Vasishta Polisetty

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Vasishta Polisetty

Vasishta Polisetty

@vasishtapoly

Clincial PhD - Psychosis Collective @TheCrick MD Psych, AIIMS, New Delhi #Psychiatry #Immunology #Neuroscience

London, UK Katılım Kasım 2010
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
Pt with severe bipolar depression shows reversed clock phenomenon, that gradually improves with treatment! She had come to us completely catatonic, now she laughs when I show her her older clocks! Super satisfying! 😄😄 #psychtwitter #neuropsych
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
Red, green and some snow! Merry christmas! :) 🎄
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Dr Dheeraj K, MD, DM, 🇮🇳🇬🇧🇦🇺
Dr Dheeraj K, MD, DM, 🇮🇳🇬🇧🇦🇺@askdheeraj·
Boss, those were terms Shiv used for AIIMS doctors. Thanks for bringing up the fact that they reflect contempt towards people doing their job. These docs asked him to cover the story from both sides. Shiv called them third rate docs. No one is defending violence as much as critiquing his journalism.
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dipak sharma
dipak sharma@dipaksharma27·
Calling someone a “third-rate journo” only exposes the contempt you carry for people doing their job unlike defending a colleague who chose to punch a vulnerable man on a hospital bed. Journalism questions power. Violence abuses it. If this is your idea of professional ethics, the problem isn’t the press it’s the mindset.
Dr Dheeraj K, MD, DM, 🇮🇳🇬🇧🇦🇺@askdheeraj

Congratulations @ShivAroor. Dr Nirula has been terminated following your advocacy. He will do fine in his career as he has his medical skills. Those who like his services will come to him. Just remember that covering defense doesn't make you a commando. Your mustache doesn't make you a macho. You covering stories about your tweet in the news rather than providing full story, shows your narcissism. AIIMSonians historically speak for all medical professionals not just other AIIMSonians. They also call out powerful senior doctors. Due process is required. Dr Nirula didn't get one. Powerful voices like yours would drown his. If a guy whom you are interviewing professionally punches you, i would be happy to see the 'third rate jouno' in you not transform into a rowdy.

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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 I mean ruling out the few treatment changing etiologies are enough in psych. After that further investigation of cause can be of diminishing returns. The cost benefit weighs far more the other way with very few known etiologies in psych. Not sure if I am clear...
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
24y/male, with psychosis x 10months and right-sided asymmetric parkinsonism seen on admission. Affective and psychotic episodes for past 5 yrs. Childhood history of impulsivity, anger outbursts, and declining school performance. Normal early dev milestones. Differentials? 1/n
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 Not really. In psych where most eitology is unknown, ruling out few known etiologies that drastically change treatment is sufficient (autoimmune, metabolic). Especially when investigations are at the expense of the patient and there are diminishing returns.
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 Haha! That's psychiatry for you!! If patient has symptomatic improvement, we don't bother about the cause! This culture very unsettling for me initially but I see some merits of it now.
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
Mogens Schou (first to do an RCT on Lithium) on John Cade (who first discovered Lithium's anti-manic effects). "But prospectors find because they seek" - both such inspiring figures in psychiatry research inhn.org/inhn-projects/…
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Dr. AK 🇮🇳
Dr. AK 🇮🇳@docakx·
Tell me the one medication that truly impressed you.
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 Long time! The parkinsonism was subtle. It was bilateral and upon tapering antipsychotic - realised it was unilateral even off antipsychotic. The psychosis was more prominent and seemed to have been controlled on Quetiapine...
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 Nope. It is a systemic issue. The anesthesiologists want to give epidural. The treating doctors (OBG) believe in 'unnecessary' prolognation of labor and adverse events despite evidence. 10/10 the same doctors would push for an epidural if they themselves/or family were delivering
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The Wolf of College Street
The Wolf of College Street@aditya_gan3500·
Every media house likes to denigrate Indian medicine with inflammatory words like this. This is bullshit. A healthcare system that trivializes pain? Doctors don't know how to recognize and relieve pain? Yeah we know nothing. Only wellness gurus and quacks know everything. Some 3rd rate article in a 3rd rate journal which has no relation with reality. Please avoid this article unless you want to read drivel. #MedTwitter #NeuroTwitter #PainTwitter
Nivārana@Nivarana4India

Across India, millions are taught to endure pain rather than be treated for it, casualties of a healthcare system that trivializes pain, overlooks women’s suffering, and fails to teach doctors how to recognize and relieve it. nivarana.org/article/indias…

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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@DrAkhilX Always treat iron deficiency, not just IDA. Immense change in quality of life. Don't take low iron in women for granted
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Dr. AK 🇮🇳
Dr. AK 🇮🇳@docakx·
Always ask the last menstrual period ( LMP) of a young female irrespective of the symptoms that they present with. Always palpate the abdomen if a patient presents to you with fever and vomiting. Drop your "always pearls" in clinical practice👇
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@aditya_gan3500 @KshitijNair @witchdrkochi @DrAditya2935 Then someone studying to become a cardiosurgeon doe sn't need biochem Even a software eng whose day job is to code doesn't need physics It’s not always about direct utility — these subjects shape how we think,reason, & solve problems. That’s the point of a foundational education
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Aditya Gupta
Aditya Gupta@DrAditya2935·
Q. Why is Physics a part of MBBS Entrance. You don’t need it to be a good doctor. A - It is required to keep the dumb ones out.
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adaobi
adaobi@adaobiadibe_·
Are there any good science podcasts that talk about really cool old papers? Or new papers? That actually talk science
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@alokvkulkarni Wow! I searched for him in hope to ask questions about this paper. Learnt that he had passed away, read his obituary that he was an incredible clinician and teacher!
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@Inamanotherapy @sleeplessdevil Yes! It is definitely cheap in absolute terms. But our country is also far poorer, so even this cheap rate is heavy on the pocket to a vast majority of Indians. 5k might not seem like much, but that's the harsh truth! Public healthcare exists but is far less accessible!
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Naman
Naman@Inamanotherapy·
@vasishtapoly @sleeplessdevil Yes.I don't know any other country which can provide scans at a cheaper rate than this in private
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
You can get a pvt MRI scan in Canada too! There a pvt MRI at ~CAD 700 takes up about 19% of the avg monthly disposable income(~CAD 3,725). In India, a similar scan at ₹5,000 is at around 28% of avg monthly income(₹17,833). Indian pvt healthcare is cheap only for the rich!
Naman@Inamanotherapy

If your doctor schedules an MRI Brain for you today in Canada , you would be asked to come in March-April 2026 In India, you will be asked to come in the next hour

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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
It was so delightful to have my faculty from residency over at @TheCrick ! Showed them swanky labs, mice brains and my AIIMS hoodie! 😁😁
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Vasishta Polisetty
Vasishta Polisetty@vasishtapoly·
@drkk4u MRI accessibility and wait times on average are far longer! Its easy to assume things to be going well everywhere, if they are going well around you - there's large disparities on average! x.com/RantingSid/sta…
Sid Zādéy@RantingSid

In '23, India had~4800 MRI machines (only god would know how many are functional) for 1.4B people. That's ~3 machines per million (mpm), compared to Canada's 10 mpm. If you believe MAJORITY Indians have easy & affordable access to MRI, I have a cancer-curing churan to sell you.

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Dr KK
Dr KK@drkk4u·
@vasishtapoly MRI is free in Govt centers for Economically weak, the wait times are quite less, there are many Charitable institutions which do MRI at fraction of cost which is quite affordable.
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Keşfet

@askdheeraj @dipaksharma27 @aditya_gan3500 @elonmusk @BarackObama @taylorswift13 @cristiano @BillGates