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Ambarish Satwik Profile
Ambarish Satwik

@AmbarishSatwik

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Vascular surgeon, writer.

Joined May 2015
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@AmbarishSatwik
Ambarish Satwik
4 years
On Thomas Paine's bones and what happened in Mahad (Maharashtra) in 1927. Thread.
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@AmbarishSatwik
Ambarish Satwik
3 years
What Covid clots look like. Covid produces blood clots. The incidence of heart attack, stroke, or limb loss due to an arterial clot in Covid varies from 2%-5%. We pried these out of the lower limb arteries of a Covid patient. We were able to save the limb.
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@AmbarishSatwik
Ambarish Satwik
2 years
This is the imperishable story of the most exclusive private social club in the world.
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@AmbarishSatwik
Ambarish Satwik
1 year
Pathan. Badshah Khan. We don’t remember and celebrate him enough.
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@AmbarishSatwik
Ambarish Satwik
2 years
“Now, you’ve got an aneurysm in there as big as a grapefruit, and it’s about ready to burst. But you’re a strong boy, and I’m the best surgeon in the world, so if this had to happen, we’ve got the best possible odds.”
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@AmbarishSatwik
Ambarish Satwik
3 years
How the man on the left saved the man on the right with cellophane. Thread.
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@AmbarishSatwik
Ambarish Satwik
4 years
Mallikarjun Mansur's last cigarette. Placed in his mouth by his son, Shekhar. Photo credit: Raghu Rai.
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@AmbarishSatwik
Ambarish Satwik
3 years
This is a clickbait image. Parveen Babi had been deceased for nearly forty-eight hours before she was found in her Juhu apartment.
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@AmbarishSatwik
Ambarish Satwik
9 months
When @theliverdr is silenced, it’s not just his right to expression that is denied to him. We have been denied the right to read his arguments and possibly change our opinion. We shall remain slaves to our presently held opinion on matters of vital importance.
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@AmbarishSatwik
Ambarish Satwik
4 years
1. Patanjali did their own trials. 2. The evidence in these ‘clinically controlled trials’ has not been made public before the launch. 3. No peer review. 4. Where is the CDSCO & the Drug Contoller General of India?
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@AmbarishSatwik
Ambarish Satwik
1 year
I interviewed @sachin_rt just a week before his 18th birthday in 1991. At Feroz Shah Kotla. He was playing in the Delhi vs Bombay Ranji quarter-finals. He, in his squeaky voice, most animatedly recounted his first international test hundred at Old Trafford against England.
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@AmbarishSatwik
Ambarish Satwik
2 years
At every meeting, they would unfailingly repeat what McIndoe said to them in 1944: “We do well to remember that the privilege of dying for one’s country is not equal to the privilege of living for it.’
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@AmbarishSatwik
Ambarish Satwik
2 years
Consider, for a moment, the audacious and gnomic cleverness of the life cycle of microscopic pathogens.
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@AmbarishSatwik
Ambarish Satwik
3 years
It’s the air conditioning. Hotel rooms do not meet AISR (Airborne Infection Isolation Requirements). The HVAC needs to be COVID compliant. You think you’re safe in your room, but with central air conditioning, you’re just breathing in communal air.
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@AmbarishSatwik
Ambarish Satwik
4 years
Thread. The only mentionable alumnus of my alma mater, Government Medical College, Miraj (Sangli district, Maharashtra) was shot once in the head, twice in the chest, both obviously his peccant parts. On the kerb of Omkareshwar bridge near Shanivar Peth, Pune, 20 Aug 2013.
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@AmbarishSatwik
Ambarish Satwik
4 years
1982. The way we were. The boy in the corner. ’Tis I.
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@AmbarishSatwik
Ambarish Satwik
3 years
Images of the romantic disease. A fungal ball in a tubercular cavity. The cannonball hole is where the Mycobacteria ate the lung and the airway. The fungus Aspergillus lives in it now. This 36-year-old male came to the casualty coughing out blood incontinently.
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@AmbarishSatwik
Ambarish Satwik
3 years
This is a three ply surgical mask. It isn’t designed to protect the wearer. It’s designed to prevent the wearer from spreading his/her respiratory particles/mucous/spit. Ditto for cloth masks.
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@AmbarishSatwik
Ambarish Satwik
4 years
Thread. Consider this a plea. Busy hospitals (some of them designated covid hospitals) and labs are being probed and barred from covid testing in the middle of a pandemic for testing asymptomatic cases (particularly those being admitted for other reasons). 1/n
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@AmbarishSatwik
Ambarish Satwik
3 years
Here is Homi Bhabha, the aesthete, all of twenty-five (in 1934), writing from Cambridge to a lady friend: “Since I cannot increase the content of life by increasing its duration, I will increase it by increasing its intensity.”
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@AmbarishSatwik
Ambarish Satwik
2 months
Rahul Ram (raconteur/musician/songster/performer/entertainer/social activist/environmental toxicologist/bassist and rock star) has transcribed the phonetics of the elements of the periodic table into a folk song. It was written as a mnemonic for a friend’s daughter. The tune’s
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@AmbarishSatwik
Ambarish Satwik
2 years
The impossible flimsiness of the Til Patti from Beawar, Ajmer. It’s a single layer of sesame seeds. Reminds one of the miracle that is the peritoneal membrane in the abdomen: a single layer of squamous mesothelial cells resting on a thin matrix of connective tissue.
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@AmbarishSatwik
Ambarish Satwik
3 years
This is Mohamed Hewaihi, from Gaza. We trained him in 2018 on the high diving board at the Institute of Vascular and Endovascular Sciences, Ganga Ram Hospital, Delhi. Here, he's doing a thrombectomy to save the limb of a COVID patient with arterial thrombosis in Khanyounis, Gaza.
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@AmbarishSatwik
Ambarish Satwik
4 years
Is the cow a person or a thing? Or a sentient non-person?On Bos indicus and her lactational secretions. Thread.
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@AmbarishSatwik
Ambarish Satwik
2 years
Long after this is over, Ukrainian children will be raised on the power of this defiant broadcast, on the unwavering fortitude in Zelenskyy’s voice.
@therecount
The Recount
2 years
Translator for Ukrainian President Volodymyr Zelenskyy's address to the European Parliament becomes audibly emotional. "Every square of today, no matter what it's called, is going to be called Freedom Square, in every city of our country. Nobody is gonna break us."
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@AmbarishSatwik
Ambarish Satwik
1 year
Srinagar. Dawn breaking over the valley.
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@AmbarishSatwik
Ambarish Satwik
3 years
Happy birthday to the Queen of her species. I have it on good authority that she still keeps a rose behind her ear.
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@AmbarishSatwik
Ambarish Satwik
2 years
Winter ritual. Hurda: freshly harvested tender Jowar grains from Marathwada. Roasted with some ghee. Served hot with a fair sprinkling of lehsun and peanut chutney. Bloody fantastic.
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@AmbarishSatwik
Ambarish Satwik
3 years
What does it take for a certain turn of phrase to unwittingly live through us? Thread.
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@AmbarishSatwik
Ambarish Satwik
3 years
1897. A pandemic ravaged Pune. Bubonic plague. Severe containment measures were in place.
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@AmbarishSatwik
Ambarish Satwik
4 years
Screen test for Attenborough’s Gandhi.
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@AmbarishSatwik
Ambarish Satwik
2 years
So Jesus walks into a restaurant with his apostles and asks for a table for twenty-six. The maître d': “But there are only thirteen of you.” Jesus: “That’s alright, we all sit on the same side.”
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@AmbarishSatwik
Ambarish Satwik
4 years
One of the things we should learn from the pandemic is that you don’t catch a cold from getting cold or wet. It’s a virus.
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@AmbarishSatwik
Ambarish Satwik
11 months
The reanimated bar menu at the India International Centre. Art Direction and Design by Pooja Dhingra (That Thing I Do), illustration by Abhilasha Dewan.
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@AmbarishSatwik
Ambarish Satwik
3 years
Groundnuts pressure cooked in brine. Yield to the bite like cooked legumes. Even the shells are sucked for their briny sap. Traditional snack in the southern part of India, Maharashtra ( #UkadleleShenga ), Gujarat etc. North India is unaccustomed to the boiled peanut.
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@AmbarishSatwik
Ambarish Satwik
3 years
He was admitted to Princeton hospital and given palliative morphine. He died in two days. He muttered something in German just before he died. The nurse on call couldn’t speak German, so we don’t know what his last words were.
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@AmbarishSatwik
Ambarish Satwik
2 years
Juggling from above. Jugglers, I’m told, don’t track every object in flight. They fling an algorithm above their heads and trace a pattern, in air, in front of themselves. This is the brilliant @Taylor_Tries .
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@AmbarishSatwik
Ambarish Satwik
3 years
Discovered the gobsmackingly decadent Sarbhaja in my middle age. Sheets of fried malai stuffed with fresh khoa, then dunked in sugar syrup. So utterly beyond words. The most fearlessly erotic thing you can do with dairy.
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@AmbarishSatwik
Ambarish Satwik
7 days
The University of Chicago is home to one of the world's great collections for the study of South Asia. There are over 700,000 volumes related to Southern Asia there, covering all the languages and dialects of the region. How these vast collections came to be is a story not told
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@AmbarishSatwik
Ambarish Satwik
1 year
Patricide. The Death of Gandhi by the peerless Tom Vattakuzhy. Oil on canvas (9ft x 6ft). Stunningly rendered. On display at the @IndiaArtFair 9-12 Feb. @projjal
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@AmbarishSatwik
Ambarish Satwik
3 years
The Ganga Ram hospital vaccine effectiveness study (during the Delta surge in Delhi). @SatwikRuma is the lead author. Salient findings:
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@AmbarishSatwik
Ambarish Satwik
2 years
“Did you get that?” Cooley asked the man filming. “In sixteen-millimeter colour.” said the cameraman. “Okay. Develop it and deliver it to my cardiologist friend over at Methodist. Tell him Denton Cooley is a man of his word.”
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@AmbarishSatwik
Ambarish Satwik
3 years
Nearly one-third of the population of the UK has received a booster. In India, we don’t even have a policy statement on the booster. And for those primed on Covishield/Covaxin (with no access to the mRNAs) we don’t even properly know what the right booster is.
@BBCNews
BBC News (UK)
3 years
"Do not make the mistake of thinking Omicron can't hurt you" PM Boris Johnson urges every eligible adult to get a booster vaccine by the end of the year, as he declares an "Omicron emergency"
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@AmbarishSatwik
Ambarish Satwik
2 years
Shape-memory. This vascular probe remembers its shape and returns to it when warmed. Nitinol recovers its shape without fatigue even if mangled more than 10 million times. Vascular stents are made of this stuff.
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@AmbarishSatwik
Ambarish Satwik
2 years
Humans need to be designated as cucinivores (adapted to feeding on cooked and processed food). We’ve been consuming cooked food for 400,000 years. Or about 14,000 generations. Cucinivory made us what we are. It’s the basis of all culture and civilisation.
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@AmbarishSatwik
Ambarish Satwik
2 months
As any neurologist will tell you: the human brain was crafted by the unfeeling hands of evolution not for the trifles of daily existence but for the grand theatre of adversity.
@BrianRoemmele
Brian Roemmele
2 months
90% Of His Brain Was Missing And He Did Not Know It — In 2007 in France, a 44-year-old man went to the doctor complaining of numbness in his leg and underwent a brain CT scan that revealed a shocking truth. That man didn't have 90% of his brain. The skull was almost entirely
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@AmbarishSatwik
Ambarish Satwik
4 years
She died on this day thirty-four years ago, at the age of thirty. Fourteen days after giving birth to her only child.
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@AmbarishSatwik
Ambarish Satwik
1 year
Nothing is ever entirely abstract; there's always a hidden or apparent form of something tucked away, a resemblance, perhaps a concealed figure in the carpet. Thread.
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@AmbarishSatwik
Ambarish Satwik
2 years
Rubbish. And perniciously misleading.
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@AmbarishSatwik
Ambarish Satwik
1 year
This is such a fine book by @MukulikaB . “Pursues the riddle of the non-violent Pathans.” Tries to examine how a famously ‘hot-headed’ martial ethnic group was converted to an ethic of non-violence in the service of Indian nationalism.
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@AmbarishSatwik
Ambarish Satwik
1 year
The pure unbridled pleasure of listening to M.S. Subbulakshmi sing Dhano Dhanno Pushpo Bhora.
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@AmbarishSatwik
Ambarish Satwik
2 years
They’d always meet once a year at their annual reunion. The last one happened in 2007, after which it was decided not to have any further meetings as the survivors were too old to show up.
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@AmbarishSatwik
Ambarish Satwik
4 years
Thread. When sampling for COVID is done, the ICMR Specimen Referral Form has to be filled. And this data has to be uploaded to the government’s RT-PCR app. While filling the form, a patient category has to be selected (as marked in the image below).
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@AmbarishSatwik
Ambarish Satwik
4 years
This guy is brilliant.
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@AmbarishSatwik
Ambarish Satwik
3 years
"Karl Marx, because he tried to destroy the Christian concept of society; Sigmund Freud, because he tried to destroy the Christian concept of the family; and Albert Einstein, because he tried to destroy the Christian concept of time and space.”
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@AmbarishSatwik
Ambarish Satwik
3 years
In addition to its peculiar suitability as a Gothic locus, the Victorian operating theatre (with its symmetrically tiered seats rising on both sides and its small, central court or deck lit by a large, low-hanging gaslight) was indeed a form of theatre.
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@AmbarishSatwik
Ambarish Satwik
3 years
“It is amazing what you can accomplish if you do not care who gets the credit.” Harry Truman
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@AmbarishSatwik
Ambarish Satwik
3 years
Received this stunningly beautiful batch of Naga Jolokias from a friend. Oh to suffer from all that capsaicin. The desire to have caustic pain inflicted on the alimentary mucosa defies explanation. No other animal eats this fruit.
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@AmbarishSatwik
Ambarish Satwik
4 years
Wife’s socks.
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@AmbarishSatwik
Ambarish Satwik
5 months
Molière once said that of all the noises known to man, opera is the most expensive. Marathi Sangeet Natak, as an art form, was quite the opposite: exquisite and most accessible to the masses. Here is @deshpanderahul on Instagram live with his daughter singing Yuvati Mana from the
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@AmbarishSatwik
Ambarish Satwik
3 years
Forerunner. Pallonji’s sodas predate Coca Cola by almost three decades.
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@AmbarishSatwik
Ambarish Satwik
2 years
Cooley was once asked if he felt he was a better surgeon than DeBakey. “I’ll say this, a successful cardiovascular surgeon should be someone who, when asked to name the three best surgeons in the world, would have difficulty deciding on the other two.”
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@AmbarishSatwik
Ambarish Satwik
1 year
Even if the ingredients and excipients are of irreproachable quality, one has to state the pointlessness of cough syrups. They’re mostly cocktails of cough suppressants, expectorants, antihistamines and nasal decongestants wherein the individual drugs work at cross-purposes.
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@AmbarishSatwik
Ambarish Satwik
3 years
Frank Glenn, a vascular surgeon from New York, attended on Einstein. A proper vascular repair was now possible. Einstein refused surgery. “It is tasteless to prolong life artificially,” he said, “I have done my share; it is time to go. I will do it elegantly.”
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@AmbarishSatwik
Ambarish Satwik
2 years
These unbelievably raw striplings were commemorated by the British nation as ‘The Few’. The phrase came from a wartime speech about the RAF made by Winston Churchill in August 1940. “Never in the history of human conflict was so much owed by so many to so few.”
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@AmbarishSatwik
Ambarish Satwik
3 years
Nissen felt that he owed something to Einstein. It was Einstein who had written to the Turkish leader, making a request for refuge and employment for fleeing German Jewish scientists.
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@AmbarishSatwik
Ambarish Satwik
3 years
Her inscription reads: “This is the leg you made good again – not to speak of the hidden parts. All my love, Marlene.”
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@AmbarishSatwik
Ambarish Satwik
3 years
The ‘door close’ button in elevators, according to @rorysutherland , is a placebo button. It’s connected to no circuitry. It exists to make you feel better by giving you a delusive sense of control.
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@AmbarishSatwik
Ambarish Satwik
3 years
We have a very limited capacity for genome sequencing. A quick proxy test for Omicron is the S Gene Target Failure (STGF) on RT/PCR. Correct me if I’m wrong, but most of our labs across the country don’t have the S gene kits.
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@AmbarishSatwik
Ambarish Satwik
2 years
So prohibitive was its membership fee, so severely inflexible and exacting the terms of membership, that through the span of its existence, it had just 649 members.
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@AmbarishSatwik
Ambarish Satwik
3 years
In his memoirs, Nissen wrote: Neither my oath as a physician nor my understanding of what is right would allow me to benefit from the guiltless persecution of my colleagues, let alone from limiting surgical care to those that require it most.
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@AmbarishSatwik
Ambarish Satwik
1 year
As Chesterton had observed, art consists of limitation. “The most beautiful part of every picture is the frame.”
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@AmbarishSatwik
Ambarish Satwik
3 years
May this Kazhakh pirate queen live long. Sci-Hub provides free, unfettered access to nearly all scholarly literature. The revenue model in the scientific publishing industry (valued at 20 billion dollars) should be a public scandal.
@sci_hub_
Sci-Hub
3 years
Sci-hub's Alexandra Elbakyan responds to Nature journal. "Any law against knowledge is fundamentally unjust".
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@AmbarishSatwik
Ambarish Satwik
2 years
That’s how Denton Cooley would respond to the quivering pleas of someone with an aneurysm of the thoracic aorta.
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@AmbarishSatwik
Ambarish Satwik
3 years
At that point, the annual number of operations performed at the University was averaging around 190. By the end of 1933, his first year as chief, though facilities were suboptimal, Nissen’s department performed 1,500 surgeries.
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@AmbarishSatwik
Ambarish Satwik
2 years
Wrist-deep in blood and lead only by touch, Cooley unflappably sutured the rent in the aorta. He didn’t let the man bleed to death. He was like a duck in dire straits: unruffled on the surface, paddling like the devil underneath.
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@AmbarishSatwik
Ambarish Satwik
2 years
With mirth and laughter, they survived their treatment. With mirth and laughter came old wrinkles on those reconstructed faces. Every one of them lived and thrived. Got married, had families. Grew old. Everyone served as the other’s keeper.
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@AmbarishSatwik
Ambarish Satwik
3 years
Nissen did not tie off Einstein’s aorta. He wrapped it with cellophane. The idea was that the cellulose polymer, as an unwelcome “foreign body”, would induce an inflammatory reaction and the production of a rind of scar tissue around the aorta.
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@AmbarishSatwik
Ambarish Satwik
3 years
This is Rudolph Nissen. When Ferdinand Sauerbruch, a pioneer in chest surgery, was named chair of surgery at the Charité in Berlin in 1927, he took along Nissen, his most eager and earnest protégé.
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@AmbarishSatwik
Ambarish Satwik
2 years
McIndoe purposefully picked attractive nurses who wouldn’t flinch on seeing the wounds. The family members were explicitly instructed not to let even a batsqueak of a snivel weaken their resolve. Not one pitying stare was allowed in Ward III to stigmatise their wounds.
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@AmbarishSatwik
Ambarish Satwik
2 years
Greek children in schools are nurtured on a story to teach them to love their glorious cultural inheritance. It's a story that goes back to the Greek War of Independence (against the ruling Ottomans that led to the foundation of modern Greece).
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@AmbarishSatwik
Ambarish Satwik
3 years
He had to first work as a surgical assistant in New York before starting out on his own. Slowly and painstakingly, he built a practice in Manhattan, mainly among the immigrants of the city. In 1944, he was appointed as the chief surgeon at the Brooklyn Jewish Hospital.
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@AmbarishSatwik
Ambarish Satwik
3 years
Nissen found temporary moorings in Ataturk’s Turkey, where he got refuge as a German academic émigré. He was appointed as the head of the department of surgery at the University of Istanbul.
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@AmbarishSatwik
Ambarish Satwik
2 years
In extremis. It was a spectacular bout of haemoptysis, mid-air, at 35,000 feet. In the aircraft lavatory. He had coughed up blood almost explosively and sprayed it all over the sink and mirror. And left a bit of a trail on the floor as well.
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@AmbarishSatwik
Ambarish Satwik
2 years
बुलबुल को गुल मुबारक गुल को चमन मुबारक हम बे-कसों को अपना प्यारा वतन मुबारक ग़ुंचे हमारे दिल के इस बाग़ में खिलेंगे इस ख़ाक से उठे हैं इस ख़ाक में मिलेंगे A good measure of the emotional charge carried by a patriotic song is if it can affect the unsentimental amongst us.
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@AmbarishSatwik
Ambarish Satwik
3 years
Nissen’s fear was that Einstein had experienced pain due to an impending rupture of the aneurysm. The fainting spell was possibly due to a small, contained leak. A proper rupture would mean instantaneous death. It would be the equivalent of shooting someone in the heart.
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@AmbarishSatwik
Ambarish Satwik
2 years
“They all knew that one obvious shudder might undo weeks of excruciating work at the cottage hospital. So, in East Grinstead, the most ghastly burned boy is most welcome. His face is the job of the hospital, but his will to live is a job that is in the hands of the townsfolk.”
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@AmbarishSatwik
Ambarish Satwik
2 years
It was a deucedly exclusive club. Membership was restricted only to those men of the Royal Air Force who went under McIndoe’s scalpel at East Grinstead. It was famously said that to be admitted to this club, you had to be fried, mashed or boiled. And be McIndoe’s Guinea Pig.
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@AmbarishSatwik
Ambarish Satwik
2 years
The atheist’s prayer. #Faiz
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@AmbarishSatwik
Ambarish Satwik
3 years
On the pernicious morality of the Kumbh mela. Thread.
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@AmbarishSatwik
Ambarish Satwik
3 years
Through the Jewish expatriate network, Nissen was able to find a lowly research position at the Harvard Medical School. Once settled for a bit, he took extensive English language lessons and applied for a medical licence in New York.
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@AmbarishSatwik
Ambarish Satwik
3 years
In America with his wife and kids, and barely serviceable English language skills, and no license to practice surgery, Nissen had to search for a job at the age of 44. Nobody knew him there.
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@AmbarishSatwik
Ambarish Satwik
3 years
In May 1933, close to forty thousand Germans gathered in front of Berlin’s Opera House to burn books. To consign to flames the produce of Jewish intellectualism. This included the works of Albert Einstein.
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@AmbarishSatwik
Ambarish Satwik
3 years
As an aside, Jacoba Timerman, the Argentine Jewish journalist, has a riff on the Nazi hatred of Jewish intellectuals. And the need to burn their books: “Three main Jewish enemies: Marx, Freud and Einstein."
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