Karthik V

Thoracic surgery, baby dad, he/him/his

[Harsha Bhogle @bhogleharsha]

There is a fake dubbed clip of me and Vaibhav Sooryavanshi doing the rounds on social media. It depicts Vaibhav as being rude and cocky. Neither was that question asked nor was there an answer like that. It is cruel and mischievous especially towards a young kid who has been very respectful in his few interactions. @rajasthanroyals @bcci

[Anil Tibdewal @Anil_Tibdewal]

#ASCO26 Honored to present results of our Phase III RCT as an ASCO Oral - Wait or Treat, Managing Asymptomatic brain metastases in EGFR/ALK mutant NSCLC. Thanks to all our co-investigators @TataMemorialCtr @TataMemorial @RadOncTMC @RimaPathak1 @VanitaNoronha @cspramesh @ASCO

[Karthik V @Docvk2]

Gunners!

[Pramesh CS @cspramesh]

Crowdsourcing here. Who are the Indian Bollywood and sports celebrities who promote carcinogens like tobacco, alcohol, sugary drinks?
I'm happy to launch a campaign (and if necessary, beg them to desist). Please reply or RT this so that we can reach the right folks

[Karthik V @Docvk2]

Michael Bevan, childhood favorite australian cricketer.

[Spandan Roy @talksports45]

Michael Bevan has a 10 w match haul in test cricket. The likes of Bumrah, Hazlewood, Shami, Siraj are yet to achieve it. And the likes of Gillespie, Lee, Kasprowicz, Sobers couldn't achieve it in their test career.

With a criteria of min 200 innings in List A cricket, Michael Bevan has the 2nd best average (57.86). Despite being a middle order batsman, he has top scored for Australia, 46 times in ODI cricket. Only 3 Australian batsman have more such instances.

Happy Birthday Michael Bevan.

[Karthik V @Docvk2]

@AnuragM186 @puneetiitm Would surely want to try it.

[ISDE.net @ISDE_net]

Esophageal Cancer in 2026: It Takes a Team

From early symptom recognition to advanced surgical care—this ISDE webinar brings together experts across specialties to deliver a complete, clinically relevant roadmap for managing esophageal cancer.

👩🏽‍⚕️ Ania Lapowska (Gastroenterology): Patient awareness & when to evaluate
🔬 Anthony Gamboa (Advanced Endoscopy): Screening, high-quality endoscopy, EMR vs. ESD, and emerging technologies
🧬 Michael Gibson (Medical Oncology): Staging, biomarkers & treatment pathways
🫁 Sabita Jiwnami (Thoracic Surgery): Surgical decision-making & approaches
🎤 Dan Patel (Moderator): Guiding the discussion and bringing it all together

This is multidisciplinary care in action—designed for clinicians who want practical insights they can apply immediately.

📅 REGISTER TODAY: https://t.co/UYHJmUORlw

#ISDE #EsophagealCancer #MultidisciplinaryCare #Endoscopy #Oncology #ThoracicSurgery #MedicalEducation

[Mutual Funds Sahi Hai @MFSahiHai]

Beware of the new virus on the block - Finfluenza!

Your financial health could be hampered if you don't watch this video now!

[Jenna Taglienti @jenna_taglienti]

I wrote this in a moment I never would have chosen. A sudden pause that made me see my life clearly.

The meaning of our work is profound. This experience simply helped me see more clearly what matters most.

“Time is Finite” JAMA

https://t.co/IwkKdyeEWx

[Prof. Feynman @ProfFeynman]

The purpose of education is to inspire the desire for learning in students and make them able to think, understand, and question.

[The Times Of India @timesofindia]

In a heartwarming tale of defiance against destitution, 18-year-old Chandni Vishwakarma from #Bhopal's teeming Bhim Nagar #slum has emerged as the #MadhyaPradesh Board class 12 topper, securing a staggering 98.8% with 494 out of 500 marks in the commerce stream. She beat 7 lakh total students to be at the very top.

More details 🔗https://t.co/QJnlBRwk7x
#MPNews #Exam #Education #Results

[ISDE.net @ISDE_net]

🚩SAVE THE DATE: WEBINAR ALERT! Esophageal Cancer in 2026: From Risk Identification to Multidisciplinary Treatment — What Every Clinician Needs to Know
📅Friday, April 24 between 8-9am CT
#EsophagealCancer #CancerWebinar #MedicalEducation #OncologyUpdates #ClinicianTraining #MultidisciplinaryCare #CancerTreatment #HealthcareWebinar #MedicalWebinar

Registration Link: https://t.co/uj609XmKYi

[The Nobel Prize @NobelPrize]

"I do recall that during the years which followed the war we were deprived of everything, in particular books and writing materials. For want of paper and ink, I made my first drawings and wrote my first texts on the back of the ration books, using a carpenter’s blue and red pencil. This left me with a certain preference for rough paper and ordinary pencils.

"For want of any children’s books, I read my grandmother’s dictionaries. They were like a marvellous gateway, through which I embarked on a discovery of the world, to wander and daydream as I looked at the illustrated plates, and the maps, and the lists of unfamiliar words. The first book I wrote, at the age of six or seven, was entitled, moreover, 'Le Globe à mariner'."

- Author Jean-Marie Gustave Le Clézio.

Read his Nobel Prize lecture: https://t.co/p7Z1fyJ4yD

[Karthik V @Docvk2]

@Nivedhyaa1 @MarioNawfal I'm just happy, someone has intervened and "halted" this madness.

[blue @bluewmist]

One of the best things my therapist ever told me was:

Stop assuming that people are mad at you.Stop attempting to read people's minds. Stop trying to manage the thoughts and emotions of others. Let people be in charge of themselves.If they have something to say to you, they will.And if they don't, it's their responsibility, not yours.

If you needed to hear that, maybe this account can help.

[Sabita Jiwnani @drsabita]

Hot topic debates in #Esophageal cancer @IndiaIsde11310
1. CROSS vs DCF
2. Wait & Watch vs Surgery after pCr
@ISDE_net @DOTEsophagus

[Sabita Jiwnani @drsabita]

@IndiaIsde11310 starting off strong with @cspramesh taking us through the trends in esophageal cancer and Dr. Nabi and Dr. Inian critically evaluating the evidence for management of early #Esophageal cancer @ISDE_net @DOTEsophagus

[Dr. Chacón-Lozsán F .'. @franciscojlk]

🩻Contrast-induced AKI:
one of the biggest myths still shaping clinical decisions

For decades we were taught:

👉 “Contrast damages the kidneys”
👉 “Avoid CT with contrast in CKD”
👉 “Hydrate, protect, delay imaging if needed”

But what if… most of this is wrong?🤔

->The uncomfortable reality

Modern evidence shows:

👉 Low-osmolar contrast rarely causes true nephrotoxicity
👉 Even in CKD, AKI, and ICU patients
👉 The risk is often overestimated—or nonexistent

So where did the fear come from?

📍 1950s high-osmolar contrast (actually toxic)
📍 Poorly controlled observational studies
📍 “Creatinine rise = contrast injury” assumption

👉 Correlation became causation
👉 And the dogma stayed

⚠️What recent data tells us

✔ No difference in AKI rates with vs without contrast
✔ No benefit from bicarbonate, NAC, or aggressive hydration
✔ Even ICU and AKI patients show no worsening outcomes

->Translation to real life

👉 The patient was going to develop AKI anyway...Not because of contrast!!

->The real problem: “Renalism”

👉 Avoiding necessary imaging
👉 Delaying diagnosis
👉 Choosing inferior tests

And that leads to:

❌ Missed PE
❌ Delayed sepsis source control
❌ Worse outcomes

->Clinical mindset shift

Instead of asking:

👉 “Will contrast harm the kidneys?”

We should ask:

👉 “Will NOT doing the scan harm the patient?”

->Who still deserves caution?

✔ eGFR <30
✔ Severe hemodynamic instability
✔ Multiple nephrotoxins

Even then:

👉 Optimize volume
👉 Minimize dose
👉 Don’t delay critical imaging

🤓Bottom line

✔ Contrast nephrotoxicity exists… but is rare
✔ The fear is bigger than the risk
✔ The harm of NOT imaging is often greater

In critical care

👉 We don’t treat creatinine
👉 We treat patients

And sometimes…

👉 The most dangerous thing is NOT the contrast

👉 It’s hesitation.

📃Reference
Florens N, Demiselle J.
Kidney360 7: 445–449, 2026. doi: https://t.co/CWzi7WC9Wx

[Nimish Dubey @nimishdubey]

Some things to say when dealing with someone who has depression:

(Do remember to keep checking on them. They tend to cocoon themselves against everything. They might know you exist but don’t feel they are worth being bothered about)

“It will be right. You know, it really will.”

(The biggest fear is “what will happen now”)

“I am there. Whenever you need.”

(It is essential to make sure the person does not feel alone. That’s a bad place. )

“You are going to be fine. I know it”

(Most people do not believe they are going to feel better. Makes things darker).

“Take as long as you wish.”

(Give the person a sense of control over themselves.)

“Just don’t do anything for a while. Rest or take a walk.”

(Whenever possible. It is important to get people out of the zone that’s messed them up. Not always possible, alas, but when possible…)

#MentalHealth #Depression #Anxiety