Dr Darling

I am more than what meets the eyes!

[Dr Darling @Kidjaling]

@MONJ21 @col_stm Bringing forth life for the wrong reasons
or with the wrong partner or when you are not ready to be a parent or when you are dealing with trauma or gwhen you are financially unprepared Is a problem! Bringing another human being to suffer shouldn't be because "my parents had me"!

[Dr Darling @Kidjaling]

@col_stm Key words: realities, reasons!
Thank you!

[Dr Darling @Kidjaling]

@neuralconsult Ischemic CVA likely involving the MCA
? cardioembolic (NBTE)
?micro angiopathy
?anti phospholipid antibodies
? atherosclerosis

[Dr. Ankit Mondal @mondalankit007]

@crazymed12 @DrAkhilX Clarithromycin is enzyme inhibitor so will decrease metabolism of statin and increase risk of statin toxicity, that may present as myalgia or rhabdomyalysis

[Syamkumar @syamkumarmd]

Welcome to Cardiovascular Physiology Concepts https://t.co/6OwBfOXABi

Excellent resource for learners of any level.

[ILLIASUL IBAD @IlliasulK]

I was on duty that day, a final-year medicine trainee.
A call came from orthopedics.

“45-year-old man, fall from bike — fracture left distal radius, rib fracture on right side. Now complaining of left-sided chest pain.”

They’d given him diclofenac for pain.
Pain had improved… but 30 minutes later, he started clutching his chest.

“Probably rib pain,” they thought.
But the rib fracture was on the right side.
He kept insisting —

“Doctor, this pain is on the left… and it’s getting worse.”

So they called me.

When I reached, he was in visible distress — sweating, anxious, restless.
No addictions. No comorbidities. No prior drug allergy.

He said, “Initially my pain was in the right chest and left forearm… now it’s heaviness on the left side of my chest.”
The X-ray had ruled out any left rib fracture.
No local tenderness.

Something didn’t add up.

I asked him to describe the pain.
He said quietly,

“Feels like someone’s sitting on my chest.”
He was nauseated, sweating more.

While talking, I noticed something else — red rashes scattered across his abdomen and thighs.
They looked fresh.

“When did this start?”
He thought for a second.

“About 45 minutes ago.”

I checked his drug chart — IM diclofenac for pain.
I looked at the rash again, then at his face turning pale.
The timing fit perfectly.

My orthopedic colleague asked,

“What are you thinking?”

I said, “Let’s get an ECG — now.”
He replied, “We already have one, it was normal for pre-op.”

Still, we repeated it.
And that changed everything.

ST elevation — V1 to V4.
Troponin and CK-MB both high.
Acute coronary syndrome.

We gave a loading dose, sublingual nitrate.
His BP was 150/80.
I added verapamil.

He started feeling better.
We repeated the ECG after an hour —
the ST elevation had vanished.

My colleague asked, “Why verapamil?”
I just smiled.

Because this wasn’t atherosclerosis.
This was an allergy of the heart.

That night, I met Kounis Syndrome —
an allergic storm that spasms the coronaries.
Triggered by a painkiller.

A paradox —
the drug meant to relieve pain had almost broken a heart.

In the following months, I saw two more.
One after penicillin.
One after a bee sting.

Each time, I remembered that man.
And his quiet, unforgettable line —

“Doctor… the pain has shifted to the wrong side.”

Medicine teaches you to treat what you see.
Experience teaches you to question what you don’t.

Sometimes, the clue isn’t in the test —
it’s hidden in the timeline.
In a rash. A word. A hesitation.

That’s where the diagnosis lives.

🩺 #MedTwitter #KounisSyndrome #StorytellingInMedicine #Allergy #Cardiology #Rheumatology #Immunology
#Sullysrounds #MedX #Medtwitter #Mnemonics #Medicine #History
@DrAkhilX @IhabFathiSulima @Janetbirdope #MedTwitter #RheumTwitter
@CelestinoGutirr @aditya_gan3500 @nileshnolkha @nirmalregency

[Lukas Not Podolski @OtitoNosike]

I disagree.

My house, my rules. If you live under my roof, you live under my order. You will do every chore that is set before you, and you will do it without entitlement. I do not shape my decisions around your feelings because I am not your friend. I am your father, your guardian, the one legally and morally bound to feed you, clothe you and protect you, and, in return, you must learn how to be someone worth protecting.

There is no such thing as unconditional love in my house. I am not Christ; even Christ demands your soul in exchange for his grace. Teenager or not, raging hormones or not, impulsive or not, you will be respectful and you will do what is expected of you. If you choose to refuse, then you are also choosing to provide for yourself.

And to those who think such firmness is wicked or “financial abuse,” let me be clear: the real wickedness is to watch a child cultivate ugly habits, to excuse those habits under the soft banner of “they’ll outgrow it,” and then send them into the world unprepared. News flash: they won’t outgrow it. Bad character fed by indulgence grows teeth. Big cats kind of teeth. That is precisely why I will not excuse it.

A home without boundaries raises adults who cannot handle consequences. A parent who never says “no” produces a child who believes life will never say “no” to them, until it does—brutally. As my child, my duty is not to make you ‘comfortable’; my duty is to make you capable. If that makes me an evil father, then so be it. I would rather be called “evil” and raise a child who stands tall than be called “kind” and raise a badly behaved child who leaves nothing but shame and disgrace in their wake.

[Aravind Palraj @Rheumat_Aravind]

🧵 CRP vs Procalcitonin – Inflammation vs Infection?

Both rise in systemic illness.
But they don’t speak the same language.

Let’s break down when to use CRP, when to trust Procalcitonin—and when both lie. 👇
@IhabFathiSulima @DrAkhilX @Janetbirdope @emcrit @andrewsuleh @Lupusreference #MedTwitter

[Princess Luna 🇨🇲 🇬🇧 🇳🇬 @princessluna237]

One of the best videos on this GMO topic. Simply a must watch 👍

[Sam Ghali, M.D. @EM_RESUS]

Here's a video I made breaking down this important case of a 50-year-old man who had a "witnessed seizure" at a bus stop

#FOAMed

[Dr Darling @Kidjaling]

Am so sorry that you had that kind of experience. But it doesn't make it "normal" and neither does it make it a "regular" experience.

[André Martin Mansoor @AndreMansoor]

1/13
A man is admitted with acute abdominal pain, nausea, vomiting, and diarrhea. HR 130, BP 90/52.

You walk into the room to meet the patient. What do you notice? This should generate at least one hypothesis.

[Dr Darling @Kidjaling]

@MTNC_Care same issue with my account. I was informed that my account was switched to "compte marchand" in January which I didn't apply nor subscribed to.
Also when the profile is switched back to "client", how do we recover from the 1% losses we incurred without our consent?

[#EauEnPoudre🌶 @BraunShuga__]

@DrPainkiller073 @MTNC_Care Donc on est assis chez-nous et vous changez nos profils sans notre consentement, sans demander notre avis? Je ma puce depuis 2006, je n'ai jamais ni souscrit, ni consenti à ce que je lis.

[Chebet. @Kriisstie_M]

I hope Trump also bans African politicians from seeking medical assistance from the united states and taking their kids there for educational purposes. Kula mtu akae kwao na mashida zao 🙂‍↔️

[Dr Darling @Kidjaling]

All these people lamenting, if you ask them how long they can help someone and see no sustainability, them no go answer you oh!
But as money dey comot different person pocket them go claim sense!

[Kingsjoe 🦉 @Excelle34055213]

@lifeinsolace @DavidHundeyin Right on point ,to help is by choice,no by force .

[Dr Darling @Kidjaling]

@wakajugbe Gigantomastia

[Dr Darling @Kidjaling]

./

[𝙳𝚊𝚛𝚕𝚒𝚗 𝙳𝚒𝚋𝚘𝚖𝚊 @DDiboma]

@Hadyjesus Parce qu’il y a certains détails de la vie de ma famille que ma femme n’est pas forcément obligée de savoir. Y a aussi des informations sur la vie de mes sœurs à protéger

[Dr Darling @Kidjaling]

@LucaVaran La question c'est "comment expliquer à mes enfants que 'j'ai trompé votre père depuis avant votre naissance'"

[Sam Ghali, M.D. @EM_RESUS]

Here's a video I made breaking down the case of a 30-year-old woman who presented to the ER with chest pain and palpitations

#FOAMed

[Kamga Kôtòpî Mignon🌀 @yemargent]

Bamileké, bassa, bulu, ewondo ,baya ...ta carte tu l'as ?

La fourmi, par haine du cafard, vota pour l'insecticide. Ils moururent tous, y compris le grillon qui s'était abstenu.