Kan Sa

COVID 19 is the biggest leveller. It doesn't look at social status, job, race, caste, creed, gender. It only look out for humans. It reminds us that beyond everything we are just atoms and molecules.

@dhawal20jain You know that you wasted your opportunity to relish local cuisine and local culture. I feel sorry for you. Plan better next time

If you are planning a trip to Vietnam in 2026, Save this Thread 🧵 We explored Ho Chi Minh, Da Nang & Hanoi. Totally worth it 😍 Here are all the details of the full itinerary, food & travel recommendations 👇🏻

Do you remember when you joined X? I did not. They reminded me. #MyXAnniversary

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Who is coming?

@theliverdoc @AkasaAir Good job

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.

@shukla_tarun @IndiGo6E I recently flew in @airvistara and had food poisoning. I am not gonna eat flight food at all

Delhi-based dietician Khushboo Gupta finds crawling worm in her @IndiGo6E sandwich. "Despite knowing quality of sandwiches was not good, the flight attendant continued to serve sandwiches to others. There were kids, elderly..what if anyone catches infection?" ✈️

@trikansh_sharma @Discovery This is so nice, yet so painful. Reminded me of the late leopard of Bengaluru. Make me so so sad. Many of us are very sad.

Another #wallpaper for your 📱mobile screen. #DiscoverWildlife

@itsPaulAi @luisnomad Luis is right. Almost everyone says the same. I tried so many times still this gpt isn't getting what I want. If it takes 4 hrs to write an article. I end up spending two hours in chatgpt and another 4 house on writing the article. #facepalm That's currently the story of my life

@luisnomad Just sharing my own experience and what I use. Can't be useful to everyone.

ChatGPT saves me hours of work every day. But you should write the good prompts. Here’s a list of insanely useful prompts (I can’t live without):

@RealNabeelKhan I need to talk to you and share about nig malpractice at Trident Renault. Your organization is forcing the consumers to download the renault app without consent. It has been twice that I got an OTP from the renault. And then a random call to share OTP.

@vishnuprivi @chandrarsrikant Exactly my doubt. Same media company doesn't mean same tweet, 0r does it?

@thirdtimetwitt @chandrarsrikant They both are from the same media company

🚨🆕 The running gag of tech hub Bengaluru’s traffic cops hiding behind trees to pounce on unsuspecting motorists may soon be a thing of the past. The city is now booking 96% of traffic violation cases through contactless enforcement (using surveillance cameras) !