NIRMALA CHANDRASEKAR

777 posts

NIRMALA CHANDRASEKAR

NIRMALA CHANDRASEKAR

@drnimmis

Obstetrician, Maternal and Fetal Medicine specialist, Assistant Professor, mother

Toronto, Ontario Katılım Mayıs 2015
271 Takip Edilen426 Takipçiler
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NIRMALA CHANDRASEKAR
NIRMALA CHANDRASEKAR@drnimmis·
Did my medical school in India. Coming from a family of farmers and the first person in the whole village to enter post secondary schooling let alone medical school. My education meant everything to my dad( remembering him on Father’s Day)
Sophia Ly@Sophia_Ly_MD2b

⭐️CALLING ALL 1ST & 2ND GENERATIONS #IMMIGRANT MED STUDENTS/RESIDENTS/PHYSICIANS OF #MedTwitter For #FollowFriday, reply or RT w/ 1) Where is "home" for you? 2) Tell us YOUR story! 3) What does your education mean to YOU?! (and/or your family)? Tag your diverse buds & follow!

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SOGC
SOGC@SOGCorg·
ICYMI Saturday, the #SOGC held an Assisted Vaginal Birth Master Class on site in Edmonton! Courses such as these are a great opportunity for practicing Ob-Gyns to improve and refine their skillsets, for more info: sogc.org/en/en/content/…
Dre Diane Francoeur@DreDFrancoeur

Like it or not in obgyn you need to train from the day you graduate until you retire. Just did an amazing masterclass of Vaginal Assisted Birth . #Saving Moms and Baby # SOGC

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NIRMALA CHANDRASEKAR
NIRMALA CHANDRASEKAR@drnimmis·
Omg! So much needed. Thank you for saying this. Please don’t demonize mothers if they have or opt to deliver by section.
TheLiverDoc™@theliverdoc

Dr. Pal gets it wrong again and in the process, disparages mothers who opt for C-section instead of normal vaginal delivery I am a gut microbiome clinical researcher. t.ly/WFDMF And it is my duty to correct health misinformation especially if it falls in my domain Claims: 1. Vaginal delivery improves gut bacteria in babies rather than C-section delivery 2. Babies born through normal vaginal delivery have better future health (as in less obese) than those born through C-section Does that mean moms opting for C-section are to be demonized for their kids poor health in the future? Absolutely not. This is misinformation. Response: 1. Two new findings: (a) Older studies mention that babies born through vaginal delivery have different bacterial profile when born through C-section. That is the microbiomes of C-section babies look a lot different from those of babies born vaginally. But the impact of this on future health of babies remain unclear - meaning there is no signficant impact on babies health in this context. But new studies have shown that whether born naturally or via Cesarean section, babies receive essential microbes from their mothers. So dont worry about the type of delivery. "While cesarean-born babies do receive less of their mother's gut microbiome during birth, they make up for this by drinking their mother's microbes in breastmilk." sciencedaily.com/releases/2023/… The study found that about 80 per cent of C-section-born babies had hospital-acquired bacteria in their guts when they were born, compared with 50 per cent of vaginally born babies. But by the time the babies were weaned at the age of around 6 to 9 months, these differences had largely disappeared. And all the babies were healthy, so the researchers can’t tell if there are any implications for health. newscientist.com/article/221681… (b) But hear this out - New research suggests that exposure to the vaginal microbiome during birth may not influence babies' gut microbiome as has long been assumed. A new study conducted by a team of Canadian scientists has revealed that the composition of the mother's vaginal bacteria has no significant influence on the bacteria composition found in infant stool during early life. frontiersin.org/news/2023/03/3… "It does not appear that exposure to maternal vaginal microbiota at the time of vaginal birth establishes the infant stool microbiome", - Dr. Deborah Money, Professor of Obstetrics, University of British Colombia frontiersin.org/articles/10.33… 2. There is ABSOLUTELY NO link between C-section deliveries causing obesity later on in life. This has been debunked by well-designed studies recently. And there is no proof that the changes associated with gut bacteria due to C-section vs vaginal delivery promotes obesity in kids in the future. Absolutely none. sciencedaily.com/releases/2019/… and ncbi.nlm.nih.gov/pmc/articles/P… and theguardian.com/science/2019/d… A woman wants C-section vs normal vaginal delivery? It is her choice. And then there are medical reasons to opt for C-section too. C-sections is all fine. So my dear ladies, please dont get gas lighted into feeling sorry for yourself. You take care.

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Ritika Goel
Ritika Goel@RitikaGoelTO·
A call to *centre* values such as anti-oppression, anti-racism and social justice *in the practice of medicine* means supporting MDs to obtain the knowledge and skills necessary to address the shameful chasm in health outcomes for Black and Indigenous peoples... /1
David Jacobs@DrJacobsRad

Warning ⚠️ EDI can be bad for your health! In this internal document from the @Royal_College of Physicians and Surgeons of Canada, there is a proposal from the EDI group to prioritize social justice over medical expertise. This is bonkers. #Cdnpoli @fordnation #Onhealth

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TheLiverDoc™
TheLiverDoc™@theliverdoc·
This is Dr. Dimple Jangda. She makes us believe that she is an Ayurvedic practitioner. But the fact is that she is not a doctor. She is not even an Ayurvedic practitioner. She has no formal training in real medicine or pseudomedicine of Ayurveda. She was a television producer. Then an investment banker. Then a podcast host. And thereafter, a talk show host. She has a masters degree in business administration. She has a virtual online degree from National American University in (?)management which she claims is "honorary." She has a diploma in Yoga from Yoga Mumbai Institute. She has a virtual and unidentifiable degree in (?) business management from Thames International University, Paris. She has no formal training in any aspect of healthcare. She is a quack of quacks. A top of the line fearmongering "wellness fraud" - a bottom feeder in the ecosystem of healthcare business. She is a female version of Sadhguru. Lots of confidently sounding English words that takes shape of a word salad containing some of the biggest health-related misinformation and disinformation in Indian social media today. See this video for instance. She tells gullible people (who are already fearmongered about modern medicine and have distrust in doctors and medical science) not to opt for gall bladder removal surgery even if it gets complicated with stones disease or inflammation (called acute cholecystitis). A dangerous misinformation that can lead to loss of life. The physiology of gall bladder function and the change in function after gall bladder surgery that she provides is top-class garbage. Complicated gall stone disease require surgery for cure and to prevent further complications. If you remove the gall bladder, you do not develop more diseases like diabetes or obesity. The bile gets stored in the upper part of the small intestine in the absence of gall bladder and keeps helping in digestion. There is no food or diet shortcut that can dissolve gall stones. The story that this lady speaks about - from her own father's experience of using Ayurveda to remove gall stones is complete fabrication. It is an unverifiable, anecdotal bluff. There is no way, gall stones can just disappear in a month. There is only ONE method to diagnose and treat gall stones disease and it is the scientific method based consensus guidelines. See this from the European Association for Study of Liver - Clinical Practice Guidelines on the prevention, diagnosis and treatment of gallstones. journal-of-hepatology.eu/article/S0168-… It provides all information on 1. Prevention of gall stones 2. Diagnosis of gall bladder stones 3. Medical therapy of gall bladder stones 4. Surgical therapy of gall bladder stones 5. Diagnosis of bile duct stones 6. Endoscopic and surgical therapy of bile duct stones 7. Diagnosis and therapy of stones inside liver 8. Therapy of gall stones during pregnancy Peppermint tea, hibiscus tea, lemon water and such easy sounding kitchen-hacks are not the treatment for gall bladder disease or complicated gall stones. Gall bladder stones that are uncomplicated or incidentally detected do not require treatment. Do not worry about them unnecessarily. Gall stones that get stuck in the neck of the gall bladder or come down into the bile duct, causing bile duct obstruction, bile block and infection requires antibiotic therapy and after an interval, removal of gall bladder. Otherwise it could happen again and the second hit of infection could kill the person. It can also lead to gall stone pancreatitis that can lead to multiple organ failure. No amount of hibiscus tea and lemon water will save you when you are in septic shock due to cholangitis and a ruptured gall bladder, on the ventilator inside an ICU. High cholesterol, high blood pressure, obesity and fatty liver are not caused by removal of gall bladder, but are risk factors for development of the stones themselves - that is, metabolic diseases are associated with higher risk of developing gall stone disease and not the other way around. bmcprimcare.biomedcentral.com/articles/10.11… The lady had gotten it all topsy-turvy - why? Because she has no formal education in medicine and would probably have no clue on which side of the body the liver is. Increasing fruit and vegetable consumption in women aged 48-60 years prevented (a correlation) risk of complicated gall stone disease, and subsequent surgery, but is not in anyway same as not doing surgery for complicated gall stone disease. Once complicated, surgery is the best bet to prevent further complications. ncbi.nlm.nih.gov/pmc/articles/P… There is no evidence that drinking carrot and beetroot juice helps reduce complicated gall stone disease or dissolves gall stones. This is utter nonsense. You may be wondering why my post is so long and I had to keep going on and on to debunk small points made by Dimple Jangda. It is not so simple. Its because of this: The Bullshit Asymmetry Principle, also known as Brandolini’s Law, states that the amount of energy needed to refute bullshit is an order of magnitude bigger than that needed to produce it. PS: Please dont share any more of this quack's videos for me to debunk. I am getting too old for this.
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NIRMALA CHANDRASEKAR
NIRMALA CHANDRASEKAR@drnimmis·
@placentadoc I hear you! After 3 years of dodging it, I recently got it also! God, it finished me off. Please take care. Take it slow!
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Ritika Goel
Ritika Goel@RitikaGoelTO·
Hundreds of doctors, nurses and health workers just went to Queen’s Park to tell Doug Ford to reverse his cruel cuts to healthcare for uninsured people that go into effect tomorrow. We cannot play with people’s lives. We need #healthcare4all. #onpoli
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NIRMALA CHANDRASEKAR
NIRMALA CHANDRASEKAR@drnimmis·
@Nishaobgyn I remember that many hospitals had the call rooms taken away during my training which meant sitting in a chair and sleeping. Junior doctors also can have a small kids and may not be sleeping during the days when they have night floats . There was no way of addressing them
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asha_sa
asha_sa@asha_samcmaster·
By participating, you/your parent will complete a health survey and you will also wear an activity monitor for 7 days and a blood pressure monitor for 24 hours. For further details and if interested, please contact Research Coordinator #289-775-1356 or email: asha_sa@mcmaster.ca
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asha_sa
asha_sa@asha_samcmaster·
Do you identify as South Asian and are between 5-17 years of age? We invite you to take part in ASHA study where we examine how lifestyle affects 24-hour blood pressure relative to blood pressure in healthy South Asian children.
asha_sa tweet media
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