Wednesday, 24 May 2017

10 survival secrets for admission day

I feel that I should contribute back to the medical society.  Give my share of the experience in the many..er.. months of all posting Ive been in (and repeated). Now one of the biggest problem every medical intern faces is admission day or in some colleges they call it duty day (whatever makes them feel cool). For all the non medical people who are reading this. An admission day is the day where they admit all the patients in that ward and you literally have to work for 24 hours and then get up and work the next day. Sounds intense right? This comes once a week.
You know what's even worse than a 24 hours duty? A 48 hour duty! I mean...why would they even invent something like that? It's like the college Dean was dressed up like doctor evil "Looks like the interns are starting to adjust to the 24 hour duty.  Now let's make it 48 hours! Muahahaha" So during those times the postgraduates will be your seniors
There's no point bitching about it now. The whole point is survival. So ladies and gentlemen without further ado. Here are 10 survival tips for Admission Day!

1.Energy Conservation;-
          A normal day is like an arcade mode in a video game. They'll be a time limit and you'll want to finish off the enemy/work in the given time. Same way here. You'll want to finish the work as quickly as possible so that you can go back and recharge your health meter (sleep) But an admission day is not like that. An admission is like survival mode in a video game. There is no time limit. There is no competing the level and go home and heal. The goal of survival mode/admission day is do as many tasks as you can with your energy meter until the level is complete.
    So you have to learn to save energy and bring health potions (snacks) for the full day. Some people get all unnecessarily sincere in the morning itself and go run about and do extra work in the ward and they lose all their energy by afternoon and boom! It's game over by the evening!



2.Style factor:-
           As we all know we are stuck at work for more than 24 hours. So that means people would be having to look at you for all that time. So give them something good to look at. Wear that really good shirt which you got for your birthday on admission day. Let everyone have a look. Or you can workout or go the parlour the day before. There's no point wearing a great outfit on Sunday when it's just rounds or if it's half a day. If you feel the professor will notice  and point out your fabulous shirt in the morning just wear the invisibility cloak for fashion -the white coat so that it won't be that noticeable

3.Om Nom Nom;-
    Now one interesting part of admission day is that the pgs asks you go to eat in 10 minutes and come. Now you got to realise that it'll take atleast 3 minutes to walk there...wash hands for 30 seconds (wait. Make that 40 seconds) and by the time you sit it'll be already 10minutes. Just remember that eating is essential to charge your energy meter so don't hold back (at the same time don't stuff it). So when your postgraduate calls after 10 minutes and 21 seconds just say "Wait sir. Aaalmost done. Want me to get you something? Ya...but it's on your account only sir!"

4.Motivation partners:- 
            Your colleague's are an essential part for the functioning of the ward. At the same time everyone needs a drive. A motivation for us to perform as well as we can. That will definitely happen if you're crri is  hot girl/guy (hey I'm not judging)
     But that's not a good thing at the same time if you got a good looking colleague. You'll tend to overperform in the hope that something can happen between you guys
....and you will be doing all the ward work for the rest of the posting....and your life with that lost hope of a small spark between you two (lucky patients will get extra care)
     So the best remedy for that is if you have a hot PG in your ward. You will do all the work you can without complaining as long as you can which as a bonus includes buying her refreshments and at the same time you won't overperform and hit on her.........because you know her husband won't like it.

5. Footwear:-
      Divas! We need to go shoe shopping! You are going to be on your feet for a full day. It's best that you be comfortable (and fabulous) for the full day.
    So if you are wearing shoes (which they demand from you) Don't be getting those tight pointy shoes. They may look great but will hurt like a bitch after 3 hours. So best you go for loafers. It's got some ventilation and it easy to slip into.
 Or just do what I do. If you have a car after the morning rounds just go and change to your slippers and be free for the rest of the day!

6. Hydration:-
        Make sure that you're water bottle is full all the time. Do not be thirsty on duty. Have a water bottle or a juice bottle. Just is useful to freshen you up (health potions). At the same time the more you drink the more you can go for bathroom breaks (genius na?) Come on! A PG can't say no to you going to a bathroom! "No! I will not give you permission to take a peak! You are to suck it in and put the catheter for this patient!

7.Headphones:-
       Now this something which I do. As you know you have a lot of walking work as an intern. They'll make you go get blood, take the patient for x-ray or walk the stretcher, buy biscuits Etc etc etc.
   What I do is I carry my headphones all the time so whenever they ask me to go somewhere I just relax listening to music and go do the duty. I'll be listening to "Gasolina" while getting blood packets for a patient and you wont see me complaining. So you'll be relaxing and doing the work at the same time. Two pidgeys with one pokeball! Double genius na?

8.On the dot:-
          We have limited alloted time to sleep. If there are two people then one will sleep for 3 hours each. One will sleep from 12 to 3 and the other from 3 to 6.
     So if you are going to going to sleep at 12 then you go by some 11 55 (make that 11 45) because its like a law of duty days that if you stay up more than your alloted time then some work will turn up. A patient correctly get sick at 12 01.
    An another important note is to not sleep where patients can see you. Because they will wake you up to ask you all sorts of questions "You told to give only fluids...but ice cream is a kind of fluid right?" Or "You told to give food after 20 minutes..but i gave in 25 minutes. Nothing will happen right?" Or "last time the tablet cover was pink! Why is it yellow now?!

9.Dont skip leg day!:-
   There will be a lot of standing up in postings so you should train your body accordingly. Go do some leg exercises - squats, leaps etc. Train you legs to prepare yourself for some 6 hours of standing! Ask the bus conductor what workout he does. What? Oh you think this is dumb advice? If your veins go all blue dont say i didnt warn you!

10.Abandon ship!:-
        The hardest part of admission day is not the 24 hour duty. Its that after working that long you wont get to sleep off next day. You'll have to get up the next day like its a normal day. That called a post admission day. That is the day of the week where you curse the most than you ever have in your life. The main aim of post admission day is....to not fall unconscious midway. So during the afternoon time when the afternoon work is dome just get your ass out of the ward as fast as you can like you evacuating a burning building! GO GO GO! Dont stand and check your message in the hall or talk with that good looking crri from another unit. Because if some PG sees you then theyll be like "Youre here? I thought you left. Its ok. Theres this new patient which came..."
    So thats what im saying "If you see your boss standing near the door then just jump out of the window!"
"But your in the second floor!"
"Dude! We are in a hospital! Im sure there are people to take care of us!"

11.Inner peace:-
        Telling that there are 10 tips but adding a 11th tip. I like to live dangerously ;). Now the main thing is you need to change your mindset. Do not start complaining like "Omg. How many  more patients?? It's not even night time? It looks dark..oh it's the tint from the window? It's only 3?! Time isnt going! We all going to do...".OH SHUT UP!
     The main trick is to keep your mind blank. Don't think about what time or how many patients or when we are going to sleep. Just be cool and wipe every thought on your head! Woosaa! Inner peace! Relaaax. Just focus on the patient or that good looking co crri and let everything go in the flow. The main thing is you won't be disappointed about how slow time is going. We may be doctors but we are not doctor who or doctor strange to do something about how time moves. Like the famous dialogue in Frozen "Let it go" and "Chill!"

I hope these tips come in handy for all thr medical interns out there! For all those havig duty day today! Best of luck! Im sure you can pull it off! May the force be with you!

Wednesday, 17 May 2017

Mission Pull the pulley!

You guys been to Kerala? I went there just this weekend to attends a friends marriage. Kerala's such a clean..fresh...healthy..coordinated place which follows the rules. Maybe that's what i hated about it.
     (Woooah! The producers of this blog do not share the view of Kaushik! We think Kerala is a fine..er..sober holiday spot and you have to try the fish there)
      So it all starts when my friend calls and tells he's getting married. It sucks when your friends calls and talks about all the memories you guys had together and how much he misses you and makes feel like an asshole because you haven't taken the time to just send a two letter "hi" to him on WhatsApp all those years. So just when you are on that emotional moment he'll tell you to come for his marriage which is some 200 miles away.
    So i was pretty determined to go and i rallied up all the guys and we planned a road trip. Such a good plan it was.....and it remained a plan. So i had to do what i do best and go alone on whatever random bus I find.
      So I had a perfect plan in my head of leaving Coimbatore bus stand at 2 o clock.... So when i reached the bus stand at 3. The bus only left by some 3 30 to Palakad. Palakad is like the entry to Kerala. Its like Kerala's version of the hollywood sign. Its like "Welcome to Kerala...Take a gooood look around. That's all you going to see here!"
          Now for people who know me i travel a lot on buses. Just go to a bus stand. Check i have enough coins to go back home, sit on the bus, find a seat in which my legs can fit and see if the person next to me is sober and then pass out. Tamil Nadu always has a bus to the place you want to go. Somewhere..somehow! Wherever there is a way...whether there is no will or not there will be a bus to place you want to go. But Kerala ain't like that. There will be 4 buses totally in the bus stop and out of that 2 of those buses will be going to Trissur! Too many damn students coming to that place.
          Asking Direction's is another pain in the ass...*cough* I mean... Asking directions is another problem. People who speak Malayalam do not swallow words..they literally swallow sentences! And while they are swallowing that word...they'll start with the next word. So when you feel they finish a word they would have actually finished a sentence. He he. I made a joke when i was in school that Malayalam sounds like a Tamil Guy drowning and gasping for breath. (Ouch! Sry i mean.."ooch")
 So if i ask a guy for directions hell be giving directions with full determination like Willa wonka showing his factory. I will not understand a word what he saying when he points somewhere while talking I'll be like "Okaaai. Ill just walk on that direction"
           So i reached Palakad (paul-a-cat) and sat on the bench and was took a selfie saying #traveldiaries and was about to post it when i realised that my net doesn't work in other states (another reason to hate the place).
       So i had to go a place called Pulpally (pull-th- pulley) at Wayanaut (Why-not?). So I got on the bus and he told me to a stop called Madhawad (mad -hay-ward) and showed me 2 fingers. I thought he meant it'll reach in 2 hours...but he said he'll reach at 2 (mind you the time was 6 then). I was determined to reach. I'm like "I...am.not getting lost in a state...where there is alcohol prohibition! Nothing is over! I'm goin to reach there! Eye of the tiger!"
   So then started a long bus journey and at the same time with me listening to all the songs in my phone atleast twice. The location was on a hill. So i would put my phone away, look outside and take a deep breath to enjoy the fresh Kerala air...then it starts raining. One cute moment was when a girl with a mental disorder in front kept asking me to open the window for her while it was raining. I kept on doing it for her and since i was sitting in the seat before hers i ended up getting wet the most. So if i end up getting up that fever it'll be worth it as long as that kid is happy *blowing nose*
       Kerala is like Reverse Bangalore. The place starts shutting down at 8 30. (So much for night life). They even told that elephants block the way. Imagine going one day late to work and you have to explain to your boss that you were late because an elephant blocked the way! So when i finalised reached the station at 1 30. He told there's one bus which will come at 2....which ended up coming at 4 30. So i waited in the bus station resting room. In other words i slept on the platform till then
Me:What's the point of the bus schedule if the buses come late?
Friend:How will you know if the buses are late if it wasn't for the schedule
Me:......touche
       So i reached at 5 30. I reached the hotel and the receptionist told that everyone booked a full line of rooms. But he didn't know who was I'm who's room. I'm scared. what if i knock the brides room or the brides mothers room!? I am not going to stop a marriage i travelled 12 hours for!
    After knocking a few random doors (and pissing off a few half naked sleepy uncles) finally my friends brother found me.  I didn't know whether to cry...or to hit him in happiness or shout "Thank you superman for guiding me!". And my face expression said it all. He just gave me a hug and told me to sleep and said "try to gain conscious before the wedding"
      So there I was in a swaag black suit finally at the wedding (the pic in my fb page) I've got to admit for a guy who doesn't like wedding. I really got a bit emotional.
      Its usually small moments which we should never miss. It may be hard but we should keep going because difficult roads lead to beautiful destinations!