Parag Tipre

Good to see NBEMS trying to cope with the world in training indian med professionals in Healthcare AI "SANGAM" 👏#MedTwitter @NMC_IMA_IND

"In the silence of the OT, the air is thick with the prayers of hundreds—because when one life is saved, a whole world is reborn."

To the outside world, it’s a Tuesday. To the surgeons, it’s a routine. But to those ten souls, today is the day the world starts spinning again. We don't just operate on bodies; we operate on the very definition of "tomorrow."

ONCO-LENS Imagine an elderly woman, her body weathered by time and further thinned by the brutal fire of 28 grueling cycles of chemotherapy. For months, she has lived in the suffocating shadow of a "terminal" diagnosis, a "troubled soul"tethered to the world by nothing but hope

"In the silence of the OT, the air is thick with the prayers of hundreds—because when one life is saved, a whole world is reborn."

Ten families holding their collective breath in the waiting room. Ten histories hanging in the balance. Ten battles against a "dreadful disease" that stops being an abstract monster and becomes a tangible enemy we will extract with our own hands.

While the world wakes up to coffee and mundane routines, we are entering a battlefield where the stakes are absolute. This isn't just one miracle—it is ten.

With every stitch, we are stitching a grandmother back into the fabric of her family’s Sunday dinners, her grandchildren’s milestones, and a future she thought was stolen.

Phrynoderma (toad Skin)

Your D/d's Phrynoderma ?

@DrShauryaGarg Looks like a package of neurotic symptoms clubbed all together with Hemat to spice it up

I was today years old : neuroacanthocytosis

@DrShauryaGarg With so minimal resources available this would have been a nightmare like question paper for them .they didn’t even have a Bhalani to help 😂

My friend just sent me this anatomy paper from 1949!!! 😳😳😳

'ब्लडप्रेशर की गोली जीवन बीमा नहीं" ◆ US से डॉ. रवि गोडसे ने समझाईं ब्लड प्रेशर की गोली की बारीकियां @DrGodseRavi1 #RaviGodse | Ravi Godse

@Doctors__squad icthyosis

What’s your diagnosis???

@SikandarAdwani What was the cause for the thalamic hemorrhage ? Can it reoccur in the contra lateral side too ?

A 62 year old man comes to OPD with a simple complaint. Doctor, my left hand does not stay still. I watch him quietly before examining him. When his left hand rests on the chair, there is a slow, coarse tremor. When he stretches his arms forward, the tremor continues. When he is asked to touch his nose, the tremor markedly increases as the finger approaches the target. This is not a single tremor. This is rest, postural, and intention tremor together. Then comes the old history that changes everything. Eight months ago, he had a right thalamic hemorrhage. There was weakness initially, which slightly improved. The tremor appeared only months later. That delay is important. This is not Parkinson’s disease, because the tremor does not settle with movement. This is not a pure cerebellar tremor, because it is present even at rest. This pattern fits Holmes tremor. Now the localisation becomes clear. The lesion was in the right thalamus. The thalamus is the final relay for two major motor systems. The cerebellothalamic pathway carries coordination signals from the cerebellum. Its disruption explains why the tremor worsens during target-directed movement. The basal ganglia thalamic motor modulation controls stability at rest. Its disruption explains why the tremor is present even when the hand is relaxed. A single thalamic lesion can disturb both systems at once. Because motor control is contralateral, a right thalamic hemorrhage produces symptoms in the left hand. The tremor appears late because this is not just tissue damage. It reflects delayed maladaptive reorganisation of motor networks. The final diagnosis is left-hand Holmes tremor due to a right thalamic hemorrhage. Permission taken for the vdo #Neurotwitter #Medtwitter #Holmes

we need a secure, anonymous helpline dedicated to resident doctors. anonymous report shouldn't be ignored,it should be treated as a warning sign of a broken system. Until residents can speak up without fearing their careers, the cycle of abuse will never end #MedTwitter

@Indian__doctor The cobbler shoe phenomenon. surgeons face a 50% higher mortality risk from heart disease compared to their non-surgical peers. High-stakes "theatre stress" isn't just a feeling ; it’s a physiological toll.

Dr. Chandrashekhar Pakhmode well-known Neurosurgeon in #Nagpur is no more. He was 50 years old. He passed away due to a sudden #heartattack. He was fitness-conscious and had a reportedly clean ECG, yet collapsed without warning. Doctors must pay attention to their own health too. As physicians, we are trained to put patients first often ourselves last. Heartfelt condolences to Dr. Pakhmode’s family, friends, and professional community. #medtwitter #RIP 🙏