yash-pandya

Yash Pandya

Yash Pandya is a science writer at The "Almost" Doctor's Channel. He is a rising third-year student at the University of Pittsburgh, majoring in Emergency Medicine with minors in Neuroscience and Chemistry. Yash plans on attending the University of Pittsburgh School of Medicine in Fall 2016 with guaranteed admission. In addition to the usual humdrum of academic involvement, Yash loves to play Ping Pong, catch up on the latest "Big Bang Theory," and travel. Having lived in India for half his lifetime, Yash aspires to expand his horizons into international healthcare by practicing medicine globally.

Lethal Cardiac Rhythms That Everyone Should Know

Walking down the street, taking in the sun’s ray, Everything is calm and cool, wishing it were like this everyday. You suddenly notice a commotion, people are gathering around, Sirens are blaring loudly, while people stare at the ground. As you get closer, you see a man down, And discover that this is apparently how he was found. What is going on? You don’t know. But you will be aware, when I will show.   Cardiac arrests are the stressful phenomena of medical science, But what exactly leads to this end of life defiance? What happens in the heart that is so lethal? And makes the doctors useless, while spectators create upheaval?   There are two cardiac rhythms that bring a person’s demise, Vfib is one, and pulseless VTach the other surprise. Ventricular Fibrillation and Pulseless Ventricular Tachycardia are their names, Both a result of electrical dysfunction, rendering the heart to flames. An example of ventricular fibrillation. Consists of erratic electrical activity. https://commons.wikimedia.org/wiki/File:De-Rhythm_ventricular_fibrillation_%28CardioNetworks_ECGpedia%29.png   In this EKG, the sawtooth-shaped waves in Lead II most accurately represent the most common pattern seen in Ventricular Tachycardia. https://commons.wikimedia.org/wiki/File:Torsades_de_Pointes_TdP.png   As the ventricles contract ineffectively and blood remains still, Perfusion is compromised, the body like a useless water mill. It could be a clot or an overdose, including a range of reasons, But we know not the exact cause, oh such a treason!...

The Must Have Clinical Skills For Medical School

As a curious freshman on a large college campus, it can get quickly intimidating when it comes time to pick your major. Should you do Neuroscience and follow the bold or stick to the generic Biology concentration along with the crowd? Both are viable options, but which major will truly prepare you for a long and arduous career in the medical field? As undergraduate students, we do everything in our power to get as much clinical experience as possible, including involvement in research projects or job shadowing across various medical specialties. While all these avenues serve to boost our resume in a considerable manner, allowing us to showcase our clinical exposure to medical schools, there is one up and coming major that will completely blow your mind in all these arenas: Emergency Medicine. Now, I know what you’re thinking: “I thought that was a professional field. How can it be an undergraduate major?” Well, it turns out that it CAN be an area of study in today’s brave new world. There are few schools in the United States who have embraced this field for their students, but it is undoubtedly growing in renown and recognition. In its essence, an Emergency Medicine major trains you to become a paramedic, which marks the highest level of pre-hospital care. As you see those ambulances whiz by in full throttle and adrenaline on...

I Call Dibs On That Liver!

During a medical school interview, there are many questions asked of the applicant, including common queries such as “Why do you want to become a doctor?” and “Tell me about the time you volunteered at your local hospital.” However, there are also some unusual questions asked that center around controversial issues, such as organ transplantation, that push the applicant to think critically and justify his position. Imagine you have one kidney that has been procured by a team of transplant surgeons from a healthy, 20-year old male who has been declared dead in a car crash and holds a designated status of an organ donor. There are two prospective recipients in dire need for the organ: 1) A single mother of two children living in Louisville, Kentucky, struggling to survive and fulfill the needs of her family, 2) A medical researcher at the National Institute of Health on the verge of a possible breakthrough in finding a cure for cancer. To which recipient will you choose to give the organ? For questions such as this one, there is rarely a right or wrong answer. Medical school applicants are primarily asked these thought-provoking queries to see how well they handle controversial issues and whether they are aware of current arguments around the topic in society today. However, looking beyond the interview, such questions offer a unique opportunity to ponder the...

The Medyssey (A Thought Provoking Odyssey on Medicine)

An ode of old, that is not often told, This is a story to make the human body unfold. Healing is an art, a practice for the bold, Where have we come, in this journey untold? Are we at a place where human suffering has been curtailed? Or have we promoted a culture where we might have failed? Stretching back to the ancient times of Mesopotamian rule, Medicine has been practiced relentlessly, be it as a skill or a tool. The herbal recipes of old subside the pain for some of us, While religious rituals might work as well, so what’s the big fuss? People are dying everyday as epidemics abound, What can we do as we see our neighbors fall to the ground? As we fast forward to the last three hundred years, Medical care is scattered in the globe, like a child’s tears. While advances are made in many areas of the field, We still lack an understanding of the dead and the healed. Ambulances are formed and hospitals too, But patients are many and doctors very few. Into the 1900s, a turbulent time for the world, Medicine transforms, taking off with wings unfurled. Penicillin is discovered, it is a joyous day indeed! But polio remains with us, an irremovable weed. We need a new direction, a new guidance for all, To progress forward in the field,...

The Rare Rarity of a Ravenous Condition

Dear Sam, First of all, let me start by answering the question in your last letter. I am not well or unwell, just different. I am in a state of mind and body so rare that it is inconceivable for the everyday human being. I was about to say “normal” rather than “everyday,” but what exactly is normal? Is being able to sleep for seven hours at a stretch normal? Maybe for people without insomnia. What about being able to feel pain? Clearly I am one of the few lucky (or unlucky) ones who would be considered abnormal by that standard! Yes, you’ve guessed it right. I have Hereditary Sensory Neuropathy Type I (HSN Type I). Here’s what my hotshot neurologist stated as he triumphantly claimed the diagnosis of my condition: “Chris, based on the multitude of tests we have run and the differential diagnoses we have ruled out, it appears to me that you may have Hereditary Sensory Neuropathy Type I. It is a rare, genetic condition. The reason you are unable to feel pain or temperature changes in your extremities is because the nerves in the area have degenerated. Our main cause of concern is maintaining your health as it stands and preventing any grave injuries than may result from your pain insensitivity. In patients like you, it is not uncommon to have injuries that go undetected...

The Number One Rule of an Obstetric Emergency

The gift of life is one to behold, It is a blessed story, one to be told. A mother and child sharing a life force, The child is the gift, and the mother the source. Yet complications arise in this natural process, What to do when we encounter possible losses? Obstetrics is a field for the bold and the brave, Handling two lives, a family to save. A normal delivery is an outcome treasured, Though a C-section is also well measured!   The rules of the game are clear for one, A condition to dread, as feared as a gun. Ectopic pregnancy is the name to remember, Adding a spark to a suppressed ember. A woman has it, until proven otherwise, One that surprises and everyone despises. What does it look like, how to manage it? Is there a panacea, or a handy kit?   Ectopia is a misimplatation of the fertilized egg, In the fallopian tubes, uterus, or abdominal keg. The fetus develops and the blood supplies grow, Until the pain rises, and the mother turns slow. Abdominal pain and missed periods are the telltale signs, When the rupture happens, that’s when the patient declines. Symptoms of shock are what to look for, Tachycardia, diaphoresis, and hemorrhage make the gore.   Get help right away, surgery is what you need, Experienced hands delve deep into the peritoneal weed....

Breaking the Bad News…How Do Clinicians Do It?

I was working in the ER a few days ago when we received a call from the city medics: Mercy, this is Medic 2. Coming in with a 62-year-old male in cardiac arrest. Patient is intubated and is undergoing chest compressions since the past 25 minutes. 4 rounds of epi and 2 rounds of amio have been given with no return of spontaneous circulation. En route to your facility, ETA 10 minutes.     As the new kid on the block, a cardiac arrest was a big deal for me. However, as I saw the physicians, nurses, and technicians preparing themselves and their equipment for arrival of the EMS crew, a sense of calmness washed over me. Everyone was focused and ready to receive the patient. A pulmonologist (equipped with gloves and a mask) positioned herself at the head of the bed while the trauma surgeon stood beside her. Two nurses were setting up a 1-liter pressure-infused saline bag and the IV equipment. The suction and bag valve mask were being checked. A line of three individuals was set up by the room entrance for CPR. Everything was ready. Now, as the EMS crew entered the ER doors, the moment of truth came… “Hello everyone. This is Mr. John Smith. 62-year-old male found unconscious in his home 45 minutes ago by his family, who had initiated CPR before we...