Dr Devavrat Harshe

@DrAkhilX We get between 4 and 7 dreams every night, each lasting about 5 to 30 minutes. By design, they are supposed to be forgotten. Dreams are not designed to be remembered the next morning. They are just a byproduct of the brain processing memories and emotional experiences.

Tell me a fascinating medical fact.

@DrAkhilX The brain cannot differentiate between cold and wet sensations. There are no independent "wet" receptors. The perception of wet surfaces is built by guesswork with temperature and pressure sensations.

@arshiet @ShreerajT PuBG font and GTA shirt.

@ShreerajT pubg font ka waaprla lol

Released

@Verma_PK03 @DrNikhilMD That's great for people from Mumbai then. Usually, metro cities follow these regulations a bit more stringently. My answer wasn't limited to casual use by patients alone though.

@DocDevavrat @DrNikhilMD Nope...no Chemist gives even a single tablet in Mumbai

One drug you think is used way too casually in India? I’ll start: Azithromycin Your turn 👇

Its not only about abuse or other side effects. My patient's wife had her medical insurance claim rejected for "psychiatric illness not disclosed" after her surgeon prescribed escitalopram for anxiety after a minor surgery. No doubt it was well-intentioned. No doubt she needed it. It was not documented well enough though.

@DrNikhilMD Alprazolam

@ksinamdar @s_karandikar @anuragkinamdar Boston Legal is where I fell in love with Shatner's on screen charisma and nonchalant comedic timing. His cameos in many other shows, especially TBBT are icing on the cake.

Cc @s_karandikar @anuragkinamdar

Never say "Don't worry" to a patient's relative. Working as a medical teacher, I regularly see residents interact with patients and families. And the single most common mistake I see — across all specialties, not just psychiatry — is this: An anxious relative asks, "Doctor, will everything be okay?" And the resident says: "Don't worry." Two words. Well-intentioned. Completely unhelpful. Here's why. They're already worrying. Their loved one is on a hospital bed. Machines are beeping. Words like "reports" and "investigations" are being thrown around. Their world has shrunk to the size of a ward room. How will they perceive the "don't worry" advice? That's not reassurance. That's dismissal with a smile. But here's the thing nobody teaches you in textbooks: There are situations where not worrying is simply not possible. It doesn't matter whether the diagnosis is an emergency. 🔸A mother looking at her newborn in an NICU, 🔸A young girl about to get her wedding cancelled due to her skin lesions 🔸A patient worried about a very common, yet treatable side effect. Worrying will be a natural response . It is not a choice. Instructing someone to come out of an emotion they didn't choose to feel will not help at all. Telling an anxious mother "don't worry" is like telling a drowning person "don't splash." The splashing IS the drowning. The worrying IS the distress. So what do you say instead? Try this: "I can see you're really concerned. That's completely understandable — anyone in your position would feel the same way. Let me tell you what we know so far, and what we're planning to do next." Read that again. Notice what it does: → It validates the emotion ("I can see you're concerned") → It normalizes the reaction ("anyone would feel this way") → It gives them something concrete ("here's what we know") → It gives them a next step ("here's what we're doing") You haven't promised an outcome. You haven't lied. You haven't over-reassured. You've simply treated their anxiety the way you'd treat any clinical symptom — by acknowledging it first before managing it. Empathy first. Reassurance second. Always in that order. Every resident reading this: next time you're about to say "don't worry" — pause. Take a breath. And say something that actually helps. Your words are a prescription too. Write them carefully. 🩺 Image courtsey: AI generated. #MedTwitter #ResidentLife #CommunicationSkills #DoctorsOfTwitter #MedEd

@_silly_point @Im_IrushiK @KumarSanga2 Not to compare the two greats, but Sangakkara kept wickets in almost 50 tests.

@Im_IrushiK @KumarSanga2 One factor the stats never show is how the athletes were able to stay fit for that long and remain relevant throughout their playing years. In their 30s, the body doesn’t perform at the level it once did. Sachin played against the best bowlers the game has ever produced.

I'll let you decide the rest! Sanga @KumarSanga2 ❤🇱🇰

@Psychodoctor06 There was a delay in processing the update on my subscription. I logged out and logged back in. Who knew, the old hack of बंद करून सुरू करा works on a high tech platform!

@DocDevavrat You were able to write a long post. 🙂👍🏻 How did you solve that problem ?

First thing to do as a new resident? Make friends. When new residents join, they usually ask: "Sir, what books should we read first?" "When will I get my first procedure? " Rarely does anyone ask: "How do I handle my residency?" Most new residents think the priority is: Study more Publish papers Read guidelines Impress seniors All important. But not the first thing to do. Residency is not an exam. It's an endurance sport. And endurance requires a support system. Because at 3 AM: 🔷You'll doubt your decisions 🔷You'll feel overwhelmed 🔷You'll see suffering You'll question yourself And you'll need someone who understands. We talk about protocols. But nobody teaches you how to handle: 🔷The first death 🔷The first complication 🔷The first angry relative 🔷The first mistake 🔷The first failure 🔷The first reprimand by a teacher Friends help you survive these moments. Good co-residents: 🔷Cover for you when you're exhausted 🔷Give honest feedback 🔷Share notes 🔷Debrief after difficult cases 🔷Laugh with you in the duty room That laughter? It prevents burnout. So in your first week: ✅ Learn names ✅ Have chai together ✅ Share numbers ✅ Create a small support group ✅ Be helpful first Invest in people early. Degrees make you a doctor. Friendships help you remain human. If you're starting residency soon — make friends first. Everything else will follow. Clinical competence grows faster in psychologically safe environments. Tag a co-resident who helped you survive training. 👇 #MedicalResidency #ResidentDoctor #DoctorsOfInstagram #MedicalTraining #PsychiatryLife #DoctorBurnout #MentalHealthForDoctors #IndianDoctors #MedTwitter

@Loyalsachfan10 x.com/i/status/20359…

Two finals. Two heartbreaks. Which one hurt you the most 2003 or 2023?

Some days are burned into memory — not just what happened, but exactly where you were when it did. It was 23rd March 2003. I was in 12th grade, books shut, glued to the 2003 WC final. I watched Ponting dismantle India and take that trophy like it was always his. Years later, during my psychiatry residency, I came across a piece of trivia that stopped me cold. At tea, Australia were 220/2. Ponting was batting at 50 off 70 balls — with just a couple of boundaries to his kitty. I kept thinking, they will score 300 at this rate. We can chase this! As if having read my mind, as the twelfth man was leaving with the drinks tray, Ponting called him back. "Tell the lads in the dressing room to strap in for something big. I'm going flat-out from here." He then hit 90 runs off the next 47 balls. The carnage was so complete that Sachin later admitted in an interview — they weren't thinking about winning anymore. They just wanted to know the target they'd be chasing. As a kid, I assumed this was folklore — like the rumour about Jayasuriya and Ponting having springs in their bats. When I confirmed it was real, I was floored. Not by the strokeplay. By the self-image. Ponting didn't wait for momentum to find him. He decided — at tea, mid-innings, one boundary in — exactly who he was going to be for the next hour. And then he became that person. That's the lesson that has nothing to do with cricket: Your self-image sets your ceiling. And unlike talent or luck, your self-image is something you can choose to update — right now, mid-innings, with one boundary to your name. Ricky Ponting remains, one of my all-time favorites — as a batter and a leader. @AMP86793444 @ABsay_ek

@Psychodoctor06 Even I have premium subscription sir. It still shows a 280 character limit.

@DocDevavrat I have subscribed to X premium. It allows me to write long posts.

Some couples fight like lawyers. They come prepared with evidence. Dates. Times. Exact words. They don’t argue to resolve. They argue to win. “On 14th Jan, you said this.” “Last Diwali, you did that.” “Three times this week, you ignored me.” But a relationship is not a courtroom. There is no judge. No final verdict. And even if you win the argument, you quietly lose the connection. Because while one person is building a case, the other is building a wall. Some people fight like historians. They dig up the past like it is their job. Every resolved issue is reopened. Every apology is treated as temporary. Nothing is ever truly finished. So the relationship never moves forward. It just circles the same old wounds. Some fight like accountants. They keep score. “I did this for you.” “You didn’t do that for me.” “I’ve adjusted more.” “You always fall short.” Love becomes a balance sheet. And slowly, affection turns into calculation. And then there are some who fight like firefighters. They don’t care who started the fire. They care about putting it out. They listen. They pause. Because they understand that the goal is not to win the fight. The goal is to not lose each other. You can have a brilliant memory. You can argue with perfect logic. You can dismantle every point your partner makes. And still destroy something valuable. Because relationships don’t survive on accuracy. They survive on understanding. Sometimes the strongest move is not proving your point. It is dropping the case. #relationships

@CricketopiaCom There is one record that is now unbreakable. Hitting 6 sixes in 6 balls.

Q5. Which rule would you like to change in cricket?

Let’s have some fun this Sunday! 🏏 Answer these quick cricket questions and share your picks 👇 Let’s see how fans think differently! Q1. Which record do you think no one will ever break?

@JhunuDr @Medscape Since past 2 years, I have been giving Google Fit based step targets to almost all of my patients who weren't doing any regular exercise. Results were so encouraging, two of our residents are doing dissertations on similar topics. Will share results on publication.

Mental health professionals should prescribe #exercise with the same confidence as traditional treatments, recognizing that all exercise formats demonstrate positive effects while tailoring programs to individual profiles and preferences. #ExerciseIsMedicine #BrainHealth

@doc_santanu @askdheeraj @sanilrege @drnnraju @shrink_ing @JhunuDr This may not apply to PDFs, because they are dumped in the "downloads" folder, which no one ever visits. However this enquiry has to be extended about WhatsApp forwards and videos/GIFs. Try convincing anyone to delete the WhatsApp cache, especially videos.

To fellow #psychiatrists Does hoarding of such unread PDFs, or other stuffs (songs, movies, etc) whose anticipated importance is next to none, but still one finds difficulty in discarding them, constitute hoarding disorder? @askdheeraj @sanilrege @drnnraju @shrink_ing @JhunuDr The catch here: there storing/ discarding doesn’t have much impact on one’s psychosocial functioning.

@AMP86793444 Saeed Anwar had asked Sachin once, "Why does his action have a question mark like gesture before delivering the ball?"

This World Cup logo was designed based on the bowling action of which bowler?

@AMP86793444 Mohanty