Jenish Shroff

@theskindoctor13 Serious need of civic sense. Even more needed is strict law enforcement.

Brigadier VK Joshi, 70, served the Army for three decades, survived war and multiple counterinsurgency operations, but lost his life to a stray bullet in a pointless clash between a group of urban dehatis. A Delhi-registered Fortuner overtook a Scorpio N on Mussoorie Road in Dehradun, which hurt the ScorpioN occupants ego. The ScorpioN occupants gave chase. When the Fortuner didn’t yield, the ScorpioN group of urban dehatis pulled out a pistol and started firing. At that very moment, Brigadier Joshi was out on his morning walk. A bullet from that reckless exchange found him. His friends rushed him to the hospital, but he was declared dead on arrival. A life of service ended by someone else’s arrogance. As far as the urban dehatis are concerned, I'm sure they'll be out on bail in no time.

👉🏻Should we accept LVSP or confirm LBB capture? ❓What is the electrophysiologic basis of variance in response after LBBAP in HF? 🤔Could procedural precision impact the outcome? #LBBAP # CRT # HF

@hrs_journal Turns out LBB capture important at least in HF patients.🎯

Electrophysiological Predictors of Super-response to Left Bundle Branch Area Pacing in Non-ischemic Cardiomyopathy: The PRECISION LBBAP Study #OpenAccess @JenishShroff heartrhythmjournal.com/article/S1547-…

@PrashSanders @CentralAdlLHN @RoyalAdelHosp @UniofAdelaide Thank you prof!

Great work @JenishShroff #CHRD @CentralAdlLHN @RoyalAdelHosp @UniofAdelaide

@DrRoderickTung Cannot agree more. Demonstration of LBB capture using specific criteria is very important. We observed significantly higher odds of super-response in Precision LBBAP study (Heart rhythm).

LV septal capture is not sufficient for CRT. The main criteria for LBBaP in HeartSync required output dependent changes in QRS and/or LVAT: the sine qua non of conduction system capture. PhysioSync used and reported V1r' and LVAT predominantly- which is likely what the majority are doing.

@HanCardiomd @AndrewJSauer @ARakisheva @DrMarthaGulati @AmrAbdin10 @vass_vassiliou @epTicTocDoc @Hragy @minhaskh @KashifMD Kudos to investigators for such important study. We found similar evidence in our RCT. academic.oup.com/eurheartj/adva…

#MELOS RELOADED (n=3382, AVB, LVEF>40%) 📍 #LBBAP ↓ 4-yr mortality by 11.8% vs #RVP 📍LBBAP strongly linked to lower death: HR 0.53 (95% CI 0.42–0.65, p<0.001) 📍Higher risk within LBBAP group if:  – No confirmed LBB capture (HR 1.85)  – Lower % ventricular pacing  – Older age 📝 Strong support for LBBAP over RVP academic.oup.com/eurheartj/adva… @ESC_Journals

@MargaridaPujol Greater electrical resynchronization leading to greater echocardiographic response with proven LBB capture. 🙏

Electrophysiological Predictors of Super-response to Left Bundle Branch Area Pacing in Non-ischemic Cardiomyopathy: The PRECISION LBBAP 🫀Conduction system **capture** matters Confirmed LBB capture conferred 7.4-fold higher odds of super-response heartrhythmjournal.com/article/S1547-…

@rishibagree He was sharp as a knife back then..

Dhurandhar trailer was released in 2009 itself

@VVSLaxman281 When cricket was real..🫡

25 years ago at Eden Gardens Rahul and I shared a partnership that will forever remain special. In a moment when the game looked beyond us we chose belief, patience and resilience. That stand was not just about runs but was about trust, teamwork and fighting for every session. Grateful to have shared that journey with Rahul and to be part of a Test that reminded us all that in cricket comebacks are always possible👍 @BCCI #PowerOfPartnership #Believe #Resilience

@theskindoctor13 Mind blowing 🤯

The boy thinks Israel is some individual he can stab in the chest and get away with just 20 years in jail. He also thinks Modi is Mossad’s agent, who first went to Iran, noted where Ali Khamenei sits, sleeps, prays namaz, and breaks his roza at iftari, then went to Israel and handed over those coordinates, after which Israel carried out a precise strike and killed Khamenei. The sheer peak of brainwashing.

@theskindoctor13 Looking at how things are going, it is not impossible!

The next social justice reform the govt should bring is UPG (Universal Patient Guarantee). 1. If, despite so much social justice reforms, a reserved or management-quota doctor is not able to get patients in their OPDs, UPG will come into the picture. 2. UPG flying squads will roam around city clinics and monitor patient load. If needed, they will then pick up patients from waiting area of unreserved clinics and redistribute them to reserved/management-quota clinics. 3. Any patient resisting this will be reported by the UPG flying squad to the UPG legal squad, which will conduct a preliminary inquiry and then recommend to the police to book such patients under the Atrocities Act. 4. Clinics with excess patient load will be declared “Patient Hoarders” and asked to display a red warning board: “This clinic has more patients than socially permissible.” Such clinics will pay a 50% UPG tax. 5. Patients showing repeated preference for unreserved doctors will be mandatorily enrolled in a Sensitivity & Equality Counselling Programme, where they will be taught by JNU arts faculty that “competence is a social construct.” 6. A Patient Redistribution App (UPG-Setu) will be launched. Patients booking unreserved doctors more than twice will be automatically reassigned to nearby reserved/management-quota clinics in the interest of equity. 7. Emergency cases will be triaged by a UPG task force consisting of a retired judge, and two serving IAS officers, who will assess patients not by severity but by representation deficit and divert patients to underperforming clinics. 8. Patients attempting to cross city limits to avoid UPG allocation will be stopped at checkpoints by the Patient Equity Police and redirected to the nearest compliant clinic. It might sound absurd right now, but given the direction the republic is heading in, who knows what’s possible.

@rishibagree 🤡

“Elon musk has no knowledge. He is almost finished” Kaise kaise kaise jokers ko sir par chadha rakha hai logo ne

@Tushar15 Please share the heartwarming video if you have.

The most heartening sight from Bharat Mandapam today was a housekeeping member chasing away semi-naked Congress workers, hitting them with his cleaning cloth, and then kicking one of them on camera. This is a man who is not there for the technology. Probably makes less money in a year than what some delegates make there in an hour, and yet, as the stakeholder in the summit, he doesn't want INC there. It tells you a lot about how the country is thinking and moving. Nobody came forward to shield those protesters. Nobody went and cheered them on or joined them. They were thrown out with utter disdain. But to me, the winner is that unnamed member of the housekeeping staff. We don't know his story, but we know he's invested in the 'India Growth Story'. Maybe he missed the bus, and maybe he doesn't want his children to. This is one shade of reality beyond the partisan world of social media.

@TimFernandezz 👏🏻

"I don’t support an independent investigation. I’m not going to condemn the police for doing what we asked them to do. To keep the public safe. I’m not going to throw [them] under the bus." Chris Minns rejects independent probe into police actions at the Sydney protests.

@EndWokeness Disgusting. It is the failure of parenthood. No doubt, government should be proactively banning this shit.

Tumbler Ridge gunman Jesse Strang began to "transition" 6 years ago at 𝐭𝐰𝐞𝐥𝐯𝐞 𝐲𝐞𝐚𝐫𝐬 𝐨𝐥𝐝 6 years ago, CBC Kids aired this:

@JoySanyal74 @HRSonline @HisLBBPacing Hi Dr. Joy. Difficult to say in this case as yours was LOT-CRT, the activation wave front is the cumulative result of pacing from both.

@JenishShroff @HRSonline @HisLBBPacing Hi dr Jenish-did this case yesterday-lead positions as below-where do you think I have reached in the IVS-contrast septal angio showed was at least 11mm in.

LBBAP, an imminent replacement for RVP? Check out results of this important study. Left bundle branch area pacing vs right ventricular pacing in preserved or mildly reduced ejection fraction: the PACE-HF trial academic.oup.com/eurheartj/arti… @HRSonline @HisLBBPacing

@PrashSanders @HRSonline @HisLBBPacing Thank you prof.

@JenishShroff @HRSonline @HisLBBPacing Great work Jenish

@AussiesArmy Not my role model. A crybaby.

A role model for millions 🙌 #Ashes

@AntiWokeMemes Presidential medal of freedom