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@DrSanjivGoenka Awesome 😍😍😍😍👌👌👌👌

The world has seen your talent. The nation sees the future in you. That’s a lot of responsibility already on very young shoulders, very able ones at that. Preserve the innocence, keep honing your brilliance, and the world will be at your feet. Prayers, aashirwad, and love for you, Vaibhav.

@KulkarniRL Thank you 🙏

CGM म्हणजे test आहे का device? CGM बद्दलचा post टाकल्यानंतर खूप प्रश्न आले. म्हणून पुढचे काही दिवस “Sugar Patterns” ही series साध्या भाषेत समजून घेऊ कारण #metabolism समजून घेणं फक्त diabetic patients साठी महत्त्वाचं नाही… तर: 👉 pre-diabetes 👉 obesity (लठ्ठपणा) 👉 fatty liver (चरबीयुक्त यकृत) 👉 insulin resistance (इन्सुलिनचा कमी परिणाम होणे) 👉 metabolic syndrome असलेल्या प्रत्येकासाठी महत्त्वाचं होत चाललंय. 1 CGM म्हणजे काय? CGM म्हणजे Continuous Glucose Monitoring. हा छोटा sensor (सेन्सर) असतो जो साधारण १४ दिवस शरीरातील glucose (साखर) pattern सतत track (नोंद) करतो. तो फक्त एक sugar report देत नाही. तो दाखवतो: 👉 sugar कधी वाढते 👉 किती वाढते 👉 किती वेळ वाढलेली राहते 👉 कधी कमी होते 2 मग हा test आहे की device? खरं तर दोन्ही हा एक wearable device (शरीरावर लावायचं उपकरण) आहे. पण त्यातून मिळणारा data हा continuous metabolic test (सतत metabolism तपासणी) सारखा असतो. म्हणून अनेक वेळा एक fasting sugar report पेक्षा CGM जास्त माहिती देऊ शकतो. 3 CGM लावतात कुठे? साधारण हाताच्या मागच्या भागावर छोटा sensor लावला जातो. तो painless किंवा minimally painful असतो. अनेक लोकांना वाटतं सतत needle टोचलेली असते पण तसं नसतं. 4 मग finger prick ची गरज राहत नाही का? काही CGM systems मध्ये routine finger pricks खूप कमी होतात. पण काही परिस्थितीत confirmation testing लागू शकतं. हे device आणि clinical situation वर अवलंबून असतं. 5 CGM फक्त diabetes साठी आहे का? नाही , आजकाल pre-diabetes, obesity, fatty liver आणि metabolic syndrome मध्येही CGM चा उपयोग वाढतोय. कारण disease सुरू होण्याआधी patterns बदलायला लागतात. 6 कोणता CGM घ्यावा? अनेक brands उपलब्ध आहेत. माझ्या मते: 👉 accuracy (अचूकता) 👉 affordability (परवडणारी किंमत) 👉 app support 👉 sensor duration 👉 data sharing सुविधा या गोष्टी महत्त्वाच्या आहेत. Brand पेक्षा योग्य वापर आणि योग्य interpretation जास्त महत्त्वाचं आहे.तरीही कोणते device चांगले ह्यावर ही 1 post लिहणार आहे च 7 पण सर्वात महत्त्वाचा मुद्दा कोणता? CGM data पाहणं सोपं आहे पण तो समजून घेणं जास्त महत्त्वाचं आहे. कारण प्रत्येक spike dangerous नसतो आणि प्रत्येक normal graph म्हणजे perfect metabolism नसतो. Context / संदर्भ महत्त्वाचा असतो: 👉 जेवण 👉 झोप 👉 stress (ताण) 👉 activity (हालचाल) 👉 medicines 👉 weight pattern हे सगळं एकत्र पाहावं लागतं. 8 आज healthcare बदलत चाललंय पूर्वी patients symptoms सांगायचे. आता अनेक patients patterns दाखवतात. आणि metabolic health समजून घेण्याची ही खूप मोठी संधी आहे. 📲 WhatsApp Channel वर आज रात्री एक interesting CGM graph share करणार आहे 👉 “Healthy” breakfast नंतर sugar 230+ का गेली? 👉 एका रात्रीच्या poor sleep मुळे दुसऱ्या दिवशी spikes कसे वाढले? 👉 Graph पाहून insulin resistance कसा संशय आला? हे अगदी साध्या भाषेत explain करणार आहे ज्यांना body patterns आणि metabolism खोलात समजून घ्यायचं आहे त्यांनी WhatsApp Channel join करू शकता. Link in Profile Like | Repost | Follow Dr Ravindra L Kulkarni, MD, DNB, FSCAI (Cardiology) Just For Hearts Follow 👉@KulkarniRL #SugarPatterns #CGM #Prediabetes #MetabolicHealth #InsulinResistance #FattyLiver #DiabetesCare #JustForHearts

@Wegiveyouhealt1 Superb details 👌👌👌👌

Sons inherit the Y chromosome from the father. Daughters do not inherit the father’s Y chromosome. At the same time: Both sons and daughters inherit mitochondrial DNA only from the mother. That mitochondrial DNA is passed forward only through daughters. So technically: The paternal Y-chromosome line continues mainly through sons. The maternal mitochondrial line continues through daughters. That means both lineages continue, just through different biological pathways. The phrase “your bloodline continues through your daughter, not your son” is usually referring to mitochondrial DNA inheritance. But calling that the entire “bloodline” is scientifically incomplete. In reality: Your genes continue through both children. Your culture, values, habits, wisdom, and surname traditions are social constructs, not biology. After a few generations, family genetics become heavily mixed anyway. So the most accurate statement is: A son carries forward the paternal Y chromosome. A daughter carries forward the maternal mitochondrial line. Both carry your genetic legacy.

@manas_muduli कोशिश करणे वालोंकी कभी हार नही होती 👌👌👌👌👏👏👏👏

Saw this young delivery boy in our society this morning, carrying quick commerce deliveries. Had a brief chat with him. He is a college student in Bhubaneswar, working part-time on a delivery platform. Sundays are full work days for him since college remains off. He lost his father a year ago, who worked in a small private company. No pension for the mother, no savings left for the family. But, this young boy chose responsibility over excuses. Today, he is managing his studies and expenses in Bhubaneswar through hard work and dignity, while also sending some money back to his mother, who lives in a village about 150 km away. Stories like these remind you how many silent fighters walk among us every day.

@LuvLasand @CricketopiaCom Very true ☝️

@CricketopiaCom If the fielder had thrown the ball to non striker's end Bawa would still have bottled it

How did the bowler misfield such an easy shot? And why didn’t the fielder throw the ball to the non-striker’s end? 🤔🤔

@AmazonHelp Give me system access for sometime, i will resolve the issue in max 30 minutes, then fire those people doing a mockery of customer service Have some shame if you cant coordinate with team and help customer

@yogeshidea As your issue remains unresolved, kindly connect with our team via chat here : amzn.to/3Rx6SIs, and our team will help you further. Please be informed that the link mentioned will stay active for 1 hour. - Waseem

@AmazonEurope Pathetic customer care, since an hour executive transferred chat to another executive directly, around 10 executive done the same timepass and last executive left directly What is this?

@AmazonHelp 2 days passed, Still no update Are you sitting there to help or concern team doesn't bother to revert you as well 🙄🙄

@yogeshidea @yogeshidea Since the issue was escalated, kindly wait for the timeline shared by our team over e-mail for further help. -Praveen

@AmazonHelp Last msg received 👇

@yogeshidea @yogeshidea Kindly check for an email sent by our team and reply to it for further assistance. You may check the same on our Message Center here: amzn.to/2nCyLLP. -Ruthika

@AmazonHelp Hi There is no msg on the update Please check once and let me know which msg you are referring to?

@AmazonHelp Still waiting 👇 last communication

We get that you've reported this to our support team. However, our team works differently, and we'd like to get things sorted for you. Kindly connect with our team here: amzn.to/4u04bxs, and we'll assist you further. Please be informed that the link mentioned will stay active for 1 hour. -Idrees

@AmazonHelp It seems no one is brother Amazon customer care was one of the best i had experienced for so many years. Sad to see such an approach

@yogeshidea We appreciate your understanding. -Ruthika

@AmazonHelp No update received till the time 🙄🙄

@AmazonHelp Yes waiting

@yogeshidea As you've reported this to our team, kindly wait until the time frame as suggested by our team for further assistance. -Monica

@AmazonHelp Received reply as issue under follow up and will get update Please confirm once update received

@yogeshidea We understand your concern for the discount. For assistance, please connect with our team over chat here: amzn.to/3QU1uPD Please be informed that the link mentioned will stay active for 1 hour. -Noori

@AmazonHelp @AmazonEurope Not able to DM PLEASE CHECK

@yogeshidea @AmazonEurope @yogeshidea We apologize to know about the issue with our support team and discount on HDFC card. We'd like to help you with this. Please reach out to us via DM, and we'll do our best to assist. Further, please don't include any personal or account information. -Noori twitter.com/messages/compo…

@Chai_Angelic Pathetic and deadly in aluminum pot 😱😱😱

Tea this good deserves a standing ovation 👏🥲 Good morning fraandzzz☕

@Dr_of_Lifestyle पूर्ण patient न पाहता (face-to-face) definitive interventional decision घेणं नेहमी ideal नसतं. चांगला डॉक्टर नेहमी "मी patient ला personally पाहिल्याशिवाय full सल्ला देत नाही " असं सांगतो किंवा further tests/referral सुचवतो.🙄

आज एका कार्डिओलॉजिस्ट ना एका पेशंट चे MI चे चेंजेस सांगण्यासाठी फोन केलेला (Stress test मध्ये काही ischemic चेंजेस होते). विचारलं की, “अँजिओ लगेच करावी की CT कोरोनरी अँजिओ करावी?” - डॉक्टर (MBBS) म्हणून माझं काम केलं. त्यांचा पहिला प्रश्न ऐकून, माझ्यातली Preventive doctor/Functional nutritionist ला आनंद होणारी गोष्ट घडली. ती म्हणजे - “पेशंट व्हेजेटेरियन आहे का?” मी म्हंटलं, “नाही, नॉनव्हेज आहे”. मग ते म्हणाले, “मग ठीके, अँजिओ करून घेऊ, पण प्लास्टी ची गरज नाही पडणार, लाइफस्टाइल मॉडिफिकेशन्स लागतील ”..! 😌😌 मेनस्ट्रीम डॉक्टर्स कडून असं ऐकायला मिळालं की मस्त वाटतं. (P.S - डॉक्टरांना मी माहिती नव्हते)

@KulkarniRL @SHRIDHARVKAMBLE खूपच छान 👌👌👌👌

@yogeshidea @SHRIDHARVKAMBLE असे बोललो की एखादा patient ठरवून दारू सोडतो , आपले काम होते. कधी समजावून , कधी अशाप्रकारे !

45 , Male , Regular alcoholic काविळ झालेला patient च्या गळ्यतली माळ आज अनेक वर्षांनी बघायला मिळाली मला वाटले बंद झाले असावे परंतू patient नातेवाईक असे अनेक उपचार करतच असतात #Jaundice #काविळ