NEET PG COUNSELLING SNIPPETS:
1) 30 out of top 50 ranks opted seats in New Delhi (60%); next was Mumbai (20%)
2) 27 out of top 50 ranks opted for MD Medicine (54%)
3) 15 out of top 50 ranks opted for MD Radiology (30%)
4) Only 2 out of top 100 ranks opted for Surgical Speciality!
Today a patient told me that I do not look like a doctor with 15 years "
#experience
"
Need suggestions how to look like a doctor with "15 years experience"
#medicine
#blues
NEET SUPER-SPECIALITY SNIPPETS (SURGICAL STREAMS) 2023 (Total 3308 seats allotted):
1) 44 out of top 100 opted for
#Oncosurgery
(Surgical Oncology) (44%)
2) 35 out of top 100 opted for
#GastroSurgery
(Surgical Gastroenterology) (35%)
3) 20 out of top 100 opted for
#Urology
(20%)
"Newer" medicines in diabetes: A critical review
1) Saroglitazar: Avoid in kidney disease
2) Hydroxychloroquine: Not a diabetes medicine
3) Half dose semaglutide effective for fatty liver
4) Dorzagliatin causes hypertriglyceridemia
5) Lobeglitazone is inferior to pioglitazone
The best brains in
#Endocrinology
are fighting it out this weekend for the coveted trophy! These 12 final year DM/DNB Endocrinology Residents are perhaps the most knowledgeable Endocrinologists in the country now, at the cusp of their final exit exams! All of them are winners
NATIONAL DRUG SURVEY (2014-2016), Ministry of Health & Family Welfare, Govt. of India
Key Take Home messages:
1) Medicines from Govt. sources 3 times more likely to be of NOT OF STANDARD QUALITY (NSQ) as compared to private retail sources (10.02% vs 3% respectively)
2) People
Meeting my HOD since passing out of the dept 10 years back in Sir's busy OPD! Multi generations of endocrinologists have passed out under Prof Subhankar Chowdhury Sir. So much to learn from him in endocrinology & life in general
#ipgmer
#teacherstudent
#timetakesabreak
#hormones
Future of IPGMER Endocrinology is in safe hands! Amazing advanced molecular labs have sprung up, Next gen PCR, Western Blots, Cell Culture Lab, Latest chemi analysers, Corneal Confocal Microscopy, Flow cytometry just to name a few! Researcher's paradise!
#ipgmer
#endocrinology
Time for updating gestational diabetes (GDM) & diabetes in pregnancy (DIP) guidelines!
Metformin has made life easier for patients & doctors for managing GDM/DIP, especially in obese pregnant women.
It prevents excess weight gain in mother & child. Prevents "big babies"
Metformin use in pregnancy did not show any adverse effects when compared to insulin on long-term outcomes at 5-11 years in children and their mothers
Just published!
Thanks to the wonderful team
@deepduttaendo
@saptarshi5
@RitinMohindra
Why wait till mid 2nd trimester of pregnancy to diagnose gestational diabetes (GDM)?!
Women with 1st trimester of pregnancy fasting glucose >92mg/dl (5.1mmol/L) are
· 4 times more likely to develop GDM later
· 1.5 times more likely to have hypertension in pregnancy &
An
#endocrinologist
's dinner variant-2
#lowcarb
#highprotein
#lowfat
Steamed kidney beans (rajma) with small chunks of brocolli, carrots & corn; mixed with small pieces of tomatoes, onion, cucumber, liberal amount of lemon juice; with small chunks of Indian cottage cheese
India contributed 6.3% of all publications in Endocrinology on PubMed is last 50 years (1970-2020). Share increased to 9.1% if we look at last 10 yr data. Big cheers to IJEM, DMSRR & IJDDC for being the flag bearers of Endocrine Research from India
@j_metb
@Els_ENDO
@ICMRDELHI
Growth Hormone therapy: Present & the Future:
1) Idiopathic short stature (ISS) is the most common cause of growth hormone (GH) therapy in 21st century
2) Height outcomes for GH therapy in ISS is not great (hardly 4-5cm gain after 1-yr therapy)
3) GH therapy is most gratifying
Thanks
@airvistara
for bringing back the feeling of "joy of flying" of the 1990s. Sumptuous hot & healthy meals
@airvistara
premium economy, endless space to stretch legs & ergonomic seats with head support to catch a nap.. currently the best airlines to fly economy in India
Top causes of difficult to interpret thyroid function test (TFT) reports, viz. thyroid hormones & TSH reports are not in sync:
1) Thyroid labomas (lab errors) due to problems in testing and blood sampling
a) Biotin supplement consumption can lead to falsely high TSH levels
b)
Addition of
#ezetimibe
to high intensity statins at the time of
#heartattack
(acute coronary syndrome) is associated with more rapid reduction of
#cholesterol
with benefits seen as early as 7-days post
#heartattack
. This translates into significantly lower risks of
#cardiac
These are the best days to be an
#endocrinologist
in India. No other field of medicine has seen so much advances in treatment options as in
#endocrinology
. Just remarkable how many newer treatment options have been launched for
#diabetes
in last 20 years. Better treatment means
Diabetes & Metabolic Syndrome: Clinical Research & Reviews.
THE NUMBER 1 JOURNAL FROM ASIA
New CiteScore: 22.9! 🎉 World Rank: 6/244: Endocrinology, Diabetes & Metabolism 6/167: Internal Medicine
A big congratulation to
@docanoopmisra
our editor in chief,
@banshisaboo
our
#orforglipron
is an highly effective oral
#glp1receptor
agonist for weight loss.
#orforglipron
causes on an average 8-12% weight loss from baseline!
15% weight loss is not uncommon with
#orforglipron
No pain, No gain: Gastrointestinal side effects similar to seen with other
End of an Era at Department of Endocrinology
@IPGMER
& SSKM Hospital Kolkata.. Wishing lots of good health & happiness to our favourite teacher & Mentor Prof Satinath Mukhopadhyay who has shaped careers & life of so many endocrinologists in the country. It doesn't happen often
With guide & mentor 10 years later at IPGMER Endocrinology dept.Nobody has made endo easier than Prof Satinath Mukhopadhyay Sir. Miss his rounds, casepresentation&seminars.His tips during busy OPDs on complicated endocrine disorders are priceless. Lucky to have had him as teacher
The tryst with salads for dinner continues...
Egg Paneer (cottage cheese) salad
Day 35 of no rice/rice products, no wheat/wheat products diet, no sugar/jaggery, no procesed food, no chips, no biscuits diet.. Lots of fruits & veggies.
Results: Lost 5kg weight, more energetic,
Blessed to have had Prof Subhankar Chowdhury as a Teacher.. Since 1999 when he became the HOD of Dept of Endocrinology, IPGMER & SSKM Hospital, Calcutta, exactly a 100 DM Endocrinology residents would have passed out under his training (2 seats/year from 1999-2009; 6 seats/year
@drvinoth04
cause we are interested to see what the toppers choose. At baseline number of DM Cardiology seats are much much more than DM Endocrinology or Rheumatology. Hence overall, more people will always end up taking Cardiology than other superspecialities Hence no point of analyzing
REB THERAPY IS GOING TO BE THE GAMECHANGER IN THE FIELD OF LIPIDOLOGY
The monthly cost of
#Rosuvastatin
40mg/d +
#Ezetimibe
10mg/d +
#Bempedoic
#Acid
180mg/d (REB TRIPLE THERAPY) is only 4% of
#PCSK9i
therapy
REB Triple Therapy is 25 times cheaper than PCSK9i
60% patients on
Stellar honour for the super-dynamic, super-knowledable endocrinology colleague
@AskDrShashank
.
First Indian to be awarded Mastership of American College of Endocrinology ( MACE)
Proud of your achievements, my friend!
@TheAACE
@IndiaESI
#endocrinologist
's dinner variant-3
Steamed chick peas (kabuli chana) with steamed corn, carrot & brocoli; mixed with small pieces of tomatoes onion cucumber, lots of lemon juice, touch of salt and chat masala as per taste; seasonal fresh cherries added for a sweet flavour
- Anagliptin is a DPP4 inhibitor approved in Japan.
- It has a unique LDL cholesterol-lowering property.
Our meta-analysis has been published in the journal Medicine. Congratulations to the coauthors for making it a success.
The only class of anti diabetes medication which has excellent glycaemic efficacy, significantly improves cardiovascular outcomes, but remains out of reach for a large majority of the global population is
#GLP1
receptor agonists, as all of the currently available medicines are
@drprashantmish6
Most horrible experience, my sister in law has star health insurance (Delhi Area). She had an acute stroke (left hemiparesis) due to acute infarct in right brain middle cerebral artery occlusion, and they refused claim saying it is a pre-existing disease!! If they can refuse
Trabecular Bone Score (TBS) is better than Bone Mineral Density (BMD) assessment for assessing bone health in people living with Type-1 Diabetes (T1DM)
However there remains many more important undermined factors other than TBS & BMD, which impact bone health in T1DM... hence
In KETO DIET, oxidation of fat mass is desirable but leads to ketones generation & potentially ketosis in insulin depleted states. This can cause negative cardiovascular, renal, bone mineral & liver effects which discourage its use
@touchENDOCRINE
@SanjayKalraDr1
INOSITOL IS 10 TIMES COSTLIER THAN METFORMIN!
Cost of
#myoinositol
/
#inositol
is INR 20-50 per tablet
Cost of
#metformin
1gm is INR 2-4 per tablet
The use of inositol in
#PCOS
/
#PCOD
should be considered with caution due to limited & uncertain evidence
Metformin is superior to
#shameWHO
#ChinaVirus
#WuhanVirus
#whoindia
Its time WHO and China is held responsible for the global pandemic. Had they closed all the airport in Wuhan and adjoining areas in January 2020, this pandemic would not have happened. WHO and China mislead the world
Types of Delegates in Conferences:
1) Askinomas: People who ask endless questions, without giving any time to the speaker to answer
2) Grabbers: People who once get hold of the microphone, just do not let it go for others to use it
3) Outstanding performers: Who are always found
Single most important test to diagnose
#frailty
in clinic or at home
10meter walk test
Every person should be able to walk at least 10 meters in 10 second (>= 1 meter/second)
Ability to walk <8 meters in 10 second (<0.8 meter/second) is diagnostic of frailty
Such people are at
Thrilled to be invited to give oral research paper presentation at 21st International Congress of Endocrinology 2024 at Dubai in 1st week of March 2024
#MedTwitter
#ice2024
MINIMUM MEDICINE, MAXIMUM CARE
Trelagliptin is the world's first once weekly tablet for type-2 diabetes. In a meta-analysis, we demonstrated for the first time that weekly trelagliptin is as effective & safe as any other DPP4i taken daily for managing DM
#Salad
made with low calorie
#yummy
dip!
Dip recipe: 30gm fresh cottage cheese (paneer), 30ml fresh lemon juice, salt to taste, oregano, 1 green chilli & black pepper grounded in mixer for 3minutes. No oil, no mayonnaise!
#HealthyEating
#metabolic
#syndrome
#reversal
#Icodec
, the once weekly basal
#insulin
is going to be another game changer in the field of insulin therapy. Needle prick down to just 4 in a month!
A big boon for prick phobic people living with
#diabetes
.
Presenting the largest meta-analysis done till date on how to optimally
It indeed is a special day when an
#octogenarian
#police
#officer
shares a personal copy of his book; his lifetime experiences as a
#PoliceOfficer
The first few pages did turn out to be a fascinating read... cant wait for the
#weekend
Always have special respect for the people
DR ANANDIBAI JOSHI, India's 1st women doctor of India in modern medicine (1884); did 2-year MD from Women's Medical College
#pennysylvania
(sadly she died before she could practice)
DR KADAMBINI GANGULY, 1st practicing lady doctor of India, Began practice in 1886 (had 3 diplomas
Insulin Myth Busters (Hindi Version)
Insulin is not addictive
Modern insulin injection are painless
Rotate injection sites
Change needles frequently
Shake premixed insulins before use
@SPEEDCON2020
An IDEA can change your life!IDEACON keeps on getting bigger & better every year!T2DM in kids should be focus area of research in India this decade! Kids T2DM is almost always diabesity. Weight loss is key to diabetes reversal. Metformin, SGLT2i, GLP1RA, DPP4i are safe in kids
#Teplizumab
use in patients with recent onset
#type1diabetes
was associated with significant improvement in endogenous
#insulin
production, which resulted in significant reduction in total daily dose of insulin requirement till 18 months of use
A big thanks to
@abm_kamrul
This Months
#EndocrinePractice
Role of Teplizumab, a Humanized Anti-CD3 Monoclonal Antibody, in Managing Newly Diagnosed Type 1
#Diabetes
: An Updated Systematic Review and Meta-Analysis by
@deepduttaendo
and colleagues
Hydroxychloroquine 400mg/day should not be used in treating diabetes & dyslipidemia. The risk of retinopathy at dose >5mg/kg/d is very high. Even at dose <5mg/kg/d, 20% risk of retinopathy after 20 years use
@CDSCO_INDIA_INF
@MoHFW_INDIA
@timesofindia
Thanks to
@IndiaESI
for giving the opportunity to present our original research works on endocrine disorders in people living with
#HIV
at the largest endocrine conference of South Asia
#Esicon2023
#MedTwitter
Details of the research work presented:
SGLT2i role as AMPK activators were first proposed by us way back in 2016.
AMPK based classification is one of the most holistic classification of diabetes medications
Its time
@ADA_Journals
@j_metb
@JoslinDiabetes
@AmDiabetesAssn
note the same
Our meta-analysis on Luseogliflozin has been recognized as one of the best papers published in Diabetes & Metabolic Syndrome Clinical Research & Reviews
Thanks to Diabetes India Conference Indore for organizing virtual presentation from Delhi due to prior commitments