Dr. Anindya Basu MD

@SudhanidhiB Eta sobche dangerous form. Ek phonta inch dile she will strike back with unparalleled viciousness and violence. Ami lansdowne market er pashei thaaki. Onek din enar kando gulo dekha.

Mamata Banerjee makes her first ever appearance following the election defeat. She has been unrecognisable in her arrogance in the last few years. This soft spoken version is a welcome change.

@dr_yograj @drakchaurasia @Ausbones @aadvikmedics @Dr_Shiv_kumar_ @SameerYogi14 @albertoortegana @drsthanus @s_mamta99 Why not give CLSI breakpoint in the antibiogram?Since MIC has been provided.

The Silent Superbug Rising Again: Acinetobacter baumannii in Recurrent UTIs ————————————————— An unusual but worrying trend is resurfacing in clinical practice. Today in my evening clinic, the third patient with recurrent UTI showed growth of #Acinetobacter baumannii — a Gram-negative bacillus increasingly emerging as a difficult-to-treat urinary pathogen. Once predominantly confined to ICUs and hospital-acquired infections, this organism is now appearing more frequently in OPD practice, particularly among elderly, diabetic, catheterized, immunocompromised, or repeatedly antibiotic-exposed patients. Acinetobacter baumannii is considered one of the most resilient bacteria in modern medicine. It survives for prolonged periods on hospital surfaces, medical instruments, sinks, bed rails, and even dry environments. Its resurgence is largely attributed to irrational antibiotic use, repeated empirical therapies, prolonged hospitalizations, invasive procedures, urinary catheterization, and excessive broad-spectrum antibiotic exposure during the post-COVID era. Clinically, it can present with recurrent burning micturition, pyuria, fever, persistent bacteriuria, catheter-associated UTI, prostatitis, sepsis, pneumonia, and wound infections. Microbiologically, it is a Gram-negative coccobacillus with a frightening ability to rapidly acquire multidrug resistance genes through plasmids and biofilm formation. The major concern is its growing resistance to antibiotics. Many strains are now resistant to penicillins, cephalosporins, fluoroquinolones, aminoglycosides, tetracyclines, and even carbapenems. Resistance mechanisms include beta-lactamase production, efflux pumps, porin loss, and biofilm-mediated protection. Carbapenem-resistant Acinetobacter baumannii (CRAB) is now globally recognized among the most dangerous antimicrobial-resistant organisms. Yet there is hope — culture-guided therapy remains the key. Sensitivity-based antibiotics such as meropenem, cefoperazone-sulbactam, piperacillin-tazobactam, aminoglycosides, fluoroquinolones, or cotrimoxazole may still be effective depending upon local antibiograms. The rising incidence clearly emphasizes one message: recurrent UTI should never be treated blindly without urine culture and antibiotic sensitivity testing. #RecurrentUTI #AntibioticResistance #AMR #UTI #Microbiology #MedEd #InfectionControl #MedTwitter #AntibioticStewardship #MedX @IhabFathiSulima @DocPriyamMD @docakx @drkeithsiau

The Dark One, Goddess of Time, turns the Wheel of Epochs, slows but surely.

@USAmbIndia You nasty pieces of shit allowed a Pakistani terrorist masquerading as general to issue nuclear threats from Florida.

On the one-year anniversary of the horrific attack in Pahalgam, we remember the innocent victims and honor their memory as we mourn with their families. The United States stands with the people of India in their fight against terrorism.

@drsthanus Thanks Sir.

@Tuksbar SGLT2 inhibitors (SGLT2i) can generally be initiated, as the renal and cardiovascular benefits often outweigh the risks, and asymptomatic bacteriuria is not a contraindication. onlinelibrary.wiley.com/doi/full/10.11…

NICE (National Institute for Health and Care Excellence) Guideline 2026 for initial drug selection in adults with Type 2 Diabetes Mellitus (T2DM). It represents a significant shift from traditional "metformin-only" starts toward early combination therapy to improve cardiovascular and renal outcomes. instagram.com/p/DXRQ1UsCLcW/…

@drsthanus Should we still go ahead with sglt2i in this case?

@Tuksbar No antibiotic therapy.

@ApuAkkad1 Stroke and asymptomatic bacteriuria nature.com/articles/s4159…

@ApuAkkad1 From Braddoms's textbook of Physical Medicine and Rehabilitation, sixth edition,page 403.

Agree. Quantity of bacteria in urine has no true real world value. If pt is symptomatic, pyuria on UA etc- then treat. If asymptomatic - unless meeting specific criteria (can anyone name?)..don’t give antibiotics

Yesterday in Bhabanipur in South Kolkata, where Mamata is fighting against Suvendu Adhikari, some Sadhus were distributing copies of the Bhagavad Gita. A known lumpen of the area, said to be Babai, seriously roughed them up. Complaint has been lodged to the local PS. No action so far. The Election Commission and the Prime Minister have both assured us this time the elections in W Bengal will be terror-free. As Mamata gets more and more desperate, such incidents are likely to get more numerous. I suggest all such known rowdies be rounded up under UAPA and released well after May 4th. @narendramodi @AmitShah @AmitShahOffice @ECISVEEP

@pdhsu He killed one of the sun eating bacteria by inserting a microneedle under the microscope in the opening stages of the movie. Why not try to do that at scale instead of going to that other star to get that weird amoeba?

Project Hail Mary is funny because Ryan Gosling is introduced as a PhD molecular biologist, but his brain seems to contain exactly zero percent molecular biology and an astonishing amount of non-molecular biology that the plot needs

@northwoods1980 What is the indication of 10 mg of atorvastatin? Why not a 40 mg or a 80mg dose? I am assuming a ascvd patient.

Welcome to America where we know how to optimize geriatric health!

@LauraLoomer This cretin hates Indians and Indian origin people.

See you soon, India! 🇮🇳 Looking forward to speaking at the India Today Conclave 2026 conference this week!

@witte_sergei Just explained the same thing to my Sister.

Putin blasted Tucker at point blank range with a high dose of history autism, now Tucker is analyzing the Iran War in reference to Julian’s war against the Sasanians.

@Portfolio_Bull Aankh bandh karke job lelo.

My friend is 25 years old.
Unemployed for months.
Fighting mental health issues silently. Today She finally gathered courage & told her parents: “She got a job… ₹25,000/month.” She expected relief.
Maybe a small smile. Instead they said: “Shame on you. After wasting so many years, this is all you got?” They told her to stay home instead. What should she do ?

@DrJN_SportsMed Dextrose or corticosteroid?

Consent ✅ Bodybuilder using Growth Hormone Nocturnal bilateral hand pain, aching and parasthesiae - not able to sleep Carrying over to affect ADLs, including holding phone in front of him and keyboard Blamed on bilateral stenotic CSp changes Very positive Tinel's test at Carpal Tunnel POCUS video - US guided Carpal Tunnel and Median nerve (MN) hydrodissection Needle just under transverse carpal ligament (TCL) - (feels very tight with normal syringe pressure versus other CT injections) - opens up 2with slight bevel and needle adjustment Wouldn't accept more than 4ml, so I wouldn't push harder - I don't want to add unnecessary perineural pressure and ? compromise nervi nervorum and vasorum.... there is a balance to be had Note how the nerve is subtly thicker at point just before entry to CT- "dumbbell sign" Also note how the deeper digital flexors are gliding better than the MN as the pt involuntary clenches fist as needle enters 95% improvement at follow up ("its now 0.2/10") 😆 Growth Hormone use a well recognised cause of peripheral entrapment neuropathies - ask any Gym Bunnies about use of PEDs

@DrJN_SportsMed Lol.

Male 30s R gluteal pain since he was a late teen Morning stiffness Better with activity Mother has Axial Spondyloarthritis Since NHS and private spinal surgeons No one has done an MRI SI joints and he was listed for a discectomy for a non compressive central disc bulge Am I taking crazy pills?!!

@northwoods1980 @Radiology_AI Don't treat the mri and always check the planter reflex in back pain.

The presumed value would be that there's a good correlation between patient symptoms and outcomes with MRI findings and classifications but unfortunately there's not. Probably actually more harm. Patients read these reports and start to believe their MRI findings dictate their health. And physicians read reports and start treating MRIs.

The RSNA Lumbar Degenerative Imaging Spine Classification (LumbarDISC) Dataset doi.org/10.1148/ryai.2… #dataset #spine #AI

@OGdukeneurosurg ECMO?

What current medical or surgical treatment will be obsolete soon?