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What happens when I fail the Railway Medical Test?

What happens when you fail the railway recruitment test? What happens when you fail the railway medical test? What happens when you fail the XYZ test?To make it short, the answer to all the above questions is same - You do not join the service.I had undergone railway medical test in the year 2015 when I was selected for the post of Section Engineer in the year 2014. I can give you some insights about railway medical test -It is usually a 2-day examination. You will be examined as per your medical test type e.g. Aye-1, Aye-3 etc. On the first day, they will conduct simple BP test, Chest X-ray, Eye Test, Genital Herpes/Gender test etc. Second Day will be about the level-2 eye tests - colour blindness, testing for any previous surgery, a small physical endurance test by some push-ups/exercise, blood test, rechecking for any anomalies if found on day-1 etc.If you pass all these tests, you will be given a medical certificate to be submitted to your respective recruitment board office.If you fail any of these test - one of these 2 things will happen -To be bold, the sad part is, at some railway hospitals you will need to bribe them (yes, after all, it is India) and you will get your certificate. However, things might have changed now and this whole bribing scenario may not exist in the Railway Hospitals today. I leave it to your fine sense of observation when you are undergoing the medical test at a particular hospital. Also, I am not encouraging you to go for this option. Always remember - Bribing is a serious offense and you would be put behind the bars if you are found guilty.They will straight away mark you as unfit and you will be asked to sign a consent form. The hospital will send your fitness letter to your recruitment board directly and your role ends here.If you are marked as unfit for the job, you will be given 30 days time to appeal for re-exam by the medical board. If you had some minor issues during your medical test, you can take the treatment from outside and re-appear to the medical board after appealing within 30 days.If you are unfit in your Second Medical Test too, the decision of the medical board will be final this time and you will not be given any chances after this.If you are still not satisfied with the decision of railway medical board - you can take legal help and challenge this decision in the Court. Based on court’s decision the board will decide further and you can fight till the time you get the job.I tried to cover all the possibilities in this answer. If you still have any doubts, you can ask in the comment section.

What would you do if you were seeing a patient in the emergency room and he or she wants to leave against medical advice?

Any competent adult can leave the ER or refuse medical treatment at any time. Medical care requires patient (or parent / guardian) consent.Consent can be informed, such as when the Dr tells you what he thinks is wrong and what they are going to do about it, and you reply “ok, thanks.” Or implied, for example when someone is unconscious, or an unattended minor, that requires immediate care. A reasonable person would assume the patient would consent to medical treatment after being knocked unconscious in car wreck or a parent would want their child’s broken arm to be treated before they arrived and signed the consent forms.Consent can be withdrawn at any time, or patients may consent to some aspects of care and withhold consent for other procedures.Assuming they are an adult who is legally able to make their own decisions and they can demonstrate they are able to take care of themselves, understand their situation and the potential complications, and are not intoxicated, confused, suicidal or homicidal, then they can pretty much do as they please.It often comes down to the experience and instinct of the medical provider. If the patient understands what is happening and accepts the risks, they can sign an AMA form, releasing the hospital and staff from liability, and walk out. If the provider thinks the patient cannot make a reasonable decision, is a danger to themself or others, or cannot appreciate the gravity of their situation, then the provider can effectively take custody of the patient and treat them “against their will.”

What is MBBS internship like?

MBBS internship I feel is the best Year in entire curriculum and best thing that ever happens to a Doctor. I will divide it into my experience in different departments to help you better Understand.Internal MedicineDuration: 6 weeksWork Hours: A Intern is expected to reach the ward by 9 in morning and stay till 2 PM in afternoon followed by few hours of lunch break, followed by evening rounds and work in ward and finally reaching home by 10 PM.Admission Day: We had one admission day per week with a rotational every sixth Sunday. On admission day there use to be two shifts for intern for 12 hours with no special lunch or food break. Morning shift from 8 AM to 8 PM and night shift from 8 PM to 8 AM. The Interns doing night shift were allowed to take the next day off in my unit but in other units they were expected to working till 2 PM next day basically that means 8 PM to 2 PM.Emergency Duty: We Had one emergency duty every week from 8 AM to 2 PM following which we got day off.Work Intern Has to Perform :Draw Blood from Patient’s vein and put them in correct vial , label and send to Laboratory.Insert a IV Channel, Nasogastric tube, Foley’s Catheter.Lumbar Puncture for both diagnostic and therapeutic purpose.Start a General treatment in Acute Ward when patient is serious.Sit In OPD during Admission day and prescribe medicine. If You suspect something serious or difficult then refer to senior.SurgeryDuration : 5 WeeksOperation Theater: There is a OT everyday in a week because it’s Surgery !Emergency OT on Admission Day suppose on MondayMajor OT one day after admission Day means WednesdayOT at a Small Nearby Hospital next day means ThursdayAnother OT on Friday but it may get cancel if we don’t have cases to operate onMinor OT on Saturday where small surgeries are performed like circumcision.Admission Day: Just like Medicine Admission starts from 8 AM to 8 AM and there is no division of day shift and night shift. Every Intern comes at morning 8 AM and attends the OPD followed by Emergency OT. Duty Ends next day by 2 PM so it’s a long continuous duty.Duty As Intern:All Scutwork that I mentioned in Medicine including pushing the stretcher of the patient, fixing light inside OT as for some reason group D staff does not work.Assist in all surgeries as a assistant which gets boring pretty soon specially at night when a operation is going on at Morning 3 AM and your job is to retract Liver.In Emergency Duty repair all laceration and if complicated then refer to emergency OT.Perform Dressing, remove stitches, perform small operation like Incision and drainage, take biopsy from Breast and if Lucky even perform a appendectomy as main surgeon.Prepare the Patient for operation which includes getting signature on Consent form, explaining the risk associated with surgery.Working Hours are much longer compared to Medicine.( Last Day Ended with Grand Lunch with a Pic with entire Unit)OBSTETRICS and GYNECOLOGYDuration; 8 WeeksLabor Room Duty: We had two 12 Hour Labor room duty every week which included one Night shift from 8 PM to 8 AM and a day shift from 8 AM to 8 PM on two separate days.Admission Day: One Admission day per week just like Medicine and Surgery. Every Intern will come to OPD at 9 AM in morning and see obstetrics case means pregnant female and do basic examination and treatment. We also had PAP Smear investigation which Interns use to perform in OPD.After OPD, go home and come back for Night Labor room Duty.Operation Theaters Duty:One Major Operation Theater duty per week which included cases like Hysterectomy( Removal Of Uterus), Complicated deliveries like twin pregnancy and Gynecological cases which mainly involved prolapse or Cancer.One Minor Operation Theater for Minor Procedure like Biopsy, Copper T insertionEmergency OT on Admission NightWork As InternEverything that I mentioned in Surgery and Medicine though we never got any opportunity to assist or perform any surgery.Deliver Babies by normal Vaginal Delivery along with episiotomy and repairing the woundFor some reasons Nurses in Labor room wont administer any drug so become a Nurse.Administer Magnesium Sulfate and believe me this is most hardest and difficult job with patient sleeping in their stool to pulling out Catheter and rupturing urethra.Bring Tea, Samosa and Snacks for Consultant.Lots of Scutwork which was more then Medicine and Surgery combined.PediatricsDuration: 1 Month divided into 10 days for SNCU complex, 10 days PICU and thalassemia and 10 days Ward.SNCU COMPLEX:SNCU complex in my college is one of the best in entire country having 300 Beds just dedicated for Neonates.Duties in NICU and SNCU would be 24 hours and it use to get really boring as we weren’t allowed to do much.Work included siting and giving gloves and other items to seniors while they performed procedure.PICUSame as NICU and SNCU with bigger children who won’t stop crying .Though I use to get really irritated as we weren’t allowed to do much but sit or do some suction but many children whom I thought won’t live did survive which made my faith in medicine to grow stronger.WardAgain not much to do other then few routine work like drawing blood.OrthopedicsDuration : 1 monthAdmission Day: Two Admission Day per week with a rotation every 3rd week. Every Intern comes in Morning to OPD screens hundreds of patient who come for PAIN management. After OPD few Interns are allowed to go home who has night emergency duty while rest of the Interns give evening Emergency Duty.Operation Theater :One Emergency OT on Each admission dayOne Major OT after admission DayWork as InternEverything that I mentioned previously.Other then that apply POP slabIn OT interns don’t get to assistInterns are expected to operate and push a heavy machine known as C arm which weights few tons in OT and take perfect X-ray( A Pic of C arm machine from Google Images)Short but Good PostingPsychiatry: I slept 80 hours of 90 hours that was allotted to me so can’t comment much. Anyone need cool life do PG in Psychiatry.Anesthesia: Sit In OPD and do PACEYE: Attend OPD and check visual acuity of patient.Blood Bank: Go to random Blood donation camp as medical officer and measure blood pressure.ENT: Same as Orthopedics but without C arm in OT and less patientsCTVS: Sit in OPD and see Your professors who are treated as GOD by their patient.General Emergency: My personal Favorite and wrote a detail answer.Kamal Poddar's answer to How was your experience working as MBBS intern in general emergency of your hospital?PSM: Divided into Urban and Rural postingWrote a detail answer Kamal Poddar's answer to How was your experience working in rural hospitals during an MBBS internship?I guess this answer got very detailed but it’s very difficult to share a experience of a entire year in a single answer. I learnt lot of things in a very short span of time and thankful that before MBBS graduates are given a degree they has to go through internship where they meet amazing people and make memories of a lifetime.I have written multiple answers detailing few amazing stories that I witnessed during Internship.Thank You

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