Ashwin Rajenesh MD @ashwinrajenesh Twitter profile

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

@nickmmark GCS is the only exam you can really suck at and still end up scoring a 3.

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Last Seen Profiles

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Ashwin Rajenesh MD

@ashwinrajenesh

1 month

Looks adorable. But in the event of a frontal collision and subsequent airbag deployment, the infant's skull would be accelerated at ~320km/hr 6-8 inches into the man's thoracic cage, killing both instantly. Indian parents need a harsh reality check.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@abbygov "My dear, religion is like a penis. It's a perfectly fine thing for one to have and take pride in, but when one takes it out and waves it in my face we have a problem."

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Quick, basic primer🧵- Decompressing a tension pneumothorax A tension pneumothorax is a life-threatening emergency which will lead to death without immediate intervention. Understanding and recognizing one is vital to time dependent intervention. (1/n)

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

At 4am this morning, a house surgeon was stabbed multiple times with a scissors in her neck by a patient she was providing care for. She died of her injuries a short while earlier. She had been my medical student & yet another victim of random, senseless violence towards doctors.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Shared with permission: This is the sort of abnormal postural variation of heart rate due to #Dysautonomia in #POTS . This previously athletic, fit and healthy young man has been suffering with these symptoms ever since his #LongCovid set in nearly 8 months ago, with no respite.

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Today, a humble syringe and an IV cannula saved a life ✅Consent

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

So, during my residency there was this "VVIP" celebrity patient who required a lumbar puncture. As is usual norm in such cases, she demanded that the Head of Medicine perform it. Our HOD obliged, cleaned and draped, took the LP needle in his hand, smiled and said... (1/3)

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

VIP patient #Medtwitter stories Pleural tap today. Me: "I'm going to give the local anaesthesia. This may sting a bit" Patient: "Doctor wait, I don't want the local thing, please use some high quality injection. Don't worry about the cost." Me: 😳

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

With videos like this in circulation, we are going to have an epidemic of random uncles suddenly jumping on another's chests for no reason. CPR isn't to be performed on a responsive person who is breathing. Improper technique may be harmful (1/2)

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@thephysicsgirl ER doc with experience managing ME/CFS crashes here. Get her triaged, have her vitals checked. Provide a concise history. Have a doctor perform a physical. ECG, basic bloods and VBG/lactate levels. Minimize shifts, transfers amd ambulation. (1/2)

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Ashwin Rajenesh MD

@ashwinrajenesh

5 months

@gldivittorio

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

...Now, are you still absolutely sure you want me to proceed?" Celebrity madam now gave a very foolish smile & sheepishly gestured from her lateral recumbent knee-chest position, as my professor grinned, asked me to glove up and walked out after handing the LP needle to me. (3/3)

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Ever intubated a "mild" disease? My first was today.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@OGdukeneurosurg Rice grain calcifications - Disseminated cysticercosis.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

This chest radiograph of an elderly lady is a treasure trove of X-ray signs. List all that you can spot @radiologistpage

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

(1/n) Thread: Epi-immuno-pathogenesis of #BlackFungus , misnormer for #Mucormycosis . As of 26th of May 2021, India had noted close to 12,000 cases of Mucor along with the #COVIDSecondWave . The centre has advised it a notifiable disease under Epidemic act.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@SaltyEMNY One Ring to rule them all, One Ring to find them, One Ring to bring them all and in the darkness bind them.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

"I think this is the spot. You know, it's been 30 years since I've done this, so my techniques' a bit rusty. Thank you for personally "requesting" that I do it, rather than my registrars & interns who I'm sure get to do many LPs routinely in a day. Hope I've still got it... (2/3)

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@AshleyGWinter Why proper instructions are necessary.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

Yet another case of "it's just gas" in the emergency department today.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@thephysicsgirl Get her on a flat bed with the head end lowered. ER beds can be tilted to the tredelenburg position. Convince the team to get her on IV fluids while waiting for the bloodworkup. If nauseous ondansetron may help. (2/2) Check this as well:

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Ashwin Rajenesh MD

@ashwinrajenesh

9 months

@NicoGagelmann He fought tooth and nail

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Ashwin Rajenesh MD

@ashwinrajenesh

2 months

@dixit_hemat Sorry to see this Gaurav. Hope things get better over at the clinic. Cannot expect that of the state of the nation unfortunately

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@anujtiwari11 This X-ray has a lot going on: Left pneumo, right hydro-pneumo + fissural effusion, the thin walled cavity on the left mid zone, bilateral parenchymal infiltrates with destructive bronchiectasis and tractional volume loss.😔

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Ashwin Rajenesh MD

@ashwinrajenesh

1 month

I'm sure that this dad loves his daughter dearly, and I really wish to believe that this dangerous indulgence of child endangerment was a singular lapse of his better judgement. Hoping he & other parents can realise the potential dangers involved in such practices, and do better.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

17 year girl with history of recurrent brief fainting episodes (> 8) preceded by palpitations & "anxiety". Normal vitals + physical exam on arrival at the ED. Dismissed as panic attacks by multiple doctors, her first ever ECG. Would you diagnose the same? #MedTwitter Consent ✅

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

It's been about six months since we've had to intubate a patient with acute #COVID19 respiratory failure in our busy emergency department. The virus hasn't gone anywhere, but bloody hell - the freakin' vaccines work!!! 💉💪🏽

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

Rounds in the ED discussing a patient with a head injury: What's the patient's GCS? Resident: GCS couldn't be assessed as the patient was drowsy. Me (thinking to myself): Wow! That's a new one. Me (out loud): That's EXACTLY the situation the Glasgow Coma Scale was designed for 🤷🏾‍♂️

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Breaking news: Curd apparently blocks the action potential of the α1 subunit on selectively permeable voltage-gated calcium channel on the cell membrane.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

The Adanis making the Ambanis look like the good guys.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@vijayanpinarayi @just1doctorwala Absolutely brilliant stuff from Kerala health care services. And you sir, are a legend with this tweet sticking it up where the sun don't shine. Respect!

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

#POTS or Postural Orthostatic Tachycardia Syndrome is a form of Orthostatic Intolerance (OI). Due to abnormal autonomic function, a dramatic and sustained increase in heart rate occurs with postural change, without a significant fall in blood pressure. 24 hour holter also shown.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 months

The only thing scarier than a crying child brought to the ER is a child brought to the ER that isn't crying

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Ashwin Rajenesh MD

@ashwinrajenesh

23 days

@Chinmayi Opportunistic perversion seems to be the default setting in the Indian male. And then you have those who take it up a tier to create the opportunity, particularly using positions of power and disgustingly so. It almost seems one needs willing restraint to maintain basic decency.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

@elena4yo @RajxGhoshal Waiting for the climax

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Ashwin Rajenesh MD

@ashwinrajenesh

22 days

Monkeypox is currently in a multi-country outbreak and has currently been classified as a "Public health emergency of international concern" by the @WHO One pager infographic on mpox

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Rx: In ascending steps, till reasonable symptom control: Step 1: Fluid + salt loading Step 2: Compression stockings Step 3: Autonomic physical therapy, if tolerated Step 4: Pharmacotherapy Cardioselective B-blocker Non-selective B-blocker Ivabradine Fludrocortisone Midodrine

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

The patient's heart rate shoots up from a resting rate of 70-80/ minute to 130-140/minute within moments of getting up to standing from a supine position, as shown in the video before gradually decelerating. The holter shows regular such spikes in heart rate throughout the day.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@BrownHospMed @dr_skaggs Asymmetrical superficial abdominal reflexes. If noted in a patient with scoliosis, would image to rule out a lower throacic syringomyelia (syrinx)

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@theliverdr Ayush PPE is coming soon.

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Successfully exercised my electoral franchise to help vote out the filth-peddling communal scum #Election2024

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Ashwin Rajenesh MD

@ashwinrajenesh

3 months

@Chinmayi WTF is "refusing to sleep with"?? Is that how one sugarcoats an attempted rape/murder.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

@theliverdr Dropping this superb infographic from @bmj_latest on a clinical syndrome pattern recognition + lab/serological diagnostic approach to Acute Undifferentiated Febrile Illness (AUFI without localising symptomatology) in tropical regions.

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

This romanticism of servitude to the cause of nobility is harmful to the medical fraternity and ends with us getting us beaten up in the long term. It's a profession, not a vocation. #MedTwitter 🇮🇳

Dr.Dhruv Chauhan

@DrDhruvchauhan

4 months

She is a Co junior Resident doctor in my hospital working for patients with a “IV Saline Paracetamol Drip in her Hand” as she had fever & severe weakness . When I asked her why don’t you take rest she replied “My patient is in Sick condition , I will be fine if patient will be

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

#CoughSyrup Because if you thought #BigPharma was a despicable ill-motivated industry, wait till you meet it's unregulated Indian cousins: The malicious and deadlier Small & Medium Pharma.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 month

P.S. Some food for thought. Lot of comments pertaining to non-existent Indian road ethics. But how is it that the individuals who blatantly flout road rules in India, follow them to the dot in the west? Better overall civic sense, or is it better enforcement & harsher penalties?

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

"Our aim is to train you to be the physicians who we'd want to be treated by, if we have taken ill." - Dr. Anand Zachariah, Past HOD, Department of Internal Medicine, CMC Vellore, India. From his address to Y1 Internal Medicine residents circa 2013 @OffCMCVellore #MedTwitter

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

14 years since I passed out of med school and I'm sorry to say that I'm also equally "inexperienced" and inadept with the nuances of unarmed defensive physical combat against an armed assailant. Shame on me.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Take the time, make the effort to learn how to perform CPR. Hopefully it's a skill you will never have to use. You may never know when, and on whom you have to use it. It may be a loved one or a stranger. But when it comes to that, their lives could be in your hands. #CPR #BLS

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Ashwin Rajenesh MD

@ashwinrajenesh

10 months

@theliverdr Use the wrist. But not like that.

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Ashwin Rajenesh MD

@ashwinrajenesh

8 months

@theliverdr Dude chose cosmic rays instead of gamma rays. Now has the holy light in him instead of the photons 💀

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

A short 🧵. To remind you to not stick your finger in trouble. Image 1/5: Typical spotter in the OSCE for medical students.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

For those who understand Malayalam, the conversation as it took place in the vernacular. Me: "Sirae, local injection aanae; ith alppam vedhana undakum" Patient: "Local item onnum venda. Koodiya sathanam mathi. Doctor ethinu chelav onnum nokanda"

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

#IDTwitter Ordering Zosyn ID 😠 Ordering 🍕 ID 😋

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

Approach to hypoglycemia in the ED: 1. Doctor did it (iatrogenic) 2. Patient did it (OD/inadequate meal) 3. Drug not eliminated (worsened renal fn) 4. Body's glucose factory kaput (liver dysfn) 5. Body demands more glucose (sepsis, etc) 6. Weird causes (🤙🏽 #EndoTwitter ) #FOAMed

Dr_Sona Abraham

@Sona_unplugged

1 year

80 yr old man brought to casualty with severe hypoglycemia despite IV dextrose. Not a known diabetic. RBS 45. Insulin and C-peptide sent during episode of hypoglycemia. Cortisol level sent at the time 19 Thoughts?

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Repeat after me: Cough is a physiological response to a pathology (such as suppuration or spasm) in the airway which facilitates it's clearance. Hence it must not be suppressed unless the cough itself causes harm or significant discomfort / pain. Treat the cause, not the cough.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Six years of intensive learning and training, versus a six month crash course. Take your pick during an emergency.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

This moron, through regular irresponsible feeding has created a pack of stray dogs sensitised to assemble & anticipate food. What happens when the moron doesn't turn up? The hungry dogs turn on whoever is passing by expecting to be fed. And when that doesn't happen, they attack

Vidit Sharma 🇮🇳

@TheViditsharma

1 year

Why Feeding Stray Dogs in India Matters: Exploring the Environmental, Social, and Animal Welfare Benefits A Twitter 🧵

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

Faces to the sham that is @HimalayaIndia . Name and shame

Varun C. MD, DM

@drcheruvarun

1 year

Shame on you @HimalayaIndia You are exposing yourself and your unscientific double standards Rest assured netizens will leave no stone unturned till you regret the day you ever thought taking @theliverdr to court was a good idea... #BoycottHimalaya

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

As many have mentioned, dismissal by their health care provider has been a common unpleasant experience, often labelled anxiety and pychosomatic, further gaslighting the orderal. However, many have found great guidance, counsel, therapy and learnt to cope.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Also mentioning the role of wrist worn fitness trackers, availability of finger pulsoxymeters, etc have made patients realise that their discomfort was associated with variations in heart rate, thus allowing approach to medical care with evidence to show.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

@EM_RESUS Right pneumothorax 🟠 Left massive hemothorax 🟢 Rib fractures with flail collapse Left 1st - 4th rib🔵 Scapular fracture with acromio-clavicular dislocation 🔴 Tube device (cyan blue) left lateral chest wall. (Or) Old left complete pneumectomy with a hyperinflated right lung 🤡

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

If someone suddenly collapses and isn't breathing, place them on a flat surface & begin chest compressions as demonstrated here. Get trained from proper sources. Also, avoid photos/video graphy & sharing of an extremely disturbing moment to the person & their loved ones. (2/2)

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@ilizbethnoble Boyfriend's dad is the real MVP 🤩

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Ashwin Rajenesh MD

@ashwinrajenesh

1 month

Also sigh, the mandatory sacrasm notification: It seems no one picked up the sarcasm on the "adorable" statement 🙃

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Thank you to all who choose to share here, their own story of living with and dealing with POTS, those who care for individuals suffering from POTS and those who advocate for it. Despite the disease being around forever, it was orphaned by medical research and needs awareness.

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Ashwin Rajenesh MD

@ashwinrajenesh

11 months

An ECG costs less than $2 where I work. A walk-in consult (24x7) with primary doc: $1. An out of hours referral to emergency department consultant: $1.50 An appointment with the cardiologist the very next day: $3. And people still complain about healthcare costs & waiting times.

Gavin Preston, M.D.

@GavinPrestonMD

11 months

My primary care doc bills my insurance $100 when he does an EKG in-office. He wanted another, I said could I go to my local hospital to get one? "Yes." I went by, they said would do it. I asked how much-- $1,200! I said no thank you. My doc did it. Time for uniform pricing in US.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 months

Your astute clinical diagnosis from this ECG?

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Seeing a sharp upturn in COVID19 cases presenting to the ED since yesterday. This is following a lull during the past two months. The cases coming in are mostly community acquired, with no significant travel or contact history. All are breakthrough infections in 2x vaccinated.

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Ashwin Rajenesh MD

@ashwinrajenesh

11 months

The most devastating weapon of mass destruction is religion.

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

If you are alive today > 90 days since taking the vaccine (when the chances of any such complication is impossibly small), you need not worry, nor take any of these tests. You and the community have benefited from the vaccine. Sincerely, A doctor who deals with COVID & VAE/AEFI.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 months

Had 3 patients this week with clinical leptospirosis. IgM serological tests negative in all. Sent lepto PCRs, all 3 of which were positive. Instead of being proud & smug, I'm kicking myself for sending expensive investigations instead of trusting my clinical judgement. Thoughts?

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

To all those who spat out their curd, I'm sorry. This is a satirical misleading post calling out yet another misleading post from a 'doctor'. Please continue to enjoy as much heated curd, cold curd, curd rice, lassi, chaach, buttermilk as you like, anytime of the day or night.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@anzypanzywanzy *Senior nurse with 40 years of peripheral IV cannulation experience watches, on as the patient's veins are repeatedly counterpunctured by the attending*

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@ASlavitt

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Perseverance. Not resilience. The man in the arena.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Something that the prior generation of POTS afflicted may not have had access to earlier, and hence were neglected and dismissed for years in end.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@Olivemadsci Patient: This is the worst headache of my life. Narrator: No it wasn't. Our patient was merely experiencing their first hangover after having turned 30.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 month

@GargiRawat Poor judgement, risk assessment and hazard awareness. This is what happens when stupidity, combines with ignorance of road safety and lack of enforcement of traffic rules.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

64y lady (HTN,off Rx) who collapsed at home was brought unresponsive to the ED. 🫀54' ⏲️200/110 🫁8', gasping, airway ❌ 🧠E1VAM1 This finding was noted during prep for intubation & site of lesion clinically neuro-localized prior to the CT. #neurotwitter Qn: Location of the ICH?

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

Despite all the bad press, anyone who says that practicing medicine is a thankless profession is out of line. No other vocation grants the privilege to 𝘢𝘧𝘧𝘦𝘤𝘵 so many fellow human lives in an average week; than the average person does in their entire lifetime. #MedTwitter

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@BrownHospMed Frontal inhibition release sign - Snout reflex. Tapping or percussion of the lateral aspect of upper lip region causes a pouting or puckering of the lips making a snout.

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@jamewils Fantastic read on the impunity by @RanaAyyub .

Rana Ayyub

@RanaAyyub

3 years

Two sons, two systems of justice, but one message for Indians: Fall in line My latest on Aryan Khan and Ashish Mishra. A crucial piece for the Washington Post

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

Dear public, Who have chosen to interpret the word MILDER. Milder doesn't mean chilling at home with hot chocolate, nice books and movies. Milder means not having multiple pipes & tubes shoved in you & being connected to a bunch of 'alarming' machines in an ICU. Okay thanks.

Doctor

@DipshikhaGhosh

3 years

To everyone who propagated that Omicron is mild, you didn’t understand that scientists said it’s MILDER than Delta, which translates to LESS LETHAL. It’s still Covid. People who were already not following public health measures had their belief of near zero threat reaffirmed.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

50 year old fisherman (local equivalent of the American farmer), brought against his will to the ER: Hey look doc, it's nothing. Just this funny feeling in my chest since yesterday. Me: Say no more. @EM_RESUS

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Ashwin Rajenesh MD

@ashwinrajenesh

8 months

@theliverdr Another chance for this legendary meme to do the rounds

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

If you want to find the best doctors in a hospital, ask the nurses there who they'd consult should they or their loved one fall ill. You'll be right 100% of the time #MedTwitter

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

@ilizbethnoble Is that the cost of one's integrity nowadays? TBH, I'd have taken it as well, that's just silly money at that stage in life.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@Lap_surgeon What really had me confused initially were these. It took me a while to recognise that it was actually just the reflection of the phone camera.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@BrownHospMed @grepmeded When the meninges are inflammed, stretch on the dura by passive flexion of the neck causes meningeal irrigation and pain. To releive the stretch, there is involuntary flexion of the hip + knee thus relaxing the stretch on the meninges. High specificity for meningeal inflammation

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Ashwin Rajenesh MD

@ashwinrajenesh

3 years

@YouAreLobbyLud The single most effective way to prevent #LongCovid is to prevent getting infected with the SARS-CoV-2 virus in the first place. Vaccination + boosters, masking, ventillation, distancing etc remain the cornerstones of prevention of COVID, and must be what's pursued.

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

Her ECG shows short PR intervals with slurred upstroke on the QRS complexes: Delta waves - signifying the presence of an accessory pathway which may lead to aberrant conduction & electrical "short circuits" This is NOT a panic attack. This is Wolff-Parkinson-White syndrome (WPW).

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

@PallaviPareek @RuchiAngrish @ManipalHealth ER & IM doc, here. The line of recommendations put forward was correct. Rabies is a disease you don't want to take a chance. For a category III bite, immunoglobulin therapy is indicated at the earliest in all except those who have completed vaccination schedule previously. (1/2)

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Ashwin Rajenesh MD

@ashwinrajenesh

1 year

Not sure what this is supposed to be, but it most certainly isn't #rabies

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@BrownHospMed Epidemiology and pathogenesis of mucormycosis. A relatively rare disease which we saw waging a mini pandemic of it's own in India during the COVID19 delta wave.

Ashwin Rajenesh MD

@ashwinrajenesh

3 years

(1/n) Thread: Epi-immuno-pathogenesis of #BlackFungus , misnormer for #Mucormycosis . As of 26th of May 2021, India had noted close to 12,000 cases of Mucor along with the #COVIDSecondWave . The centre has advised it a notifiable disease under Epidemic act.

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Ashwin Rajenesh MD

@ashwinrajenesh

4 months

Confirmation: Tension pneumothorax is a CLINICAL diagnosis!!! Confirm with #POCUS signs of a pneumothorax if available at the bedside. Undue delays to obtain X-ray or CT imaging MUST NOT delay your intervention, as progression may cause your patient to further deteriorate.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

@DFisman

Ashwin Rajenesh MD

@ashwinrajenesh

2 years

100% of those who needed a ventilator, and couldn't get one in time died.

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

As promised, let's go... Breaking this X-ray down systematically (armed with hindsight and ofcourse me peeking at her cross sectional CT imaging sequences) We have a scary looking X-ray of a 78 year old lady: AP view, reasonably well centred and exposed. (1/n)

Ashwin Rajenesh MD

@ashwinrajenesh

2 years

This chest radiograph of an elderly lady is a treasure trove of X-ray signs. List all that you can spot @radiologistpage

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Ashwin Rajenesh MD

@ashwinrajenesh

2 years

1. Your immune system needs no boosting - it doesn't work that way and, a hyper active immune system will kill you. 2. Your liver needs no detox, your liver detoxes you.

TheLiverDoc

@theliverdr

2 years

Im a liver diseases specialist trained in hard-core basic science hepatology, active in research/practice of clinical hepatology, routinely caring for most advanced liver failure patients & I assure you Liver detox, specific foods for liver health/immunity are absolute hoaxes.

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