Associate Dean (PG Academics) HOD and Professor of Medicine, Fellow Consultant Diabetologist SRM Medical College Hospital. Marathoner...Run as long as you can!
Needed to make a difficult decision whom to give the lone ICU vacant bed....as 8 patients were in need of high flow oxygen. Went through the terrible painful filtering process , looking at the age, chance of coming out, comorbid conditions etc. Very upsetting!
Attn: All people living with Type 1 DM and type 2 who have recurrent history of severe hypos, keep Glucagon kit handy. It saves lives. It saved my fathers life yesterday night!
Came to know that one consultation from a doctor sitting in New York for a second opinion for cancer therapy is offered in Chennai for a whooping Rs.4,30,500/-(USD 5250) as a remote service. Yes you heard it right.
Rich industrialists may be the probable beneficiaries. Cancer
Why injection Pantoprazole for almost all inpatients? My job during rounds is to strike out medications irrelevant to primary problem. Even ursodeoxycholic acid should be off the list as hepatoprotective expect in biliary cirrhosis. Your thoughts?
Never seen a patient who has meticulously got all his prescriptions in a bound form and this is his volume III. He is 80 years with T2DM 14 yrs and A1c 7.4.
@drmohanv
@Unnikri
Happy to see my father in much more stable health than what he was for past four to five months due to flare of rheumatoid arthritis. He turned 91 today and he was living with diabetes for the past 45 years; under good control with insulin. If one takes care of health during
Model practical exam underway for final year MD postgraduates almost six months prior to University exam. They need to understand and absorb stress levels while undergoing exam. Students are debriefed at the end so they can improve upon their procedural and knowledge skills
It doesn't matter who you are, what you do, or how happy you consider yourself to be, there are going to be days when you're going to feel completely stressed out.
Final year MBBS students waiting for the lots to be taken for the long case.
#FinalMBBSexams
Feel sorry for the kids! We had been so lucky in our childhood days! No Corona and No digital learning. If homework not done, then feign stomach pain. Jolly time.
@sumanthraman
I usually don’t change the prescription of a new patient if all the parameters are in range. I also inform him the previous health care person has taken care of your illness well. Just because a new patient comes to me doesn’t qualify me to alter the prescription if they are
Most Generics haven’t got any certification on its bio equivalence over the innovator. So if I write IV Cefaperazone/Sulbactam , I am not sure what will the pharmacist is going to dispense. So now pharma reps will fix the prescription colluding with the pharmacist. Now it
Yesterday 48 yrs old fit looking runner died due to sudden cardiac arrest at 14th km during Vagamon Trail Ultramarathon. Time for introspection of our cardiac condition and metabolic health and not to succumb to media and peer pressure.
If you symptoms of flu and RTPCR is negative, it could be Omicron variant BA.2.
#Omisure
kits developed by TATA probably only way to detect this variant under investigation. This strain is already reported in India. Kindly isolate yourself even if report turns negative.
Anguished to see Banyan tree felled down for metro rail construction. For every tree being chopped there must be a policy at least 10 saplings should be planted elsewhere to maintain green cover. Proper afforestation policy should be there objectively for public to know.
Even today, at age fifty-seven, I still have a tendency to take on too much and go at a faster pace than is really good for me. There are so many opportunities I want to pursue, books I want to read, and people I want to help. I’m constantly trying to strike a balance between my
#Exercisesnacks
Most people think exercise has to be lengthy to have benefits.
Very short (<1 min) practical “exercise snacks”, like intense stair climbing, can improve aerobic fitness and other health markers. Just 3 stair climbing efforts (20 seconds each) on 3 days per week
SRM medical college Chennai, one of the trial Centers for the ICMR partnered COVID19 vaccine trial. If all goes well August 15th, vaccine would be rolled out for the public.
Latest protocol released by TamilNadu Government. No ivermectin
No hydroxychloroquine,
No remdesivir
No plasma If we follow this protocol we can save lot of young lives! Timing of steroids is the game changer
This is today’s picture and not 2020 March.
We are back on square one. Covid patient care is extremely tiresome for a doctor. So kindly vaccinate yourself and follow covid associated protocols.
Wonder of teaching is watching caterpillars turning into butterflies!
Postgraduate results out! Wishing them best in life and pray that they excel well in the specialty they get into!
My dad who is 91 years plus woke me up in to inform
#CSK
won the
#IPL
tittle. Probably one of the oldest CSK fan! He was apparently following the match live through his mobile
#cricketbuzz
@msdhoni
How to tackle
#sarcopenia
2 decades of age-associated strength loss can be regained in ~2 months of resistance exercise. brief (<15 minutes/~5 exercises per workout), infrequent 1-2×/week, resistance exercise sessions, in older adults can significantly increase strength, muscle
female patient admitted with fever for four days last Friday. All lab parameters within normal range except for mild leucocytosis. Afebrile for past 48 hours, empirically given oral Ampicillin +Clavulanic acid .Today her Dengue NS1, leptospirosis and Scrub fever all positive.
@OGdukeneurosurg
On the left is Bells Palsy. So eye care, look for herpetic vesicles inside the ear canal. Oral Steroids for short course and trans cutaneous nerve stimulation.
On the right is UMN type of VII palsy. Self limiting. No definitive treatment . Facial massage on the affected side may
This is real India. What should not happen all seen in this picture. Feel so sad and helpless and frustrated as well to see people are left to fend themselves. Poor really hard gotten.
If GOI doesn’t allocate to enough funds for next decade in public health, we may never prosper.
World is going to judge you no matter what you do, so live the life the way you want to.
90 minutes run to maintain fitness and some VIT D acquisition from blazing sun.
Fitness should not be equated to healthiness. You may be runner, power lifter, cyclist or a swimmer still can die prematurely if metabolic health is not good. That’s why we do see sudden cardiac arrests amongst such people.
Birthday resolution was to cut clinic timings to thrice a week and hit the gym the other days! Sarcopenia is under recognised condition till a person crosses 55-60. It actually begins in 40s. ST in comb with aerobic best to improve Insulin sensitivity.
@AskDrShashank
Given the statistics of new cases in Chennai feel like
@CMOTamilNadu
may extend partial lockdown till June 14. Public transport on roads excluding Chennai and suburbs may be started with physical distancing.
@sumanthraman
.
#Covid19Chennai
Request media people NOT to use any new drug that comes in public domain as a “cure” or “life saving”for Covid. As of now except oxygen and steroids, there are none. With availability of monoclonal antibody cocktail,reps are phoning us to stock it up in institutions.
Chennai is showing a downward trend in new active cases for past three days due to the strict physical distancing because of lockdown. Now onus is on us when it opens tomorrow. Wear the mask on.
@sumanthraman
@docanoopmisra
A great week! Filled with events. Wedding anniversary, Visitors from US both my brother, sister in law and son at home. Father’s health stable but filled with uncertainties. Then, once you believe in God, the stress in you gets relieved. Always believed in Good Karma.
One of the tough things about exercising is that the immediate payoff seems so small. You weigh yourself after exercising. Nothing. You exercise the next day. Nothing. And the next day and the next. Still nothing. Then after the fifth day of exercise, maybe you see that you’ve
Restricting caloric intake effectively reduces body weight, but most dieters fail long-term adherence to caloric deficit and eventually regain lost weight. Hypothalamic circuits that control hunger drive critically determine body weight.
Don’t ever stop dating your wife and don’t ever stop flirting with your husband 😍🥰. 12 km run from home to Marina beach to pay respects to the Father of Nation🙏.
Covid crisis in China shall not have any major impact on Indian population as its same viral strains causing the current wave to which we are immune to, either by contracting illness previously or by vaccination. So be assured. Yet we need to be alert of what’s happening around.
“Remission of diabetes: Role of exercise”. For diabetes remission need to lose atleast 15 kg and that requires low caloric diet 800-1000kcal and 210-250 min/wk of aerobic and resistance exercises.For maintenance of weight one may require pharmacotherapy as well.
#GLP1
RA
Today’s ad in TOI. If it’s true, then it should be published in peer reviewed index journal. ESLD pts cured off their illness after they had visited three other hospitals and advised liver Tx.
#Naturopathy
As you climb up the administrative ladder, people who had liked you shrinks, haters build up. They except same kind of leniency, when it comes to leave taking. Wisdom is to find the sweet spot where you can balance discipline and friendship. Stupidity lies in trying to please
Participated in Sunday run 10 K run event by
#NEBSports
Chennai Half marathon. Awesome weather! Morning drizzle got the humidity at its usual place and we Chennaities cannot escape this😅
I am delighted and feel privileged to receive a copy of “Making Excellence A Habit” by Prof. V Mohan, who also happens to be my first teacher from whom I learnt Clinical Diabetes as a post-graduate student.
@drmohanv
🙏
First official program after taking in charge as Associate Dean (PG academics) :Induction ceremony of post graduates and a talk on Roles and Responsibilities of a PG student.