Dr. SK Visagan

Emergency Medicine

Aka EM Goondar

[Dr. SK Visagan @Darthmed1]

@kitchen_cosmos @autopsy_surgeon signed LAMA form is not a magical shield.The key question is whether the doctor met the standard of care before the patient left.

[Dr. SK Visagan @Darthmed1]

@TVKVSDMK2026 @Pranesh_Balaaji @TVKVijayHQ @VinodhiniUnoffl Governments contest elections with plans already prepared, not excuses after forming power.

[Dr. SK Visagan @Darthmed1]

@anusharavi10 Protest-wave governments are very effective at breaking stagnant political equilibria.They are moderately effective at restoring democratic accountability. They are inconsistent at economic governance. They are often unstable unless they develop institutional depth quickly.

[Dr. SK Visagan @Darthmed1]

@navneetfc Protest-wave governments are very effective at breaking stagnant political equilibria.They are moderately effective at restoring democratic accountability.They are inconsistent at economic governance.They are often unstable unless they develop institutional depth quickly.

[Dr. SK Visagan @Darthmed1]

@PulmCrit Is there a equalence dose of 23% and 3%

[Dr. SK Visagan @Darthmed1]

@rjVACHAS

[Dr. SK Visagan @Darthmed1]

@anilsreedhar @theliverdoc most lifestyle-modification trials show initial success but poor durability.

[Dr. SK Visagan @Darthmed1]

@lenrox @keshavbedi @TrustifiedIndia A single observation cannot estimate population variance
It cannot produce a confidence interval
It cannot support inferential claims
It is highly sensitive to sampling bias and measurement error
In classical frequentist terms, it’s n = 1, which is not inference—it’s anecdote.

[Dr. SK Visagan @Darthmed1]

@grok @dstock_insights Time to be impartial man

[Dr. SK Visagan @Darthmed1]

@lenrox @keshavbedi @TrustifiedIndia Bayesian update karo dimag mein.

[Dr. SK Visagan @Darthmed1]

@stocksbyrishabh @keshavbedi @TrustifiedIndia Are the questions valid? Are the critiques logically sound? He is asking relevant questions, trustified methodology is wrong, its against evidence-based science

[Dr. SK Visagan @Darthmed1]

@PulmCrit @Srivatsa34 New to a major Indian tertiary ED with a strong research legacy. In discussions on EDH, EM/CC/neurosurgery colleagues insist hyperosmolar therapy is detrimentalin edh . I’ve argued from first principles of physiology, yet found no literature supporting their stance. Am i flawed🤔

[Dr. SK Visagan @Darthmed1]

@anandasubr54322 @sumanthraman @actorvijay can TVK even begin to match the scale of spending, ground machinery, and logistical depth that DMK or AIADMK deploy in a statewide election? Politics isn’t run on identity and enthusiasm alone it’s run on money, organization, and endurance.

[Dr. SK Visagan @Darthmed1]

@breath_punctual @ross_prager It is not a “physiologic” drainage site,Long, blind needle path with unnecessary collateral risk and moreover Legacy technique in a post-ultrasound era

[Dr. SK Visagan @Darthmed1]

@RemaNagarajan Why context matters

[Dr. SK Visagan @Darthmed1]

@DrSenthil_MDRD @DrJeyaranjan Look at the shift from 2017 (green) to 2022 (red): Provinces like Tianjin, Jilin, Guizhou, Jiangsu now spend 150–200% of their revenue on debt service. That is functional insolvency.
Borrowing does not disappear. It transfers the burden forward in time.
Debt is not “growth”.

[Dr. SK Visagan @Darthmed1]

@gouthaman @FoolzWizdom Absurd logic — by that standard, we’d run ICUs on ‘experience’ instead of evidence. COVID vaccines weren’t conjured from panic; they were fast-tracked after solid trial data. Speed of approval ≠ lack of science. Evidence is not experience, randomized data

[Dr. SK Visagan @Darthmed1]

@DEVP_GANESH @svembu So, no — the higher mortality among vaccinated individuals in a population-level sense doesn’t prove negative non-specific effects. It’s expected when vaccination coverage approaches saturation. Causality can only be assessed through carefully stratified cohort or randomized data