Sagnik Sen, M.D.

First of a kind deep-learning model for predicting the gene in Inherited Retinal Diseases from retinal imaging! Grateful to be a part of this amazing collaboration @UCLeye and @Moorfields ! @npontikos @william_woof @tacguimaraes @MichelMichaelid @KonBalaskas #deeplearning #gene

@surajitdasgupta Mamata gongopadhyay?! 😭

BJP-phobia!

@DrDatta_AIIMS @grok summary please

This may be long but I wanted to be transparent about why I’m so vocal and passionate about the cause of gig workers, and why I see it as deeply relevant to the young doctors being trained today, even though many of my own colleagues in medicine don’t seem to feel the same way. This also may be my last post on this topic as I get busy with January deadlines from tomorrow. These are very raw thoughts and perspectives, but I feel I must share. The reality is guys, what’s happening out there in the so-called "gig economy" is a direct preview of what’s already started happening in our own backyard, especially I have seen and understood that in radiology, and it’s something I would really want the medical fraternity to pay attention to, whether you’re affected by it yet or not. Because sooner or later, you will be. Let me start with teleradiology, which for more than two decades now, was sold to us as the next step towards modern, flexible work. I am not trying to draw a parallel to gig work on Zomato or Swiggy here. But just read through. In theory, it lets radiologists work anytime and reach places that previously lacked access. In practice, however it has now become the perfect breeding ground for the same kind of exploitation we are seeing in other gig work sectors. Most people, until they’ve tried actually looking for teleradiology work, have no idea how brutal it’s become! So let me make you aware! Imagine being a qualified radiologist, often with years of training, and being offered 20 rupees (yes, literally twenty - I have screenshots also to share) for reporting a scan. Some 'generous' places will give you a bit more, 300 for a CT... maybe 400 for an MRI that can take half an hour or more to report properly. This is the going rate at many centers now, and it’s getting worse as more players enter the field, racing to undercut each other. And let us not fool ourselves. This has nothing to do with delivering cheaper scans to patients but everything to do with corporate greed! Most of the money saved by slashing what’s paid to the radiologist gets pocketed by middlemen and platform owners, not passed on to the people who need care. We are being squeezed from both ends, and the only thing that’s actually going down is the quality of the reporting. You cannot expect quality when you commoditize expertise and create a system where the only way to survive is to report more and more scans, faster and faster, for less and less. This is very similar to what’s happening to gig workers everywhere! Fragment the work, force everyone to compete in a marketplace where the cheapest wins, and the platform or the middleman pockets the difference! And just like with gig workers, what’s coming next in healthcare is even more worrying. The only difference is: Healthcare delivery requires a certain level of skill and expertise. Gig work does not. When you create an environment where expertise is undervalued and stripped of meaning (and dignity), quality falls off a cliff. At some point, the argument will be made (rightly or wrongly) by some parliamentarian who has stake in some healthcare platform or is husband or wife of some healthcare industry bigshot that AI can do a better job than humans working in such degraded conditions. So let us decrease the regulations in the sector. Once that happens the Pandora's box will be opened. These same platforms and private players will waste no time in pushing for complete automation, with radiologists being replaced outright, just like gig workers are being planned to be replaced by drones and robots in other sectors (if you believe it is sci-fi, do a google search and see which companies have already tested drones for delivery). And this is where I want the rest of the medical fraternity to really pause and think. Today, you may like to think of this as a radiology-specific problem, something that happens in the “remote” or “tech-enabled” specialties. But just look around. We’re entering an age where clinical decision support systems are steadily getting better at what they do. "AI doctors" are no longer fiction. They are being actively trialed and in many countries being looked at by governments, including ours, as a way to provide basic healthcare to everyone. And let’s be honest, at a population scale, that’s not even a bad thing, right? Who wouldn’t want a doctor available 24/7 at the touch of a button, right in your home? If I was sick, I would too! But then, where does that leave the actual doctors, especially the ones who are being trained now in our medical colleges? We already talk about the “Uberization” of healthcare... Doctors on call, Doctors on demand, Available via app... who show up at your home. This is already a reality in Delhi NCR. And soon it won’t just be the MBBS generalists, it’ll be the specialists too, hustling from home to home, or app to app, just to keep afloat. If I’m being honest, I don’t even see this as something that will take more than a decade. And all along, the biggest winners and the true beneficiaries will not be the doctors and definitely not the patients! It’s again going to be (like always) the same profit-hungry intermediaries and corporates who skim the largest share (now private equity-backed) the hospital chains who start healthcare at home, health-tech platforms, insurance companies! Most doctors (99% of us) just want to do right by our patients! We often don’t get a slice of the profits the hospital makes. We are just, as one respected teacher of mine said "cogs in the giant machine". The ownership, and the reward none of it belongs to the people actually delivering the care. What worries me most is that this entire path is leading straight to the complete corporatization of healthcare in the country. Yes, for a few years, it will look like access is improving, services are getting more efficient, more people are being “reached out to” because of technology. But in the long run, it will mean healthcare professionals who actually care about their patients losing their professional voice and ultimately, even losing their jobs to algorithms and automated systems that answer to shareholders. And the moment we raise our voice (like the gig workers are doing now), we will be shut down by investor and corporate lobbies, their bots, paid PR campaigns and of course the parliament lobby bought by them (regardless of which party is in power). This is why I always keep raising my voice against hyper capitalistic oppression, because I think that doctors’ ownership in the healthcare system, and our ability to stand up for quality and ethics, really matters. I had a lot of thoughts in my mind which I wanted to put out there openly, so please excuse if the flow is very broken and incoherent. If we let healthcare delivery become just another gig, another profit center for faceless entities, we are risking the integrity of the entire profession and everything we are taught in our medical colleges and the grind of 5.5 + 3 years of MBBS and MD/MS. That’s a parallel which my mind often draws with gig work. And that’s why I will not stop speaking up about it. You may think that I may be totally off track comparing these and I am happy to hear contrarian views from people if you feel I am wrong anywhere.

🚨 Almost HALF of all NHS Trusts are using non-doctors to fill doctor rotas due to “shortage of doctors” FYI - 40,000 doctors applied for only 10,000 available training posts last year Doctors are unemployed Doctor substitution is real And it’s DELIBERATE

@jasveer10 Probity and honesty among Indians are rare qualities..the comments on the thread probe that..how people don’t see anything wrong with the messages beats me. 🤷🏻‍♂️

IIT grad, top consulting background, applying to Ivy League Not working for a year. “Can you just give me an offer letter?” The entitlement is insane 🤦‍♂️ Impressive resume, embarrassing mindset. Degrees don’t fix character

@groovemachineXD @BillDawsonIII @LeeHarris 🤣

@BillDawsonIII @LeeHarris She would be forced to eat a thousand Lincolnshire sausages

🚨ABSOLUTE SCENES IN PARLIAMENT!! Far-left Independent MP Zarah Sultana says Keir Starmer is "gaslighting the nation" and a "BARE FACED LIAR". She is ordered to leave and she REFUSES, so is *immediately* suspended from the house. Lindsay Hoyle LOSES IT! 👀

@FinestDoveTruth New age slavery..blame the migrants for everything wrong..if you want migrant workers you let people in and then blame the same people after two years when the votes stop coming in, or when you’re in opposition, vilifying the migrants for their party’s own policies..nonsense!!!

The UK 🇬🇧 government under the conservative Party and under Boris Johnson opened the door during COVID. They needed workers. The NHS needed staff. Care homes were collapsing. So they went abroad. They told people: “Come. Work. Contribute. Pay taxes. In 5 years, you’ll get ILR. In 6 years, you can become British.” People believed them. They left families. Sold properties. Started life from scratch. Now? Same system. Same people. Suddenly, migrants are a “£10B burden.” This is not policy. This is goalpost shifting. From a legal migrant perspective, this is the reality: You followed the law. You paid your dues. You worked nights, weekends, holidays. You filled gaps no one else would. But when it’s time for the system to honour its end? The rules start changing. The tone becomes hostile. The narrative becomes political. You can’t invite people in, build your system on their labour, then rewrite the contract midway. That’s not governance. That’s exploitation with better PR. And the most dangerous part? They’ll still ask: “Why don’t migrants integrate?” “Why don’t they commit?” Because stability requires trust. And trust is broken every time the rules shift after the game has started.

@KweziMama Racist…and then you speak about racism in Western countries..have some shame..

Amin should have led Uganda for 41 years we would be a first world.

@Xeon4f145d96s1 Screw over IMGs like you have and this is what will follow 🤷🏻‍♂️

Genuinely disgraceful to try and profit off strikes. One thing to go in on your normal days on, another thing to actively profit off the days I’m sacrificing my own pay.

@WallStreetMav Greece is 3rd world now too? Wow some gains for 🇮🇳 !

The caption on this video is: "The Great British Debate" Three foreigners from the 3rd world are on British TV debating who is actually British and deserving of welfare benefits. This is ridiculous. All three of them need to be deported.

@gailcurrie80 @ZackPolanski @MothinAli Scandalous..but hilarious comment tbf! 🤣

@ZackPolanski Why isn't @MothinAli dancing in between you and the leather wearing gimp.

If there's one thing that will be guaranteed to cause people who protect the wealth and power of the super rich - it's people having a great time. I present to you Trafalgar Square today which was beautiful and alive and buzzing with just that. 💚😍

@CllrKieran @AkkadSecretary Child politician glorifying empire and subjugation of 1/3 of the world..you must be so proud of yourself…

@AkkadSecretary The last century is humiliating, we just gave everything away

British Navy 1939 vs 2021

@naheemmatloob @implausibleblog Its clearly written in Bengali, not Hindi..

@implausibleblog How is it Urdu leaflet when it written in Hindi

Naga Munchetty, "The Urdu leaflet is an issue" "The leaflet features Keir Starmer, alongside the Indian PM Modi, and Deputy PM David Lammy along with Israeli PM Netanyahu" "Translation: Labour must be punished for Gaza. We have to defeat Reform to give Muslims a strong voice. Give your votes to the Greens" "Are those messages and is that leaflet appropriate?" Zack Polanski, "I'd say anything else is highly inappropriate" "We've had an ongoing genocide for the last couple of years" "We've got our own government not just complicit but actively enabling a genocide through the sharing or arms, intelligence" "And I think people in this country whether they're Muslim, or Jewish, as I am myself, or even people without faith, can recognise that human rights and international law are important" "We've got a Labour government where Keir Starmer who went out on national TV and said that Israel has the right to cut off water and electricity from the Palestinians" "He said that's not what he meant, but Emily Thornberry went out the same day and doubled down on it" "I think it's right that in a democracy we point out the record of this Labour government and we challenge them on it and say that's not rights and its time to end the genocide" Naga Munchetty, "This has been described as a sectarian approach to campaigning. You think that is appropriate" "I think it's totally appropriate" "People are allowed to communicate with different communities about those things communities care about" "But I also think there is an underlying racism of people saying if you're talking about Gaza you're just appealing to a Muslim community" "I'm one of just five Jewish people who have been in leadership positions in British politics" "I deeply care about Palestinians, in the same way I care about the Sudanese, Iranian, or anyone facing occupation, conflict, genocide" "I think it's important to be morally consistent on that" Charlie Stayt, "A lot of people think those leaflets are the nasty side of politics" Zack Polanski, "Genocide is quite nasty" "And I think speaking up for human rights and peace is the only appropriate position" "And it's quite wild that our British political system got to a place where the Green party is the only party doing that" "I think that's why we're winning elections, because people are saying if the party is offering to tackle the cost of living crisis and is showing moral consistency in international human rights law" "That's probably a party worth voting for"

@AndrewGold_ok @GoodwinMJ Yea, so?

Matt Goodwin reveals the secret they're hiding from you about 2063... 🇬🇧 @GoodwinMJ

@fella_patriot This X handle is Indian I can bet 🤣

@aditi9870 🥱😆🙏🏼👏🏼🤷🏻‍♂️🍿

Doctors said glasses never go away 👓 But THIS simple eye exercise changes things… 👀 Don’t skip the end. 👇

@DailyTPodcast International students are NOT eligible for any loans!!! Guys please read the visa rules of your own country !!! This is all available on gov.uk!!! In this day and age, it’s unbelievable that politicians can keep lying with impunity and people can’t verify them!

@Katie_Lam_MP Lies lies and lies…international students or intenational anyone are not eligible to get any students loans, be it for UG, PG, PhD courses nowhere…why do people believe such charlatans?!

The Department for Education knows how much foreign students owe in loans, and how much they've paid back. They won't share this data because they say that it's too complicated. If you don't think that the public can be trusted with data like this, you shouldn't be in politics.

@sophia_edw28123 Wow! Imagine the outrage and outcomes if this were a BAME doctor!

A senior surgeon found to have sexually and racially harassed trainees over years, even during live operations, is back at work after a 12 month 'time out' Courts say striking him off was 'disproportionate'. Disproportionate to who? independent.co.uk/news/health/ja…

@amanbhogal No more “skilled worker” visa. Really?🤔

Break into Britain on a dinghy. Deport. Come to 🇬🇧 commit a crime. Deport. Integrate & pay your way or Deport. No more visas for countries refusing deportations. No more "skilled worker" visas. No more bogus student visas. No more anti-national bakwaas. We in 🇬🇧 have had enough.

@EssentialLangu1 @Saganismm Right..and the arab world learnt everything from the Hindu world right of their place..human history is truly fascinating..

@Saganismm Except Newton's teacher studied in Istanbul.. and.. Well maybe just a coincidence.

Neil deGrasse Tyson on who is the greatest scientific mind in history.