Dr.Suresh S MD, DM

Please do not get tired of me posting about the same thing. The stakes are high! Its a matter of crores of Indians, especially children. When it comes to children, hesitancy can have a cost! We cannot allow history to repeat! There may not be another Dr Sivaranjani to fight again. It's not just eRZL, but no drink should be positioned in the pharmacies along with WHO recommended formula ORS, and even better, none of the other beverages should be available in the pharmacies, hospitals, and schools. Please sign the petition and share it. We need to tell the Govt. how people of India feel about the issue, not that they don't know, but we need proof. Share this super creative video which tells one how confusing it gets for a stressed parent taking decisions when their child is sick. Also, another two companies have come up with ORS on the label. What are FSSAi and the FDAs doing when companies are so blatantly violating the Govt. order??!! c.org/4wzT58q4wN @MoHFW_INDIA @fssaiindia @JPNadda @narendramodi

@nihardesai89 What I feel is before posting AI images doctor should see read and cross check content. Anyways its good. We are doctors not photoshop editors.

I'm tired of seeing AI-made infographics everywhere. Come on guys, think a little, spend a little time, embrace the imperfections ❤️

This is highly unacceptable, especially coming from a senior cardiologist and a leader in the fraternity. Whatever our religious beliefs, political inclinations, dressing or eating preferences belong at home We are in a service profession. Our primary aim is to reduce suffering, irrespective of caste, creed, religion, nationality, or gender. Care, access, or even perception of benefit should never be linked to belief or expression. Patient first. Everything else comes next.

Cardiology conferences in India are increasingly becoming platforms for self-promotion rather than scientific exchange. Events are often branded around individuals,“Dr X’s conference,” “Dr Y’s meeting”, where visibility seems to matter more than content. When the motives are so clearly ulterior, academics and meaningful content take a back seat , and bcome social spectacle. Attendees take time off from busy schedules to attend these meetings with one primary goal-to learn! But Topics discussed most often following these conferences is about quality of food , hospitality, etc than about the science, or take-home learning. This erodes credibility, not just nationally but globally. This may b the reason why some may have started to stay away from “big” conferences !

@nadig_cardio There is no science in scientific conference.

@nadig_cardio Everyone is interested in money making personal groups. No one is interested in CSI anymore.

Organising a national “intervention” conference means planning for participants from across the country,people who need to arrange patient schedules, duties, and leave well in advance. With less than 10 days to go, there’s still no communication regarding abstract/case acceptance. This lack of coordination is disappointing and makes planning extremely difficult. IYKYK @JoySanyal74

Superb point Straddling vs over riding of AV valve on #Echo_first #cardiotwitter #medtwitter

@riyaz_doc @akbarul @realarainmd @mirvatalasnag @SyedYNaqvi1 @abadkhan2002 PDA graft

Recent IWMI.. how do you approach this one.. ..!?? @akbarul @realarainmd @mirvatalasnag @suricardio @SyedYNaqvi1 @abadkhan2002

@dineshgrao Tumkur district has sridevi medical College cathlab with AbARK scheme but Government hospitals won't refer these emergency Heart attack patients for emergency angioplasty. Consider looking these matters with ABark coordinators

ಇತ್ತೀಚಿನ ದಿನಗಳಲ್ಲಿ ಯುವಕರು ಹಾಗೂ ಮಧ್ಯವಯಸ್ಕರಲ್ಲಿ ಹೃದಯಾಘಾತದ ಪ್ರಕರಣಗಳು ಹೆಚ್ಚುತ್ತಿರುವುದು ಆತಂಕಕಾರಿ. ಇದನ್ನು ಎದುರಿಸಲು ನಮ್ಮ ಸರ್ಕಾರ ಅಪ್ಪು ಅವರ ಸ್ಮರಣಾರ್ಥ ಡಾ. ಪುನೀತ್ ರಾಜ್‌ಕುಮಾರ್ ಹೃದಯ ಜ್ಯೋತಿ ಯೋಜನೆಯನ್ನು ಜಾರಿಗೆ ತಂದಿದೆ. ಹೃದಯಾಘಾತದ ಮೊದಲ ಒಂದು ಗಂಟೆ ‘ಗೋಲ್ಡನ್ ಅವರ್’ ಅತ್ಯಂತ ಮಹತ್ವದದ್ದು. ಇದಕ್ಕಾಗಿ ರಾಜ್ಯದಾದ್ಯಂತ 10 ಹಬ್ ಮತ್ತು 86 ಸ್ಪೋಕ್ ಸರ್ಕಾರಿ ಆಸ್ಪತ್ರೆಗಳ ಜಾಲ ನಿರ್ಮಿಸಲಾಗಿದೆ. ಈಗಾಗಲೇ 10 ಲಕ್ಷಕ್ಕೂ ಹೆಚ್ಚು ಉಚಿತ ಇಸಿಜಿ ಪರೀಕ್ಷೆಗಳನ್ನು ನಡೆಸಲಾಗಿದ್ದು, 13,000ಕ್ಕೂ ಹೆಚ್ಚು ಜೀವಗಳನ್ನು ಉಳಿಸಿರುವ ನೆಮ್ಮದಿಯನ್ನು ಈ ಯೋಜನೆ ನೀಡಿದೆ. ಸುಮಾರು ₹25,000 ಮೌಲ್ಯದ ಟೆನೆಕ್ಟೆಪ್ಲೇಸ್ ಇಂಜೆಕ್ಷನ್ ಸರ್ಕಾರಿ ಆಸ್ಪತ್ರೆಗಳಲ್ಲಿ ಸಂಪೂರ್ಣ ಉಚಿತವಾಗಿ ಲಭ್ಯವಿದೆ. ಯಾರೇ ಆಗಿದ್ದರೂ ಸಹ ಹೃದಯ ಸಂಬಂಧಿ ರೋಗ ಲಕ್ಷಣಗಳು ಕಂಡುಬಂದರೆ ವಿಳಂಬ ಮಾಡದೆ ಹತ್ತಿರದ ಸರ್ಕಾರಿ ಆಸ್ಪತ್ರೆಗೆ ಭೇಟಿ ನೀಡಿ. ಆರೋಗ್ಯಕರ ಜೀವನಶೈಲಿ ಮತ್ತು ಒತ್ತಡರಹಿತ ಬದುಕು ರೂಢಿಸಿಕೊಳ್ಳಿ..

@dineshgrao Thrombolysis with tenecteplase is not the gold standard for heart attack. Consider involving private hospitals and medical colleges with AbARK scheme cathlab for primary angioplasty.

@thisis_drgsp Ecosprin 75 mg is hardly 50 paisa.

Sad reality of so called Well developed Tamilnadu govt hospitals Patient recently underwent PTCA and was kept on ticagrelol and statin+ Ecosprin (combination) Due to financial issues patient went to GH for medicines - he got clopidogrel and statin separately but not Ecosprin

@kiranshaw This is what a medical shop boy has been doing since ages in india. Finally they all come to the real doctor one day with all complications. Government of India is producing poor quality mass mbbs doctors.god saves these patients in future

This is the future of healthcare technology that delivers affordable and standardised good quality care for all which is the basis of UHC

@kiranshaw There are clear indian and western guidelines for primary prevention of Dyslipidemia. Should not be taken like Vitamin pill mam.

Statins are a good prophylactic for atherosclerosis. bbc.com/news/articles/…

@dineshgrao Creating Half baked radiologist who are more dangerous than not doing scan only. It will be wise to sponsor MD radiology from government or private institutions for govt doctors

ರಾಜ್ಯದ ತಾಯಿ ಮತ್ತು ಶಿಶು ಆರೋಗ್ಯ ಸೇವೆಗಳನ್ನು ಬಲಪಡಿಸುವ ನಿಟ್ಟಿನಲ್ಲಿ ಕರ್ನಾಟಕ ಸರ್ಕಾರವು ಒಂದು ಪ್ರಮುಖ ಆದೇಶವನ್ನು ಹೊರಡಿಸಿದೆ. ಹಲವಾರು ಜಿಲ್ಲಾ ಆಸ್ಪತ್ರೆಗಳಲ್ಲಿ ರೇಡಿಯಾಲಜಿಸ್ಟ್‌ಗಳ ಕೊರತೆ ಇರುವುದನ್ನು ಗಮನಿಸಿ, ಸಾರ್ವಜನಿಕರಿಗೆ ಗುಣಮಟ್ಟದ ಪ್ರಸವಪೂರ್ವ ಮತ್ತು ಪ್ರಸವೋತ್ತರ ಸೇವೆಗಳನ್ನು ನೀಡಲು ಆರೋಗ್ಯ ಇಲಾಖೆಯ ಸೇವಾನಿರತ ಎಂ.ಬಿ.ಬಿ.ಎಸ್ ವೈದ್ಯಾಧಿಕಾರಿಗಳಿಗೆ ಆರು ತಿಂಗಳ ಅಲ್ಟ್ರಾಸೋನೊಗ್ರಫಿ (Ultrasonography) ತರಬೇತಿ ನೀಡಲು ಆಡಳಿತಾತ್ಮಕ ಅನುಮೋದನೆ ನೀಡಲಾಗಿದೆ. ಈ ತರಬೇತಿಯನ್ನು ಪಿಸಿ ಮತ್ತು ಪಿಎನ್‌ಡಿಟಿ (PC & PNDT) ಕಾಯ್ದೆ ಹಾಗೂ 2014ರ ತರಬೇತಿ ನಿಯಮಗಳ ಅಡಿಯಲ್ಲಿ ಕಟ್ಟುನಿಟ್ಟಾಗಿ ನಡೆಸಲಾಗುವುದು. ಈ ಮಹತ್ವದ ಕಾರ್ಯಕ್ರಮಕ್ಕಾಗಿ ರಾಜ್ಯದ ಒಟ್ಟು 11 ಆಸ್ಪತ್ರೆಗಳನ್ನು ತರಬೇತಿ ಕೇಂದ್ರಗಳಾಗಿ ಗುರುತಿಸಲಾಗಿದೆ. ಬೆಂಗಳೂರಿನ ಕೆ.ಸಿ. ಜನರಲ್ ಆಸ್ಪತ್ರೆ ಮತ್ತು ಜಯನಗರ ಸಾರ್ವಜನಿಕ ಆಸ್ಪತ್ರೆ, ಮಂಗಳೂರಿನ ಲೇಡಿ ಘೋಷನ್ ಮತ್ತು ವೆನ್ಲಾಕ್ ಆಸ್ಪತ್ರೆ, ದಾವಣಗೆರೆಯ ಚಿಗಟೇರಿ ಜಿಲ್ಲಾ ಆಸ್ಪತ್ರೆ ಸೇರಿದಂತೆ ಚಿಕ್ಕಬಳ್ಳಾಪುರ, ಧಾರವಾಡ, ತುಮಕೂರು, ವಿಜಯಪುರ, ಬಳ್ಳಾರಿ, ಕೋಲಾರ ಮತ್ತು ಬಾಗಲಕೋಟೆ ಜಿಲ್ಲಾ ಆಸ್ಪತ್ರೆಗಳಲ್ಲಿ ಈ ತರಬೇತಿ ಲಭ್ಯವಿರಲಿದೆ. ಒಟ್ಟು 23 ಅಧ್ಯಾಪಕರ ಮಾರ್ಗದರ್ಶನದಲ್ಲಿ 69 ವೈದ್ಯಾಧಿಕಾರಿಗಳಿಗೆ ತರಬೇತಿ ನೀಡಲು ಗುರಿ ಹೊಂದಲಾಗಿದ್ದು, ಅಧ್ಯಾಪಕ ಮತ್ತು ವಿದ್ಯಾರ್ಥಿ ಅನುಪಾತವನ್ನು 1:3 ರಂತೆ ನಿಗದಿಪಡಿಸಲಾಗಿದೆ. ಈ ತರಬೇತಿಗೆ ಕೇವಲ ಇಲಾಖೆಯಲ್ಲಿ ಸೇವೆಯಲ್ಲಿರುವ ಎಂ.ಬಿ.ಬಿ.ಎಸ್ ವೈದ್ಯಾಧಿಕಾರಿಗಳನ್ನು ಮಾತ್ರ ಪರಿಗಣಿಸಲಾಗುತ್ತಿದ್ದು, ಆಯ್ಕೆ ಪ್ರಕ್ರಿಯೆಯನ್ನು ಬಂಧಪತ್ರ ಕೋಶದ (Bond Enforcement Cell) ಸಮನ್ವಯದೊಂದಿಗೆ ನಡೆಸಲಾಗುತ್ತದೆ. ತರಬೇತಿ ಪಡೆದ ವೈದ್ಯರು ಕಡ್ಡಾಯವಾಗಿ ಸರ್ಕಾರಿ ಆಸ್ಪತ್ರೆಗಳಲ್ಲಿಯೇ ಅಲ್ಟ್ರಾಸೋನೊಗ್ರಫಿ ಸೇವೆಗಳನ್ನು ನೀಡಬೇಕೆಂದು ಷರತ್ತು ವಿಧಿಸಲಾಗಿದೆ. ಇನ್ನೂ ಈ ತರಬೇತಿಗೆ ನಿಯೋಜನೆಗೊಂಡ ವೈದ್ಯರ ಸ್ಥಾನಕ್ಕೆ ಸಾರ್ವಜನಿಕ ಸೇವೆಗೆ ಅಡ್ಡಿಯಾಗದಂತೆ ಗುತ್ತಿಗೆ ಆಧಾರದ ಮೇಲೆ ವೈದ್ಯರನ್ನು ನೇಮಿಸಿಕೊಳ್ಳಲು ಜಿಲ್ಲಾ ಆರೋಗ್ಯ ಅಧಿಕಾರಿಗಳಿಗೆ ಸೂಚಿಸಲಾಗಿದೆ. ರಾಜ್ಯ ಆರೋಗ್ಯ ಮತ್ತು ಕುಟುಂಬ ಕಲ್ಯಾಣ ಸಂಸ್ಥೆಯು (SIHFW) ಈ ಯೋಜನೆಯ ಸಂಪೂರ್ಣ ಮೇಲ್ವಿಚಾರಣೆಯನ್ನು ನಿರ್ವಹಿಸಲಿದೆ.

@nadig_cardio What you expect when the opposition makes unnecessary noise.

ಉದಯವಾಗಲಿ ನಮ್ಮ ಚೆಲುವ ಕನ್ನಡ ನಾಡು 😣😢

@riyaz_doc @Biswaji83036474 @DrRajeshG1 Papillary fibroelastoma?

What does this highly mobile mass in LV look like.? Fair LVEF. Non specific chest discomfort in 40y/F.. @Biswaji83036474 @suricardio @DrRajeshG1

@R_N_Vaghani Can you show me one ayushman bharath package code for any disease which is 1,50,000 rs

Hospital bill Without Ayushman Bharat =₹ 15,000 Hospital bill With Ayushman Bharat =₹ 1,50,000 Hospitals are taking advantage of ayushman bharat , bill higher amout than usual rates and looting money from government. Everyone know this but No one is Taking action against this robbery

STAY WITH ME. A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up. He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues. Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit. But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food. He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble. I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble. It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient. This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence. Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project. 1/11

@nadig_cardio Very true sir. Even acc guidelines advice primary prevention in dm even without LDL testing. Unfortunately none of the physicians and few cardiologists start statin.

ANOTHER study from China Statin use in T2DM for primary prevention was associated with ↓ all-cause mortality and ↓ major CVD across all QRISK3 strata- even low risk. Still we see so many diabetic patients on day to day basis who were never on statins ending up with stemi or TVD It’s mandatory to start atleast moderate intensity statins in all diabetics >40 #MedTwitter #cardiotwitter

@nadig_cardio Maha apadami. Paridamaniya apadamani

A must have if u are writing an article in #kannada BTW can u guess the word for aorta and coronary artery in #ಕನ್ನಡ