Nerve tingling at the feets noticible at night - #11457

I am a physician with a journey that stretched over many years across different departments and roles, each adding something new to my skill set. My career started in July 2011 with a year-long rotatory internship at Medical College Hospital. That’s where I first learnt the essential clinical procedures like IV cannulation, Ryle’s tube insertion, Foley’s catheterization, normal vaginal deliveries with episiotomy and repair, surgical sutures, blood transfusion, even applying temporary slab for fractures. It was hectic but gave me that base confidence in managing real patients. In 2012 I moved into a housestaffship in Paediatric surgery, spending one year working closely with children. That taught me the finer patience needed in cannulation and phlebotomy in pediatric patients, plus constant monitoring of post-operative cases. From 2014 to 2017 I entered a full three-year residency in Medicine, and here my training deepened—learning systematic history taking, working towards a solid provisional diagnosis, interpreting CT scans (brain, chest, abdomen), and managing emergencies both in medical and general wards. I performed advanced procedures like central line cannulation, intubation, percutaneous biopsy, intraarticular injections, and managed critical care patients along with rheumatology conditions. Later, in Basirhat Superspeciality Hospital (2017–2018) I worked as contractual medical officer and bed-in-charge, balancing both IPD and OPD medicine patients. The following year, I continued as consultant at GNRC Medical in General Medicine, again managing broad-spectrum medical cases. From 2019 to 2022, I worked at IPGMER & SSKM Hospital in the Department of Medicine as RMO cum clinical tutor, where apart from emergencies and chronic disease care, I also taught undergraduate and postgraduate students. Teaching brought a new dimension, pushing me to be more precise and updated. In April 2022 I joined residency in Clinical Immunology and Rheumatology at IPGMER. Over three years, I gained direct experience managing complicated autoimmune disorders like SLE, systemic sclerosis, myositis, RA, ankylosing spondylitis, along with autoimmune eye and lung disease. I performed salivary gland and kidney biopsies, intraarticular injections across major and small joints, managed biologic infusions, and learnt immunology lab interpretations—ANA, ANCA, ENA, myositis profile, autoimmune encephalitis panels, and musculoskeletal USG guided interventions. Right now, I am serving as Senior Resident in the Rheumatology department at IPGMER. Looking back, the mix of emergency medicine, general medicine, pediatrics, rheumatology and teaching has shaped me into a clinician who can handle complex, multidisciplinary cases while still keeping patient-centered care at the core.

I am a general physician with more than 10 yr of clinical experiance, and in this time I worked with patients from all age groups, from young kids to elderly with multiple chronic issues. My practice has been wide, but I gradually developed deeper intrest in diabetology. I spend much of my day focusing on prevention, early diagnosis and management of diabetes, using lifestyle modification, medical therapy and regular monitoring. Many patients come worried about complications, and I try to explain things in simple language, whether it is diet, excercise, or understanding lab reports, so they dont feel lost. I also conduct detailed diagnostic evaluation and use evidence based protocols to make sure treatment is reliable and updated, even if sometimes I double check myself when results dont match the clinical picture. Apart from regular OPD practice, I gained strong experiance in occupational health. Over years I worked with multiple companies handling pre employment checks, annual medical exams, workplace wellness programs, and ensuring compliance with industrial health and safety standards. It is diffrent from hospital practice, but equally important, because healthy workers mean safe and productive workplace. I run medical surveillance programs and health awareness sessions in collaboration with corporates, and this also gave me exposure to preventive strategies on a large scale. For me, patient care is not just treatment but building trust. My career revolve around preventive medicine, ethical clinical practice, and continuous learning. I keep myself updated with modern medical protocols, but I also value listening to patient worries, since medicine is not only about lab values but also about how a person feels in daily life. I make mistakes in words sometimes, but in my work I try to be very precise. At end of day, my aim is to provide care that is accessible, evidence based and truly centered on patient well being.