Doctors and Nurses are good people

Doctors and Nurses are generally good people. They are usually taken for granted by the hospital administrators and executive.

This article in the New York Times is excellent. Great piece.

https://www.nytimes.com/2019/06/08/opinion/sunday/hospitals-doctors-nurses-burnout.html#click=https://t.co/7Jl8rL9Kbi

Handwriting and Alphabets for Doctors

Several doctors write very poorly with regard to their handwriting. Some doctors who have a good handwriting seem to have missed their illegible handwriting course!!

I received this picture from a friend and am not sure about the origin of the picture (thus cannot acknowledge the author). Says it all.

 

ps: I create a bit of a stir in clinic with patients and their families, as they watch me write quite legibly with a real fountain ink pen!

Working, Overtime and Medicine

How do most doctors deal with working overtime? I am really not sure. Most of us… just work. I am learning that I need to protect myself and stick to time schedules.

Many of us, from the time of internship or residency are only taught to work and work harder. Not just work smarter, but harder. Many of us don’t really know any other way.

Work never gets over. Ever.

We need to do as much as possible and get out of the workplace to come back the next day to do the remaining.

I am slowly learning that it is vital to take time for yourself and your family/friends. Absolutely vital.

At the end of the day, the only thing that really matter is you and your family. The time spent with your wife/husband or children or people who really matter.

Hard lesson. Unfortunately, most of us learn it too late in our careers.

Protect yourself. Enjoy life.

Nobel Prize and Immunotherapy

This is taken from Ars Technica:

The Nobel Prize Committee has honored two researchers for their role in pioneering a new avenue for cancer treatment, one where the therapy targets the immune system, which then goes on to attack the cancer. The researchers, James Allison of the MD Anderson Cancer Center and Tasuku Honjo of Kyoto University, worked separately to identify and target proteins that help keep the immune system from attacking other cells in the body. When these proteins are inhibited, the immune system can target cancers, although at the risk of autoimmune disorders.

Immunotherapy discoverers get Nobel Prize in Medicine

Pulmonary Embolism and Cancer: PE

One of the big problems with cancer is clots in the blood vessels of the lungs. It is a significant cause of death in cancer patients. Most people do not really know or understand the condition.

Cancer is a condition which makes blood stickier. If you combine this with the fact that the patient is not very mobile, not drinking enough of fluid, is on chemotherapy via intravenous access device, is on medications which could affect blood clotting… it is a fairly strong combination for clot formation.

People can develop clots in their legs, which then break off and shower small clots in the blood vessels of the lungs. A large blood clot in the lung vessels can potentially kill the patient.

The treatment is making the blood thinner with medications – heparin, heparin like drugs (Clexane, Fragmin), Apixaban or warfarin.

The important issue being awareness of the condition. Sudden shortness of breath, cough, sharp chest pain, etc are some of the main symptoms.