Dr Harshit Aggarwal

Can Intensivists Ever Have True Autonomy? The Answer May Lie Outside the ICU.

One of the most common frustrations among intensivists is the lack of autonomy. In many hospitals, the intensivist manages the ventilator, vasopressors, CRRT, and life-threatening emergencies—but the final decisions often remain with the admitting consultant. The debate usually revolves around open ICUs vs. closed ICUs. But perhaps we’re asking the wrong question. The Real Problem […]

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Do Medical Conferences Really Need to Be So Expensive—Or Are We Paying for Goodies Instead of Education?

Every conference promises the same thing: “Advancing medical education.” Yet every delegate leaves with a branded bag, a notebook they’ll never use, a pen that disappears within a week, a conference T-shirt, souvenirs, and sometimes an extravagant gala dinner. It raises an uncomfortable question: Are we paying for education—or for packaging? Where Does the Registration

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“Guidelines Are Meant Only to Guide You”—But Have We Actually Read the Guidelines?

One of the most repeated phrases in medicine is: “Guidelines are only meant to guide you.” It sounds wise. It sounds balanced. But here’s the uncomfortable question: How many of us have actually read the guideline before saying that? Guidelines Are More Than Recommendations Modern clinical guidelines are not someone’s opinion. They are the result

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Medical Conferences: Are They Really Improving Patient Care—Or Have They Become Professionally Justified Vacations?

Every year, thousands of doctors travel across the country to attend conferences. The justification is almost always the same: “It’s for academic purposes.” But an uncomfortable question deserves an honest discussion: How much of what we learn at conferences actually changes our clinical practice? The Original Purpose Medical conferences were designed to: When these objectives

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Do You Really Need a Super-Specialty Degree—Or Is It Just About Employability?

For today’s MD graduates, one question comes up repeatedly: “Should I pursue DM/DrNB, or should I start practicing?” A decade ago, an MD was considered the final milestone. Today, for many residents, it feels like just another entrance examination. So, has super-specialization become a necessity—or is it mainly about employability? Medicine Has Changed Medical knowledge

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Is Internal Medicine has some Value—or Has It Become Just a Stepping Stone to Super-Specialization?

Ask an MBBS student today about their dream branch, and many will say DM Cardiology, Gastroenterology, Neurology, or Critical Care Medicine. For many, MD Internal Medicine is no longer the destination—it’s the entrance exam for NEET SS. But does that mean Internal Medicine has lost its value? Absolutely not. The Numbers Tell a Different Story

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Emergency Medicine in India: Why Is the Specialty Still Searching for Its Identity?

Emergency Medicine (EM) was officially recognized as a specialty in India in 2009. More than 15 years later, it remains one of the fastest-growing yet least understood branches of medicine. The question isn’t “Do we need Emergency Medicine?” The answer is obvious. The real question is: Why is the specialty still struggling to establish its

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How I Cracked NEET SS Critical Care Medicine and Secured AIR 72

When I entered the second year of my MD residency, I was certain about one thing—I wanted to pursue Critical Care Medicine. Having a clear goal early made my preparation much more focused. I initially started with Paul Marino’s The ICU Book. It gave me a solid understanding of critical care concepts and physiology. However,

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Snake Bite

Snake Bite (Snake Envenomation)  India accounts for one of the highest snakebite burdens globally. Important venomous snakes: “Big Four” of India Snake Scientific Name Major Toxicity Indian Cobra Naja naja Neurotoxic + Cytotoxic Common Krait Bungarus caeruleus Neurotoxic Russell’s Viper Daboia russelii Hemotoxic + Nephrotoxic Saw-scaled Viper Echis carinatus Hemotoxic Other important species: King cobra

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Subarachnoid Hemorrhage

Subarachnoid Hemorrhage (SAH)  Subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space between the arachnoid mater and pia mater where cerebrospinal fluid (CSF) circulates. It is one of the most devastating neurological emergencies with: Mortality: 25–50% Significant disability among survivors Peak incidence: 40–60 years Approximately 80–85% of spontaneous SAH results from rupture of an intracranial

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