Vaishali Wadhwa

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Vaishali Wadhwa

Vaishali Wadhwa

@vw0996

Anaesthesia and Critical Care. Keen interest in Liver Transplant Anaesthesia and Perioperative outcomes in critically ill.

Delhi, India Katılım Nisan 2010
865 Takip Edilen3.1K Takipçiler
Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@stevecripe57 @X Your mind is pitting them against each other. I'm just sharing my experience based on what I witness in the OT everyday. Did I say anyone's job is less important? No.
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The Notorious R.O.B.
The Notorious R.O.B.@robolivermd·
@vw0996 from a technical perspective, transplant is not particularly complex surgery macro structures/vessels. aftercare is a bitch tho Replanting digits/hands with a microscope + having them work is way more technically challenging. Also peds CV procedures are almost unimaginably hard
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
Surgeon with a god complex (more often than not): Cardiac surgeon, Neurosurgeon. Surgeon who actually has the most difficult job: Liver transplant surgeon.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@sstorck This is hilarious and I know it's true because I've seen this plenty as well. 😂
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Sharon Storck
Sharon Storck@sstorck·
@vw0996 My cardiac surgeon(that left me to meet with the gov during my 2nd heart surgery ) had his PA come in the room ahead of him and introduce him. I looked at him and said Dr L, I know you so you can slow your roll, We need to talk.Then I transferred to a different hospital.
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Haazzed
Haazzed@realHaazzed·
@vw0996 It was a litmus test to see if you were worth a follow. Not all opinions are worth my time.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@Poeticmedic1 Disagree. Specially in an Indian setting, treating people like human beings gets more work done than you would expect. Our God complex doesn't allow us to build those relationships.
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Naz🍀🍀
Naz🍀🍀@Poeticmedic1·
@vw0996 True. But it's just what it is. You'll need the arrogance to get through the program
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Hemi
Hemi@hlotus00·
@vw0996 Wrong! Any surgeon of different specialties has difficult job.One cannot say that 1 Surgeon job is easier than another specialized Surgeon.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@realHaazzed This is my profile and it's my opinion based on the number of surgeons I have seen, you are free to disagree to my opinion, scroll forward and move on. It doesn't require proof and validation. Anaesthetists who do all 3 know what I'm talking about.
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Haazzed
Haazzed@realHaazzed·
@vw0996 Please define the complex and present 3 peer reviewed papers to validate your observation.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@RealbitcoinMD Transplant is a complex surgery. Tremendous work from surgeon, anaesthetist, technicians, icu doctors and staff. It takes an army to get the patient back home. And it's commendable and it's exhilarating.
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Therealbitcoinmd
Therealbitcoinmd@RealbitcoinMD·
@vw0996 Open thoracoabdominal aneurysm repair is pretty difficult….. The number of surgeries that busy vascular and cardiac surgeons due is far more than transplant surgery.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
@RealbitcoinMD 100% agree. Throacoabdominal aneurysm are as high risk as it gets. But im not sure if a vascular surgeon is doing this everyday. Usually it's a vascular surgeon in a private set up. Transplant numbers vary. Private are very high. Government are negligible.
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
What is Ozempic/ Mounjaro if not drug induced bulimia?
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
Neither internship, nor PG is the time to do everything by yourself without reading, asking questions or introspecting yourself everyday. The "free hand" means nothing if it does more harm than good. Learn from your seniors before you boast of "independent work experience".
drpurpleready@epicnephrin_e

It’s so funny, this ragebaited so many people. Yes, interns get a lot of independent work experience in the emergency department. By management, I meant that the patient came with chest pain, and shortness of breath. SpO2-78%(RA)- nebulised moist o2 with duolin+budecort(1:1)@6L/min(mac we can give is 3 rounds) Pushed hydrocortisone (100mg IV) to relieve his SOB if not relieved. Ask for a portable ECG-see MI changes or not-draw blood for Trop T-if positive give loading dose- Aspirin/Clopidogrel/Atorva and ask them to rush to Cardio ER. We do the primary management of hypoglycaemic crisis and also many other cases independently(housestaffs i.e. post interns are there for help obviously)

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Vaishali Wadhwa retweetledi
SREEVATSA NADIG DM FSCAI FESC
SREEVATSA NADIG DM FSCAI FESC@nadig_cardio·
“Doctors are the worst patients,” they say. I don’t know whether we are the worst patients, but we are definitely not the smartest ones. A senior and respected doctor from a nearby town had central chest pain about 5 days ago. He dismissed it as “gastritis ” and continued running his busy OPD. The next day, he developed chest pain again while working out in the gym, but ignored it thinking it was due to lifting weights. The pain continued over the next few days, and by the 4th day he was unable to operate. That evening he finally came to us. His ECG showed an evolved anterior wall MI ,( a major heart attack). Echo showed an LV EF of just 35%. He had already developed Q waves. Since he still had ongoing chest pain, we took him up for coronary angiogram , which showed a subtotal occlusion of the LAD ,( “widow maker.”) He underwent successful angioplasty and went home But this part hit me hard As his wife , (herself a doctor) was taking him to the ER, patients waiting outside started arguing with her because he was leaving without finishing the OPD. She literally had to plead with them, saying:
“He is probably having a heart attack… he will see you if he comes back alive.” And the last thing this poor doctor asked me before discharge was:
“Can I restart OPD in 3–4 days?” 🤦 I’m sure this is the story of many of us in medicine. We ignore our health and behave as though we are indispensable. Many cardiologists have succumbed ignoring chest pain. I m sure colleagues on #MedTwitter and #CardioTwitter would have similar experiences ! To the younger doctors on #MedTwitter:
Take things slowly. Play your career like Test cricket, not T20. Enjoy the little moments of life.
Watch the sunset.
Breathe mountain air.
Cry with your friends.
Read good fiction.
Climb a rock.
Fall in love. Health and peace first.
Everything else comes next. ✌️
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
And who stopped you from taking that usg to a government hospital for further management/ chat gpt-ing your own treatment? Save us all the misery and dont visit a hospital
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Vaishali Wadhwa retweetledi
Ihtesham Ali
Ihtesham Ali@ihtesham2005·
An MIT professor taught the same math course for 62 years, and the day he retired, students from every country on earth showed up online to watch him give his final lecture. I opened the playlist at 2am and ended up watching three of them back to back. His name is Gilbert Strang. The course is MIT 18.06 Linear Algebra. Every machine learning engineer, every data scientist, every quant, every self-taught programmer who actually understands how AI works learned the math from this one man. Most of them never set foot on MIT's campus. They just opened a free playlist on YouTube and let him teach. Here's the story almost nobody tells you. Strang joined the MIT math faculty in 1962. He retired in 2023. That is 61 years of standing at the same chalkboard teaching the same subject to 18-year-olds. The interesting part is what he did when MIT launched OpenCourseWare in 2002. Most professors were skeptical. They worried that putting their lectures online would make their classrooms irrelevant. Strang did not hesitate. He said his life's mission was to open mathematics to students everywhere. He filmed every lecture and gave it away. The decision quietly changed how the world learns math. For decades linear algebra was taught the wrong way. Professors started with abstract vector spaces and proofs about field axioms. Students drowned in the abstraction. Most never recovered. They walked out believing they were bad at math when they had simply been taught in an order that nobody's brain is built to absorb. Strang inverted the entire curriculum. He started with matrix multiplication. Something you can write down on paper. Something you can compute by hand. Something you can see. Then he showed his students that everything else in linear algebra eigenvectors, singular value decomposition, orthogonality, the four fundamental subspaces was just a different lens for understanding what the matrix was actually doing under the hood. His rule was strict. If a student could not explain a concept using a concrete 3 by 3 example, that student did not actually understand the concept yet. The abstraction was supposed to come last, not first. The intuition was the foundation. The proofs were just confirmation that the intuition was correct. The second thing Strang changed was the classroom itself. He said please and thank you to his students. Every single lecture. He paused mid-derivation to ask "am I OK?" to check if anyone was lost. He never used the word "obviously" or "trivially" because he knew exactly what those words do to a student who is one step behind. He treated 19-year-olds learning math for the first time the way he treated his own colleagues. With patience. With respect. With the assumption that they belonged in the room. For 62 years. The result is something that has never happened in the history of education. A single math professor became the default teacher of his subject for the entire planet. Universities in India, China, Brazil, Nigeria, every country with a computer science department, started telling their own students to just watch Strang's lectures. The University of Illinois revised its linear algebra course to do almost no in-person lecturing. The reason was honest. The professor said they could not compete with the videos. His final lecture was in May 2023. The auditorium was packed with students who had never met him before. He walked to the chalkboard, taught for an hour, and at the end the entire room stood and applauded. He looked confused for a moment, like he genuinely did not understand why they were cheering. Then he smiled and waved them off and walked out. His written comment under the YouTube video of that final lecture was four sentences long. He said teaching had been a wonderful life. He said he was grateful to everyone who saw the importance of linear algebra. He said the movement of teaching it well would continue because it was right. That was it. No book promotion. No farewell speech. No legacy management. The man whose teaching is the foundation of modern AI just thanked the audience and went home. 20 million views. Zero ego. The entire engine of the AI revolution sits on top of math that millions of people learned for free from one quiet professor in Cambridge. The course is still on MIT OpenCourseWare. Every lecture, every problem set, every exam, every solution. Free. The most important math course of the 21st century is sitting one click away from you. Most people will never open it.
Ihtesham Ali tweet media
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Vaishali Wadhwa
Vaishali Wadhwa@vw0996·
Doctors are idiots. They pick up calls whenever, accommodating random doubts any time of the day or night. Called a "designer" at 9 am to get my outfits fixed which she absolutely ruined and Madam Sabyasachi starts shouting that she talks only b/w 12 noon to 6pm.
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Vaishali Wadhwa retweetledi
Dr.Mukesh , MD , DM
Dr.Mukesh , MD , DM@dr_immuno29·
As a Clinical Immunologist & Rheumatologist, I treat patients with #Lupus (#SLE) where daily sunscreen (SPF ≥30) is not a cosmetic choice — it is an essential part of treatment to prevent disease flares due to photosensitivity. However, sunscreens are currently taxed at 18% GST, making long-term use unaffordable for many patients. On the occasion of #WorldLupusDay (10th May), we request PMO India to: • Highlight Lupus & autoimmune diseases in #MannKiBaat to improve public awareness • Initiate district-level awareness drives with state government support • Reclassify prescription sunscreens for photosensitive disorders • Reduce GST or subsidize costs to improve accessibility Because for these patients — sunscreen is medicine, not a luxury. Patient safety must come before taxation. #LupusAwareness #SLE #AutoimmuneDiseases #HealthPolicy #GST #Photosensitivity #Rheumatology #Immunology @MoHFW_INDIA @GST_Council @CDSCO_INDIA_INF @UPGovt @narendramodi @myogiadityanath @brajeshpathakup @PMOIndia @MannKiBaat_PMO @mannkibaat
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