Drdevi kalyan mishra

MBBS MD Community Medicine specialist ECFMG certified ,Completed USMLE ,aspiring to be a Physician Scientist views personal , retweets aren't endorsements

[Cats with aura @Catsworldtweet]

Please help stray cats.

[ANI @ANI]

#WATCH | Tirupati, Andhra Pradesh: Reliance Industries Executive Director, Anant Ambani, visited Tirumala Sri Venkateswara Swami Temple for Suprabhata Seva and offered prayers. He also donated his hair to the temple.

[SpaceWeatherNews @SunWeatherMan]

***EARTHQUAKE SURGE UNDERWAY

There were 21 "significant seismic events" in the last 30 days; 2 were definitively sonic booms, 19 were earthquakes.

6 of 19 were in the last 3 days, including 3 of the largest 4 overall.

This is 3.2x deviation from the previous 27 days. This is a large number for seismicity.

[Kalam Center @KalamCenter]

If you were born before 1983, your birth is closer to start of WWII than to today.

[Himanta Biswa Sarma @himantabiswa]

Wait till you see the new @gmchgauhati.

A ₹4,382 cr transformation is reimagining Assam's premier medical institution into one of India's most advanced healthcare campuses, with cutting edge facilities

A game changing upgrade for Assam's healthcare ecosystem & it's people.

[Drdevi kalyan mishra @KalyanDevi]

@mademe__smile 🙏

[Next Science @NextScience]

🚨 **What If Death Is Just an Illusion?**

What if the end isn't really the end? Some people believe quantum physics hints that death may not be as final as we think. One idea, called **quantum immortality**, suggests consciousness could continue in ways we don't yet understand.

But here's the mystery... this is **only a theoretical idea**, not a proven scientific fact. It remains one of the most fascinating debates about reality, consciousness, and what happens when life ends.

Source:
Lanza, R., & Berman, B. *Biocentrism: How Life and Consciousness Are the Keys to Understanding the True Nature of the Universe*. BenBella Books.

[Association of International Doctors. (India). @int_doctors]

Dr. Abhishek Shukla (Geriatrician) explained about ABG (Arterial Blood Gas Analysis)

Student: Sir, I am a https://t.co/jLND7YizOg. Nursing second-year student. I often see ICU patients undergoing ABG tests. A strip comes out, and doctors discuss acidosis, alkalosis, CO₂, and oxygen levels, but honestly, I still don’t understand how to read it. Why is ABG done so frequently, and how can I learn to interpret it?

Dr. Abhishek Shukla: Very important question, Riya. ABG stands for Arterial Blood Gas Analysis. It helps us quickly understand what is happening inside a critically ill patient’s body. If a patient is unconscious, drowsy, breathless, or deteriorating, ABG tells us whether the problem is due to oxygen, carbon dioxide, acid-base imbalance, or severe infection.

It requires only 0.5 ml of arterial blood, usually taken from the radial artery, and the result comes within one minute.

The first thing to check is pH. Normal pH is 7.35–7.45. If it is below 7.35, it means acidosis; above 7.45 means alkalosis. Severe acidosis can become life-threatening.

Next is pCO₂ (35–45 mmHg). If it rises very high, like 90, it means the patient is retaining carbon dioxide. This can lead to unconsciousness and is called Type 2 Respiratory Failure.

Then check pO₂, which tells us about oxygen. If oxygen is low while CO₂ is normal, it is called Type 1 Respiratory Failure.

After this, review electrolytes—especially sodium and potassium. Low sodium can cause confusion, while high potassium can disturb the heartbeat.

Finally, look at lactate, glucose, and creatinine. High lactate may suggest sepsis, and high creatinine may indicate kidney failure.

So always remember the ABG rule: pH first, then CO₂, then oxygen, and finally electrolytes. #ABG #ABGTest #ArterialBloodGas #MedEd #ClinicalSkills#ABGInterpretation #AcidBaseBalance #BloodGasAnalysis #NursingStudent #NurseLife #NursingNotes #AIIMSNORCET #mednotes #drabhishekshukla #geriatriccare

[Drdevi kalyan mishra @KalyanDevi]

@odiajagat 🙏

[Drdevi kalyan mishra @KalyanDevi]

@RadhaGlories 🙏

[Drdevi kalyan mishra @KalyanDevi]

@RealBababanaras Well done

[Drdevi kalyan mishra @KalyanDevi]

@catsareblessing Kalu is omnipresent . Sometimes across multiverse

[Drdevi kalyan mishra @KalyanDevi]

@_vatsalasingh 🙏

[For all Curious @fascinatingonX]

🚨JUST IN: Scientists from University of Miami have developed a device that makes Eye Transplants a Reality

[Drdevi kalyan mishra @KalyanDevi]

@cutecats_____ 🙏

[Drdevi kalyan mishra @KalyanDevi]

@Kristinartz Kalu don’t worry , everyone will wish you dear

[Drdevi kalyan mishra @KalyanDevi]

@RadhaGlories Mouth watering 🙏🙏

[Devotees Era. @RadhaGlories]

Tirupati annaprasadam