Manoj Kumar

Assistant Professor, Department of Nephrology, Saveetha Medical College and Hospital

[Manoj Kumar @NephroMK]

@Fintech03 Textbook of obstetrics by Dutta discusses about this forceps. He's not forgotten in textbooks. In public memory, yes, not remembered

[Manoj Kumar @NephroMK]

Strangely, I am reading with @ShashiTharoor voice and accent in my head.

[Shashi Tharoor @ShashiTharoor]

Indeed! To conflate a Rasgulla with an Idli is not just a culinary error; it is a profound cosmological misunderstanding.

To begin with, the comparison is practically a biological impossibility. She is comparing chhena (the delicate, squeaky, pristine curd of milk) with a meticulously fermented batter of parboiled rice and black gram (urad dal). Their compositions are from entirely different kingdoms. One is an airy, spongy lattice designed to trap light sugar syrup; the other is a dense, wholesome, steamed matrix of complex carbohydrates and proteins. Their taste, consistency, structural integrity, and existential purpose share absolutely nothing in common.

But more important, her attempt to dismiss the Idli as merely a blank canvas for sugar syrup does a grave disservice to what is arguably one of the greatest engineering marvels of the culinary world.

The Idli is not a mere "bland cake." It is a masterclass in biotechnology. To achieve the perfect Idli is to balance the delicate microflora of wild fermentation over a cold night, resulting in a steamed cloud that is a triumph of gut health, lightness, and nutritional balance. It is a savoury monolith of South Indian culinary genius, perfectly engineered to absorb the sharp tang of a well-spiced sambar or the fiery depth of a molaga-podi (gunpowder) paste infused with cold-pressed sesame oil or nutritious melted ghee.

To suggest an Idli would even consent to being drowned in sugar syrup is to fundamentally misunderstand its dignity.

If this lady finds Rasgullas overrated, argue that on the merits of their sponginess or sweetness. But please, leave the noble, perfectly fermented, steamed majesty of the Idli out of your dessert-table polemics, ma'am!

[Manoj Kumar @NephroMK]

@Aina_Ai2 @threadreaderapp unroll

[Manoj Kumar @NephroMK]

@NephroP @ArgaizR @nephrothaniel Congratulations sir

[Manoj Kumar @NephroMK]

@maria_wats8492 Claude

[Manoj Kumar @NephroMK]

@Oliviacoder1 @threadreaderapp unroll

[Manoj Kumar @NephroMK]

@Narayansgpgims Congratulations sir

[Manoj Kumar @NephroMK]

@karthik2k2 Sir, hypertension noted a full 7 yrs after the start of policy. Companies do a preinsurance checkup, so it was definitely not hypertensive in 2008. Insurance experts can weigh in n say if disclosure of subsequent health issue needed during the course of term policy.

[Manoj Kumar @NephroMK]

@heynavtoor @threadreaderapp unroll

[Manoj Kumar @NephroMK]

@firstcryindia How can you cancel an approved replacement at your for your slackiness in picking up the product? Now saying it can't be replaced saying 7 window is closed? Pathetic!

[Manoj Kumar @NephroMK]

@firstcryindia ordered a baby cycle order no. 34650499LZS31EDC32. Product defective, replacement raised within 2 days and process initiated at your end. YOUR TEAM FAILED TO PICKUP DESPITE REACHING OUT TO US 3 times and now YOU CANCELED IT WITHOUT MY CONSENT.

[Manoj Kumar @NephroMK]

There's nothing wrong in discussing with your treating team about it. As a doc myself, I have seen lot of non informative reports and poor images on films which make clinical decisions tough. If possible, get a CD of your imaging. Helps in getting further opinions.

[Manoj Kumar @NephroMK]

MRI scan needs good image acquisition and good reporting. As a patient, I initially chose a "sasta" scan 14 yrs ago for a neuroimaging. My neurosurgeon was kind enough to point out missing info, sent me back with a referral letter to a senior person cont'd..

[Prawin Ganeshan @PrawinGaneshan]

Aarthi Scans offers 50% discount at night. In Madurai, they charged ₹3000 for an MRI during daytime.

Scans World in Chennai charges ₹8500 for the same MRI. Think about the margins and doctors' commission payouts.

[Manoj Kumar @NephroMK]

Who had good experience in neuroradiology. Had to do a contrast MRI and got a neat report. That made a big difference in treatment decision. Anyone who needs a complex scan like MRI at affordable rates, do look into quality of reporting and that of images. Cont'd..

[Manoj Kumar @NephroMK]

@jasveer10 @grok digressing a bit here, how common is a 38 LPA job in India? What are the sectors that offer such pay and what % of the professional in those sectors are able to get it?

[Manoj Kumar @NephroMK]

@Polymarket @grok can you explain how it was possible

[Sam Albadri, M.D., M.Sc. @sam_albadri]

🧵 Case highlight:
Female patient with acute kidney injury and history of breast cancer, treated with chemotherapy.
Renal biopsy (PAS) shows atypical hyperchromatic cells occluding glomerular intracapillary lumina. PAS highlights segmental double contouring of capillary loops, suggesting endothelial injury.
Immunohistochemistry confirms the origin:
🔹 Tumor cells positive for TRPS-1 and GATA3 → consistent with metastatic breast carcinoma
🔹 Enlarged endothelial cells highlighted by ERG immunostain
Diagnosis: Glomerular metastatic carcinoma with intracapillary tumor emboli and secondary endothelial injury.
In patients with prior malignancy and chemotherapy exposure, unexplained AKI should prompt consideration of intraglomerular tumor involvement.

@Renalpathsoc @MayoClinicNeph @MayoClinicPath

[Manoj Kumar @NephroMK]

@swatigar I used to get annoyed earlier. Right now, I just ignore. I suggest putting up a disclaimer that in case sensitive medical info is getting leaked through such recording or calls, you are not responsible.

[Manoj Kumar @NephroMK]

@Jasonphilip8 Keep blocking the numbers sir. Eventually it goes away. Had this issue in DM first yr. Truecaller helped.

[Manoj Kumar @NephroMK]

@swaruprdas @samanya_kumar @grok who is the couple in photo