Dr R. 'Behoshiwala', MBBS, MD

But what is a dream branch? Did you note more than half of the new gen #MedTwitter wanted to pursue radiology? Is it that amazing a branch? What if you joined in and hated it? The real questions to ask yourself are: Do you see your work ethic fitting in that branch? Contd...

This is one of those situations where standard ABCDE gets modified. In trauma, we should follow C-ABCDE, where catastrophic haemorrhage comes before airway. A mangled limb with profuse bleeding = immediate exsanguination risk - patient can die in minutes so control the bleeding first. #MedX

Quiz time! Video credits to @Irina67790690

Visual field defects and their correlative lesion localization

@DocPeriop @drmohansai Absolutely, just an appreciation post.

@BehoshiWalax @drmohansai Always around sir! 🤝🏻🕺

Surround yourself with people who align with your life goals. @DocPeriop @drmohansai

@nehapadhi This was a neck tumour case tho, hence the well dissected anatomy... nothing to be scared really... its amazing to be able to get them in terms of reduced risk of bleeding, compressibility and direct approach to the RA. The approach is preferably use a USG for all lines.

@BehoshiWalax This scares me a lot. That's why I prefer subclavian.

Anatomy of the neck vessels after some dissection, remember when you put that central line. #anaesthesia #JossGawin

Are we on the same page #echofirst ? How would you report this? Two patients, one pediatric 👶and one adult 👩, with remarkably similar echo findings (seen on TTE & TEE). LV myocardial hypertrophy and LV wall thickening are closely related, but they are not exactly the same.

Textbooks may become obsolete some day but its moments like this when you treasure them. 📖 I met Dr. Braunwald once and it was a true honor. May he RIP. 🕊️

Siliguri, isnt it lovely?

Who is making serious trouble in the left Atrium 💔💔💔⁉️

🎯 🔥 𝐋𝐞𝐚𝐫𝐧𝐢𝐧𝐠 𝐑𝐀 𝐭𝐡𝐞 𝐑𝐢𝐠𝐡𝐭 𝐖𝐚𝐲: 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐞𝐝, 𝐒𝐭𝐫𝐮𝐜𝐭𝐮𝐫𝐞𝐝, 𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞 🧠✋📊 #RegionalAnaesthesia #MedEd #MedicalEducation #SimulationTraining #DeliberatePractice #UltrasoundGuided #Anesthesia #RAEducation #SkillAcquisition #ClinicalSkills #PatientSafety #EvidenceBased #KnowBeforeYouBlock #IntegratedLearning #GrayZonesInRA #GrayAreasInRA 𝐆𝐑𝐀𝐘 𝐙𝐎𝐍𝐄𝐒 𝐢𝐧 𝐑𝐀 🧠 𝐂𝐎𝐑𝐄 𝐏𝐑𝐈𝐍𝐂𝐈𝐏𝐋𝐄𝐒 🔹 Excellence in RA comes from integration, not proportion. 🔹No shortcuts. 🔹Only layered, deliberate progression. 1️⃣ 🟢 𝐂𝐎𝐆𝐍𝐈𝐓𝐈𝐕𝐄 + 𝐃𝐈𝐆𝐈𝐓𝐀𝐋 𝐋𝐄𝐀𝐑𝐍𝐈𝐍𝐆 (𝐅𝐎𝐔𝐍𝐃𝐀𝐓𝐈𝐎𝐍 𝐏𝐇𝐀𝐒𝐄) ✔ Builds the 𝐁𝐑𝐀𝐈𝐍 🧠 of a TRAINEES ✔ Can accelerate conceptual clarity & pattern recognition Components: 🔸 Case-based discussions → Clinical reasoning 🔸Image/video interpretation → USG & PNS understanding 🔸Key article reviews → Evidence-based practice 🔸Concept clarification → Doubt resolution 🔸Troubleshooting theory → Complication awareness ✅ Creates: Cognitive frameworks Decision pathways Mental rehearsal ability 2️⃣ 🔵 𝐆𝐑𝐀𝐃𝐄𝐃 𝐒𝐊𝐈𝐋𝐋 𝐓𝐑𝐀𝐈𝐍𝐈𝐍𝐆 (𝐄𝐗𝐄𝐂𝐔𝐓𝐈𝐎𝐍 𝐏𝐇𝐀𝐒𝐄) ✔ Builds the 𝐇𝐀𝐍𝐃𝐒 ✋of a TRAINEES ✔ Transforms knowledge into safe, real-world competence Components: 🔹 Simulation Training Like Phantom models, gel blocks Needle–probe coordination, Error-friendly learning 🔹 Scenario-Based Simulation Like LAST management, Crisis response, Decision-making under pressure. 🔹 Cadaveric Training Like True anatomical planes, Fascial pathway understanding. 🔹 Supervised Clinical Practice Like, Stepwise responsibility, Real patient variability, Mentor-guided refinement. 🔹 Independent Performance Like, After proven competence, Precision + confidence. ✅ Creates: Psychomotor mastery Real-time judgment Clinical adaptability 3️⃣ 🟣 𝐓𝐇𝐄 𝐈𝐍𝐓𝐄𝐆𝐑𝐀𝐓𝐈𝐎𝐍 𝐙𝐎𝐍𝐄 (𝐖𝐇𝐄𝐑𝐄 𝐄𝐗𝐏𝐄𝐑𝐓𝐈𝐒𝐄 𝐄𝐌𝐄𝐑𝐆𝐄𝐒) 🔁 Learn → Simulate → Perform → Reflect → Repeat 🔸Knowledge guides action 🔸Action refines knowledge 🔸Reflection strengthens both 4️⃣ 🧩 𝐂𝐑𝐈𝐓𝐈𝐂𝐀𝐋 𝐂𝐎𝐌𝐏𝐎𝐍𝐄𝐍𝐓𝐒 (𝐀𝐂𝐑𝐎𝐒𝐒 𝐀𝐋𝐋 𝐋𝐄𝐕𝐄𝐋𝐒) 🎯 Mentorship & feedback 🎯 Deliberate practice 🎯 Complication management 🎯 Reflective learning 🎯 Repetition with correction 🏁 𝐅𝐈𝐍𝐀𝐋 𝐓𝐀𝐊𝐄𝐀𝐖𝐀𝐘𝐒 🧠 Cognition builds understanding 🎯 Simulation builds confidence 🖐 Practice builds precision ⚡ Experience builds judgment 🔥 Cognitive Learning + Simulation Training + Supervised Clinical Practice = True Expertise ➡️ So, Learn deeply. Simulate safely. Practice deliberately. Excel consistently. ✨

@rjVACHAS I've heard BJ Ahmedabad has one of the worst work environments.

A glossopharyngeal nerve block for patients undergoing adenotonsillectomies right after intubation, no extra equipment needed, a laryngoscope n your LA... especially since our dear ENT surgeons hate opioids for this pt group.... see one, do one, teach one

Schematic representation of the main sites of origin of idiopathic premature ventricular contractions and their ECG features.

In patients with #AVS defect: 📌 T & M are referred as RAVV & LAVV 📌 putting the aortic valve at 12:00 in the 3D image would be pretty confusing 🫤

‼️3D MV SURGEON’S VIEW🫀 ⚠️There is different 3D echo image orientation in patients with normal AVS anatomy and in those with #AVS defects #echofirst @iamritu @CASivaram1 @DrRajeshG1 @OungSavly @cardiopedhnn @WithAScalpel @alexsfelixecho @Prasannasimha @loomba_rohit @NMerke

#POCUS transducer movement terminology: having a standard set of terms just makes teaching and learning smoother, especially when the instructor is remote. #Nephpearls #FOAMed

Take lignocaine in the syringe, see for bubbles, inject the lignocaine (preservative free) then insert the wire. That is what i was taught in my residency, thats what i have always done in the 2 cases i got to do retrograde intubation.

Single valve regurgitation by #echofirst severity grading beyond vena contracta and PISA EROA 👉 recognize the problem 👉 very eccentric faint jet probably commissural 👉 look at LV dimension, LA volume, E Wave inflow 👊 always go for volumes

How do you address the ICH secondary to Ticagrelor (given its increasing popularity)?