Dr. Deepak Duggal

13/11/2024

Learn to give your best regardless of recognition, it drives you more than relying on any kind of praise or reward. This keeps your enthusiasm alive and makes you truly sustainable.

Expect nothing and embrace everything.

29/10/2024

Elderly patients and their challenges!

As the doctor in charge we should be bringing out the patient, in active mode, not in a bed ridden status.

"The best way of preventing a cascade of crisis is by keeping elderly away from un-necessary investigations, keeping them away from over therapies, drugs, health rejuvenator remedies and let them be within their own natural sphere of activity".

"Not all abnormal needs to be treated at the fag end of life, rather it may be a part of their life". An ambulatory oldie with an indwelling urinary catheter is far better than a chairbound elderly entrapped in a whirlpool of laboratory investigations and imaging.

Accept what 'age' gives us rather than trying to treat 'age'.

09/06/2023

Morbidly obese elderly woman weighing ~150 kgs, Diabetic, Fat Embolism syndrome, Obstructive sleep apnea, breath holding time of 15 secs, Sat dropped to 30% during apneic episodes in sleep, 45 cm neck circumference with thick nape of neck padding, posted for fracture left proximal humerus head fixation and rt femur shaft fracture nailing. Case managed using Regional Anaesthesia techniques using PNS and CSE for post op care. Choice of drugs in multimodal analgesia, blood transfusions, diabetic control, ABG corrections and prophylaxis for DVT played an important role.
Difficult airway, fear of ventilator dependency, uncontrolled DM and DVT were the critical demands.
Patient got operated and is happy to be pain free and active 🙏

18/05/2023

Elderly patient posted for surgical intervention on a recurrent brain tumor, post radiation therapy. She had a restricted mouth opening of 1.5 finger and MPC 4. With the use of advanced VLS we could visualise the cords and intubate her to protect her airway during the efforts to remove the tumor.

28/04/2022

145 kgs posted for Orthopaedic Surgery.
Just another day at work.
Making lives pain free. 🙏

28/04/2022

90 yrs young patient for fracture femur with kyphoscoliosis posted for repair.
Making difficult procedures pain free.

21/01/2022

Omicron cases double every 2 days compared to every 2 weeks for Delta. Just the sheer number of extra patients causes more hospitalization/deaths.

Get boosted. Wear masks.🙏

21/01/2022

Myth: "Omicron is mild. Let’s not worry about it"

You won’t hang out with a lion even if the lion was *less* ferocious

21/01/2022

“Myth: Omicron is mild. Let’s not worry about it"

You won’t hang out with a lion even if the lion was *less* ferocious

21/01/2022

“Omicron is not mild; it’s *milder* than delta. It maybe because the vaccine is working. Understand the difference.”

19/01/2022