The complete doctor

What means (for me) being a doctor



More than Medical Knowledge 🥮

Counting stars ⭐

The sacred ritual of not being bored 😹



































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Approach to cough

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The waiting room was full. Some patients were scrolling on their phones, others tapping on tablets, a few reading. Then, suddenly — one patient coughed. Just once. A dry cough. The silence that followed was insane. Then the discussion began. Doctor A : “That cough sounds deep. You should sit down, elevate your feet, and you will need a chest X-ray, CT scan and PET scan, immediately. I had a cough like that once — turned into a nine-month investigation. No one ever found the cause, but I still feel it sometimes. For example, right now.” Doctor B : “You need to go to the ER right now. Dry cough, possible shortness of breath — classic start of a PE, anaphylactic shock, or even cancer. I read a paper last night about a disseminated TB that started with this exact cough. Honestly, you should call your parents.” Doctor C : “Can we just relax? Maybe it’s dust, or a mild allergy, or stress. You look stressed. Are you stressed? No problem, take the day off. Wait — no, if you take the day, you’l...
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In Honor of Otto Jírovec

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If I could talk to Otto (if you don´t know who Otto Jírovec is, but you know Taylor Swift ... stay calm and keep reading. Old school), I’d start by telling him that a lot of things have changed since his days of describing that “interesting rare pneumonia in children” back in the 1930s. I’d mention the internet, AI, the Human Genome Project… and of course, Instagram. But then I’d have questions — serious ones . How is it possible that 40+ years later, with all our technology, Pneumocystis jirovecii is still unculturable? Yes, Otto, we named a bug after you. And second surprise: it’s a fungus. And to be fair, it’s a weird fungus — no ergosterol, lots of glucans. Then I’d explain that today we have four treatment options: ( SPOILER ALERT: not antifungals ) TMP-SMX (oral or IV) — Gold standard  Atovaquone - an inhibitor of mitochondrial Complex III Clindamycin + primaquine Pentamidine - a.k.a. Thanos  [ No Otto,  I wont even try to explain that ] Oh, I al...
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It is NOT our fault

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Eleanor was twenty-four when she stopped menstruating. It happened after her first “almost” pregnancy — a stillbirth followed by fever and bleeding. The midwife said she needed a “cleansing,” done at home, roughly, using a metal instrument and hot water. It was supposed to restore balance, to “reset” her womb. Instead, the bleeding stopped completely. Months passed, and her menses did not come again. With fear, she mentioned it to her husband. He went to the bar to talk with his friends about it. Soon the rumors spread: that she had sinned. The husband, under pressure, went to the magistrate. He said his wife had changed after the birth — that her body was cold, that she had refused him. There was no trial, just a statement and a verdict. They called it infidelity . She was hanged three days later in front of the church. The official record said “moral corruption.” No one protested. Two days after the execution, a traveling physician arrived in town. He asked to examine her body. They ...
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