Anupam Singh

A thread of threads . As a repository of all threads/posts by me

@bobvarkey Cool. Which Gemma model ? Running on which Mac - RAM ?

The last time I developed Pygalgia ( pain in the hind regions) from sitting and studying too much was in the 90s for my USMLE The second time is NOW.. and it’s due to the fantastic time I’m having with coding and agents Every health care professional should learn the basics of coding and building their own applications There’s no better time than now Claude code with Gemma from Google is almost instantaneous in generating changes and displaying it

@DrDatta_AIIMS Academicians are wired differently. A better fit for people who want fame or are interested in leaving a legacy. Even in US with many research opportunities ,academicians are paid 40-50% lesser than industry/hospitals.

One of the hardest parts of building an academic research lab: watching brilliant people who want to do this work full-time, walk away because academic compensation can't compete with industry. I realize this every time during shortlisting candidates for the lab, the expected compensation eliminates most highly skilled applicants, right at the screening stage. Massive respect to those who stay, trading short-term industry salaries for a long-term bet on impact or growth. To every early-career researcher and junior colleague grinding it out in academia: hang on. Your time will come! 🙌

@taparam Panna ki tamanna... So easy that Even AI can recognise it

Came across Dildarian (2005) by Amrinder Gill. Easy question for Hindi film music lovers (some generations at least) - which song is it “inspired” by?

@ThisAndThatDude Data from a decade back epw.in/journal/2020/2…

@ThisAndThatDude Hence the feeling of general categories that this will be used as political tool against them is real. If OBCs are taken out of this bill most protests will go away.

Here we have the VC of a major university- which actually has reputation as a ‘Leftist liberal’ university- stating how she doesn’t believe in existence of discrepancy against the Dalits in the country and in Reservation system. The filtrate of this view is that she believes about half of the students in her university “don’t really deserve to be there” and if they complain about how they’re treated it’s because “they have a victim mindset”. So if a student felt discrimination really, what are their chances at getting a fair redressed with this T-Rex being their VC? THIS, is why #UGCbill is absolutely necessary. x.com/ARanganathan72…

@bobvarkey This is by design. They don't want openclaw to be installed by beginners .

It’s ironic that OpenClaw which has the capacity to accomplish so much, can’t install itself autonomously. A few commands should be able to enable it on a platform of choice with local or cloud LLM and a bot of choice. Right now it takes a superhuman effort for non coders to integrate OpenClaw @steipete

@somnath1978 These guys flock to private medical colleges, which are essentially a 'wealth quota.' Nearly 100% graduate(clinical or not.) Standards are so diluted it’s a replay of the engineering rot from a decade ago. pay the fee and even the furniture walks out with a degree 😊

Politically incorrect qtn - how many 40/800 guys👇graduate within stipulated terms? How many graduate after dropping terms? How many dont graduate at all? Wht is the psychological impact on 17-18 yr olds of 20th and 99th percentiles made to compete intensely in a campus setting?

@DaveShapi I am a Doctor. I use all these tools extensively. Please don't use Claude for medicine. It is good at writing/code etc. GPT 5.2 /Gemini better than it , and it is reflected in various medical leaderboards too. In fact Gemini 3 Flash fares better than. Gemini Pro.

Every chatbot has its strengths and weaknesses. ChatGPT excels in domains where there's tons of resources, like mainstream science, history, culture. It's basically the perfect tool for getting any degree. Gemini is far better at vibes and low resource topics, like future speculation, memetic warfare, but interestingly it's not as good at mythic or cosmic stuff. Claude is the best for medicine because it uses grounding but also isn't as constrained by US/FDA consensus. Claude also excels at philosophy and mythic topics. ChatGPT is too precise for futurism or philosophy. It gets lost in the weeds and misses the forest for the trees. Gemini is too sycophantic and hallucinates too much for real professional work. Claude sucks at futurism because it's too cautious, ironically, despite being able to introspect better than any other model. It's very "fearful"

@DocGadkari @bijlanirajesh Surgery was never the favourite branch of toppers Either..It requires different set of strengths which is not coterminus with academic toppers. This is a lazy and lopsided analysis x.com/anupampom/stat….

@bijlanirajesh Completely. The feeling of satisfaction after surgery is impossible to match with any number of opd patients.

It's not as if seats are going vacant. It's that among the toppers of NEET PG, most are not opting for surgery. Which is fine really. We need surgeons who are passionate about what they do. Not just those who have mastered the art of doing MCQs mindlessly.

@bijlanirajesh Surgery was never the preference of toppers even a decade back as data shows. It requires different strengths (passion,persistence, doggedness)as compared to medicine. The real news is medicine has cannibalised paeds and orthopedics as choice of toppers. x.com/anupampom/stat…

@hyderabaddoctor It is old fashioned consumerism at play. Falling Total Fertility Rate -> fall of branch

@hyderabaddoctor Reasons are speculations by me... But you see number of paediatricians crossing over to other specialties n you can see it clearly... Also breaks your heart... paediatricians were among the most committed faculty and residents in MAMC.

Why Are Top NEET-PG Rankers Preferring Medical Specialties Over Surgical Ones? ▶️Over the years, I have observed a clear trend: More young doctors are choosing Medicine, Radiology, Pediatrics, Dermatology, Psychiatry, and even Anesthesia; while fewer are opting for traditional surgical branches. ▶️This shift is not random. It reflects the changing aspirations, lifestyle expectations, and real-world experiences of today’s medical graduates. ✅Here are the major reasons behind this trend: 1. Faster professional stability and early confidence 🔹Medical specialties allow young doctors to start independent practice much earlier. 🔹A physician, radiologist, or dermatologist can build confidence within the first few years of training. 🔹In contrast, most surgeons must work under senior mentors for many years before they feel fully ready for complex surgeries. Surgical mastery is a long, steep curve often extending well beyond residency. 2. Surgical branches are physically and mentally more demanding ▶️Surgery requires: 🔹Long hours in OT, 🔹Standing in one posture for prolonged periods, 🔹Intense focus under pressure, 🔹Handling complications in real time. ▶️Surgeons often describe their heart rate rising during difficult steps of a procedure. ▶️Many young doctors prefer careers where the physical and adrenaline load is more predictable. 3. Lifestyle and work–life balance matter more than ever ✅Today’s generation values: 🔹Sleep, 🔹Personal time, 🔹Mental health, 🔹Hobbies, 🔹Family life. ▶️Emergency surgeries at 2 AM, long trauma cases, or unexpected postoperative complications can severely disturb work–life balance. ▶️Medical specialties generally offer more predictable hours and less disruptive emergencies. 4. Higher medico-legal risk in surgical practice Every surgeon carries the weight of: 🔹Immediate, visible outcomes, 🔹Higher complication risk, 🔹Higher litigation probability, 🔹Greater financial liability. ▶️Not surprisingly, professional indemnity premiums are highest for surgical fields, further pushing graduates towards safer branches. 5. Lower cost of starting independent practice ▶️A physician or radiologist can establish a clinic with far lower investment compared to a surgeon, who needs: 🔹OT setup, 🔹Anesthesia support, 🔹Trained nurses and technicians, 🔹Sterilization workflows, 🔹Expensive instruments and consumables. ▶️For those planning solo practice or smaller setups, the financial entry barrier favors medical fields. 6. The increasing appeal of “intellectual” specialties ✅Branches like Medicine, Radiology, Endocrinology, Neurology, Rheumatology, and Critical Care offer: 🔹Strong academic depth, 🔹Rapidly evolving technology, 🔹Newer therapies and diagnostics, 🔹Opportunities for research and teaching. ▶️Many young doctors feel these specialties give them a better long-term growth path without the physical toll of surgery. 7. Changing role models and mentorship ✅Millennial and Gen-Z doctors are increasingly inspired by: 🔹Physicians excelling in sub-specialties, 🔹Radiologists leading tech-driven innovations, 🔹Dermatologists building strong practices, 🔹Critical care specialists becoming hospital leaders. ▶️Exposure during internship and social media has also shaped career aspirations differently compared to past generations. 8. Desire for flexibility and multiple income avenues ✅Medical specialties offer options like: 🔹Telemedicine, 🔹Part-time consultancy, 🔹Academic positions, 🔹Digital health roles, 🔹Corporate healthcare leadership. ▶️These opportunities are relatively fewer in surgical branches, which require physical presence and hands-on procedures. ✅Final Perspective 🔹This trend doesn’t mean surgery is becoming less important. 🔹Surgery remains hugely rewarding, skill-intensive, and indispensable. ▶️But the career choices of young doctors reflect modern values: predictability, balance, safety, lower stress, and quicker professional independence. And understanding this shift is essential-both for training institutions and for the future design of healthcare systems. Dr Sudhir Kumar MD DM 26-11-2025

@aditya_gan3500 @nihar_nayak2 Yes. Pelacarsen . Reduces Lpa by 60-70% in phase 2. Phase 3 Readout due inQ1 26. jacc.org/doi/10.1016/j.…

@nihar_nayak2 Have they come up yet?

I don't understand this opinion. You cannot modify Lp(a) levels. Dr Singh says this himself. What is the purpose of testing for it then? So that I can grow more depressed and sad? If you come to know about such an unmodifiable genetic risk, most people won't start making positive changes. They will just spiral. The first rule of screening is that you should not screen for diseases that you cannot treat. I do not support these guidelines at all. It will just cause a lot of stress that might actually worsen your health. Ignorance is sometimes bliss. #MedTwitter #NeuroTwitter

@DivaJain2 Weight-loss drugs are here to stay. Semaglutide (Ozempic) goes off patent in 2026 and will cost <₹5k/month in India 4m nxt yr by. Yes it’s already losing ground to tirzepatide (Mounjaro), which is more effective for weight loss.

This has lost steam in the US - Big Pharma now wants to dump it on gullible, palm oil addicted Indians.

@IDdocAkshatha @CidsIndia Serum Ammonia. Encephalopathy due to ammonia produced by chronic Urease Producing Bacteria.(Recurrent stone+UTI+confusion) Is one of the likely differentials.

What was that test? Any guesses? Reply below ⬇️ I’ll reveal the answer tomorrow 👀 5/n @CidsIndia

#Caseoftheday #IDtwitter #Medtwitter #LearnwithDrAkshatha 🚨 Referral from Neurology → ID for “pyelonephritis.” What does ID do best? 🕵️‍♀️ Take a history! 1/n

@amandatalks__ No friend negotiates by bullying n trash talking which appears to be Trump and his trusted men's modus operandi. India's defence purchases from Russia have already gone down substantially in a decade.

@amandatalks__ Is this how you negotiate with allies?. India slowly built up Russian oil consumption with Biden Administration's consent in past 3 years to stabilize oil prices. Previously US told India to refrain from Iranian and venezuelan Oil n India Complied. All this was done discretely.

If India was this easily alienated they weren’t that much of a partner anyways. Plus their planes got shot down in their little tiff with Pakistan in May. Dc blob types are more obsessed with the idea of India as a partner rather than the reality.