Topic
Case Studies
Real and composite cases from Indian wards. What happened, what the workspace caught (or missed), and how doctors decided.
9 posts
- 24 June 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Slow Goodbye: Why Paraquat Poisoning Kills Long After the Bottle Is Empty
A weed-killer with no antidote, a patient who walks in talking, and a death that arrives weeks later as the lungs quietly turn to scar.
- 20 May 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Casualty at 11 p.m.
Forty significant clinical decisions in an hour. Six hours of sleep. The pitch every AI clinical tool gets wrong.
- 6 May 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The CCF Case Nobody Escalated
A 62-year-old man in decompensated CCF by 10 p.m. The 6 p.m. obs were the inflection point. Nobody saw them as a slope.
- 3 March 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
Hyperthyroid Storm — The Case I Almost Missed
A 28-year-old with fever, tachycardia, and hypotension. Sepsis was the obvious differential. The TSH was the answer.
- 5 February 2026 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal4 min
The DKA That Survived Because of One Note
A 45-year-old man, DKA, an 11 p.m. ABG, and a handover line that meant the receiving doctor caught a worsening at 3 a.m. instead of 8.
- 23 January 2026 · Medows · Alapan Mondal · Founder, Medows4 min
The Stroke Time Window Under Heavy Load
A 93-minute window. 140 minutes to needle. About 1.9 million neurons lost per minute. Where the time actually went.
- 21 December 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
The Polypharmacy Trap in the Geriatric Ward
An elderly man on warfarin, a new antibiotic, and the kind of interaction every pharmacy software catches — but only after the order is dispensed.
- 8 December 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal4 min
Pediatric Dosing in the Busy OPD
A 14 kg child, the wrong dose, and the dose-checking literature that says it's the system, not the resident.
- 28 October 2025 · Medows · Dr. Soumyadeep Adhikari & Alapan Mondal5 min
Sepsis That Walks In Talking
She walked into casualty post-op, day 2, with vitals that looked fine on every check. The slope was the diagnosis.