kalmesh V

Computational Biologist , Science , Nerd , Puns

[kalmesh V @Kalmi_kebab]

Even after having an annual subscription @DisneyPlusHSP experience is becoming worse day by day. Too many ads even after paying. What’s the point? #hotstar @DisneyPlus

[kalmesh V @Kalmi_kebab]

@VaibhvWrites Honda

[kalmesh V @Kalmi_kebab]

@makemytripcare Dear @makemytrip , it’s so frustrating to keep following up like this for a mistake from your side.
Please look into this. It’s been more than a week since this happened and I still have no resolution from your side. I’ve literally raised my concern more than 10 times now.

[kalmesh V @Kalmi_kebab]

We were stranded in the middle of the night compromising our safety.
I did not get any update neither from the bus service nor @mak

[kalmesh V @Kalmi_kebab]

@makemytripcare I have sent the details on DM. Please resolve soon.

[kalmesh V @Kalmi_kebab]

@makemytripcare I have sent the details on DM. Please resolve soon.

[kalmesh V @Kalmi_kebab]

The issues I have raised are being closed without any resolution. Not only I want my complete refund I also deserve additional compensation for this horrible experience.

[kalmesh V @Kalmi_kebab]

We were stranded in the middle of the night compromising our safety.
I did not get any update neither from the bus service nor @makemytrip Customer support was useless. I still did not get any updates from the issues I raised online.

[kalmesh V @Kalmi_kebab]

@theliverdoc Which protein powders are safe to consume , Dr ?

[kalmesh V @Kalmi_kebab]

@AMISHDEVGAN Just shut up.

[Hanuma vihari @Hanumavihari]

Ranji Trophy 2023/24

[TheLiverDoc™ @theliverdoc]

As a doctor, the first time I actually used a stethoscope after three and half years was on a mid air flight, two days ago.

On my flight from Kochi to Mumbai via @AkasaAir the man sitting next to me became breathless.

I was tired from work and it was a late evening flight and I was trying to take nap.

But the commotion nearby woke me up and I found the air hostess trying to plug in the man's nebulizer for emergency inhalational treatment and I helped her get the machine running. He spoke in broken sentences, but he was not getting better.

He had an oximeter which showed oxygen saturation was 36%.

I asked him if he was asthmatic and he denied. I was confused why he had a nebulization kit. I asked for the stethoscope and found that his left side lung sounds were completely absent. It was water filled (a condition called pleural effusion).

In between breaths, the man tells me that his kidneys are bad. I asked him if he was on dialysis and he was on it three days a week and the next one was planned for the next day. His medications were over last night. I scroll through his unlocked phone images to see his last prescriptions. Most were for high blood pressure.

I checked his blood pressure and found it was 280/160 and he was in accelerated hypertension with drowning lungs. We had 1 hour to land for emergency medical services to attend him. We had to keep him alive.

I have no idea what happened next, but it felt like I was inside an ICU and had to make quick decisions. Mid air, I did a double puncture on his only accessible vein on the right side and further access was lost. The other upper limb had a dialysis fistula made and I could not use it. So I gave him a frusemide injection into his buttock muscles ( a VERY long time since I gave an adult an intramuscular injection) after telling him it was going to pain, but I had no other options and also because it was so hard to find a vein as he was struggling and the flight was a bit turbulent.

At one point, he was leaning on my shoulders and gasping while I comforted him, by lying to him by telling him that we have already arrived. We had another 30 minutes left.

The female and male attendants on Akasa Air who helped me were so calm and composed that I was able to work with a clear mind as they followed instructions. They quickly changed and provided oxygen cylinders without haste that helped me get his saturation to above 90%. I found some blood pressure lowering medications in the flight ER kit and helped the man swallow them in between breaths.

Before he was taken off the plane, he handed me his mobile and asked me to enter my phone number and I did and placed it back on inside his sling pouch.

One hour on that plane felt like a whole day inside an terrifying ICU. By the time we landed, and before scheduled time, he was lethargic, still breathless, but blood pressure controlled. I spoke to the family on phone right after we landed and they took him in an ambulance to the hospital nearby.

The next day, his family messaged me to let me know that he was well. In the evening, after my podcast recording, the patient himself called me after he was shifted out of ICU post emergency dialysis. His potassium level was 9.0 and his kidney functions were haywire. He could have had a fatal cardiac arrest mid air and I shuddered hearing his reports over phone. They removed extra fluid during dialysis and he became better by night.

I would like to thank the flight attendants on @AkasaAir QP-1519 from COK to BOM 8PM on the night of 14th January 2024. I am sorry I did not ask your names, because it was an incredibly difficult time. But we saved this man's life. Would not have been possible without your help. And want you to know this. Thank you.

[World Athletics @WorldAthletics]

Male Athlete of the Year nominee ✨

Retweet to vote for @Neeraj_chopra1 🇮🇳 in the #AthleticsAwards.

[kalmesh V @Kalmi_kebab]

I was whining about paying 100₹ for an Uber auto ride to office. Then I saw that our office boy has an iPhone 14 pro. Dukh, dark, peeda pro max.
#corporatelife

[Arjun @arjunbhandage]

1/ This post exposes shocking insurance denials and uncompassionate customer service from Care Health Insurance. It's a story of a father's accident, a battle for coverage, and a plea for justice. 💔

[Arjun @arjunbhandage]

My dad had an accident resulting a life threatning brain injury recently, he is being treated in KLES hospital belgavi and is being denied insurance from @careinsuranceIN for reasons not conveyed during buying policy or in the policy document itself. Saying CVA has a waiting

[kalmesh V @Kalmi_kebab]

Need something to protect the bike as well.

[kalmesh V @Kalmi_kebab]

@Ra_Bies Wayanad, Kerala