Mehul Desai

Consultant Neurologist and Epileptologist .
♥️Mumbai 🏡Surat 📍Australia

[Mehul Desai @LazyDoctor07]

@depressedgraph Just to correct yourself, anxiety and depression doesn’t lead to memory loss !! 😅 it rather leads to poor attention which may give appearance or memory loss, called “Pseudo-dementia” in medical terminology. Thank me later 😀

[Dan Go @CoachDanGo]

Something I realized when I became a parent is there's a window of time when your parents are healthy, your kids are little, and everyone gets to experience multiple generations of family spending time together. Cherish this time and don’t take a single moment of it for granted.

[Mehul Desai @LazyDoctor07]

@DrAditya2935 In a city like Surat, cost of all the mentioned eg driver cook maids etc should not be even 30-40k… 1 lac is overestimation. Even in my tenure in Mumbai for 6 years, it was less than 50-60k per month. 60-70 LPA you can easily afford this luxuries anywhere in India 🇮🇳

[Mehul Desai @LazyDoctor07]

@hunnykumar1908 At par or above. Cost of living very high.

[Mehul Desai @LazyDoctor07]

Out of this, roughly 40-45k would be tax. You will be left with average 8-9k per month which is good salary to live a comfortable lifestyle, not necessarily luxury. Cost of living in Australia is very high. At par or above USA.

[હની કુમાર/ਹਨੀ ਕੁਮਾਰ @hunnykumar1908]

The average salary of a doctor in Australia after cracking AMC (AUSTRALIAN MEDICAL COUNCIL) EXAM is $160,000 USD per annum that equals approximately INR Rs 1.5 Crore per annum.

[JAMA @JAMA_current]

Peripheral neuropathy, defined as damage to the peripheral nerves, affects approximately 1% of adults worldwide.

This Review summarizes the pathophysiology, clinical presentation, diagnosis, and treatment of length-dependent peripheral neuropathy. 🧵

https://t.co/tgk8h7SdEL

[sikandar adwani @SikandarAdwani]

Cranial nerves on MRI , excellent thread

[Mehul Desai @LazyDoctor07]

State of practicing Medicine in India is going from bad to worse in most places if not all. Although usually I refrain from generalizing, majority of doctors trained in India have at some point of time thought of moving abroad for reasons that are obvious to them.

Trust me no one likes to leave the comfort of motherland for tiny gains. But then daily you feel a part of you dying seeing rampant practice of giving and taking commissions to GPs, Radiology, Pathology and Pharma industry to say the least. Lesser the said better. Let people decide where they want to find peace and happiness, not too much to ask I guess :)

[Mehul Desai @LazyDoctor07]

@realVatsalPatel @MehulThakkar_ That’s what it is. Luxury comes in posh locations only :)

[Mehul Desai @LazyDoctor07]

@MehulThakkar_ @realVatsalPatel A good 3-4 BHK in Surat. If you really want a luxurious one 4 BHK, it often goes over and above 2.5 Cr.

[Mehul Desai @LazyDoctor07]

Fortunately though, most of teachers I encountered in my neurology training were extraordinarily well read, knew most of the guidelines, their hunger for knowledge better than even trainees and are clinicians par excellence. While we tend to generalize, there is a crop who masters both skills and such breed is you want on your doorstep while a disease is pointing gun on your head.

[Mehul Desai @LazyDoctor07]

Just to add to this… he is an accomplished engineer and used to work for a big renowned multinational. We used to share an apartment for 6 months during my stint at BJ Wadia, Mumbai 😄

[Mehul Desai @LazyDoctor07]

I feel they are often tagged as functional in view of myriad symptoms and disproportionate fatigue complaints. I too feel despite most of complaints have neurological bases, it should be managed MDT with physician in charge of it.

[Mehul Desai @LazyDoctor07]

Myalgic Encephalomyelitis/Chronic fatigue syndrome, should be treated by a Neurologist or with a physician primarily? Any experience of how to manage such cases? @Neuroptimist23 @SikandarAdwani @witchdrkochi @bobvarkey

[Mehul Desai @LazyDoctor07]

Most of modern imaging in Medical sciences is courtesy of wonders from physics and engineering. We docs have narcissistic attitude about the way we look at the things. No one denies evidence based medicine > alternate medicine, but there are ways to say things. To the science 🥂

[EngiNerd. @mainbhiengineer]

MBBS Doctors are fighting that Ayurvedic doctor isn't a doctor, homeopathy doctor isn't a doctor. They just want to secure their job by putting others down and cut any potential competition.

Meanwhile Engineers, everyone from Software developer to QA to product manager come together to develop Artificial intelligence even though they know one day AI will take their jobs.

Unpopular opinion but Engineers are doing most selfless service to society and contributing to humanity for which they never get the credit.

[Mehul Desai @LazyDoctor07]

My 2 cents. Most of us have family members suffering from some form of chronic disease, for which allopathy has no cure or medicines have too many side effects… these people usually give Ayurveda a go with significant benefit to some! Just a placebo effect?

[Karthik Balachandran @karthik2k2]

Unpopular opinion:

Ayurveda (and similar systems) are both loved and hated for the same reason:

It's seen as Indian and Hindu.

Both sides would use a respectable proxy reason ,in order to hide their biases.

Those who love say it works for them, it's free of side effects , it's not "big pharma" and so on.

Those who hate it say it doesn't work, it's harmful and is a mere distraction.

It was always this way, until BJP came along. BJP s support simply adds a political reason to like or dislike AYUSH.

[Mehul Desai @LazyDoctor07]

@Lewis_Lab @drkeithsiau GBS shouldn’t cause tongue fascinations. More commonly it causes facial myokymia, a type of rippling movements under skin often appears can of worms like.

[Mehul Desai @LazyDoctor07]

One more thing for #MedTwitter, right way to check for tongue fasciculations is, tongue to be be absolutely be resting in mouth, while looking for fasciculations on central part and not protruding. Quiveting movements seen on lateral surface is normal and not sign of denervation

[Keith Siau @drkeithsiau]

Case in NEJM of a 32F with progressive weakness and dysphagia. What’s the diagnosis?

[Mehul Desai @LazyDoctor07]

@drkeithsiau @witchdrkochi Very very rare but not unknown. So when dealing with a potentially untreatable condition, with red flags like young age at presentation, it’s always wise to rule out unusual presentations of treatable conditions 😎 Thorough examination will help to rule in or out given ones.

[Mehul Desai @LazyDoctor07]

@joBeeGeorgeous Why blatant accusation. I am not saying that culture is gender specific. Both boys and girls do indulge, and yes medical institutions and their work patterns do provide fertile grounds for such behaviors.