Dr Deepak Ranjan Malla

UG (MAMC) | PG Internal Medicine (MAMC) | DM ENDOCRINOLOGY (SR at PGIMER Chandigarh) | Cricket | Alternate Rock Music!

[Dr Deepak Ranjan Malla @12mallaa]

One of the proud moments in my life! Got rank 4 AML in INISS endocrinology! To many more successes ahead!

[Dr Deepak Ranjan Malla @12mallaa]

This.

[Surg Lt (Dr) Anan Jaiswal (Retd) @docjais]

Eight resident doctors died by suicide in India between Jan 2023 and Aug 2026.

Same forces, over and over:
· A ₹30 lakh leaving bond
· A thesis rejected and unsigned
· Ragging by seniors
· 40-hour shifts and demands for gifts

Hard work is not exploitation. Being tired is not feeling trapped. Choosing to leave is not being unable to leave.

A seat should open a career, not trap a life.

[Dr.Dhruv Chauhan @DrDhruvchauhan]

The confidence went from ‘our Sugar Pills cure everything’ to ‘Allow us to prescribe your Modern medicine drugs and become modern doctor’ in record time.”

[sikandar adwani @SikandarAdwani]

Before calling it ICU-acquired weakness... look at the face.

Before writing CIP/CIM in the notes, do one examination first.

Look at the face.

Why?

Because critical illness polyneuropathy (CIP) and critical illness myopathy (CIM) usually follow a predictable pattern:

✓ Symmetrical limb weakness
✓ Proximal > distal weakness
✓ Difficulty weaning from the ventilator
✓ Facial and extraocular muscles are usually spared.

So if you find:
• Ptosis
• Diplopia
• Facial weakness
• Dysarthria
• Dysphagia
• Ophthalmoplegia
Pause. Reopen the diagnosis.
Now think of:

→ Myasthenia gravis
→ Guillain-Barré syndrome
→ Brainstem stroke
→ Botulism
→ Intubation-related cranial nerve injury

My bedside rule

Legs tell you there is weakness.

The face tells you what the weakness is.

Never diagnose ICU-acquired weakness by the duration of ICU stay.

Diagnose it by the pattern of weakness.

That one-minute facial examination may save the patient from the wrong diagnosis and the wrong treatment.

Reference: Neurologic Complications of Critical Illness (Continuum, 2026): “The limbs are affected symmetrically and proximally more than distally... Facial and extraocular muscles are typically spared.”

#NeuroX #NeuroICU #CriticalCare #MedicalEducation #MedX

[Tehseen Poonawalla Official 🇮🇳 @tehseenp]

The E20 policy is the most mismanaged policy & if INDIA truly reforms it We The Citizens can get pure unadulterated Petrol at about ₹80-90 / litre.

Join TEAM BHARAT for the #GaadiMarchGandhiMarch.

Drive this movement with us.

Our Demands:

* Allow E10 Petrol for E10-compatible vehicles.

* Reduce the price of E20 petrol by 20%.

* Reduce the price of E0 or pure petrol currently retailing between ₹165-170/litre.

* Put all documents of E20Fuel policy in public domain.

* Get a solution for pre 2023 vehicles that are affected by Ethanol 20 blended petrol.

* Nitin Gadkari Ji is in Conflict of Interest with regards to Ethanol.

Join us, on the Gaadi March from INDIA GATE to outside Nitin Gadkari ji & Hardeep Puri ji's office and residence and stop at Parliament Street!

🚗 Gaadi March, Gandhi March

📅 31 July 2026 (Friday)
📍 India Gate → Parliament Street, New Delhi.

Bring your car. Bring your bike. Bring your voice.

Our Vehicles. Our Choice. Our Right.

#TeamBharat #MeriGaadiMeraAdhikaar #MeriBikeMeriChoice #EthanolScam
BETA BADHAO YOJNA

GAADI MARCH GANDHI MARCH!
@OGTeamBharat

[Dr Deepak Ranjan Malla @12mallaa]

Thank you sir for standing for what’s right, keep doing the good work you do ahead. We need journalists like Shiv Aroor sir.

[Shiv Aroor @ShivAroor]

An hour after grilling the Shinde Sena on my show, an FIR has finally been registered against ruling party thug Corporator Ramesh Mhatre for assaulting lady doctors.

[Tehseen Poonawalla Official 🇮🇳 @tehseenp]

Grateful sir 🙏
* We have 4 demands
Availability of E0 E5, E10 & E20 blended fuels !
* all documents wrt E20 including ARAI report in Public domain
* solution for pre 2023 vehicles damged
* no future rollout without 360°infrastructure being ready

#EthanolScam

[Aditya Gupta @DrAditya2935]

Sometimes - parents do have a tendency to talk about irrelevant stuff.

I mean - if asked about duration of fever - they will start with ‘how child was fine on Monday morning , went to school, had a fight with a boy - came back - was angry -then slept and woke up . Was fine in the night also - ate his favourite chicken curry.
Next day also he was fine - then on Wednesday morning he started having fever. So, since it’s Thursday morning - 1 day’

We thought he didn’t want to go to school due to the fight and still sent him but later call from school came that he is actually sick.

Now I understand- why this talk happens. And it’s actually okay for parents to blabber.

But many 50+ year folks have lost patience and are actually way to good with diagnosis. Their brain works like an algorithmic machine which needs data - relevant one.

More importantly - while a doctor in private practice might listen to everything that you say - including your chachi ki nani ki mausi stories - a doctor in Govt practise really won’t. They simply don’t have the time. They will actually shut you and ask - tell the damn answer to my relevant questions.

The said Senior Pediatrician- I’m not sure who he is. I’m reasonably sure - he also works in govt hospital along with his private practise.
He can’t turn of the govt persona which a lot of people expect.

Which is why people like Chat GPT.
Not because it’s better.
I can argue it’s objectively worse than any run old the mill doctor.

But becuase - it has that ego satisfying tone. It’s not you , it’s X. Oh - I’m very sorry.

It’s ‘Her’ movie on steroids.

People who go to a doctor are looking for ego massages + treatment.

People who use ChatGPT will get the ego massage.
I’m not sure whether they’ll actually get the correct treatment.

Which I may say - it’s better to have your ego bruised with an alive kid than a dead kid with your ego massaged.

[Dr Deepak Ranjan Malla @12mallaa]

This is the sad state of affairs of two wheelers in India. Cars with powerful engines and equally idiot drivers, companies of which we all know. Wish these self made gods some driving sense. Prayers for the family🙏

[Dr Deepak Ranjan Malla @12mallaa]

Cute!

[NAFORD @NAFORDAIIMS]

🚨 NAFORD has written to the Hon'ble Union Health Minister and DGHS seeking urgent intervention in the prolonged delay of NEET SS 2025 Round-2 counselling.

Thousands of candidates are facing financial hardship, mental stress, and career uncertainty due to the indefinite delay. At the same time, vacant super-specialty seats across the country continue to impact patient care and healthcare delivery.

NAFORD has requested:
✅ Immediate commencement of NEET SS 2025 Round-2 counselling
✅ One-time FREE EXIT option without forfeiture of security deposit or penalty
✅ Timely completion of the counselling process

A swift resolution is essential to protect the interests of aspiring super-specialists and ensure uninterrupted delivery of critical healthcare services.

#NEETSS2025 #MoHFW # #MCC #DGHS #JPNadda

[The mood doctor @Chulbulpanda420]

Why has no action been taken against the HOD and other consultants yet?
Are they not aware of this?
Why have they not broken this toxic cycle for so long?
It’s a huge shame for the medical fraternity that our juniors are treated like shit by our own members.
This image will haunt us for a long time.

[The CineVerse @cineversetweets]

Vaari Jaavan is a legit Banger 💥🔥

#Dhurandhar2‌TheRevenge

[Dr Deepak Ranjan Malla @12mallaa]

Pakistan should change their team name to “Team Rocket” #INDvsPAK

[Madhur @ThePlacardGuy]

Well 🇮🇳 Well 🇮🇳 Well 🇮🇳

[Dr Deepak Ranjan Malla @12mallaa]

So proud of people in my field❤️

[AIIMS, Raipur, CG @aiims_rpr]

AIIMS Raipur successfully performed a 13-hour emergency surgery on a 38-year-old patient with Acute Type A Aortic Dissection, one of the deadliest cardiac emergencies. Rapid diagnosis, multidisciplinary teamwork, and advanced surgical expertise ensured a successful outcome.

[Dr Sumer Sethi @sumersethi]

When we first entered the anatomy dissection hall in our first year of MBBS, our professors told us something that has stayed with me ever since: “The cadaver is your first teacher.”

This was a person who made the extraordinary decision to donate their body so that future doctors could learn human anatomy not from textbooks alone, but through a gift of unparalleled generosity.

Every dissection was a lesson made possible by someone’s final act of selflessness. We were taught to approach the cadaver not with fear or indifference, but with respect, humility, and gratitude.

Before we learned from patients, we learned from those who expected nothing in return. They were, and always will be, our first teachers.

Request to everyone to respect those who give to the society with nothing to get in return 🙏🏻🙏🏻

#medicalethics

[101 Gram🇩🇪 @VishaI_18]

Sexualizing a deceased who donated his body to medical science for educational purposes. This is disgusting man

[Mr PitBull Stories @MrPitbull07]

In the summer of 2010, David Fajgenbaum was everything a young man could hope to be.
He had been a Division I college quarterback. He spoke multiple languages. He was in his third year at one of America's top medical schools, the University of Pennsylvania. He had his whole life mapped out in front of him.
Then his body turned on him.
Almost overnight, his organs began failing. His lymph nodes swelled. He was exhausted beyond anything he had ever felt. Within days, he was rushed to the emergency room. Weeks of testing followed. Finally, doctors gave it a name: Castleman disease — a rare and catastrophic condition where the immune system attacks the body's own organs.
There was no cure. There was barely a treatment.
A priest came to his hospital room and read his last rites.
David said goodbye to his family.
Then, somehow, an aggressive round of chemotherapy pulled him back from the edge.
But it didn't hold. Within three years, he collapsed again. And again. And again. Five times in total, he came to the edge of death. Five times, chemotherapy bought him a little more time.
After the fifth collapse, his doctors sat with him and said the words no patient wants to hear: his body had received the maximum amount of chemotherapy a human being can survive. If he relapsed again, there would be nothing left to give him.
He would die.
Most people, hearing that, would have spent whatever time remained saying goodbye.
David Fajgenbaum picked up a medical journal.
From his hospital bed, between treatments, he began doing something no patient had ever done before — systematically studying his own disease with the full knowledge of a trained physician. He analyzed thousands of pages of his own medical records. He tested his own blood samples, looking for patterns invisible to everyone else because no one else had both the data and the desperate motivation to find them.
And he found something.
In his lymph node samples, a specific protein signaling pathway called mTOR was firing at abnormally high levels — essentially sending the immune system into a frenzy that destroyed his own organs. It was a clue no one had spotted because no one had looked in quite that way before.
Then he searched for something that could stop it.
He found it in an unlikely place: a medication called sirolimus, already approved and available, commonly used to prevent organ rejection after kidney transplants. No one had ever tried it for Castleman disease. But on paper, its mechanism was a near-perfect match for what David had found in his own blood.
Under his doctor's supervision, he began taking it.
Within days, his symptoms vanished.
Not improved. Vanished.
The man doctors had given up on walked out of the hospital. He finished medical school. He married his girlfriend Caitlin. He became a father. He became one of the youngest faculty members ever to receive tenure at Penn Medicine.
And then he turned around to face everyone still waiting in the dark.
He founded the Castleman Disease Collaborative Network, building the first global research effort for a disease that had none. He launched Every Cure — an organization that uses artificial intelligence to search all existing approved drugs for hidden matches with diseases that currently have no treatment. The idea is simple and revolutionary: there are over 1,500 approved drugs in the world and over 7,000 diseases with no treatment. The cures may already exist. They just haven't been matched yet.
Over 15 years, Fajgenbaum and his partners have helped advance 28 repurposed drugs — 14 directly led by him. MedicalXpress
A priest once came to read him his last rites.
Today, David Fajgenbaum has authored over 100 scientific papers, appeared on TIME's list of the world's most influential people in health, and continues to take his small sirolimus tablet every single morning the pill he found himself, in the darkest room of his life, when no one else was looking.
He didn't wait to be saved.