30 PM. He was already in bed. Half asleep. Then the call comes in. A patient just arrived paralyzed at a Level One trauma center. Coffee. Uber. Silence. By 11:30 PM, he’s making the incision. The case drags on for five straight hours. One wrong move and the damage is permanent. At 6:00 AM, he walks out exhausted. The surgery worked. The patient is doing well. But the night isn’t over. He’s still on call. Still writing notes in the back of an Uber. Still expected to function like nothing happened. Just a man trading his night so someone else gets a lifetime. While you slept… this happened. Would you trust your life to someone running on zero sleep - or does this reveal how broken the system really is?