Doktor Akshay Prosto

Doktor Akshay Prosto Medicine. Research. Real talk. My take on the latest in health and life as a doctor.�

They say the eyes are the windows to your soul, but in the ER, they’re the windows to your Hemoglobin. 🩸These 4 images s...
05/02/2026

They say the eyes are the windows to your soul, but in the ER, they’re the windows to your Hemoglobin. 🩸

These 4 images show the lower palpebral conjunctiva of different patients with different Hemoglobin levels

Image A: Hb 7.3
Image B: Hb 12.7
Image C: Hb 14.0
Image D: Hb 14.5

04/01/2026

Doctors are trained to be polite.
"Try to reduce smoking."
"Maybe cut back on sweets."
"Consider some lifestyle modifications."

What we actually mean:
"You are killing yourself slowly and I'm watching it happen."

Politeness is costing patients their lives.

03/01/2026

I don’t know, but as you are still in your third year, you can be done with Step 1 and 2 before graduation. It might seem like a huge hustle to do, but it’s doable and many medical students do it and score decent scores without sacrificing their GPA. Eventually, it’s up to you,

😂😂😂
31/12/2025

😂😂😂

Heart-wrenching photo of a doctor crying behind a hospital after not being able to save the life of a 19 year old boy. 💔...
27/12/2025

Heart-wrenching photo of a doctor crying behind a hospital after not being able to save the life of a 19 year old boy. 💔

Outside of a Southern California hospital, an ER doctor is crouched down against a concrete wall grieving the loss of his 19-year-old patient. A paramedic snaps a photo of the tender scene.

Minutes after the photograph, the doctor returns to work “holding his head high.”

This photo doesnt identify the doctor in photo, but it definitely shows the side of the medical field you never see.

It contains so many life lessons.
The photographer captures a poignant moment in a stoic profession that trains doctors to remain professionally distant. The voyeuristic photo reveals the emotional reality of doctoring and a side of physicians that people don’t usually see while uniting us all in our common humanity.

Unexpected death is universally heartbreaking.
One ER doctor writes “When it comes to our work, nothing is harder and I mean nothing than telling a loved one that their family member is dead. Give me a bloody airway to intubate. Give me the he**in addict who needed IV access. Give me the child with anaphylaxis. But don’t give me the unexpected death. . . . We can only do so much, and we can only hope to do our best. But it’s that moment, when you stop resuscitation, and you look around, you look down at your shoes to make sure there’s no blood on them before talking with family, you put your coat back on and you take a deep breath, because you know that you have to tell a family that literally the worst thing imaginable has happened. And it’s in that moment that I feel. And I feel like the guy in this picture.”

In medicine, crying is unprofessional. That needs to change now.
This photo honors a man for having the courage to cry. It shows the side of physicians that people don’t usually see while uniting us all in our common humanity.
Cp

I once saw a clip where several doctors were asked to chose between diabetes and HIV. They all said they would rather ha...
26/12/2025

I once saw a clip where several doctors were asked to chose between diabetes and HIV. They all said they would rather have HIV because it's way easier to manage than diabetes.

23/12/2025

“My Sugar Is Fine, But I Feel Exhausted” - I hear this commonly from some with Type 2 diabetes.

Problem:
Normal fasting sugar
HbA1c “acceptable”
Constant fatigue

Solution:
Check post-meal glucose. It may be spiking higher
Start eating more proteins
Fix B12 and Vitamin D
Reduce late dinners

Michael and Barbara Shetterly listening via stethoscopes to their late son Matthew's(died at age 23) donated heart beati...
22/12/2025

Michael and Barbara Shetterly listening via stethoscopes to their late son Matthew's(died at age 23) donated heart beating inside recipient Erv Basdon.

21/12/2025
Contribute as much as you can
15/12/2025

Contribute as much as you can

Urgent Need: Financial Help for a Poor Father’s Daughter’s Wedding

14/12/2025

The 5-year heart patient cycle:
1. Angioplasty done
2. Feels fine
3. Stops medicines
4. Stops testing
5. "Sab theek chal raha tha"
6. New cardiac event
7. New stents
8. Back to step 1

I've watched patients do this 3 times.
Some don't get a 4th chance.

13/12/2025

Women delay coming to the hospital because they put everyone else first.

Kids need dinner.
Husband is stressed.
In-laws are visiting.
"I'll go tomorrow."

Tomorrow, the damage is done.

Women's heart attacks are also underdiagnosed. Symptoms are different. Many think it's acidity.

It's not.

Your family needs you alive. Go get checked.

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