Esha Kaul @EshaKaul1 Twitter profile

Last Seen Profiles

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@BHefflinger25

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@GretnaG

@rima_mustafa

@sk212_

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@geovanemonteiro

@sharonsarmento

@pepeperles

@HiveVespa

@J_Membrane_Sci

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@sceneitpod

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@esportsawards

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@Rolingcontmilei

@JilokiM22

@scar_sinclair

@More_Civilized

@_filx_

@Chelsea__Plus

@tugrult

@heirunrun6

@eastunitedinc

Esha Kaul

@EshaKaul1

3 years

Don’t say the Indian Medical system has collapsed.. it is hugely overwhelmed but no hospital has shut down and no doctor has retreated from the front lines...we are fighting missiles with sticks but we are not leaving the fort.... ( quoted from a colleague )

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Esha Kaul

@EshaKaul1

3 years

Can someone please explain why we are prescribing so much vitamin C for COVID ? Are we treating a viral pandemic or scurvy ?

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Esha Kaul

@EshaKaul1

1 year

Saw a 30 year old woman today… issue…palpitations! she had sought multiple cardiology consultations over the last 6 months with various tests … Hb has been 7-8 all this time. If there is no blood what will the heart pump ! Ladies… take your Hb seriously!

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Esha Kaul

@EshaKaul1

1 year

Presenting our experience of upfront haploidentical transplants in aplastic anemia at European Bone Marrow Transplant Meeting in Paris..

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Esha Kaul

@EshaKaul1

9 months

Thrilled to collaborate and finally being able to deliver a completely indigenous ‘Made in India’ CAR to our patients in need for this life saving therapy @GunjanLShah @DrNikitaMehra @nihardesai7 @NitinJainMD @harit_oncochat @RamblingBrook

ImmunoACT

@ActImmuno

9 months

@MaxHealthcare announces a collaboration with @ActImmuno to launch India’s first authorized CAR-T cell therapy, NexCAR19, for B-cell malignancies at Max Hospital, Vaishali. The collaboration will extend to all major Max hospitals nationwide. For more -

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Esha Kaul

@EshaKaul1

3 years

Can we pleeeaase for heaven’s sake stop with the Doxycycline and Azithromycin ? We will come out of COVID and walk into the worst antibiotic resistance problem.. there is no shame in having a prescription with just 2-3 drugs...

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Esha Kaul

@EshaKaul1

4 years

Post kidney transplant with abrupt severe anemia.... 3 basophilic intranuclear parvovirus B19 inclusions...all in a day’s work ....!

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Esha Kaul

@EshaKaul1

4 years

COVID related Hemophagocytic Lymphohistiocytosis....developed 14 days after initial presentation with sudden severe cytopenias and transaminitis..

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Esha Kaul

@EshaKaul1

2 years

Isolated thrombocytopenia in older patients can be so much other than ITP… just in the last 2 weeks 1. CMML 2. MDS with monosomy 7 3. Marginal Zone lymphoma 4. Autoimmune Myelofibrosis Steroids without marrow exam in 50 plus should really be avoided IMHO…

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Esha Kaul

@EshaKaul1

4 years

The simple pleasures of a Hematologist’s life.... no matter how many fancy things you do, a brisk platelet response to IVIG in ITP will always make your day...platelets going from 2,000 to 100,000 in 12 hours........ it’s like magic.... never gets old for me....

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Esha Kaul

@EshaKaul1

4 years

One of these days will get a tattoo on my forehead that states ‘ bakri ka doodh, wheatgrass, giloy, papite ke patton ka ras aur kiwi se platelet nahin Badhte’

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Esha Kaul

@EshaKaul1

2 years

A little Diwali jugalbandi…

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Esha Kaul

@EshaKaul1

3 years

If I was a young girl I would have Harleen Kaur’s poster in my room after watching this for sure…. Not sure if teenagers still do that ! @imharleenDeol

Shiv Aroor

@ShivAroor

3 years

Harleen Deol’s catch, in case you missed it 😍

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Esha Kaul

@EshaKaul1

1 year

We get ADAMTS13 in 2 days in India…I don’t think doctors or patients appreciate that the TAT for majority investigations in India is possibly the fastest in the world…practically 7 day work week, supremely optimised logistics…we love our lab colleagues for their hard work !

Michael Makris

@ProfMakris

1 year

These hospitals are getting the ADAMTS13 result one week later by sending the sample elsewhere in the US. They could install exactly the same equipment in their hospital and get the result in 30 minutes. By not doing so, they are plasma exchanging the patient daily for 1 week!1/2

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Esha Kaul

@EshaKaul1

3 years

Then why was the life expectancy in India a pathetic 31 years in 1947 ? Why did so many children die of diarrhea, pneumonia, measles, small pox, malaria,cholera? Why did so many women die in childbirth ? Why couldn’t they be saved by ancient knowledge and wisdom ?

Dr David Frawley

@davidfrawleyved

3 years

Ayurveda is criticized for lack of evidence based testing for its numerous herbal medicines. Yet the testing of modern medical drugs is often not conclusive or shows significant side effects. Ayurvedic medicines have the evidence of centuries of usage with few side effects.

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Esha Kaul

@EshaKaul1

3 years

Venetoclax , Ibrutinib, Rituximab..

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Esha Kaul

@EshaKaul1

4 years

For people in the world who are now wearing masks more and more, my 2 cents....DO NOT touch your mask with your NOT lower your mask while talking... learn to speak with the mask ON ...it mostly destroys the purpose if you lower it while talking

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Esha Kaul

@EshaKaul1

3 years

This particular wave of COVID is a different beast... all the old rules may not apply exactly.. seems like patients on a downward spiral need things like ? Pulse steroids? Etoposide? IVIG... more like sec.. HLH... vaccine is fine but better treatment options are badly needed..

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Esha Kaul

@EshaKaul1

2 years

Rounds 5 years back : VDT PACE, FLAG IDA, HAM,EPOCH, HyperCVAD Rounds today : Dara- RVD, Mylotarg, Inotuzumab,Blinatumumab, Aza- Ven, Ibrutinib- Ven. In the grind of daily rounds and clinic, there are moments of wonder to look over our shoulders and see how far we have come !

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Esha Kaul

@EshaKaul1

3 years

This was one year back and here we are....

Esha Kaul

@EshaKaul1

4 years

Can’t believe that India US relations today are being seen in the light of something as trivial as HCQS .... well if we could give away a lot of HCQS and get some remdesivir and tocilizumab in return it would be a good deal IMHO..

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Esha Kaul

@EshaKaul1

3 years

They say COVID takes away the sense of smell... but I think COVID has its own distinctive smell... of breathless unkempt bodies, some tiring out, most fighting on,the sweat of the nurses and doctors, cough syrups and disinfectants, despair and resilience and the will to survive..

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Esha Kaul

@EshaKaul1

1 year

We need some kind of national vitamin B12 fortification program… current day Indian diet is extremely poor and the deficiency is a silent epidemic … anemia, impaired cognition , growth and development impairment… something similar to iodized salt programs is required..

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Esha Kaul

@EshaKaul1

4 years

Having COVID doesn’t mean you can’t have other things... Covid illness with cytopenias and splenomegaly... #histoplasmosis in marrow....

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Esha Kaul

@EshaKaul1

2 years

Join us for a global webinar on updates in CART cell therapies with expert speakers and perspectives from Hematology leaders in India on 30th April 7pm.Register now…

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Esha Kaul

@EshaKaul1

3 years

Minimum length of stay in the current wave even for non ICU patients is 8-10 days.. O2 dependence is quite prolonged.. one reason why beds are not turning over and becoming available for incoming patients as fast as we would like...

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Esha Kaul

@EshaKaul1

4 years

Happy Diwali from our family to yours !

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Esha Kaul

@EshaKaul1

3 years

Here is Manisha... one of our COVID nursing Team Leads...basically the person who everyone depends on and who makes it happen ... we are pretty useless without her magical powers... To her and innumerable others like her.... #HappyNursesDay P.S. : always be nice to your nurse

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Esha Kaul

@EshaKaul1

3 years

P. V. Sindhu…. What a dominating performance…. What a career…. Every child in India should know this name … epitome of excellence…!

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Esha Kaul

@EshaKaul1

4 years

9 days 9 colors.... day 1 grey ! Happy Navratri....!

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Esha Kaul

@EshaKaul1

4 years

My wish for the best present for Indian women ? 1000 mg of iv iron for all women between 15-45 ! Too many of them are silently suffering with fatigue, irritability, cramps ....fill up your iron tank ladies and unleash your true potential! #InternationalWomensDay

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Esha Kaul

@EshaKaul1

4 years

One step towards getting out of the mess that 2020 was !

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Esha Kaul

@EshaKaul1

3 years

Why are our schools closed exactly ? There is no scientific/ public health rationale for school closures anymore…’Oh! but COVID’ is no longer a justification for 3rd year in a row..we have had plenty of time to figure this out..we owe this to our children as a society….

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Esha Kaul

@EshaKaul1

2 years

@BloodJournal This article is extremely important and it’s a shame that it’s behind a paywall…it’s from a WHO database, a publicly funded body then why do I have to pay $100 to see the list !

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Esha Kaul

@EshaKaul1

3 years

Happy Diwali to your family from ours ! @ajaynephro @VijayKher8

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Esha Kaul

@EshaKaul1

4 years

Can’t believe that India US relations today are being seen in the light of something as trivial as HCQS .... well if we could give away a lot of HCQS and get some remdesivir and tocilizumab in return it would be a good deal IMHO..

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Esha Kaul

@EshaKaul1

10 months

Our annual Diwali presentation..! Happy Diwali everyone !

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Esha Kaul

@EshaKaul1

2 years

The number of people cced on an email is inversely proportional to the odds of the task getting done …

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Esha Kaul

@EshaKaul1

3 years

Happy Women’s Day ! #women_in_medicine ...

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Esha Kaul

@EshaKaul1

3 years

Can’t wait to watch Jan Gan Man at the olympics…. #NeerajChopra

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Esha Kaul

@EshaKaul1

4 years

TV debate ... ‘Should we be using HCQS’ ? Ans: yes ‘Why ? ‘ Ans : bcoz they are doing it in US !.That is just a bad answer..a lot of bad decisions have been made in the US and we definitely shouldn’t be aping them.Learn from everyone’s experiences but evaluate independently !

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Esha Kaul

@EshaKaul1

3 years

‘ Antioxidants’ and ‘immunity boosters ‘ are the longest running medical scams ... I mean what do ‘ANTI-OXIDANTS’ even mean / do when your body is crying out for more oxygen ! ...

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Esha Kaul

@EshaKaul1

3 years

#NationalHandloomDay …. My favorite Kanjeevaram with my favorite sister !

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Esha Kaul

@EshaKaul1

4 years

Full double rainbow ! Awesome weather ....

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Esha Kaul

@EshaKaul1

4 years

Day 4, time for red ! #NavratriDay4

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Esha Kaul

@EshaKaul1

4 years

My pandemic hobby and stress buster bearing fruit....highly recommend to channel your energy positively.....yummy balcony bhindi..... #balconygarden ....

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Esha Kaul

@EshaKaul1

4 years

So many patients during the last 2 months have taken a moment during their appointments to say ‘ And how are you doing ? Hope you and your family are well/ safe .... take care of yourself ‘..... such moments keep us going.. :)

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Esha Kaul

@EshaKaul1

3 years

If originally the gap between 2doses had been 12weeks, many more people would have had one dose only at the peak of this wave and done much worse...If you are dead before your second dose how does it matter what antibody levels you mount ? 2 doses 4 weeks apart saved more lives .

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Esha Kaul

@EshaKaul1

3 years

Far from the madding crowds #corbett

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Esha Kaul

@EshaKaul1

4 years

Noted a trend in clinic recently... ITPs relapsing, unexplained transaminitis and cytopenias....common theme ? All patients were taking ‘immunity boosters’. People with chronic well controlled medical conditions, please don’t try to fix what is not broken in the COVID frenzy..

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Esha Kaul

@EshaKaul1

2 years

Updates in transplant immunology and MGRS

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Esha Kaul

@EshaKaul1

9 months

@VincentRK @nramind @nambath @ramyakannan A patient of mine took leflunamide instead of lenalidomide for one whole month before we realized what had happened…

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Esha Kaul

@EshaKaul1

2 years

Issued in public interest.. for any medical consultation please please carry an accurate and current medication list … or the actual medications…… it is extremely important…so often I have to ask people to take pictures of strips at home just to get accurate drug info..

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Esha Kaul

@EshaKaul1

4 years

A slice of heaven....! No better breakfast on a chilly winter morning..... #sukhdev

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Esha Kaul

@EshaKaul1

3 years

Order of health priorities in a middle/ upper class Indian household..... 1. Middle Aged Male health 2. Male child health 3. Girl child health 4. Clothes/ jewellery/ society show off.. 5. Pizza.. 6. Samosa 7. 8. 9. Elderly female health 10. Middle Aged female health

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Esha Kaul

@EshaKaul1

3 years

That being said, widespread effective Teleconsults and easy systems of drug availability and home delivery in India have definitely avoided thousands of hospitalizations. Almost every home has a pulse oximeter ! Wassap and your neighborhood pharmacist to the rescue !

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Esha Kaul

@EshaKaul1

4 years

Seen so many women with iron deficiency related symptoms ( headaches, irritability, insomnia) taking benzos and other psychotropic drugs( pacitane, alprax unfortunately too easily available OTC in India).. they can sleep just fine once their ferritin is not in single digits...

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Esha Kaul

@EshaKaul1

4 years

Do you know what has more YouTube views than anything Coronavirus or politics ? It’s ‘easy coconut chutney’ ! 12 million views ! The world is going to be fine till there is coconut chutney ....

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Esha Kaul

@EshaKaul1

1 year

@NicoGagelmann Why are my platelets not improving despite papaya leaf extract/ goat milk/ kiwi.. ?

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Esha Kaul

@EshaKaul1

3 years

Merry Christmas from our wonderful BMT team at Max Vaishali @MaxHealthcare @harit_oncochat

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Esha Kaul

@EshaKaul1

2 years

Ironically in India lenalidomide and plerixafor have been generic for several years now… lenalidomide is very cheap…RVD is a completely outpatient regimen …… we have had very few reasons to give CTD/ VCD etc…. The lenalidomide issue is a Europe and USA specific problem…

Mauricio Sarmiento M

@hemotrasplantuc

2 years

@ManniMD1 Vrd is better, but in developing countries maybe vcd still is a fine option (less myelotoxicity, better stem harvesting, less use of plerixafor= global cost reductions).

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Esha Kaul

@EshaKaul1

3 years

Yes. With 200 beds and average stay 10 days you can only treat 600 people in one month ( which seems so underwhelming in a pandemic).....

Rhythma Kaul

@RamblingBrook

3 years

Please stay at home, people; at least those who can afford 🙏🏼

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Esha Kaul

@EshaKaul1

1 year

I often say that living with a Ferritin of 10 ( reflected as normal in most labs ) is like running a car in reserve mode…

Shematologist, MD

@acweyand

1 year

Inappropriate ferritin reference intervals lead to inappropriate hemoglobin reference intervals.

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Esha Kaul

@EshaKaul1

4 years

COVID-19 and Blood: A Hematologist's take home messages 1. Is COVID -19 a prothrombotic state ? Yes, but it is more immune driven 2. Is it more prothrombotic than other pneumonias? Most likely 3. Do all hospitalised patients need prophylactic anticoagulation ? Yes

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Esha Kaul

@EshaKaul1

4 years

Hemat analogy: I prescribed 3 units Platelets for a ITP patient with platelet count 8,000.. none for the patient, one for the Kanpur wali bua, one for the Bangalore wale jija Ji, and one for the America wale doctor bhaiyya....because they were all crying blood filled tears...

Dr.Roberto Collazo-Maldonado

@collazor1

4 years

I went to ER to see a patient with symptomatic Hyponatremia.I decided fo prescribe three bolus of Hypertonic saline,one for the ER doc,one for the admitting Doc and one for the patient.Everybody was seizing!Except the Nephrologist. Calma,calma que no panda el cunico!!😂😂😂😂

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Esha Kaul

@EshaKaul1

2 years

A musical start to Sunday !

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Esha Kaul

@EshaKaul1

1 year

Langda is the only real mango.., everything else is just trying to be mango…

Dr Ambrish Mithal

@DrAmbrishMithal

1 year

After the delectable Hapus, Kesar, Dussehri, Rataul, Dinga, Imam pasand... Time for the langda The joy of mangoes. Makes life worth living. #mangoes #mango #India #July

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Esha Kaul

@EshaKaul1

4 years

Happy Onam !

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Esha Kaul

@EshaKaul1

3 years

Guidelines for India can’t be made in England...we can’t wait for a published paper for what is starting at us in the face when thousands are dying every day... timely use of steroids is preventing hospitalizations and saving lives...

Dr. Amit Gupta ‏امت گپتا अमित गुप्ता🩺🌾

@amitguptabliss

3 years

AIIMS protocol suggests giving systemic steroids in mild cases where ‘there is worsening cough/ fever after 7 days’. Is there strong evidence for this? Are we not worried it may promote misuse? @AnantBhan @ashishkjha @DrLahariya @netshrink @ProfBhargava @VincentRK @FaheemYounus

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Esha Kaul

@EshaKaul1

4 years

The conversations we are having with patients these days are amazing... the common Indian is talking about Phase 2 and 3 trials... adenoviruses, mRNA and DNA engineering.....it’s really heartening to see regular people engage with science and epidemiology... !

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Esha Kaul

@EshaKaul1

9 months

Wonderful Hem-Onc update meeting in Guwahati.. so heartening to see young and passionate oncologists advancing Hematology/Oncology in the North East.. and great food !

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Esha Kaul

@EshaKaul1

4 years

#NationalHandloomDay .... Oriya handloom.... love always and forever....

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Esha Kaul

@EshaKaul1

11 months

There should be some mechanism for doctors in private sector to come in and take some lectures, courses, training sessions… I am sure if a system is created a lot of people will do this happily and trainees will get a wider and richer experience…

SP Kalantri

@spkalantri

11 months

India's ambitious plan: Medical colleges in every district. The challenge? Too few teachers for too many medical students. "Where is the knowledge we might lose in medical schools? Where are the skills we might lose in hospitals without patients?" - Apology to T.S. Eliot.

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Esha Kaul

@EshaKaul1

1 year

So fortunate to have witnessed this live ! #SonuNigam live…what talent.., what energy….nostalgia and just an amazing musical experience…!

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Esha Kaul

@EshaKaul1

2 years

Herath Mubarak! Mahashivratri greetings ! ⁦ @DrSunilBhat ⁩ ⁦ @vishvdeepkhush ⁩ ⁦ @DrAnilHandoo ⁩ ⁦ @AgrimaMianMD ⁩ ⁦ @GunjanLShah ⁩

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Esha Kaul

@EshaKaul1

1 year

What are some useful apps to have on your phone if you are a Hematology trainee ? Preferably free @nihardesai7 @AaronGoodman33 @ManniMD1

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Esha Kaul

@EshaKaul1

1 year

We pray for neutrophils the same way in our world of BMT

Sundar Sankaran

@sundar_s1955

1 year

Even after 40 years and after 3000 kidney Transplants as a Transplant Nephrologist I am overwhelmed to see urine like this immediately after kidney transplant This Transplant Done yesterday for a young lady 🙏🙏 to her mother the donor Picture taken just few hours after

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Esha Kaul

@EshaKaul1

1 year

Sarees of G20.. the Japanese First Lady’s stunning Silk saree the winner closely followed by Sheikh Hasina’s Jamdani… #G20 …

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Esha Kaul

@EshaKaul1

1 year

Majority of women in India suffer from iron deficiency anemia.. spending the most productive years in slow suffering without realising it.. my wish for women’s day is for women to seek help for anemia and live a full life, a 100% and nothing less.. #8MarchWomensDay #anemia

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Esha Kaul

@EshaKaul1

1 year

Agree. Don’t understand the obsession with juices…. As long as you have teeth just eat the whole fruit !

Dr Sudhir Kumar MD DM

@hyderabaddoctor

1 year

Fruit juices lack fibres, as compared to whole fruits. One tends to overconsume juices as satiety is delayed. Moreover, in packed juices, vitamins may be lesser, as they degenerate over time. Best option is to have whole fruits and the second best is to have fresh fruit juices.

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Esha Kaul

@EshaKaul1

3 years

A list of tests that I won’t miss as a Hematologist if they just stopped happening.. 1. Stool for occult blood 2. ESR 3. LAP score… Seldom helpful and often misleading….

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Esha Kaul

@EshaKaul1

3 years

Why can’t we see Indian athletes’ events on any channel ? Disappointing….. @SonySportsIndia what is going on ?

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Esha Kaul

@EshaKaul1

5 years

@TheLancet is also ill understood. I am a Kashmiri Hindu physician. My family faced genocide in 1990 in an attempt to Islamize the valley of Kashmir. A lot of Kashmiris such as me who have been living as refugees welcome the steps. Kashmiris will now be able to benefit from Ayushman Bharat

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Esha Kaul

@EshaKaul1

2 years

Had a wonderful time at #HCC2022 , great academics, catching up with old friends and making new..advancing the field of Hem-Onc in India.. @ManjuSengar7 @MathewsVikram @Prasshmehta @NitinJainMD @DrNikitaMehra @faheema_hasan

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Esha Kaul

@EshaKaul1

4 years

@VPrasadMDMPH You are looking at this from a Western University lens... folks in a LMIC are really going all out to make this happen..they have almost zero back end support of research co-ordinators, assistants , funding and minimal mentoring... they deserve more than just praise..

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Esha Kaul

@EshaKaul1

3 years

After looking at a number of reports of ‘COVID markers’ I have just understood just one thing.... IL-6, d- dimer, CRP.... sab mithya hai.....

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Esha Kaul

@EshaKaul1

2 years

What is the rationale behind school closures citing pollution as a cause ? Is the air better at home somehow ? Why do we punish children for our failures as administrators and as a society ?

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Esha Kaul

@EshaKaul1

3 years

Doxycycline… ! Oral, cheap , works for MRSA, scrub typhus and resistant Klebsiella ! Aur kya chahiye …

𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM

@nihardesai7

3 years

Name your favourite antibiotic and tell me why !! Let's make it fun 🤣 #MedTwitter

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Esha Kaul

@EshaKaul1

2 years

The vibrance of colours that nature has… if only we look just a little more carefully… #crimson sunbird

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Esha Kaul

@EshaKaul1

4 years

My dream job is Vir Sanghvi’s, eat great food, travel all over, taste great wine and get paid to write about it ! I mean common why be a doctor with 20 years experience... what’s the fun in that !

vir sanghvi

@virsanghvi

4 years

“Yeah but my google search was five minutes ago. Your medical degree may have been 20 years ago.. Do you read journals? Do you keep up with advances in your field?” These are the questions we should ask.

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Esha Kaul

@EshaKaul1

3 years

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Esha Kaul

@EshaKaul1

2 years

Saw a Dengue positive patient today.. how are the mosquitoes surviving the near 0 degree Delhi winters !

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Esha Kaul

@EshaKaul1

3 years

I want to clarify I am not advocating steroids for mild patients.. but the timeline and thresholds from RECOVERY may not hold true for this lot....

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Esha Kaul

@EshaKaul1

3 years

India’s greatest of all time sports persons.. Dhyan Chand Leander Paes Mary Kom P V Sindhu… Courage, consistency, comebacks and mental toughness….ingredients for long lasting excellence …. Not just luck… Lucky to have seen 3 of them in action… ( outside cricket )

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Esha Kaul

@EshaKaul1

2 years

Missed ASH this year..remembering last ASH in NOLA in 2013 with @ruchika_goel1 , @PreetpaulS . We had our own little plenary session ! Cafe-du-monde... #aiims #ASH2022

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Esha Kaul

@EshaKaul1

3 years

A.P. strain at least 15 times more virulent - The Hindu ⁦ @VincentRK ⁩

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Esha Kaul

@EshaKaul1

4 years

@WesPegden @VincentRK Middle school onwards in up mostly everywhere with primary schools expected to start in March

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Esha Kaul

@EshaKaul1

3 years

Happy Shivratri !

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Esha Kaul

@EshaKaul1

4 years

Great Indus BMT webinar @BldCancerDoc ...my take homes..1.Do not abandon fundamentals in the COVID frenzy.. 2. Physician leadership key 3. Adapt policies with local conditions 4. Prepare prepare prepare ... and when you think you are prepared, prepare some more...

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Esha Kaul

@EshaKaul1

3 years

‘ Seyapa’ , closely followed by ‘ chitter’….

Ꮙarun

@Ambarseriya

3 years

Haanji , dasso ?

2K

66

1K

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Esha Kaul

@EshaKaul1

4 years

@WesPegden @VincentRK Our hospital is now non- COVID from having 150-200 COVID patients in September... from 50% test +ve rate at peak in our lab we now see one +ve every 3/4 days... total >10,000 samples have been processed just in our lab..one lab in one district with 2-3 other testing facilities..

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