Vishnu V Chandrabalan

The more dangerously you live, the more you live! x.com/yellowdoodle1x…

After much reflection, I have decided to resign from my position as Director of the National Counterterrorism Center, effective today. I cannot in good conscience support the ongoing war in Iran. Iran posed no imminent threat to our nation, and it is clear that we started this war due to pressure from Israel and its powerful American lobby. It has been an honor serving under @POTUS and @DNIGabbard and leading the professionals at NCTC. May God bless America.

Me on january 1: “2026 is my year" Me on january 17th 2026:

Day 9 of 2026

Today my paper Scapegoating in Healthcare: A Primitive Response to Tragedy was published open access... I feel some anxiety in publishing it...as though, as with my NHS paper, I am provoking the primitive god of healthcare...I felt compelled to write it after witnessing, over many years of clinical work, repeated and deeply distressing episodes of scapegoating following tragic outcomes in healthcare. ...Again and again, unbearable grief, fear, and uncertainty are collapsed into simplified narratives of blame, with profound consequences for individuals, organisations, patient care and society more broadly. ...journals.sagepub.com/doi/10.1177/00…

Not to brag but I have enough money to not work for the rest of 2025

The first person in the world to kick his own balls… That’s history right here!

Eminem been real quiet since this dropped…

Novak Djokovic shut down the “mental toughness is a gift” myth in 90 seconds of pure gold. Interviewer: “Your mental strength is your greatest gift.” Djokovic: “I have to correct you. It’s not a gift. It’s work. Every single day.” He trains his mind like his serve: - Conscious breathing under maximum pressure - Feels the full storm of doubt & fear EVERY match - Rejects the fake “just think positive” nonsense “I acknowledge it. I might scream. Then I reset — fast.” The difference between 24 Slams and everyone else? How quickly you leave the darkness. This isn’t motivation porn. This is the actual operating system of the greatest ever. Watch with sound — it will rewire how you think about pressure.

You can ask Grok about medical trials of new treatments that affect you!

A day of re-affirmation of one simple thing. Hold your own ground, stick to your values- don't give up your integrity. And you can hold your head high and smile at anyone. The aversion of eyes is never yours. And the fact that everyone knows that too? Is sweet ++

Men, Stop doubting your worth‼️

"I think Elon Musk’s the Thomas Edison of our age. I think he's a very good person. He wants to do the right thing, if I had to say one thing, he wants to do the right thing, to transform the lot of most of humanity."

The PLAB is a GMC gravy train that exploits IMG doctors. The GMC is going to fight tooth & nail to maintain this income stream at the expense of the medical profession. Make no mistake, those with the power to actually positively change things are not incentivised to do so.

It’s wild watching people bend over backwards to avoid the one comparison that instantly exposes the problem. The US is the only major system that simply cannot pad out training with years of cheap service work. ACGME and CMS rules won’t allow it. You have to train, not fill staffing holes. Which is why American residents come out fully-fledged in a fraction of the time: hospitalists in 3 years, general surgeons in 5, cardiology/onc/pulm-crit in 6. High volume, high intensity, almost no scut, and no endless “junior limbo.” If universal healthcare only functions by holding doctors in low-paid junior roles for a decade, stretching training far beyond what is educationally necessary, and extracting service from them at a discount, then that is not a triumph of equity. That is a workforce model living off exploitation. Universal care isn’t the issue. Universal care built on squeezing trainees to make the numbers work is. If the UK wants a sustainable system, it needs to stop pretending that bottlenecks, cheap labour, and artificially prolonged junior years are “standards.” They’re cost containment. And they’re breaking the workforce. #healthpolicy

“Your boos don’t mean anything to me I’ve seen what you people cheer for “ - RS

I see the @gmcuk has expressed concern about International Medical Graduates leaving / numbers dwindling etc from the #NHS Is this: 1. Genuine Concern? 2. Worry about impact on revenue stream aka PLAB? 3. Worry as to who will do the LE roles that no one else wants to do- (please see @bmj_latest investigation)? 4. Realising PAs won't fill the roles local grads won't do? Answers on a postcard. @NHSEngland @NHSEmployers @NHSProviders

Debunked: doctors “gold plated” pension Not £125k, more like £40k due to: 1. Most doctors not progressing through training (thanks @wesstreeting) 2. Leaving early due to burnout 3. Most doctors not working 40+ years “full time” (aka 48h/week average) 4. No guaranteed consultant job at the end The 2015 NHS pension is not “gold plated”. It’s gold leaf slapped on a pile of previous pension cuts.

You can’t improve health care outcomes by antagonising doctors Sorry if you have a chip on your shoulder about doctors But nope- without them you can’t Don’t @ me with your indignation It’s just what it is. A good health system needs more doctors and less quacks