dont-eat-my-buns

[dont-eat-my-buns]

11:38 - Arrived at crime scene.

11:38 - Examined body. Signs of a struggle.

11:38 - Found murder weapon in drain.

11:38 - Realised watch was broken.

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Need me a bro like dat!

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I'm scared to open tumblr now coz I might run into the "colours of the sky" post and then get lost 😭

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reblog if your name isn't Amanda.

2,121,566 people are not Amanda and counting!

We’ll find you Amanda.

[dont-eat-my-buns]

funny phrases to use when something goes wrong instead of jokingly saying "i'm going to kms":

i'm going to kill god

i'm going to delete my blog

i'm going to explode

i'm going to blow up this entire website

i'm going to become the joker

this is going to be my villain origin story

i'm being so brave about it

fuck it we ball

god had to nerf me because i was too powerful

i'm too pretty for this

all according to plan

feel free to add on

[dont-eat-my-buns]

When do I get to evolve into a crab?

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PSA:

1. If you are not silly, it is vital you become silly

2. If you are silly, you must stay silly

2. If you used to be silly but have stopped, you must make all efforts to return to silliness

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If we weren’t meant to use q tips god wouldn’t have put prostates in our ears

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please reblog this if it is okay to anonymously confess something to you.

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"A ship can never truly love an anchor." dude shut up. a ship without an anchor gets dashed against the rocks. it's useless, completely at the whim of the currents. a ship loves an anchor so much it carries it everywhere it goes. the anchor gives the ship the world to love. dude.

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It cold

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Continuing the rant, this very topic was brought up in the legislative council by a minister, that my very own hospital was facing shortage of medicines and thus the doctors were asking the patients to get the medicines from outside pharmacies. And upon hearing this, the medical education minister had the balls to say that the doctor who prescribed this has to be suspended.

Like wtf! How are we supposed to do our job if no one let's us do the one thing that we've been trained to do for 5.5 years minimum, and the doctor in question is well into his MD residency program so knows what all essential drugs are required for the treatment. And will only prescribe the bare minimum to the patient coz we also know that the patients that come to JJ and most government hospitals are some of the poorest.

How can a doctor be held responsible for the biggest government hospital in Mumbai running out of medical equipment and medicines. 😢 Instead, the minister who brought up the suspension should resign out of embarrassment for not doing his job.

And now, because of this, we are really scared of even asking the patients to get any medication from outside. We've always prescribed the generic name of the drugs and not any brand name, and thus there isn't any compensation that we get, and we work in government hospitals, there's isnt any incentive to work more than we should or try more for the patient but we still do. We try so muchhh. The number of times I've paid from my own pocket for certain tests and medicines that patients require, I've totally lost count. And still we have people who are so quick to blame the doctor.

We work in government hospitals, we get no profit from prescribing medications, our salary is one of the least in the country, and still!!!!! Still, we try to help to our very best.

Lack of essentials in JJ Hospital

I worked as an intern in JJ Hospital and despite the name and legacy that JJ Hospital has, I was in shock at the lack of basic medical essentials at the biggest Government Hospital in Mumbai! This is a hospital with a 175+ years of legacy behind it, with probably the most funding of any government hospital in maharashtra and one of the top institutions of the country.

My first posting was in Medicine and during my emergency shifts (we handled any medical emergencies that came during the day for 24 hours, and then the next unit took over). This is where I was taught the basic steps in Medical treatment as I had no exposure before - attending clinics during my 4.5 years of MBBS just provided basic knowledge in understanding patient care and also I was afraid of needles (a whole another story) so I didn't want to go to patient wards. The first steps after history taking and examination, were collection of blood and iv line insertion. For collection of blood, there were hardly any syringes present in the emerg ward (you need atleast a 10 ml syringe for the amount of tests), and the needles that were present were green needles (the widest ones and hurt like crazy). On top of that, there weren't any blood collection bulbs!!!!!!! Not just that, nor were there any iv cannulas, there weren't any bivalves or iv lines. (all of this is required for fluid and antibiotics to be given urgently to patients)

Thus I was told to give a list to every patient is to be admitted for them to go and buy which included needles, syringes (Rs 10 each), bulbs (Rs 10 each), bivalves(Rs 75 each), iv lines, iv cannulas (Rs 150 - Rs 250 each). These might look like small amounts and compared to US or other countries, they are cheaper in India, but these people are the poorest of the poor who come to JJ for treatment. And in a govt hospital, treatment is supposed to be free for people who can't afford it, but that doesn't include these purchases that they have to make from an outside medical shop!!!!!!!!!!!! And no one comes to the emergency with loads of cash, its a freaking emergency!!!!

This isn't the end of it, after getting all the supplies and then when we collect the blood of tests, I have to give the patients another paper with a list of number for medical labs that run tests coz the Biochem / patho lab in JJ isn't running certain tests. And you might wonder if these are some hi-fi tests and that's probably why it isn't being run, but no. It's the most basic tests - CBC (the most basic test that you need to know), ABG (to know if a patient has acidosis / alkalosis / good O2 saturation) and many more aren't run in JJ. And thus they have to give it outside, which again isn't reimbursed. And these tests do add up to the costs of the patient's!!

The same is the case of wards, the medicine wards lacked the same stuff again. I learnt of a barter system that if I could get the medical lab to give me bulbs to use for the patients then I'd give their number of the tests. It provided some (mind you, a very minute) relief for the patient.

After this was casualty posting. This is where we attend to patients first! If anyone comes with any emergency, casualty is the one that gives a preliminary diagnosis and then sends them to the respective department, for eg fracture is sent to orthopaedics, heart attack is sent to medicine and so on. In casualty, I found out that there is no nitroglycerin tablets! This is first line therapy for anyone with a heart attack! Supposed to given immediately if you suspect a heart attack or atleast seen on ecg, but nope. If a patient comes with chest pain and the ecg shows signs of Myocardial Ischemia (heart attack), all we can do is give pain relief and ask the patient's relatives to buy nitroglycerin and come.

Rant over for sometime! Will come back with a part 2, I got too worked up just thinking about this.

[dont-eat-my-buns]

Update : online verification has been added 🔥 and now life is easy

Local Train travel rant

This is not so much of a rant, but more of an mutual understanding that the problem is mine as well as the Mumbai railways.

First, during the lockdown, the rules for travel in local train was if you're someone from the health sector and you had an ID, you were allowed to travel. This obviously was a problem for the local people who had to use other expensive means to travel. But it wasn't a problem for me, coz I had the ID.

Once the vaccination drive became large enough, the govt changed the rules that you needed a completed vaccination certificate in order to buy a ticket. They removed the health sector ID part. 🙃 Which I wasn't aware about. Mind you, I had taken both my doses in March - April itself (I was in the third trial phase), but I hadn't downloaded the certificate 😭.

Hence, locating the certificate (from so long ago) and then showing it to the ticket counter person who on inspecting the certificate got wary coz the date seemed to be too early and hence thought I had forged it, which after convincing thoroughly, gave me the ticket. But I ended up missing my train, and the next train for my destination was after half an hour 🙃, so tada.

Suggestion

Please allow online verification and purchase of the ticket, will be much faster.

Second part of rant - for someone wondering why I didn't take a cab

It was evening and I had to go from south Mumbai to Andheri, which was just 26kms away, but according to maps, was gonna take 1 hour and 50 min to travel (due to crazy traffic) . And also, the price was Rs 500/-, which is 50 times the train ticket.

[dont-eat-my-buns]

Lack of essentials in JJ Hospital

I worked as an intern in JJ Hospital and despite the name and legacy that JJ Hospital has, I was in shock at the lack of basic medical essentials at the biggest Government Hospital in Mumbai! This is a hospital with a 175+ years of legacy behind it, with probably the most funding of any government hospital in maharashtra and one of the top institutions of the country.

My first posting was in Medicine and during my emergency shifts (we handled any medical emergencies that came during the day for 24 hours, and then the next unit took over). This is where I was taught the basic steps in Medical treatment as I had no exposure before - attending clinics during my 4.5 years of MBBS just provided basic knowledge in understanding patient care and also I was afraid of needles (a whole another story) so I didn't want to go to patient wards. The first steps after history taking and examination, were collection of blood and iv line insertion. For collection of blood, there were hardly any syringes present in the emerg ward (you need atleast a 10 ml syringe for the amount of tests), and the needles that were present were green needles (the widest ones and hurt like crazy). On top of that, there weren't any blood collection bulbs!!!!!!! Not just that, nor were there any iv cannulas, there weren't any bivalves or iv lines. (all of this is required for fluid and antibiotics to be given urgently to patients)

Thus I was told to give a list to every patient is to be admitted for them to go and buy which included needles, syringes (Rs 10 each), bulbs (Rs 10 each), bivalves(Rs 75 each), iv lines, iv cannulas (Rs 150 - Rs 250 each). These might look like small amounts and compared to US or other countries, they are cheaper in India, but these people are the poorest of the poor who come to JJ for treatment. And in a govt hospital, treatment is supposed to be free for people who can't afford it, but that doesn't include these purchases that they have to make from an outside medical shop!!!!!!!!!!!! And no one comes to the emergency with loads of cash, its a freaking emergency!!!!

This isn't the end of it, after getting all the supplies and then when we collect the blood of tests, I have to give the patients another paper with a list of number for medical labs that run tests coz the Biochem / patho lab in JJ isn't running certain tests. And you might wonder if these are some hi-fi tests and that's probably why it isn't being run, but no. It's the most basic tests - CBC (the most basic test that you need to know), ABG (to know if a patient has acidosis / alkalosis / good O2 saturation) and many more aren't run in JJ. And thus they have to give it outside, which again isn't reimbursed. And these tests do add up to the costs of the patient's!!

The same is the case of wards, the medicine wards lacked the same stuff again. I learnt of a barter system that if I could get the medical lab to give me bulbs to use for the patients then I'd give their number of the tests. It provided some (mind you, a very minute) relief for the patient.

After this was casualty posting. This is where we attend to patients first! If anyone comes with any emergency, casualty is the one that gives a preliminary diagnosis and then sends them to the respective department, for eg fracture is sent to orthopaedics, heart attack is sent to medicine and so on. In casualty, I found out that there is no nitroglycerin tablets! This is first line therapy for anyone with a heart attack! Supposed to given immediately if you suspect a heart attack or atleast seen on ecg, but nope. If a patient comes with chest pain and the ecg shows signs of Myocardial Ischemia (heart attack), all we can do is give pain relief and ask the patient's relatives to buy nitroglycerin and come.

Rant over for sometime! Will come back with a part 2, I got too worked up just thinking about this.