Nasa

@AyurvedaMonk Poor and idiotic mom.. Waste of resourses.

Just finished an online consultation with the mother of a 3 year old boy (with no disease) from Gujarat (for height & weight issues). The mother told me she hasn’t given her child sugar till now. 😢 I was shocked and asked, “Why??” She said, “The paediatrician told me not to give sugar.” 🤦🏼‍♂️ I was stunned and told her to start giving sugar immediately. Doctors nowadays seem to have everything except common sense, and parents seem to have lost it too. 🤐🙏🏻 #Ayurveda #MedTwitter #MedX #parentingtips

@antaryami_hu @AyurvedaMonk He doesnt understand lactose is a form of sugar also.. Leave it

@AyurvedaMonk Why do we need refined sugar when we already have sugar in practically everything like milk

@Ravneet16022641 @AyurvedaMonk Avoid arguing with morons

@AyurvedaMonk Ever heard of carbohydrates metabolism, childhood obesity, metabolic syndrome?

@AyurvedaMonk @AnshulGains Weird guys on X... Get them off

Even Prostitution is a thousand times more dignified than what you’re doing @AnshulGains. At least in #Ayurveda, studying Vata Pitta and serving people is an honest path. Aren’t you the same “MBBS degree holder beggar” who was recently begging a whey protein company for payment after misleading the public for money? (Screenshot attached) How do Dr like you (who sell their integrity for profit) even find the audacity to comment on posts by doctors like us? When I advise people to meet their protein needs through natural foods like fish, eggs, milk, and curd and avoid whey protein, you people label me “anti-protein” and run paid campaigns against me. 😂 Get lost And let me make this absolutely clear - no one is to tag @chiragbarjatya or @theliverdoc under my post for mockery, provocation, or cheap engagement. #MedTwitter #MedX #HealthyHabits

@MANSAFAB @AyurvedaMonk Exactly... Morons!

@AyurvedaMonk Just wasted my time reading this.

@bobvarkey What's classical to think GFAP mutation in MRI here? Owls eye?

A young man 👨 with slowly progressing gait disorder and sleep apnea (due to recurrent tongue fall back at night) Mother died of a similar illness Mri shows this

@MicieliA_MD I do see in kids with tiny WM hyperintensities along centrum semiovale with no comorbidity and i never comment about it to parents but indeedvi repeat imaging after 6months to assess

A common referral to neurology. Physician orders MRI for headache or other non-focal symptom, and then general rads reports "findings consistent with demyelination" Patient waits months to see you and is very anxious about report. No hx of transient sx. MRI👇. What do you do?

@DocPriyamMD @medcrux What about OCT before VEP changes occur

Excellent summary of the diagnostic workup! Regarding the VEP, it’s a gold-standard tool here because it can actually prove Dissemination in Space even if the patient is currently asymptomatic in that eye. A delayed P100 latency with preserved amplitude is the classic 'fingerprint' of prior subclinical demyelination

A 29-year-old software engineer presents with a 5-day history of progressive visual clouding in the right eye. She describes it not as a blur, but as if "someone turned down the dimmer switch," particularly in the center of her vision. She notices a distinct loss of color saturation, specifically that red objects look "washed out." A 3-minute brisk walk into the clinic today temporarily exacerbated the visual dimming and brought on a transient "tight band" sensation around her abdomen that resolved upon resting. She reveals a previous presentation 9 months ago for transient, self-resolving "electric shock" sensations radiating down her spine when flexing her neck. What are the top 3 DDs coming to your mind and how will you confirm it?

@Dubey_025 @DeepikaBhardwaj She is scotfree to do adultery with stangers too as one night stand despite divine mangalsutr hanging in her neck.. What a modesty naari of india!

@DeepikaBhardwaj Adultery isn't a crime in India anymore, but society is not ready to accept it.🫠

Married woman having two kids in Mumbai has filed a police complaint against her society members for releasing a footage from lift where she was kissing a stranger man. She says she's being defamed in the society. I am thinking what her husband must be facing right now :(

@ToxicPropaganda @MeghUpdates That female bitch, wife(ex) of late Atul and the recently promoted judge were all having potholes to get things done and men surrender themselves to it for their favorism. This is reality of universe

@MeghUpdates Guess honesty really does pay… just not the way we thought...! If a judge accused of demanding a huge bribe can get promoted, what exactly does “merit” mean in the judicial system? 🤔 Apparently, in India, a bribe accusation is just a stepping stone to career growth.

🚨 BREAKING NEWS Judge Reeta Kaushik, named in techie Atul Subhash’s suicide note for allegedly demanding a ₹3 crore bribe, has now been PROMOTED as District Judge.

@aegononx @yvs07 @gujjutweeter However smart are we indians, our leaders destroy the image totally in international podium

@yvs07 @gujjutweeter He does that stupidity himself

One hug before the day of war, will cost us heavy! FATHERLAND, MOTHERLAND speech was unexpectedly cheap for any international forum. No one now takes India seriously.

@gujjutweeter Purposefully and electively motivated timely.

@Hardik_Oza @DocPriyamMD Portrayal of such scenario in a village situation would be terrible because of lack of resourses in such environment

@DocPriyamMD Can such died patients PM be done to ascertain was vaccine given failed? Was vaccine itself lost potency? Was vaccine trace found, wasn't sterile water? which people generally doubt.. If we keep neglecting as one such case, not to panic, somewhere we are inhabiting culprits

Tragedies like this often occur due to a "window of vulnerability" or Cold Chain Failure. If the vaccine isn't stored at 2°C-8°C constantly, it loses potency. ​4 ways to prevent this from happening to you 1️⃣ The 15-Minute Flush: Immediately wash the wound with soap and RUNNING water for 15 mins. This is the single most effective way to kill the virus at the entry point. 2️⃣ Demand the RIG: For broken skin (Category III), you need RIG (Rabies Immunoglobulin) inside the wound, not just the vaccine in your arm. RIG provides instant antibodies while the vaccine takes 7-14 days to work. 3️⃣ Choose the Right Hospital: Avoid small, local clinics that might have frequent power cuts or poor refrigeration. Go to a major government hospital where cold chain protocols (backup generators/medical fridges) are strictly monitored. 4️⃣ Zero Delay: If the bite is near the face/neck, the virus reaches the brain faster. Start the treatment within hours, not days.

@IamShajanSamuel Man, growup...it's she not he... Lady Gaga... Can achieve any favors😝

A lady jumped line in the business class/premium card member line, I told her mam, you cannot jump line, she told me, she is getting late for her flight, I reluctantly agreed. Later I saw her having her breakfast at Adani lounge.. how do we progress as a country?

@TheNotoriousEEG @MarcusVPinto @StokeTx Another penny dropped in favour of Dravet trt.. Wait and see its outcome og zoveneursen

Mark this day as a major turning point for #Dravet syndrome and the treatment of #epilepsy in general! Today the New England Journal of Medicine published results from @StokeTx phase 1/2 studies of zorevunersen demonstrating evidence of impressive seizure reduction on top of best standard of care AND improvements in non-seizure outcomes such as communication in children with Dravet! The era of disease modification is upon us for genetic epilepsies and this is just the beginning! nejm.org/doi/full/10.10…

@Thingstaketym @Crime_Selvaraj @theliverdoc So what, is she from Ayush... Logonke akal kahan gayee... As if she forcibly pierced ears or elsewhere? Yae kyuuskaepaas gayen

@Crime_Selvaraj @theliverdoc It would be better if they often does these raids

#Teynampet police arrested a #Mumbai-based homoeopathic doctor and her assistant for performing unauthorised surgical procedures at a star hotel in Nungambakkam, #Chennai. Dr #PoonamSharma, who has over 10,000 followers on Instagram under the handle "Ear hole repair," was intercepted during a raid at a luxury hotel where she had set up a makeshift clinic to perform #earlobe repair surgeries. Sharma, a homoeopathic doctor, has become Instagram-famous by presenting herself as a specialist who safely pierces ears and repairs ear lobes. She has posted more than 800 videos and claims to have treated over 5,000 people in more than 15 cities across the country. The treatment method is called #auroplasty and is used for people unable to wear earrings. instagram.com/earholerepair_…

@DocPriyamMD @Dr_Shiv_kumar_ Fast component not seen in comatose as corrective saccads from FEF

@Dr_Shiv_kumar_ One point I want to mention is that nystagmus is always conventionally mentioned after the fast component, even though the slow component is the real pathology and the fast component is just the corrective saccades

🧠 Neurology- pearls you should never forget : Brainstem Reflexes 1️⃣ Brainstem reflexes are crucial in neurological exams and coma assessment. Each reflex tests a specific cranial nerve pathway and brainstem level. Here’s a simple breakdown every clinician should know 👇 1️⃣ Pupillary Light Reflex Afferent → CN II (Optic) Efferent → CN III (Oculomotor) Level → Midbrain Test: Shine light into one eye Normal → Both pupils constrict (direct + consensual) ❌ Absent in: • Optic nerve damage • Oculomotor palsy • Midbrain lesion • Severe hypoxia / brain death 2️⃣ Corneal Reflex Afferent → CN V1 (Trigeminal) Efferent → CN VII (Facial) Level → Pons 🩺 Test: Lightly touch cornea with cotton wisp Normal → Bilateral blinking ❌ Absent in: • Trigeminal lesion • Facial nerve palsy • Pontine lesion • Deep coma 3️⃣ Vestibulo-Ocular Reflex (Doll’s Eye) Afferent → CN VIII (Vestibular) Efferent → CN III, IV, VI Level → Pons + Midbrain 🩺 Test: Turn head quickly (only if C-spine safe) Normal → Eyes move opposite to head ❌ Absent in: • Brainstem injury • Deep coma • Brain death 4️⃣ Oculovestibular Reflex (Cold Caloric Test) Afferent → CN VIII Efferent → CN III, IV, VI Level → Pons + Midbrain 🩺 Test: Cold water into ear canal Normal → Eyes deviate toward irrigated ear Mnemonic → COWS Cold → Opposite (fast phase) ❌ Absent in severe brainstem dysfunction 5️⃣ Gag Reflex Afferent → CN IX (Glossopharyngeal) Efferent → CN X (Vagus) Level → Medulla 🩺 Test: Touch posterior pharynx Normal → Gagging / pharyngeal contraction ❌ Absent in: • CN IX or X lesion • Medullary damage • Deep coma 6️⃣ Cough Reflex Afferent → CN X Efferent → CN X Level → Medulla 🩺 Test: Tracheal suction Normal → Cough ❌ Absent in: • Medullary failure • Brain death 🧠 Clinical Pearl Brainstem reflexes help localize lesions: • Midbrain → Pupillary reflex • Pons → Corneal + VOR • Medulla → Gag + Cough Loss of all brainstem reflexes = Brainstem failure. #MedTwitter #MedX #NeuroTwitter

@Brandon_Beaber Can briumvi would replace RTX in all its indications apart from MS?

A fierce debate about MRI negative relapses in multiple sclerosis. 77.3% of relapses in the ULTIMATE I/II trial where were briumvi-treated group did not have brain MRI changes. These authors believes some of these events are progression or pseudorelapses. journals.sagepub.com/doi/10.1177/13…

@rich_toronto Yout brain is like birds', grow first to know ground reality.

@DrDhruvchauhan If u dont like the system, never come closer to it. Those were the days we did alternate days, 24 hrs duty and hardly had time to pee... Med curriculum is like that, if u like or not

“I regret every single day of choosing residency in KGMU ,Lucknow after being the top ranker in the country” These words come from a Junior Resident who thought life will change after NEET PG but is currently on the verge of depression , forced to work inhumane hours by Robotic machines in the form of Doctors seating as seniors , professors & Heads ! The problem with institutions like KGMU , Lucknow is they don’t give a shit about this cruelty and will continue it saying “systemic issue and heavy patient load” while actually it’s a “Slavery issue of mindset” which they became habitual of ! @myogiadityanath ji , This is about the Mental Health of doctors in your state. Show Action