#Intensive Care Medicine

[balajihospital]

Balaji Hospital | Contact Us for Expert Healthcare Services

Balaji Hospital's Contact Us connects patients & visitors with their dedicated healthcare team, offering phone numbers & email addresses focusing on satisfaction

[ruporas]

feeding the stray cat (ID in alt)

[tmedic]

ICU & ED simulation training -challenging but great experience!💪

[heardatmedschool]

“Putting a patient on a ventilator is the easy part, the challenge is taking them out.”

[a-young-doctors-journey]

The worst part about the ICU is that you get to a point where you're on a first-name basis with family.

Frederick was at bedside every day, sitting beside his wife. When he wasn't, they were on speakerphone, her work of breathing worse each day. We explained to the family that she was really really sick, and they understood that the prognosis was poor.

But when it came time to decide about intubation, they couldn't bring themselves to withdraw care... so we intubated, knowing there was no way that she would ever come off the vent.

It was after 10pm when the nurse came over to us.

"Room 7 won't make it through the night. Maybe you should call family."

My senior looked at me, and asked, "You wanna call the husband?"

"Frederick? No."

"It's important to learn how to have these conversations, you know," he said, somewhat gently.

"I know. And I have them plenty. But you asked me if I want to call him and tell him his wife is dying, and I don't. But I can, if you want me to."

He nodded and dialed the number from our 'Next of Kin' list. "Mr. Smith, I wanted to..."

Not even half an hour later, the monitor by my computer started beeping furiously. Her blood pressure, which had been dangerously low already, tanked. I ran to Room 7 as nurses from surrounding rooms crowded into the little space, code cart already in place.

She had no pulse. The ICU team really did have an intuition for this sort of thing.

We went through the motions of the code, not for a moment believing that we would get her back. But we did. A short-lived miracle... but maybe it would give Frederick just enough time to come back.

The second time her heart stopped, my senior asked me to let the family know that we had done everything we could. I stepped outside, the sounds of the active code behind me, and explained that there was nothing to be done.

"So this is it?" he asked matter-of-factly.

I nodded. "I'm very sorry, Mr. Smith." He thanked me as I walked back into the room just in time to hear the pronouncement.

"Time of death: 10:39 PM."

Gloves came off. Supplies were discarded. The code cart was wheeled unceremoniously out of the room. One of the nurses placed a fresh sheet over the patient, tucking it gently around her.

As I headed back to my workstation, a heart-wrenching sob pierced the hallway. Frederick - a stoic, quiet man who had spent countless hours with wife, ever so hopeful - was sobbing into his knuckles.

I felt the tears well into my own eyes, swallowed hard, and looked up to see the surgery resident coming towards me, no doubt seeing my watery eyes but making no comment.

"Are you taking care of...?"

And the rest of the night went on.

[dramatic-dolphin]

not the person in the notes of that last post going "some syndromes render your life literally unlivable" and then listing two conditions that people are literally living full adult lives with...... ok go tell them their life is unlivable. i don't think they'd agree.

[walrusmagazine]

The Death Dilemma: Are Hospitals Overtreating Patients Nearing the End?

An ER physician on the heavy costs of keeping patients alive when death is inevitable

A code blue is usually associated with acts of medical heroism. But when it is applied to a dying patient in the ICU, it is perhaps the most gut-wrenching betrayal of the Hippocratic oath to do no harm. The pain of chest compressions, the chaos of orders being yelled out, the frenzy of needles and tubes being shoved in your body as you are fading away—doctors know how distressing this must be, and it can be just too much for many of us to handle. ICU teams have come to find workarounds to ethically fraught situations where doing “everything” to a patient who fears death would do absolutely no good and would most certainly deliver harm.

Read more at thewalrus.ca.

Illustration by Nicole Rifkin (reformforest.com)

[doctorfoxtor]

Hi guys, what's your local policy for fluid resuscitation in patients with sepsis (not septic shock) with oliguric CKD or reduced ejection fraction? Some literature supports the aggressive use of crystalloid in patients with septic shock even if they're normally at risk of volume overload, but I wonder if that can be extended to systemically ill patients with a clear source of infection without overt hypotension.

[save-mohamed-family]

My campaign is verified and added to the Gaza Donations page with number 192.

Thank you for documenting my campaign from the following accounts:

@sar-soor @heba-20

@el-shab-hussein

@90-ghost @soon-palestine

@ibtisams @marnota @riding-with-the-wild-hunt @i-am-aprl @northgazaupdates @fallahifag @fairuzfan

I love you all 🙏🙏♥️🌹

I am Mohammed Almanasra, 32 years old, married, and a father of three children: Abdulrahman, 6 years old, Sarah, 4 years old, and Lina, 3 years old.

My story began with the loss of my parents and four of my sisters, who were bombed and lost their lives along with their children after the events of October 7 and the severe war on Gaza. Now, I am facing a severe injury to my leg, which is at risk of amputation if I do not receive the necessary treatment. My wife, children, and I are displaced, without parents or siblings, and my wife is also suffering from uterine cancer.

Recently, I moved to the south of the Gaza Strip, fearing for the lives of my children. We left behind our memories and our new home, for which we had not finished paying the installments, in addition to losing my job. Currently, I live in a tent that does not protect me from the heat of summer or the cold of winter, and without the minimum necessary livinng basics including water, food medical care, clothe and even bedding .

I suffer from a chronic asthma and severe attacks from tightness and an extreme allergy in the ear and I need medicine that are not available, or very expensive .

Under these difficult circumstances, after five attempts at displacement and narrowly escaping death from the bombing, I am trying with all my might to protect my family, the most precious thing I have.

My dreams were shattered, and my house was destroyed, and I found myself living in a tent no larger than 4 square metres. My work turned from a tailor to a street vendor in order to barely buy a few crumbs of bread to feed my children.

Look at what happened to my children because of the intense heat and the insects that thrive in the summer season. Every day, I take them to the hospital to treat them due to poisonous insect bites. I implore every kind-hearted soul to help me protect my children.

My son, Abdul Rahman, has a deep passion for playing football and is a devoted fan of Real Madrid. He always dreamed of playing football at his school, but the war prevented this dream from coming true.

Where are you, Real Madrid fans ?

Help Abdul Rahman achieve his dream.

Every donation will make an enormous difference in helping me save my family.

I feel very sad and embarrassed to ask for help, but I have no other options left. I know that this request is difficult, but I also know that there is still humanity and living consciences and I believe in miracles.

Your support during this extremely difficult time will give us hope in the midst of devastation and despair.

If you have any inquiries or questions, feel free to ask me, please!

To everyone with a compassionate heart,

To all who understand the essence of humanity,

This is a message from my innocent children, who trust that their words will reach everyone who truly understands the meaning of childhood.

We cry out to you, asking you to feel our sorrow and pain, and to extend a helping hand to us in this time when we are in desperate need of your mercy and compassion.

My name is being repeatedly added to many public and private donation campaigns. Please, be a support for me in this difficult situation.

https://docs.google.com/spreadsheets/u/0/d/1yYkNp5U3ANwILl2MknJi9G7ArY4uVTEEQ1CVfzR8Ioo/htmlview

@communistchilchuck 🫶🇵🇸

@nabulsi

@sayruq

@communistchilchuck @90-ghost @sar-soor @fairuzfan @ibtisams @fallahifag @vakarians-babe @palipunk @palestinecharitycommissionsassoc @stil-lindigo @vakarian-shepard @northgazaupdates

@faggotfungus @ghost-and-a-half @three-croissants @riding-with-the-wild-hunt @magnus-rhymes-with-swagness @marnota @northgazaupdates

Sincere greetings & thanks

Mohammed & the family

[determinate-negation]

you may have seen me post about fidaa’s campaign @fidaa-family2 (this is a verified campaign)

graphic by @fading-event-608

fidaa is a 29 year old woman from gaza with two very young children, muhammed and sila, one of whom was born during the war. her home was destroyed and she’s been displaced many times, and is currently separated from the rest of her family- her husband, her many siblings, and her parents. i can only imagine how nerve-wracking this is.

she’s doing her best to take care of her children by herself, despite facing hunger, thirst, widespread disease, and the threat of death. the other day, there was intense bombing near her and another family close to her was killed. life in gaza right now is hell and she told me they feel like they are just waiting for their turn to die.

fidaa and i talk often, and i feel lucky to know her. she’s an incredibly strong person, she travels long distances to find limited supplies for her kids and helps her siblings raise money even though shes separated from them.

but she needs help. the situation in gaza is so bad right now, the idf is preventing aid from entering and the food, water, and medicine available are extremely expensive. please share and donate to help her and her children survive and eventually leave gaza

$18,738 out of $30,000

[balajihospital]

Balaji Hospital | Neurosurgery for Brain & Spinal Conditions

Balaji Hospital's Neurosurgeon showcases a team providing advanced surgical solutions for brain, spine & nervous system conditions using techniques & technology

[cerificatecoursegma]

Fellowship in Critical Care in India and Online Fellowship in Intensive Care Medicine

In the dynamic landscape of healthcare, the demand for specialized medical professionals, particularly in critical care, is ever-increasing. Recognizing this need, fellowship programs in critical care have emerged as invaluable avenues for healthcare practitioners seeking to enhance their skills and knowledge in managing critically ill patients. In India, as well as globally, these programs serve as pillars of expertise, fostering the development of competent intensivists capable of providing high-quality care in intensive care units (ICUs) across diverse healthcare settings.

Understanding Fellowship in Critical Care in India

Fellowship programs in critical care in India are structured postgraduate courses designed to equip medical graduates with comprehensive skills and expertise in managing critically ill patients. These programs typically span one to two years, during which fellows undergo rigorous training encompassing various aspects of critical care medicine. The curriculum often includes didactic lectures, clinical rotations in ICUs, hands-on procedural training, and research opportunities, all under the guidance of experienced intensivists.

The objectives of fellowship programs in critical care in India are multifaceted. Firstly, they aim to cultivate a deep understanding of critical illness pathophysiology, including respiratory, cardiovascular, neurological, and renal dysfunctions, among others. Secondly, fellows learn advanced life support techniques, invasive procedures such as intubation and central line placements, and the management of complex medical emergencies. Additionally, emphasis is placed on interdisciplinary teamwork, communication skills, ethical considerations, and end-of-life care in critical care settings.

The Rise of Online Fellowship in Intensive Care Medicine

With the advent of technology and the global connectivity afforded by the internet, online fellowship programs in intensive care medicine have gained traction in recent years. These programs offer a flexible and accessible alternative to traditional, in-person fellowships, particularly advantageous for healthcare professionals balancing clinical responsibilities with academic pursuits or residing in geographically remote areas.

Online fellowship in intensive care medicine leverages various digital platforms and educational resources to deliver a comprehensive curriculum comparable to its offline counterparts. Through live webinars, virtual case discussions, interactive modules, and simulation-based training, participants gain theoretical knowledge and practical skills essential for managing critically ill patients. Moreover, online forums and discussion boards facilitate peer-to-peer learning and collaboration among participants from diverse geographical locations.

Bridging the Gap: Offline and Online Fellowship Integration

While traditional fellowship programs in critical care provide invaluable hands-on experience and direct patient care opportunities, online fellowships offer flexibility and accessibility, catering to a broader audience of healthcare professionals. Recognizing the complementary nature of these approaches, some institutions have begun integrating offline and online components into hybrid fellowship models.

In hybrid fellowship programs, participants benefit from a blend of in-person clinical rotations in ICUs, procedural training, and face-to-face interactions with mentors, augmented by online lectures, virtual simulations, and remote mentorship. This hybrid approach combines the strengths of both offline and online modalities, fostering a well-rounded learning experience that transcends geographical boundaries and enhances accessibility without compromising on quality.

The Impact and Future of Fellowship in Critical Care

The significance of online fellowship programs in critical care, both in India and globally, cannot be overstated. As the complexity of critical illness continues to evolve, the role of intensivists becomes increasingly indispensable in delivering optimal patient outcomes. Fellowship-trained intensivists possess the expertise, confidence, and interdisciplinary collaboration skills necessary to navigate the intricacies of modern ICUs and address the diverse needs of critically ill patients.

Looking ahead, the future of fellowship in critical care is poised for innovation and expansion. Advances in medical education, technology, and healthcare delivery will continue to shape the landscape of intensive care medicine education, offering new avenues for learning, collaboration, and professional development. Whether through traditional offline programs, online fellowships, or hybrid models, the pursuit of excellence in critical care remains paramount, driven by a shared commitment to advancing patient care and improving clinical outcomes.

[manwalksintobar]

R.I.P., My Love (part i) // Tory Dent

Let us be apart then like the panoptical chambers in IC patient X and patient Y, our names magic markered hurriedly on cardboard and taped pell-mell to the sliding glass doors, "Mary", "Donald", "Tory"; an indication that our presence there would prove beyond temporary, like snow flurry. Our health might be regained if aggressive medical action were taken, or despite these best efforts, lost like missing children in the brambles of poor fortune.  The suffering of another's I can only envision through the mimesis of my own, the alarming monitor next door in lieu of a heartbeat signifying cardiac arrest,  prompts a scurry of interns and nurses, their urgent footsteps to which I listen, inert and prostrate, as if subject to the ground tremors of  a herd of buffalo or horses, just a blur in the parched and post-nuclear distance. I listen, perhaps the way the wounded will listen to the continuing war,  so different sounding than before, the assault of noise now deflected against consciousness rather than serving as motivation for patriotism and targets.  Like fistfuls of dirt loaded with pebbles and rocks thrown at my front door, I knew that the footsteps would soon be running to me also. The blood pressure cuff swaddled around my arm pumped in its diastolic state independently like an iced organ ready for transplant as I witnessed with one circular rove of my eyes my body now dissected into television sets, like one of those asymmetrical structures  that serves as a model for a molecular unity in elementary science classes. And the plastic bags of IV fluids that hung above me, a Miró-like mobile or iconic toy  for an infant's amusement, measured the passing of time by virtue of their depletion.  Sometimes I could count almost five and then seven swinging vaguely above me at 4 am. I remember the first, hand-held high above me when I arrived via ambulance at the ER, the gurney accelerating as a voice exclaims on the color of my hands "they're blue!".  Another voice (deeper) virtually yells out into the chaos that she can't get a pulse. Several pairs of scissors begin simultaneously to cut off my clothes, their shears working their way upward like army ants from pant cuff and shirt-sleeve,  a formulaic move for the ER staff which, despite its routine, still retains a sense of impromptu in the hurriedness of the cutting both deft and crude, in the sound of their increased breathing, of their efforts intensified by my blood  pressure dropping, the numbers shouted out as if into night fog and ocean. It's not a lack of professionalism but the wager of emotional investment that I feel. One attendant, losing her aplomb for a moment, can't contain herself from remarking  (as if I'm already post-mortem) on what a great bra I have; "Stretch lace demi-cup, Victoria's Secret," I respond politely in my head.

[market-insider]

Extracorporeal Membrane Oxygenation Machine | Exploring Opportunities and Challenges

The global extracorporeal membrane oxygenation machine market size is anticipated to reach to reach USD 445.7 million by 2030, expanding at a CAGR of 5.5% from 2024 to 2030, based on a new report by Grand View Research, Inc. This growth can be attributed to the rising prevalence of cardiopulmonary and respiratory diseases, increasing adoption of ECMO machines in hospitals, and technological advancements in ECMO machines. The market expansion is also driven by the need for advanced life support technologies like ECMO machines, which are becoming increasingly necessary in treating patients with severe or life-threatening cardiac or pulmonary conditions.

Extracorporeal Membrane Oxygenation Machine Market Report Highlights

In 2023, the oxygenators segment accounted for the largest market share. This can be attributed due to prevalence of diseases like coronary heart disease and chronic obstructive pulmonary disease (COPD) continues to rise, the demand for advanced life support technologies like ECMO machines increases, driving the growth of the oxygenators segment.

The veno-arterial segment dominated the modality segment of ECMO machine market in 2023. This growth can be attributed due to high usage of veno-arterial ECMO in treating patients with cardiac arrest, where it assists with algorithm life support strategies to restore blood circulation. Additionally, the increasing incidence of chronic obstructive pulmonary disease (COPD) is also a key driver of this market segment.

The respiratory segment dominated the application segment in 2023 due to the high prevalence of respiratory diseases, such as Chronic Obstructive Pulmonary Disease (COPD) and acute respiratory distress syndrome (ARDS), which are leading causes of death worldwide, necessitate advanced life support technologies like ECMO machines.

The adult patient segment dominated the patient type segment in 2023 due to the prevalent incidence of heart and lung-related issues necessitating life-saving interventions.

The North American region held the largest share of the market in 2023 due to key industry players, consistent product launches, government backing for quality healthcare, advanced healthcare infrastructure, and favorable reimbursement policies.

Market players adopt several strategic initiatives to increase the product reach and improve availability in diverse geographic areas.

For More Details or Sample Copy please visit link @: Extracorporeal Membrane Oxygenation Machine Market Report

The rising prevalence of cardiovascular and respiratory diseases. Diseases such as coronary heart disease, cerebrovascular disease, rheumatic and congenital heart diseases, respiratory diseases like acute respiratory distress syndrome (ARDS), and chronic obstructive pulmonary diseases are leading causes of death worldwide. For instance, according to the World Heart Federation, approximately 18.6 million people die annually from cardiovascular diseases. Additionally, about 190,000 Americans are diagnosed with ARDS annually in the U.S. Such an increasing prevalence of cardiovascular and respiratory diseases has boosted the demand for ECMO machines, driving the market growth.

In addition, the increasing rate of technical improvement is increasing the usage of products. It is easier to transfer critically ill patients now as machine parts like hollow pumps and oxygenators are smaller. Moreover, introducing technologically advanced components, such as improved rotary pumps, dual-lumen cannulas, innovative oxygenators, and new cannulation approaches, is anticipated to ease the use of ECMO machines. For instance, in 2022, Inspira Technologies OXY B.H.N. Ltd. recently introduced the "Liby" System, an advanced life support system used to treat patients with life-threatening heart and lung failure. Similar advancements and the introduction of new products are expected to drive market growth in the coming years.

[kira-akira]

What I Want You To Know About Long COVID

Well lads, I've been suffering from Long COVID for over a year now. My life is at a complete standstill. I'm 25 years old and I'm too sick to go back to school, I can't work, I had to move back in with my parents and I'm still stuck here.

Here are just a few things I wish people knew about Long COVID, including things I didn't know myself until I got it.

COVID destroys your immune system. Yes, even if you don't have Long COVID. Are you getting sick more often now? When you get sick, does it last longer? There are many studies showing that COVID causes t cell depletion, even in mild COVID cases! T cells are how your body remembers how to fight off infections you've had before so losing those cells? Bad news.

Your initial infection can be mild and you can still get Long COVID. Right from Yale Medicine, "Most people with Long COVID had mild acute COVID." (This is also a good link for a basic Long COVID overview).

There can be a gap of time between when you "get better" from the initial COVID infection to the onset of Long COVID symptoms. Some people get sick with an initial COVID infection and never get better. Some get better and then weeks or months later start developing Long COVID symptoms. Long COVID symptoms can even fluctuate over time, can go away for months and then suddenly come back.

So many people have Long COVID and don't realize it. Do you feel more tired lately but no matter how much you sleep, nothing helps? Is it harder to concentrate at work or school? Can you just not think like you used to? You could have Long COVID and not even know it. Even mild post-COVID symptoms are still Long COVID.

COVID can do anything to your body. Long COVID has over 200 recognized symptoms and can affect basically any part or system of your body. There is no one mechanism or cause of Long COVID which unfortunately also means there's no one cure either.

The effects of COVID are cumulative. Each COVID reinfection increases your chances of developing Long COVID. COVID is also affecting your body in other ways, yes, even if you're otherwise young and healthy! "Repeat COVID-19 infections increase risk of organ failure, death".

Once you have Long COVID, repeat COVID infections will make your symptoms worse. "80% [of Long COVID patients] saw their symptoms worsen [from reinfection]. In 60% of people who were in recovery or remission from Long COVID, reinfection caused a recurrence of Long COVID."

There is a lot more I want to say about Long COVID but I want to keep this post at least somewhat manageable to read. Like how when COVID is contracted during pregnancy, those COVID-exposed fetuses have a 6.3-fold increased risk of motor developmental delays, or that another study found 50% of babies exposed to COVID in utero had developmental delays.

You need to keep caring about COVID, for others around you and also for yourself even if you're "healthy". Everyone is at risk. And don't forget 40-60% of COVID infections are asymptomatic, which is why masking even if you feel fine is crucial. The only way right now to not get Long COVID is to not get COVID in the first place. It's not too late, if you've stopped masking it's never too late to start again! I know it's easy to get distracted by things in your life that seem more real than the possibility of getting sick some time in the future, and the peer pressure to not mask can be intense. But it only feels less real or less important until your entire life is having Long COVID. Trust me.

I know this is a complicated issue, many people can't afford to stay home when sick even if they want to because of their jobs, there are disgusting policies trying to ban wearing masks, but please if you can. Keep masking. Masking works, masking saves lives.

This post got a bit longer than I wanted so below the cut is a non-exhaustive list of my Long COVID symptoms and some of my experiences as one of the "healthy young people" who got "unlucky". cw brief mention of suicidal ideation.

Welcome to the Thunderdome that is my body with Long COVID. Keep in mind these are just my experiences and symptoms, Long COVID can cause any range of symptoms at varying severities.

Dysautonomia: Exercise intolerance, Post-Exertional Malaise (PEM), fatigue, and heat intolerance. What do those things mean? Here's some specific examples. Absolutely terrible circulation I am so cold all the time but also, if I get a little too warm I will pass out. Eating hot food makes my heart rate spike, I sweat, my body feels heavy. Blood pooling and pins and needles in my feet when I walk. Don't even think about exercising past walking, it's impossible. I used to work out an hour a day 4 times a week and now walking up one flight of stairs makes my heart pound and I can't breathe. Can't take even just warm showers anymore or I will pass out. Heat rashes from being in the sun for 10 minutes.

Digestive issues: Honestly too many to name but: constant bloating, extreme nausea, constipation, slow motility, lack of appetite, just so much cramping and pain. I lost 18 pounds from Long COVID, as someone who was already considered underweight their entire life, and almost had to get a shunt put into my chest to deliver nutrients because I was nearly completely unable to eat. For the first 6 months of Long COVID, if I could manage 600 calories a day, that was a good day.

Histamine intolerance: Oh boy. My worst symptoms, I don't even know where to start with it. If you know Mast Cell Activation Syndrome (MCAS) it's very similar. I can only eat 19 foods. If i eat a single bite of something not on that list, it's 48 hours of absolute hell. Coughing, migraines, itchy eyes, such extreme nausea I cannot even describe it, panic/feeling of doom, racing heart rate, derealization, rash, uncontrollable muscle tremors. I only learned about histamine intolerance 5 months into having Long COVID so before that, I was experiencing these symptoms nearly every single day. Terrifying isn't even a strong enough word to describe how it felt to experience all this and have no idea what it was, how to stop it, or if it would ever stop. Really dark times.

Neurological issues: More of that derealization. Inability to concentrate. Anxiety. OCD-like symptoms such as thoughts getting "stuck" in my head, repeating 24/7 completely unable to stop them, genuinely felt like my brain had cracked open and I had lost my mind. Constant dizziness like I'm on a boat.

Sleep issues: I sleep like garbage. I have insomnia, I wake up dozens of times every night and every single time I sleep I have intensely vivid dreams. I can't sleep longer than 7 hours total no matter how exhausted I am. It is exhausting. I'm exhausted, I'm so so tired.

And finally. Just. Really intense suicidal ideation. My body, my health, my entire life has been stolen from me because someone else decided my life was worth less to them than wearing a mask or staying home if they feel sick. Before I got Long COVID, I was preparing to go to South Korea to teach English, then on to a PhD in neurolinguistics, I was supposed to meet my long distance partner and had already booked plane tickets when I got sick. All of that has been destroyed.

Most of us with Long COVID are stuck in a cycle of being extremely sick, then if you're lucky you'll slowly get better over months, just to get reinfected and go right back where you started or worse. Honestly, I'm not scared of dying from COVID. I'm scared of living for a long time, suffering from Long COVID the entire time. This isn't living.

I don't know how to end this now. I'm still fighting, I'm trying experimental treatments, I'm not giving up yet. I hope everyone reading this stays healthy and well.

[ellesimsworld]

Medical School Student Mod | Sims 4

Click HERE for Version 2 on my Patreon. Requirements: 

EP01: Get to Work EP08: Discover University XML Injector by SCUMBUMBO

Have you ever wanted your Sims to go to medical school before entering the doctor career? Or maybe your Sim just wants to go to medical school for the hell of it! Well in my pursuit of adding more gameplay mods to my save for better storytelling, I created this medical school student career track! I made this career available for Teens-Adults.

Applying to Medical School

Even though the medical school track, is technically a joinable career, I still wanted to create the opportunity for your Sims to apply to medical school! Applying will take about 3-4 hours and will cost them §500.

Medical Institutions:

Your Sim will be randomly placed at one of the following medical institutions:

-The Landgraab School of Medicine -University of Britchester School of Medicine -Foxbury Institute of Medicine and Health Sciences -Plumbob Center of Medicine -Newcrest Center for Medicinal Sciences -Komorebi Institute of Medicinal Studies -University of Willow Creek, Goth School of Medicine

Again, their placement will be randomized. If you want your Sim to work at a specific medical institute, you can quit and rejoin the career until you get your desired one.

Pay: Your Sims will be unpaid until they become an intern (Level 5). For the first four levels, it is up to you to decide how (or if) your Sims will make simoleons. I recommend the Unlimited Jobs mod by TURBODRIVER, which allows you to have multiple jobs at a time. You can check it out here if you like.

Career Track

This career track comes with 9 levels:

Preclinical Med Student I: (§0)

Starting your journey into the medical field, you're diving into basic sciences and learning the foundational concepts of medicine. It's a challenging start, but with hard work, you'll build the knowledge needed for your future career.

Preclinical Med Student II: (§0)

With the first year behind you, you're now diving deeper into complex medical subjects. Balancing intense coursework and initial patient interactions, you're beginning to see how your studies apply to real-world healthcare.

Preclinical Med Student III: (§0)

Transitioning from the classroom to clinical rotations, you're getting hands-on experience in various specialties. Your understanding of medicine is growing rapidly as you apply your knowledge to real patients under supervision.

Preclinical Med Student IV: (§0)

In the final phase of your medical school journey, you're solidifying your skills and preparing for the next step. As you complete your rotations and apply for residency programs, you're focused on becoming a competent and compassionate doctor.

Intern: (§10)

Welcome to the first year of residency! As an intern, you're now a doctor, responsible for patient care under the guidance of senior physicians. The hours are long, but each day brings invaluable learning experiences and growth. Junior Resident: (§15)

With a year of internship behind you, you're now taking on more responsibilities. Your confidence is building as you make more independent decisions and start to specialize in a particular field of medicine.

Senior Resident:(§20)

Nearing the end of your residency, you're a seasoned doctor with a wealth of clinical experience. You're mentoring interns and junior residents while honing your expertise and preparing for the final stages of your training. Chief Resident: (§25)

As the chief resident, you're a leader among your peers, coordinating the residency program and ensuring the smooth operation of the team. Your skills and leadership abilities are put to the test as you balance administrative duties with patient care.

Fellow: (§35)

Specializing further, you're now a fellow, focusing on a particular area of medicine. This stage is all about mastering your chosen field, conducting research, and becoming a true expert before transitioning to an attending physician role.

Hours:

The hours for this career track are LONG! Again, I wanted to add as much realism as I could. So, expect your Sim to be gone for practically the entire day! They most likely will come back home with a tense/dazed buff.

Skills and Objectives The major skills your Sim will be focusing on in this career are Logic, Writing, Handiness, and Research & Debate. Your Sims objectives are essentially to progress these skills to the required levels.

Computer Interactions and Rabbitholes: There is a separate in-game pie menu for Medical Students on computers. This comes with nine (9) new interactions and rabbithole activities for your Sims!

The time for each activity varies; but expect your Sim to spend HOURS doing most of them lol (for example, the Medical Conference may take 3-4 hours, and going to Clinical Rounds may take 5-6 hours. For rabbithole activities, your Sim will go to the computer first, before leaving. Also be ready to spend some simoleons on activities such as paying tuition, going to conferences, and textbooks (SEE BELOW)

Textbooks:

What is medical school without textbooks...and expensive ones too?! I added four (4) new textbooks. They total to about§500.  They're also located under the Emotional category since they give your Sims a Focused buff, which can help them build their skills.

Lot Traits:

For those who want to take their gameplay up a notch, I created a Medical School Lot Trait. But because we don't have medical school lots in game, if you plan on building a medical school for your Sims, it will most likely have to be on a generic lot.

Buffs: Several buffs come in game with the various interactions! Here is a quick snapshot of a few:

Trait & Conversation Topics: Lastly, I also created a CAS trait for your Sims who are/ or want to become medical students. This trait comes with basic wants such as wanting to go to the library or researching something on Simpedia. The trait itself should be in the Lifestyle category.

Also, Sims with this trait will have the following conversation topics available to them:

Important:

Please make SURE that you have the XML Injector installed; and that you have script mods enabled. Also try not to separate package and script files or place script files more than 2 folders deep!

Known Problems/ Conflicts:

As of now, there are no reported conflicts or problems with this mod. Feel free to join the discord to let me know of any issues that you detect.

Update Log: 5/17/2024

As requested, I added the postgraduate positions such as interns, as well as junior, senior and chief residents, and fellows. I also added pay for these levels.

5/21/2024 MOD IS CURRENTLY BEING UPDATED (WITH MORE GAMEPLAY FEATURES 😊) BECOME A FREE PATRON OR PAID MEMBER TO GET UPDATES!

5/22/2024 Additional gameplay features were added. If you downloaded the old files before on this date, PLEASE DELETE, AND REPLACE WITH THE NEW FILES.

T.O.U.

Please do not claim this mod as your own. Please do not upload this mod to any other websites. Please let me know before translating this mod.

FOR DOWNLOAD AND MORE INFORMATION, visit my Patreon.

elle.