Radhika sarda @Dr_RadhikaS_22 Twitter profile

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Radhika sarda

@Dr_RadhikaS_22

29 days

I met Jigish in 2007 when we were preparing for our medical entrances. He went to JIPMER, then I went to Manipal. Distance was never an issue. He would stay in touch and he made sure you also stay in touch with him; he knew how to maintain and cherish friendships. Wherever he

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Radhika sarda

@Dr_RadhikaS_22

28 days

Thank you all for the response to the previous post. Jigish’s family has seen and is grateful to each one of you. Also, my previous post would not be complete without mentioning about his family. His family has stood next to him like a rock. They have never asked him to leave

Radhika sarda

@Dr_RadhikaS_22

29 days

I met Jigish in 2007 when we were preparing for our medical entrances. He went to JIPMER, then I went to Manipal. Distance was never an issue. He would stay in touch and he made sure you also stay in touch with him; he knew how to maintain and cherish friendships. Wherever he

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Radhika sarda

@Dr_RadhikaS_22

4 months

If an ID physician has recommended there’s no alternative to IV therapy and do not discharge the patient before finishing Rx… Take it seriously! We don’t say that often. Don’t be surprised if patient comes back to em in a few days if done otherwise! #IDTwitter #TxID

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Radhika sarda

@Dr_RadhikaS_22

5 months

Mastering infectious diseases requires mastering infectious mimics. There are NO two ways about it, especially for Transplant Infectious Diseases! #MedTwitter #IDTwitter #TxID

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Radhika sarda

@Dr_RadhikaS_22

5 months

The initial diagnosis made in the ER is just a first impression. Workup the patient AGAIN(including history), re-confirm diagnosis. ER is for stabilisation, not for diagnosing. Eg. if a patient is tagged as CKD at ER, he is invariably tagged as CKD all along. @mansipahwa2709

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Radhika sarda

@Dr_RadhikaS_22

1 year

First presentation at #ISOT 2023 Kolkata as a Transplant ID Fellow at @OffCMCVellore . Two days of extensive sessions and loads of learning. Thank you @PriscillaRupali , @AskSubramanian and Dr Anupa Thampy for giving me the opportunity. Immensely grateful!

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Radhika sarda

@Dr_RadhikaS_22

6 months

Amateur: 50+ slides for a presentation. Experienced person: 10 slides and ability to speak for hours on it Takes years of practice, experience and refinement to transition to the later ! #Medtwitter #IDTwitter

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Radhika sarda

@Dr_RadhikaS_22

6 months

“A good mentor can do wonders to your life. Grateful for amazing mentors who not just teach but inspire and empower every step of the way." @PriscillaRupali Thank you :) Goodbye Barcelona ! #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

4 months

@ashwinrajenesh In retrospect we all are wiser. In prospect. It’s difficult to predict the course of the patient. If patient responds, all well and good.. but if he/she worsens, you’ll feel that sample should have been sent earlier. Diagnosing n treating > treating.

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Radhika sarda

@Dr_RadhikaS_22

6 months

“Grateful for the opportunity to attend a live lecture by the author of the book I’ve been diving into! Hearing firsthand insights adds a whole new dimension to learning.” @PriscillaRupali #TransplantID #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

2 months

Humans seem to thrive on a sense of dissatisfaction. We don’t want CROs, yet we hesitate to use: 1. Penicillins for Streptococcus pneumoniae with MIC <0.1 2. Cefepime for pan S Pseudomonas 3. Ceftriaxone for non-ESBL E coli #IDTwitter #Antibiotics #AMSP #TxID

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Radhika sarda

@Dr_RadhikaS_22

3 months

In-hospital dengue: a great confounder! #IDTwitter #MedTwitter #TxID

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Radhika sarda

@Dr_RadhikaS_22

6 months

Definitely one of the best slides of the day! Depicting similar real life ER scenarios… where dehydration, hyponatremia, hypoglycemia etc are managed with unwanted antibiotics and testing #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

5 months

Rates of CLABSI can be brought down to zero WITH meticulous support from nurses. Without nurses’ support, it is IMPOSSIBLE to bring down the rates of CLABSI. #CLABSI #NursesWeek2024 #IDTwitter

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Radhika sarda

@Dr_RadhikaS_22

6 months

Most of the patients, when not prescribed anything are not satisfied! If not antibiotics, they need some form of treatment; be it multivitamins ! #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

5 months

Hand hygiene is something that comes through PRACTICE rather than just reading about it. The most simple effective yet under utilised infection prevention tool! #HandHygieneDay #Infectioncontrol #IDTwitter

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Radhika sarda

@Dr_RadhikaS_22

6 months

Mind boggling data presented on AMR and novel drugs. Genotyping testing can help in tailoring initial treatment but that doesn’t replace phenotypic testing ! Multiple mechanisms of resistance coexist which may not be detected on genotyping. #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

6 months

#IDTwitter Absolutely, it's challenging to resist the urge to treat a positive urine culture in an asymptomatic patient. Diagnostic stewardship becomes crucial in this scenario. No symptoms—> no samples —> no unnecessary treatment.

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Radhika sarda

@Dr_RadhikaS_22

5 months

History which is often only taken in difficult to diagnose cases or AFTER diagnosis. 😅 -Travel history -Immunisation history -Contact with animals -previous surgeries/procedure -CAM #MedTwitter #IDTwitter @mansipahwa2709 @benjy_md

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Radhika sarda

@Dr_RadhikaS_22

5 months

Spend more on EXPERIENCE than luxuries while budgeting your travel ! #travel

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Radhika sarda

@Dr_RadhikaS_22

6 months

Thankfully ESCMID has given 6 months access to videos. 1. Overlapping sessions, not just 2, but multiple.. that you would want to attend. 2. Such great lectures that you may want to listen to again. The quality of each lecture is beyond amazing! #ESCMIDGlobal2024

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Radhika sarda

@Dr_RadhikaS_22

5 months

@Rajatpsoge @dr_satish9 @AranyaID_AIIMS @tariqmaula Underlying lung condition? Anyways, Critically ill patient: pathogen>contaminant. It is usually misidentified with Ralstonia, burkholderia… but the characteristic susceptibility pattern with Imi S and mero R is a soft pointer that the pathogen could be Pandoraea only. IMO treat

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Radhika sarda

@Dr_RadhikaS_22

6 months

#IDTwitter #Medtwitter Sinus tachycardia is usually a systemic messenger. Needs evaluation rather than immediate suppression. @benjy_md @63907b862e4347e @venkat_id

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Radhika sarda

@Dr_RadhikaS_22

6 months

There are some lectures you listen, then there are some that you truly ENJOY! @mansipahwa2709

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Radhika sarda

@Dr_RadhikaS_22

6 months

@DrNeilStone Agreed. But good conferences are definitely an excellent way of knowing how far the field has advanced !

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Radhika sarda

@Dr_RadhikaS_22

6 months

Statistical evolution: From 'look at p-value' to 'confidence intervals > p-value.' @63907b862e4347e @ankitsuniyal #Betterperspective #DataAnalysis

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 @BrownJHM @NicoGagelmann @ShreerajT @schowardjd @PeterItebimien @drkeithsiau It’s easy for ID or anyone to say “please remove the line”. Talk to the primary team simultaneously, for feasibility as well as practicality.

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Radhika sarda

@Dr_RadhikaS_22

4 months

@ashwinrajenesh Sir, we can’t compare today’s practice to even last year’s practice. When u have facilities, why not use it? If patient isn’t affording or resource limitations r there, then you go by your best clinical judgement. Tailor-made Rx! This is what I feel. :)

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 @BrownJHM @NicoGagelmann @MorphologyAmigo @JasmineNephro @wowuniqueorns @KrutiPatel2000 @KirtanPatolia @ShreerajT @ashwinrajenesh @gag_aggarwal ABC: Adeno, BK virus or CMV. All three would primarily require decreasing immunosuppression as far as possible (it’s difficult at this point mostly), symptomatic management and respective antivirals.

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Radhika sarda

@Dr_RadhikaS_22

6 months

@DoctorBhavsar Mdr xdr tb (to be more precise: in cns and Potts spine) Vre enteroccal bacteremia P/hsct fusarium ( have seen only one survive)

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Radhika sarda

@Dr_RadhikaS_22

4 months

@IDDoc_Mittal … Until two weeks after stopping rif!

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Radhika sarda

@Dr_RadhikaS_22

5 months

@venkat_id @nihardesai7 @ShreerajT @IDDoc_Mittal Letermovir has been approved for high risk kidney transplant (D+R-). Not for other SOTs.

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 Undeniably yes! The Hematology department I worked under, has literally zero CLABSI rates and the biggest credit goes to the nursing staff.

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Radhika sarda

@Dr_RadhikaS_22

6 months

@nihardesai7 It’s keeps getting worse.. For every degree rise in temperature, tendency to escalate antibiotics should STOP!

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 Thanks for sharing! Beautifully captured 🥹 A recent visit to Montserrat has been a similar experience for me.

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Radhika sarda

@Dr_RadhikaS_22

6 months

@DrNeilStone Like you said “even a handshake is a valuable connection”. Until next time :)

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Radhika sarda

@Dr_RadhikaS_22

4 months

@ashwinrajenesh we are definitely progressing towards shorter duration and early Iv to oral transitions in quite a few scenarios as more data n good quality studies have surfaced in the past few years. Others, yes we lack high quality data n bedside decisions may not be coherent with guidelines

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Radhika sarda

@Dr_RadhikaS_22

6 months

@wowuniqueorns She didn’t have to ask. I made her an account and added her. Over time she has learnt how to use and now she sends me awesome reels on Instagram! Moms are a blessing :)

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Radhika sarda

@Dr_RadhikaS_22

4 months

@nihardesai7 This still looks easy. The struggle is uphill actually!

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Radhika sarda

@Dr_RadhikaS_22

5 months

@ShreerajT @venkat_id @nihardesai7 Haha that’s what I meant sir. Only Neet pg can ask such questions. Glad you are sharing and sensitizing the future aspirants regarding the possibility of such questions coming :)

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Radhika sarda

@Dr_RadhikaS_22

4 months

@DrAkhilRaghavan Analogous to using fire extinguisher before there’s a fire! Utter waste!

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Radhika sarda

@Dr_RadhikaS_22

4 months

Spectacular match! But the hindi commentary… absolutely harrowing! #INDvsPAK

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Radhika sarda

@Dr_RadhikaS_22

5 months

@Abhishe76057168 I hope you didn’t miss one of the rare opportunities to have a good breakfast!

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Radhika sarda

@Dr_RadhikaS_22

5 months

@WilliamAird4 Infective endocarditis!

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 Do visit Casa Batlló, Barcelona if you get a chance then :) #Travel

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Radhika sarda

@Dr_RadhikaS_22

6 months

@BJegorovic Broadly… By assessing response to antibiotics earliest by 48 hours and latest 72 hours… give time for antibiotics to act! Meanwhile if any possible source eg. old line, abscess, empyema… control that! Rest depends case to case.

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Radhika sarda

@Dr_RadhikaS_22

6 months

@TBrnaughtTB @nihardesai7 Another one: we have started all antibiotics, +/-antifungals. Please optimise !

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Radhika sarda

@Dr_RadhikaS_22

6 months

@prarit_v Also, ensure that there is fever by temperature charting! Using a thermometer.

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Radhika sarda

@Dr_RadhikaS_22

6 months

@nihardesai7 Both; your own and others’ as well!

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Radhika sarda

@Dr_RadhikaS_22

6 months

@witchdrkochi Third question again… why would we do Usg in a patient who’s not symptomatic! Hope this helps :)

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Radhika sarda

@Dr_RadhikaS_22

5 months

@Kartik_Trivedi1 May I suggest veg sushi at cafe Tesu / Papaya in Delhi… if you ever go. You need the right places and chef to like sushi. Not everyone’s cup of tea!

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Radhika sarda

@Dr_RadhikaS_22

6 months

@DrNeilStone Some will just WhatsApp you the culture report and expect name of antibiotic to be administered.. no clinical details, no syndromic diagnosis, no lab parameters… etc etc nothing! They just want which antibiotic to be given.

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Radhika sarda

@Dr_RadhikaS_22

5 months

@Meetmbbs07 White army in 1.5x speed, else you’ll get lost in the videos. 😅

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Radhika sarda

@Dr_RadhikaS_22

3 months

@drmohansai So far, no sir.

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Radhika sarda

@Dr_RadhikaS_22

5 months

@DoctorBhavsar Oh not to forget… intubated ILD. That’s absolutely a nightmare to deal with!

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Radhika sarda

@Dr_RadhikaS_22

6 months

@Darcy_ID_doc @GermHunterMD @FungalDoc @martinhoenigl Can you mention the concurrent Meds?

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Radhika sarda

@Dr_RadhikaS_22

5 months

@Rajatpsoge @dr_satish9 @AranyaID_AIIMS @tariqmaula Also once you have susceptibility pattern, doubtful role of combination antibiotics

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Radhika sarda

@Dr_RadhikaS_22

6 months

@witchdrkochi The questions you posted are quite relevant which we encounter on a daily basis. 1. Asymptomatic patient unless pregnant or posted for a mucosal breach procedure, there is no need to send urine r/m . (Diagnostic stewardship) (1/3)

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Radhika sarda

@Dr_RadhikaS_22

5 months

@nihardesai7 @Amitasdesai Wide variation, depending on availability of public transport 😅