I don't know who needs to hear this but
JUST
Following guidelines ≠ EBM .
Let's talk about practice and Evidence based Medicine
#IndianMedTwitter
India is a place where community practice largely depends on what one learns from textbooks, teachers and experience. 1/n
Every individual should have the right to practice their religion.
In the last few decades, we were made to feel apologetic and uncool about visiting temples, singing bhajans, just practising our religion.
I didn’t realise this milestone moment would be so liberating for so
#LongPersonalDiaryPostAlert
It was June 2002 when he had ragged a couple of us freshers in the gentlest of ways then taken us out to treat us as a compensation maybe coz he thought he may have been a little too harsh, but little did we know that this would blossom into a
This 40 year old patient was diagnosed with rectal cancer in 2019. He would have been cancer free a year ago instead he now has damaged kidneys, severe anaemia & loss of vision in both his eyes besides uncontrolled end stage cancer thanks Ayurvedic medications.
#MedTwitter
Was struggling on a tough day thinking how & why I lost my 40 year old husband to a fatal stroke 2 yrs ago, when I had to console a 36 year old synovial sarcoma patient & make him agree to make his will & secure his family.
Life is UNFAIR to many people, I am just one of them.
Who knew The British Royal family had the power to turn the whole world into Sherlock Holmes all over again?!
Just that this time they have also turned themselves into clowns!!
Co incidentally had watched Harry and Meghan only a few weeks earlier,
and I am so glad that they
Before you fall prey to rumour mongering, mistrust and unscientific agendas, look at these brilliant young selfless gems that we have lost in just the last 3 days.
It took a lot of effort to even write this but PLEASE OPEN YOUR EYES.
And
Keep then in your prayers 🙏🏼
My dad just returned from a road trip to Gujarat with his two friends covering 6800 Km over 20 days from Bangalore to Gujarat and back,
and I feel like a proud parent 🥺❤️🙏🏼🧿
Gujarati folk songs!
So so under rated! Thank you
@AdityaGadhvi03
for bringing them to fore.
Kon Halaave Limdi 👇🏻
Perfect dedication to the precious bond of a brother and a sister on Raksha Bandhan ♥️🥺
My OPD secretary Usha’s reaction when I told her about my resignation😭
She is like my MIL, she is unpredictable, can throw tantrums for anything & everything yet always manages to boss around me & my patients. I am surely gonna miss this action & emotion packed bundle of drama😕
We were supposed to have a family wedding at home today with less than 10 people but we decided to postpone it even though 40 guests are allowed as per the lockdown rules.
Everything that is legally permitted is not mandatory,
But using common sense should not be optional.
A patient on free treatment since 3 years thanks to a (fake) below poverty line card came to request for discount as their BPL status has been revoked coz they own a car.
Unless these kind of
#CorrectiveActions
are taken, the benefits will never reach the real underprivileged.
@nabilajamal_
@nayanikaaa
This is horrific. She was sitting and screaming for so long even after he left.
Why didn’t the girls who were watching just take her to a hospital nearby or call for ambulance atleast while they try to stop the bleeding ?
@scalpel_heals
You have been coping with so much wisdom and strength & have never let her down. She must be so proud.
Sharing what a friend shared with me on our wedding anniversary this 19th.
And as Sirius said “Those who love us, never really leave us. You can always find them in your ❤️”
Why do parents learn using WhatsApp, Netflix and Facebook so quickly like a pro
but don’t learn online banking, Uber/ Ola app and online insurance renewals 🙄
For the 1st time in 2 years I am off hypnotic & BZD for insomnia
& permitted for 1st dose reduction of SSRI by my psychiatrist for depression & PTSD.
5 meds ➡️ 2 meds
#SmallWins
#MentalHealthMatters
Medications ✅
Toxic positivity ❌
Seek timely right help.
Do not self medicate
After giving free advice to a follow up patient for almost 18 months over whatsapp because of the pandemic, I lost my cool today and just said it!
Is this rude?
#MedTwitter
@greatbong
Would touching the spoon with non halal food or pork be okay while serving halal food to a devout Muslim?
I would take it as people carrying their own tools/ means to protect their own boundaries and not fuss over it.
Dear patients,
When you visit a doctor, ask all the doubts & queries you have all at once, before you leave the cabin.
The consultation is for one visit, it’s not a free pass to barge in & out of the opd chamber as many times as you please. Be mindful of other patients too.
#Thread
on
#ElderlyParents
for Indians born in 70’s and 80’s.
Yes, You did great by settling abroad or away from your parents,
but only if you can support them when they are in the midst of a health crisis. And support doesn’t mean calling the doctors at odd hours or trying ++
An Arab, living amongst Africans, who is always mistaken for a white 😂
P.S - Sorry for being late to the party, as was out of network, and out of touch with news and my roots!
#20Years
since we confessed our feelings to each other,
much after the world already saw the sparks flying between us, we were so oblivious to the obvious & focused on building our solid friendship!
On
#13thFeb
2003 we started dreaming of a beautiful life together!
#grief
A patient with newly diagnosed stage 4 lung cancer had a heart attack/CABG a few years after which he quit smoking as per his doctor's advice.
He is angry & tells me that he thinks he got lung cancer bcoz he quit🚬
So this is what I explained to him.
#Thread
#DiaryOfAnOncologist
Was feeling a little demotivated today and then I met my octogenarian stage 4 colon cancer patient who has been on treatment for the past 5 years with me.
He, of course, but even more than him, his son is a source of inspiration and strength to me. For the past 5 years, for
One year since I made a life changing decision and embarked on a new journey in my professional life.
Celebrating
#Gratitude
with my work tribe, those who help me keep it together even when I am internally falling apart, who go that extra mile to add smiles in lives of cancer
Ayurvedic/ homeopathy/ Unani/ Sidha medications are not manufactured as per their pure sciences but in shady places where there are no quality checks. Most of them contain heavy metals, steroids and toxic substances which may show results initially but eventually harm organs. 7/
It’s quite understandable why some people choose to stay away from discussing religion or politics on social media.
The world is so hell bent at labelling and fitting you into one of the only two boxes they have in their minds!
I only learnt recently that just expressing
Seeing patients defaulting conventional treatment in a curable cancer, because of the alluring “side effect free” alternative medicine that comes at the cost of their liver/ kidneys and eventually lives has become so commonplace that it has even lost its shock value.
2/
A 38 yr colon cancer survivor who wanted THE BEST treatment for himself, refuses to pay for his mother’s treatment,
& a 21 yr old nurse discreetly pays for blood bags for a stranger who surely won’t make it with end stage Ewing’s.
Each day in
#oncology
is a lesson in humanity!
@Dextryl
By a lot of people!
Modernity and education meant making fun of t just one religion in most metros or even on Social media.
I went to my places of worship and will continue to,
but I know a lot of people who didn’t.
Don’t look for hate in my tweet, you won’t find it!
So here goes today’s
#TrueStory
in
#BangaloreTraffic
I just did a 🤦🏻♀️in front of a biker when he tried to take a turn wrongfully after I let him and drove ahead forgetting about it.
He comes back after a minute and bangs on my window and starts an altercation much to the
@TheCosmiChemist
@EGFRResisters
Your family will be in my prayers 🙏🏼
She seems like an incredible woman.
The brightest stars burn out the fastest and it’s so unfair!
My best wishes to you to succeed in keeping her memories, values and legacy alive!
If MBBS students can treat patients before taking the oath or getting the degree/vaccine,
students from other courses should help for non-clinical needs of the pandemic.
We need volunteers for raising awareness, enforcing masks, arranging vaccination/blood donation camps,etc.
It’s so difficult to tweet something normal and random,
after a heart baring tweet that you wrote in a vulnerable moment has blown up.
Overwhelmed and grateful for the replies, yet to go through them all 🙏🏼
Happy Vasant Panchami 🌸 and
Happy Valentine’s Day to those
#KantaraTheLegend
Powerful, Soul Stirring!!
Kudos to
@shetty_rishab
for this brave story telling!
Our folklore, Our Legends, Our Mythology deserve to be told and heard! I am so glad Indian Cinema is finally doing it!
#unpopularopinion
I enjoyed this much more than RRR & KGF!
#Thread
#FoodVibesOnly
#GeorgianFood
is so under rated!
It’s even been called the best authentic European cuisine.
Georgia is a foodie’s paradise with
a variety of delicacies for every palate.
Being a country with a large number of Orthodox Christians who abstain from Meat
@NumbNarrative
I don’t know you or your taste, nor am I obliged to align with your choices.
More than that, I dont think you know me enough to know about my OTT taste 🙄
I had almost not realised, that ever since I lost him (my first and most favourite travel companion and my travel sharer / cheer leader even when we weren’t traveling together)
I hadn’t ‘planned’ a single trip by myself for leisure.
All my travels since 2020 have been either
“We are never finished with grief. It is part of the fabric of living,” V. S. Naipaul writes, in a Personal History. “Love makes memories and life precious; the grief that comes to us is proportionate to that love and is inescapable.”
Dear Indians,
Free/cheap treatment ≠ Good Doctor.
A doctor who tells only what you 'want' to hear(even if it is a lie) ≠ Best Doctor.
Not giving the 'right' information & 'right' treatment amounts to poor ethics & malpractice even if it's given for free.PERIOD.
#MedTwitter
Funny how it says the girl was kissing the boy, and not that the couple was kissing!
Funnier how Consensual displays of affection within boundaries trigger more people than non consensual or forced groping / touching, eve teasing and even staring! 🙄
@edanderson101
I am a Gujarati not a South Indian but we love Idli dosa so much that they feature even in our fancy dinner menus, to the utter shock of my south Indian friends who have them only for breakfast!!
Would you dare
- attending a Tuberculosis patient without a mask coz you have taken BCG?
Or
- to not wear gloves if you were operating on a Hepatitis B patient coz you have been vaccinated?
Then why have a problem with wearing a mask when the virus is still in the community?
But each life cost counts & each life lost hurts.
In today’s era when information can be accessed at our fingertips, seeing misinformation capture the minds & intellect of common man is heartbreaking.
If every person takes the responsibility of only spreading the right msgs 3/
Having been on both sides of the table, I wish we (Indian Healthcare) could have,
1) Better communication, waiting areas and empathy for relatives of patients in ICU and OTs.
2) Access to Hospice care & Home ICU.
3) Better mental health support to caregivers.
#MedTwitter
4) We are mentally and physically exhausted just like you; and your mistrust only breaks our morale to go on. Every health care worker has 'Is doing all this even worth it?' thought of late.
5) There is shortage of beds, resources and manpower.
6) The virus is REAL.
#MaskUP
Slovenia’s loss was Georgia’s gain and even more, mine!
So in love with this country ❤️🇬🇪for it’s
* phenomenal food - the birthplace of bread and wine,
* surreal beauty - both natural and architectural,
* fierce will to preserve it’s identity,
but above all,
* exemplary co
After traveling to over two dozen countries (some of them many times over),
multiple Schengen visas,
my first tourist visa rejection, from a Schengen country;
feels like a slap on the face and a dagger in the heart!
Slovenia 💔
@MEAIndia
@IndianDiplomacy
@DrSJaishankar
Oops!!
After supporting many of his tweets and even sharing patient experiences with him over the years,
Just one conflicting evidence based opinion on Yoga & I am blocked!
It’s my way or you will be blocked?!
Guess who is intolerant??
🤷♀️
Every branch of medicine has science
behind it & I don’t mean to dismiss any science as inferior.
But we need to debunk myths & stand up for science. None of the alternative therapies have been tried in randomised trials & have not been approved world wide.
5/
1) We don't need to issue false positive reports or create panic. The true numbers are much higher than those being tested.
2) 97-98% recover but the families of those that don't recover are shattered 100%.
3)No one enjoys walking on thin ice, but we don't have a choice, do we?
Despite being a doctor,
I surrender to and entrust my and my family’s health to our treating doctors.
Micromanaging & questioning every step may backfire more often than not, especially if you are away from your family who is under treatment.
#MedTwitter
#JustSaying
So many lives can be saved.
Cancer when diagnosed at an early stage can be curable.
Opting for side effects free unconventional/ alternative medicine can cost lives.
Please choose therapies that are proven in clinical trial settings and not those promoted by hearsay. 4/
From legendary ragging by a super duper senior PMTite of a Bombay localite MBBS fresher .. to infinity & beyond!
Not exactly MBBS batchmates but a senior/junior couple from my 1st year MBBS.
Pic from the first treat he gave post ragging in
#KEMcollegecanteen
#MedTwitter
“And once the storm is over, you won't remember how you made it through, how you managed to survive.
You won't even be sure, whether the storm is really over.
But one thing is certain. When you come out of the storm, you won't be the same person who walked in.”
In last 2 years I have fallen ill more number of times than I have in my entire life.
Chronic depression decreases immunity & also causes psycho somatisation.
Anyone who says depression is a scam is a scamster, though hope they never get it.
#MentalHealth
#ChronicDepression
After seeing so many + cancer patients recover, I lost my first patient to Covid & I cannot deny that I am feeling really low & guilty.
He & His daughter are the true warriors.
I only wish everyone is blessed with a daughter like his.
'Humbled' would be an understatement 🙏
Wore Indian in Mauritius today and after ages felt like taking a selfie!!
Never thought I would say this but “Might delete later” 🫣
#DesiVibes
#NeverSayNever
A
#BreastCancer
patient’s son told me
‘The last 6 years (since she has been diagnosed with stage 4 cancer & is on treatment for the same) have been the best years of her life, she has travelled the world and lived life to the fullest.’
She passed away yesterday.
Quality of +
A 41 yr old patient visited me with his 10 yr old son, I requested the child to sit outside but he refused. Turns out the kid is super smart & has been the primary care giver & understands EVERYTHING better than most adults.
#MedTwitter
#PatientTales
#DiaryOfAnOncologist
1/2
Some days the greatest struggle one faces is finding edible vegetarian food outside India, even tougher when you need food high in protein & low in carbs! Today’s power has been NOT ordering pizza/pasta!💪🏼
But the
#VegetarianStruggleIsReal
, the world needs more
#FoodInclusivity
Pitstop on the way to the other side of Bengaluru for a very dear friend’s wedding, in beloved Masi’s
#Patola
having Filter Kaapi at a Darshini!
#ButFirstCoffee
#Kaapiness
#TeamCoffee
#SareeNotSorry
Prayers & best wishes for the beautiful and much in love newly weds 👩❤️👨❤️🧿
We’ve seen many suicides amongst IIT/ Medical students, successful actors & rock stars.
Even if 99/100 people speaking about mental health may be using it to get attention, if that 1 life is lost coz some of us gave in to the pleasure of mockery, it would scar many lives forever.
This is an appreciation tweet for all patients & their care givers who spend hours in hospitals waiting for consultations, blood tests, scans,etc.
Being on the other side of the table makes me realise the toll & patience it takes to battle the disruption in my plans & schedule.
I’d avoided Bombay for 3 years as I was afraid to enter our very first home that we built bit by bit since 2004,
the home we ‘lived in’ for years & the one I got married into.
Last night was overwhelming,
but now I know I am not avoiding Bombay any more!
#BabySteps
#Grief
@drpragya_shukla
Maharashtra CET 2002 also many privileged had accesss to leaked paper. I know names of many in my batch who got in only thanks to that!
This kind of corruption has always been there but only getting worse and destroying more and more lives and careers over the years.
Also don’t ask
Is your house rented or your own
Is it on EMI?
Why are you settled in this city?
How long have you been married, no kids yet?
How is your spouse? How are your parents/kids?
( when you are meeting after a long gap & aren’t close enough to have stayed in touch)
2 patients with stage 4 lung cancer, on Crizotinib since 39 months & on Osimertinib since 2 years, doing well in a disease that had only few months of survival.
The drugs are expensive & may work so well only in some, what is the cost of a few years of life?
#DiaryOfAnOncologist
To be honest I am disappointed with the renaming of the Motera SVP stadium.
I expected Namo to refuse the honour humbly and turn it to his advantage as a slap on the face of Gandhis who have been doing this for decades.
Pre humously named monuments are a sign of megalomania.
3 years ago I got THE news from his workplace abroad, while I was at my workplace.
As I struggle, even closest of my friends struggle to find the right words to comfort me today;
And all I wish is for people to appreciate the gift of life & live each day like it was their last!
Was struggling on a tough day thinking how & why I lost my 40 year old husband to a fatal stroke 2 yrs ago, when I had to console a 36 year old synovial sarcoma patient & make him agree to make his will & secure his family.
Life is UNFAIR to many people, I am just one of them.
Reminded a non medical staff to not walk in my opd without knocking or checking with me if I am free to talk, even when the patient I was seeing has just walked out of the door!
Wish I had done this earlier!
Drawing
#boundaries
is important, empowering & necessary.
@appadappajappa
Absolutely.
This is the most shared and most accurate description of grief,
mine as well of others who I have seen grieve very closely.
@vijaita
You can find many answers on ‘we’ in the replies but one can only understand the nuances if one wants to open their mind to accept others’ lived experiences as well!
@aadityasarod
Of course our opinions are shaped by our lived experience.
Good that you haven’t experienced mockery of fasting on Ekadashi or Navratris while Ramzan fasts and Lent were accepted and respected.
Next time you are prescribed any medications, please check if it is an approved drug and has been proven to be beneficial in randomised trials.
Also make sure that you check that the drug has passed quality checks including Allopathic modern medicines. 6/
Grateful to have my workplace in an area that has green canopies all around, almost zero pollution, very congenial cultured people, tiny clean eateries and a privileged small town/Old Bangalore vibe with pretty pretty houses & even prettier gardens! 🤩🧿
#RRNagar
#NammaBengaluru
@SonaliVaid
Maybe that’s the case in US but not in India.
The doctor patient Relationship is India is too sacrosanct and I have never ever seen any doctor give inferior care because of the caste, creed, region or gender of the patient. I hope it stays that way in the future too!
The most disappointing and funny part about mental health is that patients of mental health disorders are the only ones who contribute the most towards Mental health awareness.
Shouldn’t it be the other way?
Speaks volumes about the stigma!
#MentalHealthAwareness
Today’s dose of extra
#kaapiness
at my favourite kaapi spot - Kaapi Katte, with mommy dearest!
The biggest influence in my life, even the reason I love coffee;
It’s all thanks to the rebel that she and her sisters were ( to cancel Cha/ Chai and only have coffee in a Gujju
Glimpses from CME and awareness campaign in Oman on
#WorldCancerDay
Was an honour to be invited by Oman Cancer Association and witness the amazing work they are doing for screening cancer in the community and supporting families of underprivileged cancer patients.
This wonderful patient of mine is my wellness guru; her determination & zeal to fight cancer & live well is inspiring.
She made me promise today that I will take care of myself first, before everyone else & lose back all the stress weight that I’ve gained in the past two years!🤞🏻
An unplanned pic on an unplanned coffee break, from last evening!
P.C
@RajaniSurendarB
😍
while I am still struggling for my second dose of caffeine today! 😕
#TeamCoffee
#Kaapiness
There are very few people who can make the best lemonade from
the rotten lemons life has thrown at them, as gracefully as, this particular friend of mine❤️
She is now expecting, to be a brave fun single mom thanks to IVF.
Need prayers & best wishes for her & her baby 🙏🏼🧿