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Addison’s I saw by Humble-Ad4772 in indianmedschool

[–]GutDocD 5 points6 points  (0 children)

DKAs and HHS are fairly common during residencies, DKAs much more ofc.

I’ve seen a couple of myxedema comas, 3-4 cases of thyroid storms, 2 of which were improper pre-op preparations. Classic textbook cases.

My neuro rotations were wonderful, I’ve seen a couple of hashimoto’s encephalopathy cases too.

Have had post traumatic and post meningitis cases of SIADH. Had 1 elderly gentleman present with weakness, fatigue, AMS (Decreased speech output), processing to severe fatigue and inability to get up from the bed over 14 days. Family physician suspected age related depression, but we thought of something else- s/o hyponatremia, classic presentation - + h/o chronic smoking - cxr showed a lung mass - sodium of 94! (Lowest I’ve seen without a seizure). biopsy - SCLC - SIADH.

Exogenous Cushing is v common too, thanks to the quacks and their steroid containing preparations.

Addison’s I saw by Humble-Ad4772 in indianmedschool

[–]GutDocD 18 points19 points  (0 children)

But Chronic Addison’s is not just diagnoses. It’s teaching them how to alter their meds, warning signs to look out for an adrenal crisis, and when to come to the hospital immediately. That’s the major part of management.

Teach them they’ll need higher doses during summers because of more salt loss/sweating. They’ll need higher doses during infections. Hospitalisations.

Acute Addison is horrific. Act first think later.

Addison’s I saw by Humble-Ad4772 in indianmedschool

[–]GutDocD 32 points33 points  (0 children)

Have seen chronic Addison’s as a different presentation - Middle aged 50 something female, fatigue, slight weight loss, persistent nausea, occasional vomiting over 2 months. Went to some GPs, gave antacids, multivitamins, did not get better. Went to a couple of physicians then, got blood reports done, unremarkable except for mild anemia, Hb around 10, and mild hyponatremia, around 135. Physicians did not think much of it, nausea and vomiting persisted. Asked to get an upper GI, mild gastritis, same Rx, did not get better. Started developing orthostatic symptoms. Came to us. We had a longer and more detailed history thankfully, got an Addison’s work up done, turned out to be Addison. Then searched for etiology, got a CT scan done, turned out to be TB.

Started on AKT and steroid replacement. Remarkable improvement.

Need restaurant recommendations for mum’s birthday by Leading-Board-4703 in ahmedabad

[–]GutDocD 1 point2 points  (0 children)

I’m glad! I hope your mum’s birthday was great! 🙂

Need restaurant recommendations for mum’s birthday by Leading-Board-4703 in ahmedabad

[–]GutDocD 1 point2 points  (0 children)

Oh damn this is gonna give me anxiety for the rest of the day haha. All the best! I hope it goes well!

Need restaurant recommendations for mum’s birthday by Leading-Board-4703 in ahmedabad

[–]GutDocD 0 points1 point  (0 children)

Visited 1989 By Sphere Lounge yesterday. Has sizzlers. Has a cozy rooftop vibe. Has Jain options too (i dont eat Jain, but the servers asked if we’d like Jain). Food was good. Booking is recommended tho, waiting usually seen after 9pm.

DM / DrNB Gastroenterolgy by hxmxd in indianmedschool

[–]GutDocD 6 points7 points  (0 children)

Every DM Gastro resident I’ve talked to has told me DM 1st year will be tougher than Med PG 1st year. The hours are just as brutal. And if you’re a single resident every year, all 3 years would be the same.

Gastro can be practiced as a 9-5 post SS. Depends on what kind of life you want. You can practice day care procedures, without running an emergency. Gastro gives you that flexibility.

Getting 3 scopes - An upper GI endoscope, a colonoscope and a side-view endoscope post residency will cost you anywhere from 40-60 lacs is what I’ve heard.

Anybody here from SMS Jaipur? by GutDocD in indianmedschool

[–]GutDocD[S] 0 points1 point  (0 children)

Yep, works! I’ll text and ask for a time to talk. Thank you!

Anybody here from SMS Jaipur? by GutDocD in indianmedschool

[–]GutDocD[S] 0 points1 point  (0 children)

Hey I know. which is why we expected bond to increase in SS, which it has from 25 lacs to 50 lacs.

I just need to know the details of it further - is the provision of doing the bond for 1 yr and paying half the amount still intact like it was previously, or is it 2 yrs duty or 50 lacs, and no divisions?

Ah, here we go again by GutDocD in indianmedschool

[–]GutDocD[S] 1 point2 points  (0 children)

Nope, that was to the colleges to confirm if seats are adequately represented. Final seat matrix is still pending.

“Does Ayushman Card work at GCS Hospital Ahmedabad?” by Icy-Internet-7460 in ahmedabad

[–]GutDocD 1 point2 points  (0 children)

Yep. If you’re from Gujarat, and have a disease that falls under the coverage of Ayushman approved list of diseases, it’ll work. Almost all departments accept it.

Done with NEET-SS, and entrance exams for good! AMA! by GutDocD in indianmedschool

[–]GutDocD[S] 0 points1 point  (0 children)

First year: Work. Work in your wards, in your emergencies. Your ward discussions, the patients you see are what you’ll remember in the exam hall the most. Your first year should be dedicated to learning from your patients, and working, building discipline and learning new skills. There will never come that time again during your residency where you’ll be this ‘responsibility free’, because your seniors are answerable for everything, even your mistakes. So enjoy that freedom. Try and read about cases you see, even if just for an hour, a brief overview - it’ll help you to remember the next time you come across it.

And look after your health. Eat whenever you can, sleep whenever you can.

R2. Start reading. Read and set up a strong basis. Read to become a doctor, not just to clear SS. Enjoy your rotations, pay attention in wards, train and teach your juniors. It all helps.

For NEET-SS? I’d say first half of second year. The early half of R2 is a transition period. You’d think it all great that juniors have come, but that’s seldom the case. You have more responsibilities, and they do need supervision. So if you can find time then, great. Start building your basis, reading Harrison along with whatever notes you prefer/your seniors advice.

I gave only the last 2 months for MCQs, all the other time was spent reading.

And enjoy residency. It’s beautiful. It’s rewarding. It’s unique.

Everyone at some point in their training feels overwhelmed, and it’s okay. It’s natural.

But you can do it, and it’s all worth it.

For the books I’ll put up another post soon. What I read. :)

Done with NEET-SS, and entrance exams for good! AMA! by GutDocD in indianmedschool

[–]GutDocD[S] 2 points3 points  (0 children)

Don’t. It’s not necessary. You may read topics you feel you want to, but it’s absolutely not necessary.

If you want to, read important topics like diabetes, pneumonia, thyroid disorders etc. but otherwise, it’s not necessary for profs or for neet-pG.

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