Mathew vachaparampil

@theliverdoc Link??

She is a post graduate in Ayurveda. The debate was exactly done to prove this. Education in pseudoscience is not an education at all. It is an indoctrination. Hope people got this point.

@drvasusadineni @theliverdoc @mathewsmm Haha..playing victim card..u should have known him and his reputation before challenging him. no point in crying now

@theliverdoc @mathewsmm Everyone initiated debate with him,but he didn't have courage to accept theirs and he initiated debate with me thinking I'm a young woman, so an easy target. He is just a coward not able to debate with the ones who match his age and experience,he wants to do with me nd prove 😂

Maybe I'll come back to Twitter. Because this is my current situation on Instagram. Sigh.

@theliverdoc Watched haq ..super

Goodmorning. Your weekend watch. One will ease you into it, the other will blow your mind. Both on Netflix.

Over the years, wives of men with severe alcohol use disorder and recurrent alcohol-related hepatitis requiring repeated hospital admissions and financial drain, and with violent/aggressive behavior towards their young children, asking me to not treat them aggressively to promote natural death from the liver disease, so that they can leave their domestic prisons, has always been the worst I have had to face in this profession.

@theliverdoc What's ur take on high tech corporate allopathy hospitals providing ayurveda care?

Many have forwarded me this news. But proactively, I have stopped responding to these kind of news and updates. As a majority of mediocre citizens who are happy with the obnoxious low class services that the respective governments create and serve, and as a bunch of people who does not wish to improve quality of life and public healthcare, it's perfectly ok for letting pseudoscientific incompetent Ayurveda practitioners perform surgery on the masses. New India deserves these kind of third rate healthcare.

JVP - to me, this is the single most important sign a physician must look for in all patients. It has bailed me out in many situations.

@DrRajeshG1 Commissural MR.,,

See the full video and find out what all abnormalities you have found out? What is the mechanism of MR?

@DrRajeshG1 Sir..had left alone a case while doin bond, and he came back wd same occlusion after three weeks...

Will you stent after thrombus aspiration if this result is obtained. Pt couldn’t afford OCT imaging.

@DrRajeshG1 Increased la pressure, systolic dysfunction and secondary Mr.

🤔

@theliverdoc How was budd chiari missed in the first place?? Obstructed or non visulaisation of ivc is not a difficult abnormality to go un noticed to radiologists..

There is a heartwarming story behind these sweets. I do not accept any sort of gifts from my patients, because their well-being is the gift, I gift myself. But sometimes, I cannot say no to a patient, especially when they are a child. I was given these sweets by my 14 year girl patient because she completed her 10th grade board exams (a big deal here) with excellent marks. Last year, her parents thought she was not going to sit for the exams and lose a whole year. She went into depression, ate too much late into the night, put on weight and developed multiple musculoskeletal symptoms. But the worst symptom, which got her depressed and impacted her studies was the severe recurrent dull-aching to electrifying low and mid back pain that radiated to her legs eveytime she sat down to study or complete her worksheets. She stood and studied at home most times, and took pain killers to sit on the chair at school. Being studious, it was her passion to learn more and get to the top of the class, but this was not happening since six months, in fact, worsening so much that she had to drop classes many times. Because she had an abdominal pain along with the back pain, she was evaluated by multiple doctors - from physicians, to OBGyn, physical therapists, orthopedics, general surgeons and pain specialists who could not figure out much apart from symptoms management. Multiple imaging of the back did not reveal signficant findings for any of them to act on and symptom care that did not provide her long term relief, continued. All common causes for low back pain were looked into. A gastroenterologist elsewhere found structural changes in the liver and sent her to our unit to see if the pain fit with the suspected liver disease in anyway. On evaluation at our place, @SRajesh_IR my chief of interventional hepatobiliary radiology figured out what others could not. This young studious girl had a condition called chronic Budd Chiari syndrome in which the veins inside the liver or the main vein bringing back blood from the abdomen to the heart, called the inferior vena cava (IVC) develops a clot and gets blocked. The congestive changes that develop within the liver thereafter opens up new (but abnormal) blood channels that extend, enlarge and bulge in various parts of the body such as food pipe, stomach, abdomen and around the liver - these are called collateral veins and in end organs, they become bulbous and engorged, ready to bleed, called varices. A group of veins called the epidural venous plexus within the spinal regions undergo enlargement and compress the nerve/cord components or spinal disc regions causing moderate to severe back pain in patients with Budd Chiari syndrome. This is an uncommon, but very valid presentation in this rare disease (very common in North India, not so much in South India). This girl had large bunches of collaterals and varices that had developed around her spinal column resulting in compression of the spinal nerves causing severe recurrent low and mid back pain, hampering her studies and performance. Dr. Rajesh and team did something that very few across the world has done for this condition. He placed a stent inside the liver to relieve the congestion and get the blood flowing out properly. The decongestion worked, the large collaterals and the compressing veins on the spinal nerves disappeared in a few weeks to a couple of months. We found this on repeat imaging. Here is a paper on it from my alma mater: ncbi.nlm.nih.gov/pmc/articles/P… Now symptom free, the girl was able to sit and study well for her board exams and as expected, she aced it. After long, almost a year later, they came to me, to tell me that she got wonderful marks and passed into the 1th grade because of us. I said no, it is because she studied so well. All we did, was make sure she sat comfortably so that she could study well. To study the phenomenon of disease without books is to sail an uncharted sea, while to study books without patients is not to go to sea at all - Sir William Osler

It was just a matter of time before this fellow became a sell out for a supplements company. Expected, but still cringe and shameful when an actual doctor does it. Not expected from the medical fraternity.

@theliverdoc Isn't this against medical ethics? I still remember about this from forensic classes... Isn't punishable by nmc??

@DrRajeshG1 Haha.. Sir.. U should start writing .. Nice

“Musical” fountain in the neck of the patient for the candidate during exam (who will start hearing his own heart beats during exam seeing this) and “dancing” fountain for the examiner who can take the poor “fellow” for a ride.

@lukasz_zydzik Amyloid to be considered along with other causes of increased cardiac mass

What is the main problem of this patient ? Poor quality but nice case. Answer tomorrow 👨‍⚕️ #echofirst #CardioTwitter

@drkevinjj @DrRajeshG1 Thank u Kevin.. Still cherishing those good old days we had, inspite of the constant pc Thomas threats..

@DrRajeshG1 Congratulations to mentor and mentee! Mathew was brilliant and hardworking in school (PC Thomas days). Amazing to see that he has kept it up and excited for his career!

Dr Mathew Vachaparambil finished 4 years of training with us. Brilliant boy, he will be an asset to the institution where he joined as Cardiologist. Best wishes, may God bless you always to become a good cardiologist and a good human being.

@DrRajeshG1 Thank u for ur kind words sir. Priceless. Will cherish these four years forever. Sad to leave this family .

@DrRajeshG1 Sir.. Also it was early diastolic murmur and was long.. Unlike long mdm of ms

A pt S/P MVR with stuck valve, lysed with SK, dyspnoea improved to some extent after slow prolonged lysis. Clinical exam showed prominent long diastolic murmur along left sternal border. I thought AR clinically. But pulse pr was normal. What is the source of the diastolic murmur

@DrRajeshG1 Thank u sir😃

@Mathewvachas1 Best wishes Mathew, the brilliant boy of Calicut cardiology

Wd my boss and mentor dr rajesh sir. Completed 4 years in cardiology, kozhikode medical college. 'Home away from home'.

@RobertHermanMD @curilakarol @ecgrhythms @gauravaupadhyay @DrRoderickTung @kvernooy @Marek_Jastrz_EP @UlhasDr @Hisdoc1 @MvintherVinther @OCanoPerez How do u do it?? Free app??

@curilakarol @ecgrhythms @gauravaupadhyay @DrRoderickTung @kvernooy @Marek_Jastrz_EP @UlhasDr @Hisdoc1 @MvintherVinther @OCanoPerez Here is this beautiful tracing digitized!

trueLBBB or IVCD? or both? Today CRT patient, LVEF 20%, LVEDD 70 mm. @gauravaupadhyay @DrRoderickTung @kvernooy @Marek_Jastrz_EP @UlhasDr @Hisdoc1 @MvintherVinther @OCanoPerez