Dr. AK 🇮🇳

Mere words of assurance from doctors ( like "this medicine will definitely work" ) can produce a ~30–34% boost in effective pain relief in patients, even when strong opioid medications are being prescribed. This is an example of placebo effect.

2026 enhanced games. Non enhanced swimmer Hunter Armstrong wins gold in Men’s 50m Backstroke. Enhanced swimmer James Magnussen finishes last in 50m and 100m freestyle. WINS GOLD FINISHES LAST

@MAbdullah58266 Yes. Code Silver

@docakx Code solver?

What is the hospital emergency code for this situation? A. Code Black B. Code White C. Code Silver D. Code Grey

@Chiragrx07 That is correct.

@docakx C. Code Silver (active shooter/weapon with hostage situation).

@autopsy_surgeon Congratulations man💐

I’m getting married tomorrow. What’s one piece of advice would you give me? P.S. Comment only if you are married.

Screening for primary aldosteronism in adults with stage 2 hypertension (office BP ≥140/90 mm Hg) has a Class 2b recommendation in the 2025 AHA hypertension guidelines. For initial screening, there is generally no need to discontinue most antihypertensive medications (except mineralocorticoid receptor antagonists [MRAs], which should be withdrawn for at least 4 weeks). Hypokalemia, if present, must be corrected before measuring the aldosterone-renin ratio (ARR). If clinical suspicion for primary aldosteronism remains high despite a negative or borderline initial screen, potentially interfering antihypertensive medications should be temporarily substituted with non-interfering agents (such as alpha-blockers and non-dihydropyridine calcium channel blockers) for 2 to 4 weeks prior to repeat testing.

“Doctor, I am taking the inhaler daily exactly as you prescribed… but my asthma is still not improving.” This is one of the most common sentences heard in respiratory clinics. And many times the medicine is NOT the problem. The real issue is: • Wrong device • Wrong technique • Wrong device for the wrong patient A complete practical thread on inhalation devices every doctor should know 🫁

This guy came in last I’m fucking crying.

Stepwise approach: 1.Check immunity Past history of chickenpox/vaccination → usually protected Uncertain history → do Varicella IgG antibody test 2.If non-immune and exposed Give Varicella vaccine within 3–5 days of exposure (if not pregnant/immunocompromised) to reduce severity/prevent disease. 3.If pregnant, immunocompromised, or vaccine contraindicated Give Varicella-Zoster Immunoglobulin (VZIG) within 10 days of exposure. 4.Isolation precautions Avoid close contact with lesions/respiratory secretions Hand hygiene, masks, separate towels/clothes 5.If symptoms develop Fever + vesicular rash → start medical evaluation; antivirals like Acyclovir may be needed in high-risk adults. Adults usually develop more severe chickenpox than children, so prevention after exposure is important.

Patient came in with lower abdominal pain. Then the pelvic X-ray loaded 😭 There were several huge round shadows sitting low in the pelvis. Nobody in the room needed a second look. What’s the most likely diagnosis? Wrong answers welcome 👀 @Ihab

ego and superego walk into a bar bartender says, i’m gonna need to see some id

@DoctorPerin Good one doc🤣🤣

That would be ideal for the patient. Let me present the time constraints. Varicella vaccine — if within 3 to 5 days of exposure VZIG — if within 10 days, especially if high-risk Oral acyclovir/valacyclovir — as a fallback or adjunct - started on 7 to 9th day of exposure and given for 7 days.

@docakx Id give the vaccine right away with an Acyclovir chaser. You don’t want adult CP.

Doctor, my son has chickenpox. I never had chickenpox pox. How can I protect myself from getting chickenpox from my son? Doctors, how are you going to manage this situation?

Yes doc. Vaccine immunity kicks in from 10 to 14 days of taking it. This period coincide with the incubation period of chickenpox (10 to 21 days). One vaccine dose is 80–85% effective at preventing chickenpox. Don't forget to advise the second dose after 4 to 8 weeks which will give increase the protection to 90–95%. Another option or adjuvant would be to give prophylactic antivirals ( Acyclovir or Valacyclovir) starting from 7- 9 th day of exposure for a total of 7 days. Will not prevent chickenpox but the severity will be less.

Excellent case. For a healthy, susceptible adult, Post-Exposure Prophylaxis with the Varicella vaccine within 3 to 5 days is the gold standard. I'd also counsel heavily on strict isolation until the child's lesions crust, and to watch for complications..primary varicella in adults hits much harder than in kids!

Just finished recording + editing my integrated lecture on Vitamin B12 deficiency. Covered everything from structure, sources, forms, absorption and functions to causes, clinical features, diagnosis and management in a simple integrated way. Tried to explain why Vitamin B12 deficiency is not just “anaemia”. It can affect your blood, nerves, brain and overall quality of life. Uploading tomorrow on YouTube and X. Hopefully it helps many people.

Patient (28M): Doc, my back is unbelievably stiff when I wake up, but it actually gets much better when I start working and moving around. His Dad: That's why I keep telling him to work out more. Today's generation is just fragile, doc. Me: Let's do a back X-ray just to be sure. 👇

What medication is causing this ? A patient presenting with dry cough,progressive shortness of breath and this facial discoloration. #MedX #MedTwitter #FOAMed @IhabFathiSulima @albertoortegana @elidyynwa @daoo100 @dokitawaa @simplify_drugs

The academic title “doctor” comes from the Latin “docēre,” meaning “to teach.” The reason physicians co-opted the title from academics a few hundred years ago was because of low public trust in medicine. Now people get fussy over that title when a nurse gets a doctorate.

AI models hallucinate more often than you think. I was doing some reading about the relevance of digital rectal examination in today’s clinical practice, I asked Claude about it and it confidently described a supposed clinical sign called “Butcher’s sign.” According to the model, this sign indicated peritoneal metastasis from cancer, where the examiner could feel hard metastatic deposits on rectal examination. It also explained it to like the bumps along the sides of a butcher’s table. When I double checked the information, Claude immediately apologised and admitted it had completely made it up. It later explained that the error came from misinterpreting “Blumer’s shelf sign.” My suggestion here is to always fact-check any information an AI gives you and ask for verifiable sources. You will be amazed about the number of mistakes.