Dr Kishan

@arvindcanchi @isn_india @ISNeducation @ECNeph 🤦‍♂️ Came across this medication being sold under various names to fool patients. Patients are always happy with this prescription, as they believe it is intended for their kidneys. When I stop, some patients even got offended

Here is a prescription that I saw! New kid on the block? - I had to search google for an anwer. 🤦

@arkanalabs Tubulitis and antibodies at TBM . Is this GVHD?

This is the biopsy of a 68F with a history of bone marrow transplant and AKI. What is your diagnosis? #DiagnoseThis #nephx #pathx #renal #kidneypath

@kidney_boy Couldn’t agree more

How I consult on cardiorenal syndrome: • Bump furosemide from 20 to 60 mg bid IV • Consider rapid resumption of sacubitril/valsartan and empagliflozin. Let's not treat these life saving medications as nephrotoxins

@DrAkhilX @NephRodby Situation where more creatinine being generated than cleared due to excess muscle mass. Extreme opp situation would be Decompensated CLD with poor muscle mass where creatinine will be falsely normal despite renal dysfunction

@NephRodby Can you please explain the reason for high creatinine in this person?

With permission, a 48 year old. Creatinine has been 1.5 to 1.9 for 5 years. Urine normal. BP normal.

@miryalasrikanth Take care and wishing a speedy recovery

ఈరోజు జరిగిన రోడ్డు ప్రమాదంలో నా కారు నుజ్జయింది. నేను క్షేమంగానే ఉన్నాను. 🙏

@miryalasrikanth Very well said @ Srikanth Garu!!👏

I disagree. Weight loss journey for many patients is so arduous and time consuming that many of them give up in the way. Many a times the aetiology of obesity is multi factorial needing multiple approaches than just dietary and exercise regimen. It is very essential for patients to lose intial weight to get them to the lifestyle change. For example a severely depressed patient will not respond to psychotherapy as quickly as they respond to ECT and medications and also at time it is dangerous to wait for the therapy to take the beneficial effect. Like wise obesity also needed to be treated to prevent permanent damage to joints and heart damage. Also patients delay their life events such as marriage/ starting a career waiting for weight loss resulting in losing significant years of their life. While life style changes definitely help, the pharmacological methods are safer, quicker and reduce morbidity and mortality. It is definitely harm reductive strategy. This weight loss achieved in any way will contribute to positive self image and improvement in mental state. Not all doctors benefit from pharmaceutical companies. We deal with obesity day in and day out and we closely see the emotional and physical toll it takes on patients. Obesity is a medical disorder and it includes medication, surgery and life style changes as treatment.

I am NOT a board certified medical doctor. Do NOT trust me. I could be completely wrong. That said, the following is unfortunate. Semaglutide is not a good way to lose weight imho. I am surprised to see so many medical doctors endorse this and I cannot rule out them standing to benefit by pushing semaglutide. There are healthier ways to lose weight without injecting or taking stuff. Ketosis (under appropriate guidance and proper biomarker supervision) combined with exercise is a much better way to lose and keep weight off. Losing weight with diet and exercise also gives one mental high that you dont get with medication. Weightloss, that happens without efforts , ultimately will bring the weight back. Weightloss requires a change in lifestyle. Not medication. Maybe for very extreme cases.

@Vasuragh @sejaljobanputra @kidney_warriors So sad to know that. RIP

We lost 1 of our greatest, most inspiring warrior. She ruled this platform as a person + KWF leader. @sejaljobanputra is no more. It is a very heartbreaking moment for us. Praying for her to attain peace after 20 years in dialysis. #CKD #dialysis @kidney_warriors

@Jasonphilip8 Stupendous achievement !! Congratulations!!

Performed my 275th Kidney Transplant, today.

@SethiRenalPath @umnmedschool Congratulations to Amit !!

A very happy and proud moment for me. Our son Amit started medical school at the University of Minnesota Medical School- Primary Care education at its best. @umnmedschool

@IhabFathiSulima Polymyositis

What is the diagnosis?

@arvindcanchi @raja_1980 @LangoteAmit @VijayKher8 Poor strategy. Australia irrespective of conditions plays Nathan Lyon (specialist spinner). I don’t know why they select a specialist spinner and keep him as a reserve player

The two wicket taking bowlers are Jasprit Bumrah and Kuldeep Yadav. If they are not picked, who's going to take the 20 wickets for you to win the match?! And Bumrah was deemed fit yesterday by the captain. Crazy. #INDvsENG

@arvindcanchi @isn_india @ECNeph @ISNeducation @mmcmysore100 @mmcricentenary Wow!! Nice. Is there any link to place the order, sir

For the folks/alumni from Mysore Medical College, I placed an order with the India Govt Mint for the commemorative coin of the centenary celebration of MMC&RI and that was delivered today! #Mysore

@karthik2k2 What about Post transplant diabetes?

Types of diabetes

@serioustaurean I completely agree. It’s super frivolous.

For the lay public, patients with kidney disease almost always die of heart complications. Dialysis & transplants take care of the kidney. This mug is is a dumb take.

@DrAkhilX Heard that it is Ozempic magic

@volklub Tata Tiagoev Bangalore Range 180-200

If you drive an EV, please share real time range you are getting from your car with Car Name City Range Data will be used in Volklub website. Thanks

Dear @BBMP_Cares @BBMPCOMM this is the Bannerghatta Road stretch at Arekere. How long before you finish this road or waiting for an accident to happen? @Offtejasvisurya

@DrAkhilX Cholera!! The epidemic of cholera in the 19th century in England led to the use of IV fluids in clinical medicine. The first such use of IV fluid by Sir William Brooke O'Shaughnessy changed the natural history of cholera. Now we can't imagine hospital care without fluids.

Several patients from a slum presented with multiple episodes of diarrhea and severe dehydration. Stool was collected in buckets to monitor ongoing volume loss [image] What is the diagnosis ❓️

@arvindcanchi At homeground🤦‍♂️

@arvindcanchi 6 ducks sir

I mean.. 46 ... 5🦆on top of that...🤦‍♂️ You gotta realize you are not playing Bangladesh and show 'em some respect. I remember the 42 all out in England... Unpleasant to say the least. #INDvNZ