Baibhav Bhandari MD DM

@DrAditya2935 Looks like 87

57 year old in 2026 means born in 1969. At 2000 - he was 31. Who the f*** takes voluntary retirement at 31? Then decides to be a doctor after 26 years ? I’m sorry - something is definitely wrong in the story. Maybe it’s 2020?

@theliverdoc Undoubtedly best! Specially their naulin gurer sondesh are so so delectable.

When I was training for my MD degree in Kolkata (I studied at NRSMCH, used to take the local Budge Budge to Sealdah), this was one place I visited regularly for their "gur" sandesh and speciality ice cream and chocolate sandesh. Good old times. I miss the Kolkata life.

@malpani Hi sir need to DM you my pitch

A big problem for business owners is that some employees are far more productive as compared to their team members, but because they have the same designation and pay grade, you are forced to pay them the same. What strategies do you use to address this challenge?

@matt_elevenlabs 11b

We just raised $500M at an 11B valuation 🎉 To celebrate, we’re giving away 1,000 free credits so you can test our platform. For the next 6 hours, comment “11B” below and we’ll DM you the credits (must follow) 👇

@DrAkhilX Stellate ganglion pulsed radiofrequency ablation works well

What is the treatment for sweaty palms and soles (hyperhidrosis) ?

@parrysingh Consider ortho-biologicals or regenerative therapy combined with or without genicular RFA for her knees.

Since some of you are asking, sharing what I understand - knee replacement is usually recommended when the pain becomes debilitating and starts affecting day-to-day life. She wasn’t at that stage yet. What she did was two things: • brought her weight down, which reduced load on the joint, and • strengthened the muscles around the knee, which improved stability and reduced pain. None of this regenerates cartilage, of course - but it can buy time and improve function. That’s what might have happened in her case. Happy for orthopaedic experts to correct or add nuance.

A year ago, Mom was told she needed knee replacement ASAP. She chose not to. Instead, she went on a full lifestyle reset - diet, exercise, the works. Today, she clocks 10k steps a day without surgery. Not saying the doctor was wrong - but sometimes you have to listen, then take charge of your own story.

@kalapian_ Inspirational

17 - Decided to take charge of my own life and not listen to an overbearing father. I signed up to a journalism course, since I wanted to write. 18 - After an internship, realised I could easily get a job as a journalist. 20 - Got referred into a ₹5000 job as a journalist. 23 - Got thoroughly bored with Bangalore. Cold called my way through Delhi newspaper media for a job. 24 - Moved to Delhi. Had the best work year of my life while dealing with 💔 & flirting with alcoholism (thankfully coming to my own senses) 26 - Was done with being pushed around by middle management, quit. Leased a farm outside Bangalore to run a campsite - hosted some of the most whacked out pool parties. 29 - Was predictably bankrupt. Wound up and headed north in search of actual winters again. Joined a boarding school as a teacher - left in 3 months after they insisted I had to wear a tie, daily. Started working in the upper Tons Valley. 30 - Setup my own NGO & a super engaging travel company. 31 - Started actively seeking companionship again and matched with a great woman in the first swipe. 32 - Knew she was the one and didn't waste time in popping THE question. 36 - Pandemic tore up half a decade+ of work to shreds. Had to put usable pieces together and start over. 39 - Stared down the barrel of total failure in a hard hard year. 40 - Picked myself up by own scruff to give this one solid tilt. 41 - Nailed first proper funding round.

@DebeshBhoi @ESRA_Society @athmathottungal @ashwani_doc @DrTuhinM @IASPpain @KalagaraHari @Ropivacaine Congratulations sir

Happy to share.got the prestigious EDPM certificate... #chronicpain @ESRA_Society @athmathottungal @ashwani_doc @DrTuhinM @IASPpain @KalagaraHari @Ropivacaine

@MHaghshomar @MDAndersonNews Hi i have published 4 meta-analysis and am willing to write one for you

@krandiash Sonic

We're giving away an 11-page guide titled: “How to clone your voice and make an agent in <10 minutes” (Like we did for Elon and Karan). It can call support to complain on your behalf, make reservations, prank your friends, etc. You also get $100 in free credits so you can play with your voice AI. Retweet and comment "SONIC" below and we'll send you the step-by-step guide and $100 in credits.

We've raised $100M from Kleiner Perkins, Index Ventures, Lightspeed, and NVIDIA. Today we're introducing Sonic-3 - the state-of-the-art model for realtime conversation. What makes Sonic-3 great: - Breakthrough naturalness - laughter and full emotional range - Lightning fast -

@jeffgadsden 😂😂

If this is how I woke up in PACU, there would not enough midazolam in the hospital to fix my PTSD.

@DrTuhinM @amit_pawa @rosie_hogg @HouthoffKavita @KartikBSonawane @Ropivacaine @DrDiveshArora @EMARIANOMD @SerkanTulgarMD @canestezi @KalagaraHari Well deserved

🚀 Block Onn! is now a family of 11,000! From one block to another, your support is the true analgesic for my hard work 💉💜 Here’s to learning, sharing & growing together! 🙏 🔗 @drtuhinm" target="_blank" rel="nofollow noopener">youtube.com/@drtuhinm #RegionalAnaesthesia #MedEd #BlockOnn #anaesthesia #PainManagement #nerveblock

@KartikBSonawane @KalagaraHari @PeterMerjavy @MadanNarayanan @DrDiveshArora @jeffgadsden @pritanand @DrTuhinM @Steve_Coppens @anesthesiadocmd @amit_pawa Classical case of confounding by indication

"When Bad Science Hurts Good Care: The Dangerous Blame on Adductor Canal Block"📚 #MedTwitter #Anesthesia #RegionalAnesthesia #TKA #PainMedicine #OrthoTwitter #EvidenceBasedMedicine Here’s why the conclusion is flawed and why it sends the wrong clinical message 👇 🔍 1️⃣ This study cannot prove causation ▪️It is retrospective, single-centre, and lacks randomisation or blinding. ▪️There was no standardised preoperative neurological baseline. ▪️Such a design can only show an association, not a direct cause-and-effect link between ACB and long-term neuropathy. 🩻 2️⃣ Neuropathy is common after TKA even without nerve blocks ▪️Persistent postsurgical pain (PPSP) is well documented after TKA in patients who never had regional blocks. ▪️Large reviews show PPSP in 16–39% at 6 months and 13–38% at 12 months - many cases have neuropathic features caused by surgical factors alone. 🩺 3️⃣ Surgical injury to the infrapatellar branch is a well-known cause ▪️The infrapatellar branch of the saphenous nerve lies directly in the path of standard TKA incisions, making surgical transection, traction injury, or scar entrapment highly likely. 📚 4️⃣ Evidence from large series confirms high surgical injury rates ▪️Saif & Eltabl (2020) reported 56.6% IPBSN injury after TKA and 63.3% after knee arthroscopy - in both groups, no ACB was given. ▪️This demonstrates that surgical injury alone can explain most neuropathy cases. 🧠 5️⃣ The anatomical “exclusion” in this study is unreliable ▪️The authors tried to rule out surgical injury by focusing on medial crural cutaneous territory instead of the infrapatellar zone. ▪️But saphenous nerve branching is highly variable, and sensory fields overlap - so this method cannot reliably exclude surgical causes. 🔬 6️⃣ Diagnostic methods lack objectivity ▪️Most diagnoses relied on patient-reported symptoms without standardised sensory mapping or quantitative sensory testing. ▪️Only four patients had nerve conduction studies, and all were normal - making the diagnosis uncertain. 🩹 7️⃣ Pre-existing neuropathies were not ruled out ▪️With no preoperative neurological assessment, common causes like lumbar radiculopathy, diabetic neuropathy, or entrapment syndromes could easily have been present before surgery. 📊 8️⃣ The authors’ own regression model points elsewhere ▪️Multivariable analysis showed spine pathology and spinal-only anaesthesia as independent predictors of neuropathy. ▪️ACB-related factors were not significant, yet the title still points to ACB as the likely cause. 📉 9️⃣ The statistics are fragile and underpowered ▪️Only 18 neuropathy cases were analysed, resulting in wide confidence intervals and unstable odds ratios. ▪️The reported difference in local anaesthetic volume (20.0 vs 19.2 mL) was statistically significant but clinically meaningless. The model’s R² (~0.22) shows weak predictive power. ⚠️ 🔟 The dangerous part - wrong clinical message ▪️By framing ACB as the cause, this paper risks: - Discouraging a motor-sparing, mobilisation-friendly block with proven rehab benefits - Diverting attention from surgical injury prevention (IPBSN-sparing techniques) - Creating unnecessary fear during patient consent discussions - Leading clinicians to switch to less functional nerve blocks, harming recovery outcomes 💡 The real takeaway ▪️Neuropathy after TKA is multifactorial. ▪️Surgical injury to the infrapatellar branch is common, well-documented, and anatomically inevitable in many approaches. ▪️The study shows a loose association with ACB but no proof of causation and its strongest findings point instead to spine pathology and surgical factors.

@theliverdoc @arifhussaintm please create a page where one can choose the protein wrt prowltein content and heavy metal content like you have done in your previous project protein-project.vercel.app PS: you are doing a great service to mankind

Here we go. Results of Citizens Protein Project 2. Please read, share max. We have to bring in change. Thank you for your contributions. Huge thanks to @arifhussaintm who led clinical research division on behalf of Mission for Ethics and Science in Healthcare to do this...1/15

@KalagaraHari @MayoClinic @MayoAnesthesia @mayojaxanes @pmgjones @RyanChadha1 @ArcherKMartin @nathanhwaldron @ASRA_Society @NarouzeMD @sher_pai @pkguru10 @Sindhu_Nimma @Ropivacaine @SreeHPraveenKO1 @shaskinsMD @SLKoppMD @nelkassabany @EMARIANOMD @mokaeleni Congratulations sir

#MayoClinic @MayoClinic So excited to take this new role as Chair of #RegionalAnesthesia @MayoAnesthesia @mayojaxanes ! Look forward for exciting works in this 💉 field along with #POCUS 🫀 Thx 🙏 @pmgjones @RyanChadha1 🙏@ArcherKMartin @nathanhwaldron @ASRA_Society @NarouzeMD

@_Pratya_Amrit_ @siriumine @DrAditya2935 Textbook example of old saying “It's better to remain silent and be thought a fool than to open your mouth and remove all doubt”

@siriumine @DrAditya2935 When it comes to becoming a doctor by spending money, you want to go to a government college to save money why didn't you choose private college. Today, when you have to earn money, you put private sector over public sector. Don't you people feel ashamed?

Wrong person to throw around random numbers You do NDA. (3y) you studied for 3 not 12! After 6y you get promoted to Sq. ldr. Current pay is 1.5L consolidated + House(bungalow) + Canteen + perks. Forces are decently compensated (which they should be !) Doctors are not.

The Department of Anesthesia organised a CME & Case Demonstration on "Precise Pain Relief: Radiofrequency Ablation for Chronic Pain" on 22nd March 2025 #pain @vibs1958 @myogiadityanath @JPNadda @mpprataprao @AnupriyaSPatel @UPGovt @MoHFW_INDIA @PMOIndia

@ansh_roger007 @snehamordani I hope he is is an algologist/pain physician

Today I met a doctor who refused to give me medicines for a problem I have been facing around my spine and suggested exercise. Not even a pain killer. We both won He earned my trust, I know I am in safe hands

@DebeshBhoi @AoraIndia @ESRA_Society @IASPpain @ASRA_Society @Ropivacaine @pritanand @KalagaraHari @aiims_newdelhi @issphq Congratulations sir

Thanks DD national for inviting and spread the Chronic Pain Awareness @AoraIndia @ESRA_Society @IASPpain @ASRA_Society @Ropivacaine @pritanand @KalagaraHari @aiims_newdelhi @issphq