Joseph Tryble

1.2K posts

Joseph Tryble banner
Joseph Tryble

Joseph Tryble

@josephtryble

Reflections on Learning ★Tech in Education ★ AR/VR ★ 21st Century Skills ★ Gamification ★ Healthcare ★ Publishing ★ Clayton Christensen ★ മലയാളി🌴🌴

New Delhi & Kerala, India Katılım Ekim 2009
2.7K Takip Edilen694 Takipçiler
Joseph Tryble retweetledi
Dr Ryan Sweet
Dr Ryan Sweet@RyanCSweet·
V excited to announce that @FocusGames’s and my board game Legless in London is a finalist in the Best Board or Tabletop Game for Impact category at the 2025 @G4C Awards! We feel truly honoured! Thanks to all who have supported the project! thegamer.com/exclusive-here…
Dr Ryan Sweet tweet media
English
1
2
8
213
Joseph Tryble retweetledi
Dr Ryan Sweet
Dr Ryan Sweet@RyanCSweet·
To celebrate Legless in London being a finalist in the Best Board or Tabletop Game for Impact category at the 2025 @G4C Awards, it is now available for just £29.99 (plus VAT) at leglessinlondon.com. The game is also available for £35.99 on Amazon: amzn.eu/d/37mK8WC
Dr Ryan Sweet tweet media
English
0
3
2
143
Joseph Tryble retweetledi
Dr Ryan Sweet
Dr Ryan Sweet@RyanCSweet·
Pls repost: It's Legless in London launch week!!! Check out the trailer for @FocusGames new #disability #history role-and-move strategy #boardgame below and join us at Common Meeple #Swansea on Wednesday (26 Feb) from 7pm to play for FREE and enjoy some complementary refreshments
English
2
10
6
536
Manu S Pillai
Manu S Pillai@UnamPillai·
Very happy to see "Gods, Guns & Missionaries" holding its own both online and in bookstores in its second week. Thank you to all my readers 😊
Manu S Pillai tweet mediaManu S Pillai tweet mediaManu S Pillai tweet media
English
1
1
73
4.5K
Shreya Upadhyaya
Shreya Upadhyaya@ShreyaOpines·
Syrian Sunday! Top 3 things to remember in the #Syria, #ISIS and #Assad situation- super complicated but here's an explainer for beginners 👇
English
12
34
183
30.1K
Dr Suresh K Sharma
Dr Suresh K Sharma@SKSAIIMS·
FAAN-Fellow of the American Academy of Nursing. I am happy to be the First FAAN from India. I am indebted to God Almighty, my Parents, Family, Teachers, Mentors, Friends, Colleagues, and Students.
English
3
2
9
144
Bejoy Sebastian
Bejoy Sebastian@bejoysebastian·
It’s the RNs and HCAs I work with now and in the past drive my passion and commitment. It’s for them that I’m stepping up. The people who make a difference every day in our patient’s life —the people like you, who are the heart and soul of nursing. @fernie0207 @sirivimol68 @WSandajan @nevanoone @mamoran2519 @debolu101 @HoneyRaniAbrah1 @joseph_min54355 @thomas_sinju @karhod21 @uclh @ImperialPeople @RoseSmooth30x #RCN #nurses #healthcare #NHS #YourVOICE #OurFuture
Bejoy Sebastian tweet media
English
3
16
39
2.7K
Joseph Tryble
Joseph Tryble@josephtryble·
@amitabhk87 Truly marvellous. Just as incredible as the projects you had initiated which became transformational for Kerala.
English
0
0
1
689
Amitabh Kant
Amitabh Kant@amitabhk87·
Stunning views of the new 18.6 kilometres Thalassery-Mahe bypass made by a local Rafeek Mohammed using drones. Takes me back to my first posting as Sub Collector at Thalassery, Kerala. A beautiful & charming place with people full of warmth & love. Many memories to cherish. Delighted to see this modern marvel of infrastructure which will ease connectivity & mobility for the residents of Thalassery.
English
29
179
1K
84.3K
Siji Salimkutty ACP
Siji Salimkutty ACP@SSalimkutty·
I am proud and so happy to be part of NHS Wales and the Welsh Government's effort to fill the gap of nursing vacancies by safely recruiting nurses from Kerala. This collaborative effort will strengthen the nursing workforce and enhance healthcare delivery in Wales."🏴󠁧󠁢󠁷󠁬󠁳󠁿🇮🇳🏴󠁧󠁢󠁷󠁬󠁳󠁿🇮🇳
Siji Salimkutty ACP tweet mediaSiji Salimkutty ACP tweet mediaSiji Salimkutty ACP tweet media
Cardiff, Wales 🇬🇧 English
3
2
25
1.6K
Joseph Tryble
Joseph Tryble@josephtryble·
Founded in 1838 #Trivandrum, the CSI Mateer Memorial Church is one of the oldest built in a simple Hallenkirche style. Popularly known as LMS Church, the building is in granite, with a square bell tower with a vestibule beneath & a roof supported by Gothic arches. #OnePlus12
Joseph Tryble tweet media
English
1
0
1
211
Joseph Tryble retweetledi
Joe Thomas, MD, FHM
Joe Thomas, MD, FHM@DocWithBowtie·
A recent study out of Scotland shows that among those who got their full HPV vaccine series at ages 12-13 had NO cervical cancer! And even if they got it at an older age, it dramatically reduced incidence of cervical cancer. #HPV #Vaccine #HumanPapillomaVirus #CervicalCancer
English
10
19
68
20.7K
Joseph Tryble retweetledi
Serious Games & Simulations
Serious Games & Simulations@FocusGames·
The Dept of Media Studies of Christ Nagar College India, in partnership with Focus Games and AIJRF UAE is organizing IMPETUS 2024, international media research conference for thought leaders, media researchers, media educators and journalists join at bit.ly/mediaconfcnc20…
Serious Games & Simulations tweet media
English
0
1
1
152
TheLiverDoc™
TheLiverDoc™@theliverdoc·
As a doctor, the first time I actually used a stethoscope after three and half years was on a mid air flight, two days ago. On my flight from Kochi to Mumbai via @AkasaAir the man sitting next to me became breathless. I was tired from work and it was a late evening flight and I was trying to take nap. But the commotion nearby woke me up and I found the air hostess trying to plug in the man's nebulizer for emergency inhalational treatment and I helped her get the machine running. He spoke in broken sentences, but he was not getting better. He had an oximeter which showed oxygen saturation was 36%. I asked him if he was asthmatic and he denied. I was confused why he had a nebulization kit. I asked for the stethoscope and found that his left side lung sounds were completely absent. It was water filled (a condition called pleural effusion). In between breaths, the man tells me that his kidneys are bad. I asked him if he was on dialysis and he was on it three days a week and the next one was planned for the next day. His medications were over last night. I scroll through his unlocked phone images to see his last prescriptions. Most were for high blood pressure. I checked his blood pressure and found it was 280/160 and he was in accelerated hypertension with drowning lungs. We had 1 hour to land for emergency medical services to attend him. We had to keep him alive. I have no idea what happened next, but it felt like I was inside an ICU and had to make quick decisions. Mid air, I did a double puncture on his only accessible vein on the right side and further access was lost. The other upper limb had a dialysis fistula made and I could not use it. So I gave him a frusemide injection into his buttock muscles ( a VERY long time since I gave an adult an intramuscular injection) after telling him it was going to pain, but I had no other options and also because it was so hard to find a vein as he was struggling and the flight was a bit turbulent. At one point, he was leaning on my shoulders and gasping while I comforted him, by lying to him by telling him that we have already arrived. We had another 30 minutes left. The female and male attendants on Akasa Air who helped me were so calm and composed that I was able to work with a clear mind as they followed instructions. They quickly changed and provided oxygen cylinders without haste that helped me get his saturation to above 90%. I found some blood pressure lowering medications in the flight ER kit and helped the man swallow them in between breaths. Before he was taken off the plane, he handed me his mobile and asked me to enter my phone number and I did and placed it back on inside his sling pouch. One hour on that plane felt like a whole day inside an terrifying ICU. By the time we landed, and before scheduled time, he was lethargic, still breathless, but blood pressure controlled. I spoke to the family on phone right after we landed and they took him in an ambulance to the hospital nearby. The next day, his family messaged me to let me know that he was well. In the evening, after my podcast recording, the patient himself called me after he was shifted out of ICU post emergency dialysis. His potassium level was 9.0 and his kidney functions were haywire. He could have had a fatal cardiac arrest mid air and I shuddered hearing his reports over phone. They removed extra fluid during dialysis and he became better by night. I would like to thank the flight attendants on @AkasaAir QP-1519 from COK to BOM 8PM on the night of 14th January 2024. I am sorry I did not ask your names, because it was an incredibly difficult time. But we saved this man's life. Would not have been possible without your help. And want you to know this. Thank you.
TheLiverDoc™ tweet mediaTheLiverDoc™ tweet media
English
797
1.3K
11K
791.2K