Nerve tingling at the feets noticible at night - #11457

I am a medical doctor who started my journey in a bit of unusual place, working at Kari Motor speed way race track as track emergency doctor. That was a 6 month role but it taught me more about fast decicions, quick assesment, and handling trauma cases in seconds than I ever imagined. When accidents happen on track there is no time for second thoughts, you learn to trust your training and act immediatly. After that phase I moved into Bishop Alappat Mission hospital where I joined as a Casualty Medical Officer. Here the challanges are different, the flow of patients is constant, accidents, cardiac issues, medical emergencies, some nights felt endless. I learnt to balance clinical judgement with empathy because most patients or families arrive in panic, and my job is to calm and treat at same time. Working in casualty sharpened my emergency medicine skills, from managing airway and resuscitation to stabilizing multi-trauma patients before shifting to ICU or surgery. I also handle OPD spillover when emergency dept gets overloaded, so there’s this constant need to adapt. The exposure I got across both high pressure race track and hospital casualty gave me a wide perspective about patient care. I became more confident in acute care medicine, developed team coordination with nurses and paramedics, and improved my ability to manage high-risk situations. What keeps me going is seeing patients recover, knowing that those few minutes of timely intervention mattered. My focus now is to continue building on this foundation, working in emergency setups where rapid response and clear thinking save lives.

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.