Ruchit Nagar

नंदुरबारमध्ये ‘कम्युनिटी हेल्थ इनोव्हेशन्स समिट’ ला सुरुवात माता-बाल आरोग्य व पोषण बळकटीकरणासाठी 16-18 डिसेंबरदरम्यान तीन दिवसीय मंथन. जिल्हा प्रशासन व Khushi Baby यांच्या भागीदारीत उपक्रम. #CommunityHealth #Nandurbar #HealthInnovation

@daphneclarance Look at the actual validation data. Validated on less than 100 individuals. Bland Altman doesn’t go below Hb of 10. Rolling out in the hospital before actually conducting the 1000-person trial. quickvitals.ai/assets/pdfs/he…

A new app offers blood test results by scanning the face without needles. It aims to improve early health screening, especially for anaemia in pregnant women and children, across India. indiatoday.in/health/story/q…

@LovedeepDhingra @rohan_khera @YaleMed Congrats!

1/ Earlier this week, I graduated with my MHS degree in the Clinical Informatics and Data Science track from @YaleMed. While 'the grind don’t stop', weekends after big milestones have a way of nudging you into reflection🎓🧵

@dramitaol @MoCA_GoI @airindia Automated BP cuff, glucometer, pulse ox, portable ekg, BVM, epipen, ASA, IV kit, IO kit, saline, insulin, glucagon, IM ceftriaxone, IM furosemide, IV metoprolol, rectal diazepam / intranasal midazolam, naloxone, portable ultrasound

Just responded to a medical emergency on #AirIndia flight AI504! Crew's quick response was commendable. Noted that medical kit didn't include pulse oximeter, glucose meter or portable ECG. Perhaps time to consider adding these life-saving tools to the kit? @MoCA_GoI @airindia @jothydev @drrakeshparikh @AskDrShashank @DGCAIndia @JM_Scindia

@rajshah @deepalikhanna Please visit us @teamkhushibaby

Today in Jaipur I witnessed the incredible work of the Self-Employed Women's Association. From lac bangle artisans to sitara embroidery experts, I met women who have transformed their homes into micro-enterprises, navigating the challenges posed by climate change with resilience

@nealkhosla Agree. One unlikely option is to run an RCT for an outpatient scenario in which the ai has access to the emr data, can write orders, and directly message patients through a secure chat. It will not have access to physical exam. See what happens with hospital admissions in a year

All of these things continue to measure the wrong thing and therefore are useless as far as any actual comparison of AIs and doctors.

@ASanchez_PS @AdamRodmanMD Require free text and character limits for all notes. Limit notes to assessment and plan. Eliminate templates and copy forwarding

EMR follow-up — What I love to see: Patients doing excellently under the care of my wonderful colleagues ✅ What I don’t love to see: My word for word assessment still being copy-forwarded 2+ weeks despite patients doing better! ❌ For the love of notes!! @AdamRodmanMD

We're thrilled to be back at #UNGA79 & energized for a week of conversation & collaboration, joining peers & partners to share ideas & build momentum to realize #HealthForAll, build resilient community health systems, & achieve gender equity in the #proCHW workforce.

What if a single policy change could revolutionize health systems worldwide? At the Coalition we believe that professional CHWs can help us reach #healthforall. That's why we're on mission for #proCHWs at #UNGA79, led by leaders like Ruchit Nagar.

🌍 Khushi Baby will attend #UNGA79 next week! We’ll discuss solutions to strengthen health systems in response to threats like climate change, #proCHWs, & emerging tech for last-mile health. If you’re attending or interested in connecting—we’d love to engage!

'CHAMP: Community Health Antimicrobial Resistance Platform' are our next finalists for the Trinity Challenge on Antimicrobial Resistance! CHAMP by Khushi Baby is an antimicrobial stewardship monitoring tool working at the community level. #TrinityChallenge #Finalists

What are the considerations for health innovation in the face of climate change? Inspiring to hear @ruchitnagar from @teamkhushibaby (winners in our first #TrinityChallenge cohort) speaking at #SkollWF about the possibilities. He outlines how India is a case study for learning...

Excited to be presenting on climate and health at @SkollWorldForum

@morgancheatham Chatgpt vision -> visual dx

healthcare AI request for product: has anyone built a vision-language model for dermatology that can ingest an image of a lesion or other anatomy and describe the morphology in appropriate syntax? note: NOT diagnosis

We are thrilled to join @msftnonprofits' inaugural Global Nonprofits Leaders Summit in Washington. Day 1 was a great opportunity to share our work in Tech for Social Impact and how we're thinking about Al for last mile health. @Microsoft nonprofitsummit.microsoft.com/home_public

@theliverdoc @AkasaAir Challenges - auscultation with high frequency engine sounds - portable pulse oximeters can be unreliable for patients of darker skin tone - iv access Opportunities - ask others for their cpap devices; BVM - kits need: auto BP cuffs, IO kit, glucometer, portable EKG, insulin

As a doctor, the first time I actually used a stethoscope after three and half years was on a mid air flight, two days ago. On my flight from Kochi to Mumbai via @AkasaAir the man sitting next to me became breathless. I was tired from work and it was a late evening flight and I was trying to take nap. But the commotion nearby woke me up and I found the air hostess trying to plug in the man's nebulizer for emergency inhalational treatment and I helped her get the machine running. He spoke in broken sentences, but he was not getting better. He had an oximeter which showed oxygen saturation was 36%. I asked him if he was asthmatic and he denied. I was confused why he had a nebulization kit. I asked for the stethoscope and found that his left side lung sounds were completely absent. It was water filled (a condition called pleural effusion). In between breaths, the man tells me that his kidneys are bad. I asked him if he was on dialysis and he was on it three days a week and the next one was planned for the next day. His medications were over last night. I scroll through his unlocked phone images to see his last prescriptions. Most were for high blood pressure. I checked his blood pressure and found it was 280/160 and he was in accelerated hypertension with drowning lungs. We had 1 hour to land for emergency medical services to attend him. We had to keep him alive. I have no idea what happened next, but it felt like I was inside an ICU and had to make quick decisions. Mid air, I did a double puncture on his only accessible vein on the right side and further access was lost. The other upper limb had a dialysis fistula made and I could not use it. So I gave him a frusemide injection into his buttock muscles ( a VERY long time since I gave an adult an intramuscular injection) after telling him it was going to pain, but I had no other options and also because it was so hard to find a vein as he was struggling and the flight was a bit turbulent. At one point, he was leaning on my shoulders and gasping while I comforted him, by lying to him by telling him that we have already arrived. We had another 30 minutes left. The female and male attendants on Akasa Air who helped me were so calm and composed that I was able to work with a clear mind as they followed instructions. They quickly changed and provided oxygen cylinders without haste that helped me get his saturation to above 90%. I found some blood pressure lowering medications in the flight ER kit and helped the man swallow them in between breaths. Before he was taken off the plane, he handed me his mobile and asked me to enter my phone number and I did and placed it back on inside his sling pouch. One hour on that plane felt like a whole day inside an terrifying ICU. By the time we landed, and before scheduled time, he was lethargic, still breathless, but blood pressure controlled. I spoke to the family on phone right after we landed and they took him in an ambulance to the hospital nearby. The next day, his family messaged me to let me know that he was well. In the evening, after my podcast recording, the patient himself called me after he was shifted out of ICU post emergency dialysis. His potassium level was 9.0 and his kidney functions were haywire. He could have had a fatal cardiac arrest mid air and I shuddered hearing his reports over phone. They removed extra fluid during dialysis and he became better by night. I would like to thank the flight attendants on @AkasaAir QP-1519 from COK to BOM 8PM on the night of 14th January 2024. I am sorry I did not ask your names, because it was an incredibly difficult time. But we saved this man's life. Would not have been possible without your help. And want you to know this. Thank you.

@JAMA_current @theliverdoc interested to hear your assessment

In patients with STEMI, the Chinese patent medicine Tongxinluo, as an adjunct to guideline-directed treatments for ST-segment elevation myocardial infarction, significantly improved both 30-day and 1-year clinical outcomes. ja.ma/3tKhbgF

Big congratulations to Climate Health Vulnerability Mapping (@teamkhushibaby), @gnypwd, Livox @livoxtablet, @utiva_io, @BeeLineReader, @WeirdEnoughHQ for winning The HP Prize for Accelerating Digital Equity supported by @HP 🙌

👏 We're kicking off the prize announcements! 🏆First up, Elizabeth McGovern @PJMFnd awards the following Solver teams the The AI for Humanity Prize: @synnefa_KE, Lucrefy, Climate Health Vulnerability Mapping (@teamkhushibaby), @gnypwd #SolveFinals

@PranavSavanur @YaleSPH @robmhecht @SVermund Congrats and onwards to making global public health impact!

Graduated from @YaleSPH today. Special thanks to my thesis advisors, @robmhecht and @SVermund.