Delivered The IMA oration yesterday on a topic dear to me . Used several case scenarios to make my points and also highlighted role of my role models Prof SK Mehta, Prof HS Bhat , Prof Bidwai and Prof JosephAnthony.@Srisha_Hebbar@sundar_s1955@swaminathaniisc@Kayalvn@gvraoaig
@sundar_s1955 Sundar- I learnt from that article and religiously get a Creatinine in older people before giving them full dose Baclofen . My colleagues and students follow that too over the decades . You helped me get confident with Azathioprine too.
@sundar_s1955
recent spurt in gut microbiome analysis being offered to patients and in health checks . As far as I know it is “work in progress “ as we still do not have a clear idea of what is abnormal nor do we have a clear solution to offer. .@DrNikhilMD@drvishal82
Unknown gunmen. Lest we forget them, because they are wrecking havoc in Pakistan.
And even international media now seem to have realised that breaking the backbone of Pakistani and ISI-funded terrorists will not always look like a war. Sometimes it looks like silence.
From Lahore to Khyber Pakhtunkhwa, reports of senior militants being eliminated in precise, professional hits inside Pakistan raise one uncomfortable question: who is dismantling the terror machinery that Pakistan protected for decades?
No loud claim.
No chest-thumping.
Just fear spreading inside the very networks that once exported fear across borders.
Pakistan built an entire strategic doctrine around using terrorists as assets. It feeds them, trains them, shelters them and then pretends to be a victim when the same ecosystem turned inward.
Now the hunters are being hunted.
The inevitable blowback of raising snakes in your backyard, the message is clear: terror factories are no longer safe even on Pakistani soil.
The architecture of jihad that Islamabad once used as leverage is beginning to look like a liability.
Pakistan wanted strategic depth.
It may now be discovering strategic dread. 🤫
Nephrologists on X, I’m genuinely curious about this.
During my time at Safdarjung, I rarely saw Nephrosave being used by our Nephrology department for AKI or CKD.
But in my hometown, many nephrologists seem to prescribe it routinely in almost every AKI & CKD case.
Is there any strong evidence or guideline-supported data behind this practice that I might be missing?
#Nephrology #CKD #AKI
@DrNikhilMD Glad you brought this up . I agree that many drugs in the market are virtually worthless and do not make even 5% difference to the disease but increase costs 300 %
A strong movement is needed to educate our colleagues and public
@rashmiprasan Of course . Do an angio. Proximal stenosis consider stent . Distal disease only anti platelet drugs ( similar to coronary artery disease )
This month, the pursuit of excellence across new frontiers defined our path forward.
A historic entry into cricket, alongside milestones in luxury retail and renewable energy, reflects a commitment to scaling with both ambition and purpose.