Manoj Kumar

616 posts

Manoj Kumar

Manoj Kumar

@NephroMK

Assistant Professor, Department of Nephrology, Saveetha Medical College and Hospital

Chennai Katılım Nisan 2019
280 Takip Edilen601 Takipçiler
Manoj Kumar
Manoj Kumar@NephroMK·
Strangely, I am reading with @ShashiTharoor voice and accent in my head.
Shashi Tharoor@ShashiTharoor

Indeed! To conflate a Rasgulla with an Idli is not just a culinary error; it is a profound cosmological misunderstanding. To begin with, the comparison is practically a biological impossibility. She is comparing chhena (the delicate, squeaky, pristine curd of milk) with a meticulously fermented batter of parboiled rice and black gram (urad dal). Their compositions are from entirely different kingdoms. One is an airy, spongy lattice designed to trap light sugar syrup; the other is a dense, wholesome, steamed matrix of complex carbohydrates and proteins. Their taste, consistency, structural integrity, and existential purpose share absolutely nothing in common. But more important, her attempt to dismiss the Idli as merely a blank canvas for sugar syrup does a grave disservice to what is arguably one of the greatest engineering marvels of the culinary world. The Idli is not a mere "bland cake." It is a masterclass in biotechnology. To achieve the perfect Idli is to balance the delicate microflora of wild fermentation over a cold night, resulting in a steamed cloud that is a triumph of gut health, lightness, and nutritional balance. It is a savoury monolith of South Indian culinary genius, perfectly engineered to absorb the sharp tang of a well-spiced sambar or the fiery depth of a molaga-podi (gunpowder) paste infused with cold-pressed sesame oil or nutritious melted ghee. To suggest an Idli would even consent to being drowned in sugar syrup is to fundamentally misunderstand its dignity. If this lady finds Rasgullas overrated, argue that on the merits of their sponginess or sweetness. But please, leave the noble, perfectly fermented, steamed majesty of the Idli out of your dessert-table polemics, ma'am!

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Aina
Aina@Aina_Ai2·
I use Claude all day without hitting my usage limit. Claude doesn’t count messages — it counts tokens. That means some chats burn through your limit 10× faster than others. If you want to use Claude all day without running out, use these 9 smart tricks:
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NephroPOCUS
NephroPOCUS@NephroP·
A milestone moment for #Nephrology‼️ For the first time, a multi-organ #POCUS chapter finds its place in Brenner & Rector’s "The Kidney", the book many of us grew up calling the bible of nephrology. Truly special to be part of this moment with @ArgaizR and @nephrothaniel. Couldn’t have asked for better colleagues to share this journey with 🎉 Feels like an inflection point. #POCUS in nephrology is no longer confined to kidney #ultrasound. Grateful to @AlanYuNeph, @valerie_luyckx and the entire editorial team for the trust in us.
NephroPOCUS tweet mediaNephroPOCUS tweet media
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Maria Watson
Maria Watson@maria_wats8492·
Claude Sonnet 4.6 is the smartest Al right now. But 90% of people prompt it like ChatGPT. That's why I made the Claude Mastery Guide: → How Claude thinks differently → Prompts built for Claude → 2000+ Al Prompts Comment " Claude " and I'll DM it free.
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Olivia Chowdhury
Olivia Chowdhury@Oliviacoder1·
Claude just made PowerPoint obsolete. Here are 6 prompts that build your entire presentation. In one sitting. (Save this and never open powerpoint again)👇🏽
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Narayan Prasad
Narayan Prasad@Narayansgpgims·
Delivered Dr KK Malhotra oration of Indian Soc Nephrology NZ on 12th April at Dehradun on interesting topic and my most imp research of life, just accepted in Journal of Immunology, a prestigious journal in field. How inhibiting both IL 6 and IL 17 together will be futuristic?
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Manoj Kumar
Manoj Kumar@NephroMK·
@karthik2k2 Sir, hypertension noted a full 7 yrs after the start of policy. Companies do a preinsurance checkup, so it was definitely not hypertensive in 2008. Insurance experts can weigh in n say if disclosure of subsequent health issue needed during the course of term policy.
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Karthik Balachandran
Karthik Balachandran@karthik2k2·
1. Hypertension is not a minor condition. If you have it, get treated 2. To claim "it didn't affect health" is illogical -lack of symptoms is not the same as "healthy" 3. Deliberately failing to disclose pre-existing diseases is cheating
Technical Charts@Technicalchart1

Ramesh Gupta died in 2019. Heart attack. 54 years old. He had a ₹50 lakh term insurance policy. Premiums paid without a single default for 11 years. His wife filed the death claim. The insurance company said: "We need to investigate." They investigated for 3 years. Kept asking for documents. She kept submitting. They kept asking for more. She couldn't pay the home loan EMI. Sold the car. Borrowed from relatives. In 2022, they finally rejected the claim. Said Ramesh had a pre-existing condition he "didn't disclose." The condition: slightly high blood pressure. Noted in a routine checkup in 2015. Never treated. Never medicated. She went to IRDAI. Then consumer court. The court said: A condition that was never treated and never affected his health cannot be used to reject a claim 11 years later. ₹50 lakh ordered paid. Plus 9% interest from 2019. Plus ₹1 lakh for mental harassment. They made a widow wait 3 years. Then rejected her. A court gave her everything back. With interest. Save this post. If an insurance claim is rejected citing "non-disclosure" — fight it. Courts have consistently ruled against insurers using minor, untreated conditions as grounds for rejection.

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Nav Toor
Nav Toor@heynavtoor·
🚨 In 1513, a man was thrown in prison, tortured, and exiled. So he wrote a book about power. The Catholic Church banned it. Napoleon was caught with a copy in his carriage after his final defeat. Stalin kept it on his bedside table and wrote notes in the margins. Mussolini read it. Kissinger and Nixon used it as bedtime reading. The book is The Prince by Niccolò Machiavelli. It's 500 years old. It invented the word "Machiavellian." And it's still the most dangerous book on power ever written. I turned Machiavelli's core strategies into 12 Claude prompts. You describe any power struggle (office politics, negotiations, competition, leadership) and it gives you the exact Machiavellian counter-move. Here are all 12:
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Manoj Kumar
Manoj Kumar@NephroMK·
@firstcryindia How can you cancel an approved replacement at your for your slackiness in picking up the product? Now saying it can't be replaced saying 7 window is closed? Pathetic!
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Manoj Kumar
Manoj Kumar@NephroMK·
@firstcryindia ordered a baby cycle order no. 34650499LZS31EDC32. Product defective, replacement raised within 2 days and process initiated at your end. YOUR TEAM FAILED TO PICKUP DESPITE REACHING OUT TO US 3 times and now YOU CANCELED IT WITHOUT MY CONSENT.
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Manoj Kumar
Manoj Kumar@NephroMK·
There's nothing wrong in discussing with your treating team about it. As a doc myself, I have seen lot of non informative reports and poor images on films which make clinical decisions tough. If possible, get a CD of your imaging. Helps in getting further opinions.
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Manoj Kumar
Manoj Kumar@NephroMK·
Who had good experience in neuroradiology. Had to do a contrast MRI and got a neat report. That made a big difference in treatment decision. Anyone who needs a complex scan like MRI at affordable rates, do look into quality of reporting and that of images. Cont'd..
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Manoj Kumar
Manoj Kumar@NephroMK·
MRI scan needs good image acquisition and good reporting. As a patient, I initially chose a "sasta" scan 14 yrs ago for a neuroimaging. My neurosurgeon was kind enough to point out missing info, sent me back with a referral letter to a senior person cont'd..
Prawin Ganeshan@PrawinGaneshan

Aarthi Scans offers 50% discount at night. In Madurai, they charged ₹3000 for an MRI during daytime. Scans World in Chennai charges ₹8500 for the same MRI. Think about the margins and doctors' commission payouts.

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Manoj Kumar
Manoj Kumar@NephroMK·
@jasveer10 @grok digressing a bit here, how common is a 38 LPA job in India? What are the sectors that offer such pay and what % of the professional in those sectors are able to get it?
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Jasveer Singh
Jasveer Singh@jasveer10·
Interviewed a backend developer. Guy was at 21 LPA. We offered 28 LPA, roughly a 33 percent hike. He agreed and confirmed joining. Yesterday he emailed saying he got a 32 LPA offer elsewhere and now wants 36 LPA from us. Nonsense. Why agree in the first place. If you are still shopping offers just say it upfront. We stopped interviewing other candidates and waited through the notice period for the joining date. Now two days before joining, he came back with a new price tag.
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Polymarket
Polymarket@Polymarket·
JUST IN: Petri dish of human brain cells grown on a microchip has learned to play DOOM.
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Manoj Kumar retweetledi
Sam Albadri, M.D., M.Sc.
Sam Albadri, M.D., M.Sc.@sam_albadri·
🧵 Case highlight: Female patient with acute kidney injury and history of breast cancer, treated with chemotherapy. Renal biopsy (PAS) shows atypical hyperchromatic cells occluding glomerular intracapillary lumina. PAS highlights segmental double contouring of capillary loops, suggesting endothelial injury. Immunohistochemistry confirms the origin:
🔹 Tumor cells positive for TRPS-1 and GATA3 → consistent with metastatic breast carcinoma
🔹 Enlarged endothelial cells highlighted by ERG immunostain Diagnosis: Glomerular metastatic carcinoma with intracapillary tumor emboli and secondary endothelial injury. In patients with prior malignancy and chemotherapy exposure, unexplained AKI should prompt consideration of intraglomerular tumor involvement. @Renalpathsoc @MayoClinicNeph @MayoClinicPath
Sam Albadri, M.D., M.Sc. tweet mediaSam Albadri, M.D., M.Sc. tweet mediaSam Albadri, M.D., M.Sc. tweet mediaSam Albadri, M.D., M.Sc. tweet media
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Manoj Kumar
Manoj Kumar@NephroMK·
@swatigar I used to get annoyed earlier. Right now, I just ignore. I suggest putting up a disclaimer that in case sensitive medical info is getting leaked through such recording or calls, you are not responsible.
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Swati Garekar
Swati Garekar@swatigar·
IT IS EXTREMELY ANNOYING AND DISTRACTING TO SEE PARENTS sitting across the table from me relay MY CONVERSATION WITH THEM BY a MOBILE PHONE call to someone else....(when i discover it after a casual glance at the phone kept ony table and see an active phone call screen lit up) The whole doctor-pt relationship goes for a toss this way. . Dear family members of the patient, just pl tell the doctor that u want someone else to listen in... , before the start of consultation.
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Manoj Kumar
Manoj Kumar@NephroMK·
@Jasonphilip8 Keep blocking the numbers sir. Eventually it goes away. Had this issue in DM first yr. Truecaller helped.
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eternal newbie
eternal newbie@samanya_kumar·
That's a sign of a wannabe. The bjp ecosystem specially is a bunch of dehatis who wanted to be elite their whole lives and got a chance post 2014. The real elite dress in quiet luxury. This is why the real elites like IG, Gayatri Devi and even Sonia Gandhi while dressed in expensive stuff never looked showy.
RAMAN@Dhuandhaar

I’ve never seen Europeans or US politicians wearing luxury brands with large logos like Indian politicians do. Why do these Indian politicians dress up like walking billboards?

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Vikrant
Vikrant@tightvcptrader·
Woh chillate hai toh chillane do! Pehle chillayenge, baadme thak jayenge, phir bhool jayenge! Arre LTCG kum karna hota toh kab ka kar deta! Kuch retailer lut te hain toh lutne do, FIIs jaate hain toh jaane do. Main do chaar ko pakadkar news waalon ke debate shows par bhejta hoon tab tak sambhalo!
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