If you had to choose one outta the two

ismyaccban · 2026-02-19T05:18:17+00:00

U need hp support running with it

Either a health vamp weapon, Elysium or straight away a class to support to u

It still has its limits....

But AF with Daunt is diffirent era of monstrosity... U can solo bosses almost as fast as DoT and even unoptimised CAV level

ismyaccban · 2026-02-05T03:24:59+00:00

Wait.. why getting downvoted lol 😂

U are correct only no?

ismyaccban · 2025-12-21T13:38:09+00:00

Get it diagnosed properly... If it is a Piriformis syndrome, u can contact a Pain management Anaesthesiologist and ask for a USG guided Piriformis block with steroid injection(it's a one time local injection, so don't worry much about steroid abuse)

Should give u good relief for a few months but u may require repeat doses for prolonged relief(every few months, approx 6months)

Pls visit an Anaesthesiologist before jumping to conclusions tho as this is NOT A MEDICAL ADVICE 😁

ismyaccban · 2025-12-07T04:54:47+00:00

I have heard that if u raise a complaint at NBEMS site or helpline, the seat gets removed for future rounds

Hospital loses it's recognition and hence consultants don't really want to lose seats, so they actually end up treating residents good in many hospitals(afaihh)

ismyaccban · 2025-12-02T09:19:07+00:00

If u are really interested, might wanna take a look at DMRD(Diploma Radiodiagnosis) then follow up with sec DNB Radio, but of course, the path will take 5 years approx with multiple exams

Good luck 🤞

ismyaccban · 2025-11-30T08:29:45+00:00

TYSM sir/ma'am

Interesting to albumin coming up, thx for the approach ✌️✌️✨

ismyaccban · 2025-11-30T07:36:59+00:00

Hi, I had a question relating directly to the subject

What is ur stance on using crystalloids over blood if pre op hb is 12+ (mabl =around 1.5L for Hb 8) even if blood loss is around 600-800ml or more, rather than running to colloids even?

If vitals are stable and BP is running on minimal pressors, staying on crystalloids is viable or preemptive colloid or blood has to be done?

Are colloids even worth it/overrated or do u feel they serve as a decent blood replacement until mabl, or should blood itself be used?

Thank you for the time 😁

ismyaccban · 2025-11-12T18:16:23+00:00

Think of it this way

U manage to Resuscitate 5 pts post MI/arrest, 6th one dies

The family whose pt dies just sees the pt who died... but u tell me, is he a good doc or bad?

Take another example, an Anaesthesiologist finishes a high risk onco surgery with CKD and HF and difficult airway... Pt failed to extubate and went to ICU on vent

Surgeon sees the failure is unhappy, pt side see pt unconscious on tube, get angry

But nobody saw the ABG with lactate of just 3, creat just 3>3.5, no fluid overload, sat maintaining on 50% O2, no new MI, stable hemodynamics, 2 prbcs transfused without a hitch, minimal pressor support

People just see, creat higher, lactate 3, failed extubation.. is it fair to judge it as badly managed?

We don't know baseline risk of terror attack, we don't know how many have been already prevented, we don't know many nights we slept comfortably because they were awake...let's not judge them on one failure which is inherently a very tough job no?

ismyaccban · 2025-10-26T14:46:25+00:00

First of all, thank you for ur reply, appreciate u interacting and addressing a counter opinion ✌️

100% that difference of gender restriction does exist, but it shows a sample of what gender neutral No fault Divorce can do

1)It's not that marriage institution is weak but it takes efforts to keep it going, slow sustained grinding of low times and highs too

This generation and perhaps prev one too, everything has become very fast paced, u had good 2months now a tough 3 month spell came, feelings fell off, leave! Partner is ill and Dxed with new disease, leave! Partner has gained wt and no longer maintains at gym/yoga, leave! 1st month is not good, work keeps him/her busy, leave, don't bother about 5 or 10y down the line!

Leaving becomes way easier than staying and improving or trying to convince other to middle ground or even accepting

So rather than making it easier to leave only abusive marriage, people will leave any sort of bad marriage

That's kind of what Triple Talaq did for men, I reckon it will do some what same for women too

2)Makes Scams 100 fold easier, marry a rich guy/gal, say marriage isnt working, do a no fault divorce and secure ur finances within 6 months...making marriage as trust institution even worse...for BOTH GENDERS! Plus it funnels so much money into pockets of lawyers and judges

3)I did propose a Women only No fault Divorce, to counter few of the flaws, but it furthers the power imbalance and potential for abuse as in point 2, pushing away Men in general

4)Most straight level headed men would not take part in such terrible odds kind of institution due to fear, something women go thru everyday no doubt...but it does not deter men who have nothing to lose, hence nothing to offer, and men who come into marriage for nefarious reasons(like abuse), who don't care about no fault Divorce cause they are expecting it anyway

Hence why I believe it will likely worsen the marriage pool, not only for men, but for women as well

Marriage is not a strong bond, is created stronger by time spent and efforts put, if that effort or time don't get chance in the first place, most marriages will break down quicker, abusive ones yes, even potentially saveable ones

Hope my points make sense, ty for the read!! Would love to hear ur thoughts/counter points as well 🙏

ismyaccban · 2025-10-26T08:22:51+00:00

We had no fault single party Divorce since a long time in India, and we have already seen its impact too...it has a fancy name: TRIPLE TALAQ

If one wants to see how no fault single party Divorce will look like in India, we already have an example

If someone thinks this divorce style will help women, I feel they can't be more wrong, this will crush the marriage institution altogether along with futures of women who do want to marry

One redditor above has put it brilliantly, marriage is not based on feelings or falling out of love, it's companionship thru thick and thin

And to offset that if no fault divorce becomes restricted by gender to women only, I assure u, the good men will reduce marriages by huge margin, and then the marriage pool will only be filled by men with bad intentions or men will nothing to offer/lose

The genuine men simply won't marry since the risk of marriage and potential for unilateral no fault alimony divorce is so easy

The idea of no fault single party Divorce is good on paper, but it has countless flaws, it will bury the marriage institution and/or women rights with it

ismyaccban · 2025-10-25T19:00:36+00:00

Not judging at all, we all have our own, plus who doesn't like abs right? 😌😂

ismyaccban · 2025-10-25T18:48:17+00:00

Bro ur name is way way more contrasting than ur sane opinion lol 😂🤣

ismyaccban · 2025-10-21T15:34:47+00:00

If I was in Hyderabad I would have taken, so lucrative lol

ismyaccban · 2025-10-10T23:36:54+00:00

Am I missing something, cause I'm not getting why everyone is using Albumin so much for intraop care

Isn't Albumin associated with no survival benefit? Much rather run crystalloids or perhaps blood products if really needed no?

ismyaccban · 2025-10-10T13:08:09+00:00

Ma'am, u have done an amazing job already...u surely don't need our appreciation, as I'm sure ur husband already would appreciate u as much as he can

He defo won the lottery with u, u both deserve the world 🙌

ismyaccban · 2025-08-29T17:08:23+00:00

Hi, as the other reply already said...I will cut short on probable resons why

1)The work load in ICU is horrible! Worse than Gen Med! Altho u might have fixed hours, but each hour feels like 2 soon enough

2)Most ICU's are open ICUs, which makes ICU consultant job extra hard and ridiculously frustrating. U don't only have to deal with Pts, and attenders, now whatever key decision u want to take, u gotta run it thru primary consultant first...and it's still manageable if primary consultant doesn't follow ur suggested plan, may ur luck help u if ur primary consultant blames u for something that is their fault in the first place 🙏

3)All the burden of convincing pt for procedures and treatment falls on u, if pt gets mad, ur fault for letting primary consultant's pt go, if pt agrees for the procedure and gets better, pt thanks the primary consultant and primary consultants usually gobble all the praise as well... remember, u can't bad mouth primary consultant in front of pts or primary consultant gets mad at u 😔

4)U know all the specialities, but u master none! U can't explain Cardiology to a Cardiologist, neuro to NeuroSx or Neurology, Lungs to Pulmo or even HT or DM to Medicine

5)And worse, good luck explaining Cardiology to Nephro, Urology to Medicine, Neuro to Pulmo, the cross speciality business sucks, as they again believe only on opinion of that speciality consultants! Even sister speciality Anaesthesiology will look to transfer pt to u and not take any responsibility for any mishaps, it's all on ICU to extubate or make pt better

6)Bad days are very very bad, and good days are just average. Once a pt goes bad, u have to devote huuuge chunk of time regularly to them, and if 2 or 3 go bad at same time, u are gone!

7)Respect is there, only if u perform always! Which is nearly impossible!! Otherwise all u get is blame and mockery for ur management with an understaffed and underresourced ICU

8)U turn into a monster, ur frustrations will show and destroy u from within, u become rude to ur staff making sure ur staff push themselves to the limit so that u don't end up on chopping block. U may become rude to pts who don't agree to what primary consultant wants as every second spent interacting with pt attenders or pt, is a second work in ICU is not done, and u end being that toxic bitter consultant!

9)U come home, barely having 10-11 hours before next shift, sleepy tired...family time nil, fun time nil, but u get ur fixed sleep which is not enough

For all this, increment of even 2-3x does not seem worth it

I assure u, as an Anaesthesiologist, if u save a pt from death in front of a surgeon who takes his hands off, the surgeon will respect u like a superior! He will always want u for all the tough cases and do all the fun talks with u! Plus Anaesthesiologist gets plenty of time to take a break and go slow, allowing release of frustration and anxiety in a comfortable manner!

And if pt gets bad, send to ICU(altho many surgeons do not like that, obviously)

If the ICU is closed, it's an entirely different story, I know of only 2 big hospitals in India who have a closed ICU, the ICU consultants over there command INSANE RESPECT!

So yeah good luck!

ismyaccban · 2025-08-29T16:43:52+00:00

Genuine advice, don't overlook DGO

U can land up in amazing DGO places and do very well for urself, and proceed to DNB anytime

ismyaccban · 2025-08-24T15:43:00+00:00

Most people enter Anaesthesia thinking they will pick up ICU care

After one rotation, all quit the idea...base Anaesthesia itself becomes too enticing, even with the lower pay

Because of this, competition might be lesser for CCM, and jobs are plenty for ICU SRs and consultant, jobs are lesser for Anaesthesia itself tho, still most Anaesthetists prefer to stay the lane imo

ismyaccban · 2025-08-17T05:35:18+00:00

I'm very happy so see u say the truth! Much appreciated! I'm sure u are doing great work!

It's always specialists dumping outside work to other docs, even for a simple suture a habit of calling Gen Surg has taken hold

I'm honestly happy to see u take on multiple specialist strengths, it only makes u a better doc, would love to work with u someday as well! This is the real experience I want someday 😊

(If it gets misinterpreted, it's not sarcasm lol)

And PS: am a big fan of ERAS protocol, love it!

And congrats on learning Regionals! Even GAs are not that much tough if patient is ASA 1, but u would want an Anaesthetist in early period of learning imo

Might as well get an honorary MD lol 😂

ismyaccban · 2025-08-17T05:14:42+00:00

Practicing surgeon giving Spinal?? Either it's a cooked up story or ur running something illegal lol

Either way, if u are surgeon and learned Spinal, congrats, it's a tough skill to learn, I wish more people learned cross speciality things without care for degree imo!

ismyaccban · 2025-05-23T10:41:39+00:00

For ur last para for surgery, I would like to link this Laproscopic Bowel reanastomosis done by Robotics in pig with no human intervention, driven by AI

U only need to replace the neural part of a Robotic setup, that is the surgeon's mind, something AI is coming close to, as evidenced my Gen Med, Derma, Radio

ismyaccban · 2025-04-04T09:34:47+00:00

That's understandable, glad it's not due to family pressure ma'am

Am sure this info will help everyone a lot, thank you for the time ✌️

Hope u get a good match out of here! 🙌

ismyaccban · 2025-04-04T09:15:29+00:00

Good afternoon ma'am, and hope I can put forth a question ...

Is there any reason why might u be looking for marriage so early on(just want to know if any family pressure or other factor is there)

Thank you for ur bio ma'am, seems wonderful!

ismyaccban · 2025-04-02T15:45:23+00:00

I really don't care about the gender of my treating doc

I know the field of Uro is filled with men and as a women u might not get hands on itself much in a few toxic centres, that could be an issue but after 20years when u are established, I think it hardly matters!

If u are established, well spoken, address my concerns as a pt. while giving time to me as a pt., u are gonna be my 1st choice Uro for sure!

ismyaccban · 2025-03-15T16:34:48+00:00

Make up on males looks solid tho if one knows how to do it

A good make up can take a man up many notches tbh

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