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Faith is blind, only Doubt can make you see

@Glinner @hriengaalkn Only in the Orwellian sense

@hriengaalkn How is cutting your breasts off 'body positivity'?

You mean… a body positivity campaign for TRANS MEN isn’t for women? Shocking.

@Glinner Haha watched it yesterday Rik is missed

They need to show The Young Ones again so people like this lose the self-confidence.

@neiltyson Men aren’t women

If I were ever abducted by Aliens, the first thing I’d ask is whether they came from a planet where people also deny science.

@DreyfusJames He will be missed 😢

RIP David Hockney. “A Bigger Splash” (painting & movie) started a lifelong obsession with his work. He was also one of my neighbours when I lived in LA. An occasional wave used to make my day!

@EHuanglu uncanny valley

AI actors are getting scary good.. spent 2 day making this short film.. if you still think actors are safe, ihave nothing to say.. this is so over check my prompts and workflow on buzzy now:

@HaydenHewitt It’s the confidence of an idiot. Just like the LLMs

The confidence people display in calling someone else an imbecile when they don't actually know what they're looking at never ceases to amaze me.

@DreyfusJames "Tea Bag ok?" "Cheeky. We've only just met"

@AlboMP Men can’t be women

We're helping working Australians get ahead.

@SteveStuWill American dudes are real space cadets

Women are overrepresented in ghost-related bullshit; men are overrepresented in alien bullshit. stevestewartwilliams.com/p/domesticated…

@DocPriyamMD Happened to my dog as he was dying from a blood disorder He was laying on the floor semi comatose then looked up looked around, wagged his tail and died

One of the most bizarre things in medicine: A patient who was barely conscious… unable to speak… unable to communicate… sometimes completely unresponsive for days… suddenly wakes up before death. They recognize family. They talk normally. They ask for water. They say goodbye. Then they die minutes or hours or a day later. It’s called terminal lucidity. And medicine still cannot fully explain why a dying brain briefly becomes clearer right before shutting down forever.

@DocPriyamMD Amazing

What can cause this type of sudden heart failure? A) High blood pressure B) Diabetes C) Obesity D) Breaking up with your partner Hint: A chamber of the heart can temporarily balloon into the shape of an octopus trap. And yes this is a real medical condition.

@DocPriyamMD Heart attack is a blood supply problem, heart failure is a blood pumping problem, heart block is an electrical problem and cardiac arrest is the chance to meet your maker 😔

A patient asked me: "Doc, Heart Attack, Heart Failure, Heart Block, and Cardiac Arrest... they're all the same thing, right?" Of course not. But 95% of people mix them up. Med-X, how would you explain the difference to a layman?

@DocPriyamMD What was the cause of her anemia?? Did u find out?? Quite incredible HB

Before my shift was over today, we got her initial stabilization sorted. Even now, while I am back home and off-duty, I am constantly taking updates from my colleagues on her status She is currently admitted. We have successfully activated her Ayushman Bharat services, ensuring that her intensive care, diagnostic workup, and essential medications are being provided completely free of cost. Because a hemoglobin level of 1.9 g/dL is an absolute panic value, our immediate priority was to repeat the lab draw to rule out any machine or pre-analytical error. It is confirmed: the value is indeed 1.9. Her peripheral blood film shows a textbook microcytic hypochromic picture riddled with classic pencil cells and her serum ferritin is severely depleted, definitively confirming advanced Iron Deficiency Anemia. An Echocardiogram and abdominal sonography are being lined up next. We are actively treating her for suspected anemic heart failure as she is exhibiting clear clinical signs of cardiac strain from her tissues being starved of oxygen for so long. What stands out most here is the sheer, terrifying resilience of human physiology. If a person loses blood acutely and their Hb drops to 3.0 g/dL, they will go into hemorrhagic shock and likely won't survive. But when substrate depletion happens drop by drop over years, the body adapts to its absolute structural limits to sustain life. Her periods stopping for many months was a direct result of this physiological adaptation to halt further blood loss and divert what little oxygen she had left to her heart and brain. We are managing her volume status on a total tightrope right now to safely correct this deficit without overloading her heart.

Saw a patient today with a hemoglobin of 1.9 g/dL. For context, a level that low is almost incompatible with normal consciousness, but she walked right into the clinic on her own feet. For three long years, she lived with crushing weakness and since last 6 months breathlessness from just walking across a room. Why didn’t she get help sooner? At first, it was because the kids had crucial school exams and later her husband was reluctant to deal with the hassle of a hospital admission. Her health was treated as a background inconvenience. When we dug deeper, it got worse. A year ago, her Hb was 6.4 g/dL. A doctor explicitly told them she needed immediate admission. The family refused, walked out with a basic strip of iron tablets, she took them for two weeks, forgot about them, and nobody in the house ever bothered to check on her or remind her. She didn't even come to the hospital today because of the air hunger. She came because her periods had completely stopped for months. Her body was so profoundly starved of iron and oxygen that it literally shut down her reproductive axis just to divert what little blood she had left to her heart and brain. It’s completely heartbreaking. A woman will literally bleed her body dry, gasp for air for years and keep working silently, only to be brought to a doctor when her normal functioning stops. Please check on the women in your homes. Stop letting them normalize chronic exhaustion.

@epicnephrin_e @helsing_van123 The sad part is I do believe u

@helsing_van123 Honestly just venting,upto you to not believe. Peace out.

@epicnephrin_e @copybaara Wait what!!!! There is no defibrillator???? 🤬

@copybaara Pulse was very feeble. Nearly N/R. Chest movements were absent. Pupils were dilated and we don’t have a de-fib.

@epicnephrin_e Thank god u didn’t find the defibrillator!!!

@epicnephrin_e I’ve been an intern too so I understand u just follow orders but still…

It’s so funny, this ragebaited so many people. Yes, interns get a lot of independent work experience in the emergency department. By management, I meant that the patient came with chest pain, and shortness of breath. SpO2-78%(RA)- nebulised moist o2 with duolin+budecort(1:1)@6L/min(mac we can give is 3 rounds) Pushed hydrocortisone (100mg IV) to relieve his SOB if not relieved. Ask for a portable ECG-see MI changes or not-draw blood for Trop T-if positive give loading dose- Aspirin/Clopidogrel/Atorva and ask them to rush to Cardio ER. We do the primary management of hypoglycaemic crisis and also many other cases independently(housestaffs i.e. post interns are there for help obviously)

@DocPriyamMD @Kesto0012 An example of (relatively) benign masochism

@Kesto0012 Not at all! Most of your nutrient absorption happens higher up in the small intestine. The speed run mostly affects the colon, where water is primarily absorbed. Plus, eating spicy food triggers a massive endorphin release in the brain so the point is the taste and the thrill

My cousin asked: 'Doc, if diarrhea is caused by a virus or bacteria, how come eating really spicy food gives us loose stools?' I am surprised most people don’t know the actual mechanism behind this

@DocPriyamMD Do 5 yearly blood in the poo tests starting at 40

Stage I Colon Cancer: 91% Survival. Stage IV Colon Cancer: 14% Survival. The gap is massive. The disease is quiet. Doctors on my timeline: If you had just 30 seconds to warn a patient about the early signs of colon cancer, what are you telling them? 👇 Bonus: Prevention tips?

@DocPriyamMD Heart cos it’s full of blood

One organ in the human body almost never gets cancer. Which one is it? A) Heart B) Brain C) Pancreas D) Kidney Bonus: WHY does it rarely happen?