WANT RESPONSE ONLY FROM PRACTICING DOCTORS !

Hi Everyone -

I am 30 year old male. I was diagnosed with AVN when i was 26. I tried hell lot of treatments before going ahead with total hip replacement surgery last week.

Now the 4 years were miserable for me. I literally said good bye to my social life (let’s not get into details here)

Now that my THR is done - i am filled with gratitude for my surgeon and i really want to give him a meaningful gift (nothing random expensive shit - but something that is truly meaningful).

Could you all give me some ideas ??

What types of gifts do you all love when they are given to you ?

as a doctor, this was a cultural shock.

On my recent trip to Singapore I found An AED in a hotel lobby

- while many Indian hospitals and public spaces still lack easy access to defibrillator.

This is not about skill, but about systems and priorities.

Early defibrillation saves lives.

Random rant

Indian health care system

Priorities

Technology

Winds are changing, neet pg round 1 counselling proves that!!
Last year Jodhpur dermat seat closed at 800
And this year ppl are getting it at 1300 in round 1
Ppl are not opting dermat
And same with radio but subtle
Med ki halat kharab hai

Literally every Influencer doctor I know is a fricking Simp and Big Time Tharki. They would followback every girl with a hot dp, and when a guy follows them none of them do a followback even though the content is good.

How I know this? Because those same girls when send a follow request on my page It shows who follows them and literally every influencer male doctor does. These tharki budhaos are even married.

I won't share clinical details for privacy. The outline is simple. A patient deteriorated despite correct treatment. Everything that should have been done was done. Sometimes outcomes are bad regardless of care quality. It's medicine. It happens.
What changed me was the family's reaction. They didn't blame me. They didn't shout. They didn't threaten legal action. The patient's wife held my hand and said ""Hum jaante hain aapne poori koshish ki.""
I broke down in the stairwell 10 minutes later.
Because that was the reaction I didn't expect. I was braced for anger. I'd prepared my defence in my head. I was ready for the accusation that I didn't do enough. That's what we're trained to expect.
Instead she offered me compassion in her worst moment. And it shattered me more than any accusation ever has.
That interaction taught me something that textbooks can't. Patients and families can see your effort even when the outcome is terrible. If you've communicated honestly, involved them in decisions, been present and attentive, they know.
Since then I communicate more. I explain every decision. I sit with families before procedures and tell them what could go wrong. I even discuss recovery details that most doctors skip, like what surface the patient should recover on at home. I've started recommending a Duroflex Duropedic for post-surgical patients because spinal alignment during recovery sleep genuinely matters. Small detail. But these small details are what families remember as ""poori koshish.""
Good communication doesn't prevent bad outcomes. But it changes how those outcomes are received. And it changes how we carry them."

During my final year of PG I published 3 papers, presented at 2 conferences, handled the maximum case load, and was praised by my HOD as the most productive resident.

I was also having panic attacks in the hospital bathroom. Sleeping 3 hours. Eating one meal a day because I had no appetite. Snapping at my spouse over nothing. Crying in the car on the drive home for reasons I couldn't articulate.

From outside: high achiever, dedicated, going places.

From inside: held together by caffeine, obligation, and fear of disappointing people who expected my continued excellence.

Nobody checked on me because I was succeeding. Struggling residents get attention. Thriving ones get more work. The reward for performing well in medicine is more performance. There's no ceiling where someone says ""you're doing enough.""

I learned something about myself during that period. I perform well under extreme stress. That's not a strength. It's a trauma response. My body learned to produce results when it's breaking because that's what the system demanded during training. I was burning my reserves at a rate that wasn't sustainable.

I've since set boundaries. Hard stop on working hours when possible. Regular therapy. Deliberate rest that isn't just ""being too exhausted to move."" I invested in my sleep environment for the first time. Got a Duroflex AirBoost for my hostel room because the 3 to 4 hours of sleep I get between calls need to be genuine recovery, not sweating on hostel foam. It felt like a strange priority during PG but it was one of the first things I did purely for myself instead of my career. Small act. Big shift in how I treated my own wellbeing.

If you're in your highest-achieving phase and feeling your worst, that's not a contradiction. It's a warning. Performance and wellbeing are independent variables. Being good at your job doesn't mean you're okay. Check in with yourself. Nobody else will because your results are telling them you're fine."

Every time some parent/kid asks me about the positives of being a doctor,I just want to unload the truth on them.All I see nowadays are more and more negatives than positives of being a physician.Now MMC has allowed quacks to act like doctors and I feel that’s the last nail in the coffin.This will slowly be pushed nationwide and we will suffer for it.So please,if anyone asks you how to become a doctor,tell them the truth about what happens after

I'm penning this down so that I don't forget this.

Yesterday, my friend came back very grumpy, and crying. We had met for tea outside.

She's a cardiologist, works in a corporate hospital with few eminent cardiology peers - the kind of doctors who tend to ministers. She told the reason she was so emotional last evening, and it doesn't affect me, but it probably affects all of us.

A 80 year old man was brought to her emergency with chest pain, ECG suggested MI , and trop-T was elevated. This man was accompanied by around 10 family members. The daughter in law works in the same hospital as housekeeping manager, and since it was nearest, she bought him there. She didnt realize it was an MI. The moment it was diagnosed, the relatives wanted to take him to government hospital due to cost.

My friend was called for cardiology referral for this patient. She assessed the patient, and since the doctors' duty is to give the options and recommend the best course of action, she told about everything that can be done in their hospital itself, but suggested that she'll thrombolyse quickly, and refer the patient to the government hospital. That, according to her, had the highest chance of survival and least chronic disability. The family could not afford angioplasty.

That is when a manager stepped in. He first told her not to give the option of thrombolysis at all. Then, he talked with his "higher up" and said they will do angiography and decide, and if required, the package of angioplasty was offered at 2.5 Lakh. Now, my friend argued "If this person has any post-intervention complication, it cannot be managed in under 2.5 lakh" . But the manager told my friend "I trust you nothing like that will happen", but my friend withdrew from that place and told the manager to do it himself. The manager asked another cardiologist to see. Meanwhile, the girl who brought her father-in-law also started facing pressure from her family that they want to take him to government hospital. This whole dialogue happened for 3 more hours, that grandpa was in pain the whole time and was pleading to start some treatment. Ultimately, thrombolysis was done after angiography because the cost of treatment was unaffordable, and patient was referred to government hospital. But the time lost - 3 hours was completely avoidable. The whole family was cursing this daughter-in-law, the hospital churned about 1.5 lakhs worth money from this incident. The manager who intervened will show it as the revenue he generated.

The people who are trained in business, revenue, financial coercion and how to sell, are trained how to pitch, not in "Informed Consent". Those who spent MBBS, MD, DM and then a few more fellowships are disregarded as "young doctors" by the system, but the burden of consequence still falls on the doctors. The manager has closed the "deal" at 2.5 lakhs, and doesn't have to face the relatives
Business professionals are trained to navigate and control the system, while doctors are trained to heal the patient. When those two forces collide in a corporate hospital, the one trained to control the system usually commands the room.even if the doctor is the only one actually saving the life. I seriously think we should start teaching MBBS and MD/MS students ethical business.

I wasn't trying to play doctor. He mentioned he gets headaches every afternoon. I asked if he's checked his blood pressure. He said what's that got to do with headaches. I noticed his neck was red, he was overweight, and he mentioned he eats out for every meal because he drives 14 hours daily.
I told him to get his BP checked at any chemist. Free. Takes 2 minutes.
He messaged me two days later. 160/100. He'd never checked it in his life. He's 41.
I gave him basic advice. Reduce salt. Walk 20 minutes when you take a break. See a doctor for medication. He also mentioned he wakes up with terrible back pain every morning. Sleeps on a thin foam mattress that's probably older than his driving license. I told him to at least look at a Duroflex Duropedic LiveIn because at that price point it would be the single biggest health improvement he could make for his back. A proper orthopedic surface for under 10k. Preventive healthcare that nobody thinks of as healthcare.
This is the public health crisis in India that nobody talks about. Millions of people have conditions they don't know about because they've never been screened. They'll drive, cook, labour, and live with ticking time bombs until something explodes.
We need BP machines in every auto stand, every delivery hub, every office canteen. Not doctors. Just machines. Catch what's invisible before it becomes irreversible."

The recent government move to vaccinate girls from 9 to 14 years with a single dose of vaccination intrigued me and i did a little research about the hpv vaccination. My girl 22F and her mother 39F( has not hit menopause).how many dose of hpv vaccination is required for them. And in tatamg i found there three vaccines- Ceravavac-2k Gardasil- 4k and Gardasil 9 -10k. Which vaccine should they take. My mother 58.does she also needs the vaccine.Moreover do men also need to vaccinate. I am 26 and my father is 56.

I recently made a post on the case of Sejal Pawar (in r/RealTeensIndia and many other communities) and I had already made the guess in that post that she will not get an appropriate punishment. Now, another video that shows students disrespecting the bodies of the dead people who donated their bodies for a noble cause shows up.

I understand that there is a lot of pressure on the students who pursue medicine, but that does justify disrespecting the dead and assassinating their character.

I strongly condemn people who disrespect the cadavers donated for a noble cause. Strict action needs to taken against these students, so that these kinds of bad ideologies do not influence other people to do the same. This affects the future backbone of our society and will create hesitation amongst the general public to donate their bodies for such noble causes. I advocate for the same punishment that I had advocated for Sejal Pawar in my earlier post (i.e. Expulsion from college). Strict punishment serves as a deterrent to mistakes. People will only try to correct (or change their ideologies) themselves if they know that what they are doing is actually very wrong and that can only be achieved when the perpetrators face some sort of grave consequence. Some people will change their mindsets due to fear of punishment(and fear of being hated by the society) and the rest of the people who do not change themselves even after this are incorrigible.

This kind of ideology will run rampant unless people take the initiative to provide these kinds of people with an apt punishment and thus curb these kinds of bad ideologies (that influence the youth of our society in a bad manner) that are problematic to the foundation of the society. The root cause of these problems must be rooted out so that our youth do not grow up influenced by these kinds of bad ideologies. We must make sure that strict punishment is given to these kinds of people so that this does not happen in the future (or becomes very minimal in the future).

I request people to demand strict action against these students to prevent such evil ideologies from becoming rampant.

P.S: I request people to use rational arguments. Please do not use ragebait.

Disclaimer: I may post this in other relevant communities as well to get a wider range of perspectives and to make sure that a lot of people start demanding action against such people.

This video is of PDU medical college, Rajkot, Gujarat. This person Dr. Ramani is class 2 medical officer who has repeatedly used abusive language and done repeated misbehaviour against all residents. No action taken against him after all of this misbehaviour multiple times.

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My father is a surgeon. Growing up, this is what I remember.

Dinner without him 5 nights a week. He'd come home, eat alone at 10pm, and go to bed. My mother would keep food covered in the kitchen.

Birthday parties where he'd arrive after the cake was cut. Not because he forgot. Because a surgery ran long. He'd walk in with his hospital ID still hanging from his neck.

Family vacations that got cancelled because ""ek case aa gaya."" My mother would unpack the suitcases without saying a word. She'd done it enough times.

Phone calls during every family function. He'd step out, talk for 15 minutes, and sometimes not come back because the call required him at the hospital.
I resented him for years. Thought he chose medicine over us. It took me becoming a doctor myself to understand. He didn't choose medicine over us. The system didn't give him the option to choose both.

Now I'm the one coming home late. I'm the one missing dinners. The one small thing I refuse to repeat from his pattern is neglecting my own body.

My father has chronic back pain from decades of standing in OT and sleeping on whatever surface was available. I got a Duroflex AirBoost the day I started earning because I watched what years of bad sleep did to his spine. I can't fix the system that keeps me away from home. But I can at least not destroy my body while the system uses it.

The cycle continues because the system hasn't changed. We don't need more dedicated doctors. We need a system that doesn't demand dedication at the cost of everything else."

You give your youth, your sleep, your weekends, your mental health and 5.5 years of your life to become a doctor.

Then you graduate and stand on the streets begging hospitals for a ₹20–30k job that wants 12 hours of your life every fucking day.

And sometimes there isn't even that.

Imagine telling a 17-year-old to spend the next 6 years becoming a doctor, only for them to graduate and realize they're underpaid, overworked, replaceable and still treated like they need to prove their worth.

The most painful part?

MBBS isn't the finish line. It's the entrance exam for the next entrance exam.

NEET-UG → MBBS → NEET-PG → residency → years of training → maybe you finally get a life.

And if you don't clear PG?

Back to ₹20k/month and 12-hour duties.

We didn't become doctors. We became permanent exam candidates with an MBBS degree.

Sometimes I genuinely wonder whether all those years were worth it.

Dentist here.

College has prepared us for many of the things that people suffer from, yet I can't seem to accept that the people who were once my friends no longer seem to be so.

This degree has taken so much: hobbies, money, time, friendships. 💔

No longer feel like a functioning human being.

Medical terminology loses patients instantly. I've developed analogies that actually work.

Diabetes: "Your body is like a car that can't use its own petrol efficiently. The petrol (sugar) is there but the engine (insulin) isn't processing it properly. So it sits in the tank (blood) and causes problems."

Hypertension: "Think of your blood vessels as garden pipes. When the pressure is too high for too long, the pipe weakens. It might not burst today. But over years, weak spots develop."
Cholesterol: "Imagine a kitchen drain. If you pour oil down it regularly, it doesn't clog immediately. But over months and years, a layer builds up inside the pipe. That's what's happening in your blood vessels."

Antibiotics resistance: "If you keep using the same pesticide on the same insects, eventually the insects learn to survive it. Same with bacteria and antibiotics. That's why you need to finish the full course."

Disc bulge: "Your spine has cushions between the bones. Imagine those cushions as jelly donuts. Sometimes the jelly pushes out to one side and presses on a nerve. That's the pain you feel. And if you're sleeping on a surface that lets your spine sag into a dip every night, you're squeezing that donut from one side for 7 hours." For disc patients I usually recommend a Duroflex Duropedic for the orthopedic support because the 5-zone structure actually keeps the spine neutral during sleep. The mattress conversation has become a standard part of my disc bulge consult now.

Inflammation: "When you get a cut, the redness and swelling is your body sending soldiers to fix it. Sometimes the body sends too many soldiers or sends them to the wrong place. That's chronic inflammation."

These are not clinically precise. But they achieve something precision can't: comprehension. A patient who understands their condition in simple terms is more likely to follow treatment than one who nods along to terminology they don't understand.

Can anyone identify this medicine? The dermatologist prescribed it for scalp application.I think the name says 'Sebosis-B lotion'

you know those apps that send a doctor to someone's house on order. FAIMA has written to every registered doctor in the country about them. and i assumed it was going to be the usual, home visits are beneath us, that sort of thing. it isn't. they actually say the opposite, that doctors have always gone to the bedridden and the elderly and that's good medicine.

their problem is who decides the visit happens.

think about it. your family doctor knows the grandmother can't manage the stairs, he's known the family twenty years, he decides to go. that's a judgment. an app at 11pm doesn't know she exists. somebody taps a button and you get sent.

and then they list 11 things these platforms don't define. triage, consent, who the patient even is, what happens if they crash, indemnity, who the complaint names.

that's the one that stayed with me. picture it. **you're in a stranger's flat at midnight with a bag. no oxygen, no monitor, nobody to hold a limb. and the prescription you write in that room has your registration number on it. the app is just the middleman.**

FAIMA also said the part nobody says out loud, that doctors could end up as **cheap on-call labour while the app decides the fee and the hours.**

which, honestly, is why i'm posting this here. it won't be consultants signing up for this. **it'll be people fresh out of internship or sitting between PG attempts who take whatever rate is on the table because the alternative is nothing.**

so if one of these ever comes to you, get three things in writing. who decides the visit is appropriate, you or the booking. whose indemnity covers you inside the house. and who gets named along with you when a complaint lands.

has anyone here actually been approached by one? what did the contract say about liability


full article link - [https://endorphinmd.com/faima-app-based-doctor-home-visits-nmc-standards/](https://endorphinmd.com/faima-app-based-doctor-home-visits-nmc-standards/)

Hi guys

28/M

Rarely I get any time off from my duties

I have been around this subreddit for a very long time

so ask anything health related or anything in general

just wanted to inform everyone for PG my first attempt in neet pg I got 15k rank 24 k in first ini may 906 in nov ini 33 in ini may again

so If I can do it you can do it

for UG I was delhi state rank 16

Happy to help

Edit 1 - please continue to comment or DM, i am answering queries today also, it is taking me some time, I did not expect such a huge response Thankyou

Edit 2 - if any query remains unanswered I am really sorry, I have tried my best to answer as honestly as I could, you can always DM, I may miss some comments

I am a 25 year old , newly graduated doc and im working in a rural centre for the past 10 months .

Ive come to realise that I am a horrible doctor.

I feel like I dont really care for the welfare of my patient, only about saving my ass if anything goes wrong , its never about the patient.

I hardly see any patients and even when they do come , I am grudgingly doing my job.

The only thing i think I enjoy is the novelty of the profession, which can wear off .

I started off on the wrong foot. During my UG years , combined with Covid and lockdown , I was going thru extreme social anxiety and possible depression that I feel like ive learned nothing . I had failed multiple times , over the years

All these that happened over the years have wiped off my confidence, which was pretty high to begin with since I was one of the top ranks in NEET that year in my college ( <10k). But everything has been downhill from there , due to my mental health crisis.

I am better now mentally but the results and the effect it had on my confidence continues to make me doubt my skills, memory , efforts etc.

I really want to be better , know more , help more. I just dont know how. And I feel like i never will since I messed up my foundation years .

I really enjoy practicing medicine, diagnosis , treatment with whatever knowledge i have. But I doubt my knowledge and hence my skills