Naman

Physician,now and forever (UR)|
I write about health, fitness , movies.
50% spiritual,40%satirical, 10% still figuring out

[Naman @Inamanotherapy]

If you've done MBBS :You are in top 0.1% of the population

If you've done MD after MBBS: You are in the top 0.01% of the population

If you've done DM after MD,MBBS: You need to get a life

[Naman @Inamanotherapy]

Daraxonrasib- The new weapon in the armamentarium against pancreatic cancer is creating ripples across the med onc community

I would like to take this opportunity to remind you how incredible Oncology residency is:

In the 1 st year ,you hear about the names of all these fascinating drugs

In the 2nd year , you learn how to pronounce the names of all these drugs

In the 3rd year , you understand how to prescribe all these fantastic molecules

And after you pass out, you get to know that all these "fascinating" drugs have become redundant..and you go back to learning how to pronounce these new drugs again

[Naman @Inamanotherapy]

@11AmanPareek1 Bruh..never heard about that test

[Naman @Inamanotherapy]

There is no test in the world to differentiate between SIADH and CSW

The only way you can come to a conclusion is by giving a trial of fluids and see the response

If the patient improves its spot on Cerebral Salt Wasting and if the patient deteriorates it is multiple Consumer court visits

[Naman @Inamanotherapy]

In the face of global unrest , India is facing a severe shortage of platinum agents

It is a sad time for most oncology centres EXCEPT for that one institute we all know that will come out with the SUBPLAT trial-" Substitution of platinum drugs with other chemotherapy agents in war affected areas- A real world study of 1000 patients" ☠️

[The Infectious Diseases (ID) Doctor @venkat_id]

1. High CRP /procalcitonin = infection
2. Low CRP/procalcitonin = no infection
3. ESR is useful
4. Granuloma = TB
5. Flucloxacillin is superior to cefazolin
6. Antibiotics prevent infection (infection prevention prevents infection: mainly hand hygiene)!
7. Perhaps contrast-induced nephropathy (not my area of expertise)
8. You need three drugs to treat HIV (not a major issue, but two will mostly do just fine)
9. Pyuria = UTI
10. Bacteriuria = UTI
11. Positive BAL/sputum/tracheal tube cultures = pneumonia
12. You need cephalexin (use cefadroxil)!
***
And as always
-Longer is better
-IV > oral

[Conrad Fischer @SeeFisch]

One of the BIGGEST sources of confusion of diuretic therapy with ascites is getting the dosing wrong.
For CHF spironolactone is 25 mg. In Ascites we START at 100 mg and go to maximum of 400 a day.

Furosemide is added with 40 mg and maximum 160 mg

[Naman @Inamanotherapy]

@Gaurz3 Dont be surprised.

Most clowns have god complexes

[Naman @Inamanotherapy]

@aditya_gan3500 Solitary plasmactoma rarely remains solitary.

Most decid to become multiple over the course of 2-5 years

[Naman @Inamanotherapy]

If you are single you often feel left out ,unhappy , sometimes even miserable

You are unable to thrive, blossom and reach your full potential !

That is why Myeloma decided to not be single . It chose to be multiple- Multiple myeloma, multiple lesions ,multiple tumors

It decided to be savage af and wreak havoc 😈

[Naman @Inamanotherapy]

@medicinedr18 It may be wrong for some people. But its definitely true for all myelomas😅

[Naman @Inamanotherapy]

@drpraveenpsy Watch the full video sir

[Dr. Nikhil Agrawal @DrNikhilMD]

You are about to give parenteral B12. Which electrolyte must be checked first and what complication are you trying to prevent?

[Naman @Inamanotherapy]

@witchdrkochi @nileshnolkha https://t.co/Vp87e96FPD

[Naman @Inamanotherapy]

Sometimes you have to give Indomethacin to control fever

Sometimes you have to give octreotide to stop diarrhea

Sometimes you have to do bone marrow biopsy before the full blood workup:

A naive physician goes only by the guidelines

But A shrewd physician does not let guidelines limit him

Guess who thrives in the real world outside of medical colleges?

[Papa Heme @Papa_Heme]

Medical guidelines have destroyed critically thinking in medicine.

[Naman @Inamanotherapy]

@DrShivang_Patel How do you give one pint every 5 hours? Have someone keep checking the clock?

[Naman @Inamanotherapy]

@prernachettri I see P pulmonale, VPCs , and rv strain pattern

If the patient is not a smoker ,some other cause of RAE ?

[Naman @Inamanotherapy]

@DrShivang_Patel Like what ?

[Naman @Inamanotherapy]

@andrewsuleh This is 100 % true.

Could not have framed this better myself

[Naman @Inamanotherapy]

@ShreerajT 🙏🙏🙏

[Naman @Inamanotherapy]

@ShreerajT I have never seen

Do any specific instructions need tk be given when sending culture sample?