Dr Sanjay Choudhary

@nihardesai89 Yesss sir . approach towards most common presentation and several other cases. It will be great

I used to enjoy teaching on Twitter (when it was a reasonable place to engage) before I lost my previous account. I'm wondering if people would still be interested in learning some hematology here! 🙋🏽 if you are interested 🙌🏽

We need influential medical experts to be active here on X. We can help by providing good medical information and updates for patients and colleagues. We can network. We can counter misinformation. Clarify complex questions. Share accomplishments and publications. And more. I learn every day. Although X has is not the same as the amazing platform Twitter used to be, it’s still the Number one social media platform for medicine. I’m happy to be here.

@DrNikhilMD It's only recommended for diabetic nephropathy. Other than that no indication of it .. but it's being use likeeee anything in hospitals

Nephrologists on X, I’m genuinely curious about this. During my time at Safdarjung, I rarely saw Nephrosave being used by our Nephrology department for AKI or CKD. But in my hometown, many nephrologists seem to prescribe it routinely in almost every AKI & CKD case. Is there any strong evidence or guideline-supported data behind this practice that I might be missing? #Nephrology #CKD #AKI

“If you want to be successful, you must respect one rule – never lie to yourself.” — Paulo Coelho

The moment you are disturbed by insult or pleased by praise, you are still a slave. — Osho

Psychology says some people avoid socializing not because they hate people, but because they can read them too well. They walk into a room and immediately sense the fake laughs, the hidden agendas, the performances. Their nervous system doesn't misread the signal, it just refuses to ignore it. Small talk feels like a tax they didn't agree to pay. Forced smiles cost them energy that takes hours to recover. They're not broken. They're calibrated differently. They don't avoid people. They avoid emotional labor that leads nowhere. When they do connect, it's deep, intentional, real. No masks. No games. Fewer friends doesn't mean loneliness. It means higher standards. That's not antisocial behavior. That's emotional intelligence.

@IhabFathiSulima Intraosseus line.

A Patient in Shock. All IV access Failed . What is happening?

#WATCH | Teena Choudhry, the woman seen in the viral video wearing a black cap, confronting Maharashtra Minister Girish Mahajan over a traffic jam, releases a statement detailing her side of the story She says, "I have received so many messages regarding my safety. I want to let you know that I'm fine and I appreciate the concern. That day, on April 21, I dropped my daughter off for her music class at four. I was meant to pick her up at 4.45. When I took a left turn from Mahindra Taj, we got stuck in a jam there. I was in my car for 25 minutes. When the traffic did not move, I got out to find out what the problem was. For the next one and a half hours, I went to every single police officer there to request that if you get the two buses removed, people who are stuck, we can make a U-turn and join the main road. I received no reaction, no response. I did not throw that bottle towards any protester or rally, but on the ground to attract the attention of the police... Mr Mahajan was actually the only person in that rally who at least tried to listen to what I was saying. On his instructions, the two buses were moved, and we all took a U-turn, and we were able to join the main road..." (Disclaimer: Screenshot of the viral video from social media)

@BerkBmf Brugada type 3 ...

Honorable ECG ladies and gentlemen, could you kindly help me with this ECG? 38 y-old male admitted to ED due to CP. No pmh of interest

But sir how is it helping? What’s ur target. U have already reached the target of 1 doctor per thousand. This policy is simply leading to oversupply of poor quality qualified doctors

@AshutoshSinghMD Lateral wall mi ? .... LVH, LBBB,

56yr/male, Hypertensive, p/w Mild chest Discomfort What’s wrong with his ECG ? Will post the findings with explanation tomorrow #CardioEd #ECG #MedTwitter

Very informative by sir .. spread it for awareness.

Our para athletes are much more accomplished because they don't cry about the circumstances & work towards excellence unlike non disabled athletes who work towards Arjun Awards.

@Omopelola_ @Dr_Afo It was alright till the second last line.. say whatever you can.

@Dr_Afo Drs spend less time with the patient, show no empathy and too arrogant. Nurses spend the whole day by the patient's side monitoring their vitals and fluids, and show more empathy and are mostly. They know more about patients care and management.

Unpopular opinion: Medicine is the easiest field in the entire field of healthcare. Nursing, dentistry, pharmacy, med laboratory are all significantly harder.

@Sports_Fan7 Subendocardial ischemia ?

Spot diagnosis. Patient in her 50s with new onset chest pain.

@ANI Like we don't know how much corrupt the judicial system of india is sir ...

#WATCH | Delhi: On AAP national convenor Arvind Kejriwal’s letter to Justice Swarana Kanta Sharma and refusing to appear in person or through a lawyer for the hearing in the Delhi excise policy case, Former Uttarakhand High Court Judge, Justice Lok Pal Singh says, "It is unfortunate on his part. He made false allegations against the judge... He should not move such letters... Once his application has been discussed, he should have availed the legal remedy in the court... It will become a trend to make allegations against a particular judge, run away from the court and delay the hearing of the case."

@MEAIndia What else you need. . ??? Bharat itihas me har julm se ldaa h.. jita h... To ye bkloli ky h.... Fenko is santre ko bhi .. we will fall . And we will rise again like we did earlier..

Our response to media queries regarding a social media post ⬇️ 🔗 bit.ly/4mRM0rm

@mainbhiengineer 🫡🫡🤣

Coffee is one of the only drinks with strong evidence that benefits the liver. Here's what decades of research actually says about how to drink it right: Coffee genuinely lowers liver disease risk. Meta-analyses show regular drinkers have about 35% lower risk of significant liver fibrosis and nearly 50% lower risk of liver cancer compared with non-drinkers. Aim for 2–3 cups a day, minimum. The effect is dose-dependent. The Hepatology socities such as AASLD and EASL says 3 or more cups daily is reasonable for liver benefit, if you tolerate it. Caffeinated works better than decaf. But decaf still helps. Caffeine blocks adenosine receptors that drive liver scarring. Decaf lowers chronic liver disease risk too, just by a smaller margin (UK Biobank, n=494,585). The target dose: ~300 mg caffeine/day, or 3 cups. Fibrosis protection kicks in around the 75th percentile of intake, roughly 308 mg caffeine, or 2.25 cup equivalents, per day - the AASLD 2023 advises 3+ cups for liver benefit. What a "cup" actually means One standard cup = 240 ml (8 oz), not a 60 ml tiny Indian "cup." A 240 ml filter coffee has ~95–165 mg caffeine. A single espresso shot (30 ml) has only ~60–75 mg. Coffee-to-water ratio: 1:15 to 1:17. For filter/drip/pour-over: 15 g of ground coffee to 250 ml water. This is the standard brewing ratio and gives clean extraction of chlorogenic acids and caffeine. Choose medium roast, not dark. Medium roast has significantly higher chlorogenic acid (CGAs) content than dark roast. Dark roasting thermally degrades CGAs, the main antioxidant doing liver work. Arabica beats Robusta. Arabica beans are richer in CGAs and polyphenols, the antioxidants doing most of the liver-protective work. A note here: Arabica for polyphenols, Robusta for caffeine. Arabica (1.5% caffeine) has more CGAs and polyphenols. Robusta (2.7% caffeine) has more caffeine but a cruder phenolic profile. A 70:30 Arabica-Robusta blend is a reasonable compromise. Water temperature: 92–96°C. Just off a rolling boil. Too hot (>96°C) burns the grounds and extracts bitter compounds; too cool (<90°C) under-extracts CGAs and caffeine. Grind size matters. Medium grind (table-salt texture) for filter/drip. Coarse for French press. Fine for espresso. Brew time: 3–4 minutes for pour-over, 4 minutes for French press, 25–30 seconds for espresso. Filtered coffee is the safest daily choice. Paper filters trap cafestol and kahweol, naturally present plant diterpenes that raise LDL cholesterol if consumed daily in large amounts. Pour-over (V60, Kalita, Melitta) or drip machines with paper filters give you CGAs and caffeine without the cholesterol penalty. Espresso and French press: fine, but not unlimited. They retain more polyphenols but also more diterpenes (so more chances of increased lipids). Great occasionally; don't make them your 5-cups-a-day default if you have high cholesterol or heart disease. South Indian filter coffee: acceptable, with caveats. The metal filter does not remove diterpenes as well as paper, so limit to 1–2 cups/day if you have dyslipidemia. The decoction itself is rich in CGAs. Use less sugar. Skip condensed milk. BUT ULTIMATE: Drink it black. Or close to it. Sugar, syrups, flavored creamers and whipped cream cancel the liver benefit, especially if you already have fatty liver, diabetes, or obesity. Skim milk or unsweetened plant milk is fine. Instant coffee: still works. UK Biobank (n=494,585) showed instant coffee drinkers had similar reductions in chronic liver disease as ground coffee drinkers. Not as potent, but far better than no coffee. Cold brew: underrated for the liver. Medium roast + coarse grind + 6–7 hours at room temperature extracts CGAs and caffeine efficiently with lower bitterness. pH and CGA content are comparable to hot brew. Timing. Spread across the day. one at breakfast, one mid-morning, one early afternoon. Stop by 2 pm if you have insomnia. It helps across almost every major liver disease. Evidence supports benefit in fatty liver (MASLD), alcohol-related liver disease, hepatitis B and C, cirrhosis, and liver cancer. The mechanism isn't magic, it's chemistry. Chlorogenic acid cuts oxidative stress and liver fat. Caffeine inhibits stellate cell activation (that promotes scarring or fibrosis). Melanoidins and polyphenols reduce inflammation. Who should go easy. Pregnancy, children, those with uncontrolled heart rate and rhythmn issues (arrhythmias), panic disorder, or insomnia. And no, coffee does not undo a bad diet or bad choice - such as alcohol, herbal supplement or that Ayurvedic "liver tonic." Sources: Modi et al., Hepatology 2010; Kennedy et al., BMC Public Health 2021 (UK Biobank); Fuller & Rao, Sci Rep 2017; AASLD MASLD Clinical Care Pathway 2023; EASL 2016 CPG, Frontiers in Nutrition 2026 (Italian coffee cohort).

@eemanrauf31 I am already this work in India , how to approach towards internationally ?? Any specific course which needed to be added ?? Can you guide.

If you’re a fresh medical graduate looking for a good opportunity, just do some basic course on medical scribing, billing or coding. Start your freelance career! You are going to learn so much from US doctors!