Dr. Anusha C P

Medical / Public Health Consultant

[TheLiverDoc™ @theliverdoc]

This is the liver of an apparently perfectly healthy man.

His liver function test (blood test) - perfectly fine.

His only symptom was "gas trouble for three months" for which he was showing multiple local physicians, all of whom prescribed him antacids and were happy with perfect blood tests done on multiple occasions from different labs.

A routine ultrasound by a Gastroenterologist showed a misshapen liver and a big nodule.

He was referred to us. We diagnosed cirrhosis with large liver cancer (hepatocellular carcinoma), fortunately in early stages for which liver transplant is curative. He is now doing well.

His risk factors?
Poorly controlled diabetes, sedentary life, no physical activity and overweight. And cirrhosis and liver cancer in his father's eldest brother. Patient is a teetotaler.

Please know that sugar is the new alcohol.

If you have diabetes, high blood pressure, low functioning thyroid, are overweight or obese, have very poor physical activity, high lipids or heart disease, have high calorie intake specifically through processed and ultra-processed foods - then you are at risk for fatty liver and progressive fatty liver disease that can lead to cirrhosis and its dreadful complications.

Be aware, visit your doctor and check your liver functions and perform a routine ultrasound if you have uncontrolled risk factors for liver disease. If you have risk factors, then the doctor will order further tests to assess "liver health" to check for the risk for/ or presence of chronic liver disease.

Liver cancers can arise in cirrhosis even in the background of a normal liver test. Early stages of cirrhosis can have normal liver tests. A normal blood test of liver function is not a guarantee for a healthy liver. People who consume alcohol and check their liver functions on blood tests weekly or monthly, to reinforce everything is OK with a normal liver test maybe grossly misled.

[Manjula Rao @DrManjulaRao]

#Breastcancer is undoubtedly a global epidemic. But in the last decade of my practice and of treating thousands of women, I’ve realised that it can potentially look different in Indian women than the world.
Breast cancer: India vs West, a thread 🧵

[Dr. Anusha C P @Anusha168Anusha]

So, the question is, which approach do you prefer? Direct quotes or simplified paraphrases? It's a question worth pondering, and I'd love to hear your thoughts in the comments below!

[Dr. Anusha C P @Anusha168Anusha]

Hey Twitterverse! 🌎

Just read an interesting article on ChatGPT - the AI chatbot developed by OpenAI. The article compared ChatGPT's approach to offering information to Google's search engine.

https://t.co/W0lWPv8GQu

#ChatGPT #AI #Google #Information

[Dr. Anusha C P @Anusha168Anusha]

Google provides direct quotes, whereas ChatGPT offers paraphrases of the information provided. While Google's approach provides precise information, ChatGPT's approach can be compared to a blurry JPEG of the web.

[Dr. Anusha C P @Anusha168Anusha]

https://t.co/tG4zLmO9Ye

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

Our STO sir , Dr T Ramesh garu along with WHO consultants receiving award from Dr Mansukh Mandaviya ( Minister of Health & Family welfare) for standing 2nd in TB index score on world antiTB day march 24 at Delhi ..@ddgtb2017 @WHOSEARO @ArogyaAndhra @maheshgorla @Anusha168Anusha

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

News in Print media in Local Language for getting Second best TB score to Andhra Pradesh in the Category of above 50 lakhs @ddgtb2017 @ArogyaAndhra @WHOSEARO @maheshgorla @Anusha168Anusha @dheedoc

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

JSSM Team visiting at field level

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

TB awareness programmes conducted through TB Champions

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

For the people, by the people; TB forums are the platforms for sharing ideas, devising strategies and creating patient centric care paradigms. District collector, DTCO and other stakeholders participated in Srikakulam TB Forum meeting on friday.@ddgtb2017 @WHO @Anusha168Anusha

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

District collector, Joint Collector, District TB Officer and other members participated in the District TB forum meeting in Vishakapatnam held on 20th November. @ddgtb2017 @WHO @maheshgorla @dheedoc @Anusha168Anusha @vizagcollector @ArogyaAndhra @carel7207 @Jeetind18

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

Supportive Supervision is a two way road where field staff interact, share and learn from their supervisors. DTCO Vishakapatnam interacting with field staff through digital platform.@ddgtb2017 @maheshgorla @Anusha168Anusha @dheedoc @vizagcollector @WHO @ArogyaAndhra

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

State TB officer Dr. T Ramesh visited Anantapuram and reviewed NTEP activities along with District Medical and Health Officer, District TB Control Officer and WHO NTEP consultants @ddgtb2017 @Arogya Andhra @RDT_anantapur @DAnanthapuramu @maheshgorla @Anusha168Anusha

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

The State TB Officer, WHO NTEP consultants and DTCO Kadapa visited Carl Genomix Lab in Pulivendula in regards to the implementation of TB Infection testing in Andhra Pradesh. @ddgtb2017 @who @maheshgorla @Anusha168Anusha @ArogyaAndhra @DAnanthapuramu @dheedoc @RDT_anantapur

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

Reaching the unreached; I/C DTCO Dr. Mallikarjuna Reddy visited Vempenta Chenchi Gudem, a tribal settlement in East Godavari and led TB screening in malnourished chirdren. @Anusha168Anusha @ddgtb2017 @WHO @maheshgorla @ArogyaAndhra @dheedoc @TBfreeindia2025 @egodavarigoap

[TB Mukt Bharat - Andhrapradesh @NTEP_ap]

Children are the world's most valuable resource and its best hope for the future; DTCO of East Godavari sensitized the school children on TB and encouraged them to champion the cause of TB elimination in Koilakunta.@ddgtb2017 @Anusha168Anusha @maheshgorla @dheedoc @ArogyaAndhra

[cheepurupalli tbunit @CTbunit]

#Municipal sanitary workers Screening camp for TB PRESUMPTIVES by STS at Saluru TBUNIT, Vizianagaram Dist .
@DrRaghuramRao ,@maheshgorla ,@Anusha168Anusha ,@dheedoc ,@ddgtb2017 ,@NITIAayog ,@AndhraRntcp

[DDG - TB | #TBMuktBharat @ddgtb2017]

Group work for formulation of State Specific Strategic Action Plan is the outcome of National State Strategic Plan for Ending #TB Workshop.
@MoHFW_INDIA @mansukhmandviya @DrBharatippawar @PMOIndia @rashtrapatibhvn @NITIAayog @ashoktennis1 @WHO

[DDG - TB | #TBMuktBharat @ddgtb2017]

Hon'ble Union Minister Shri @mansukhmandviya has launched a poster on comprehensive clinical management protocol for all health facilities(public & private sector) This covers the entire spectrum of TB from infection to disease for all health care providers as a ready reckoner