Healthcare Strategist & Wrestling Enthusiast

Healthcare IT consultant, EM physician, anti-medical misinformation,Dogfather, poet,. pop-culture trivia and pro wrestling lover. Not in the same order!!!!

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

Listen to "Why Evidence-Based Medicine Matters" at https://t.co/XkiJk7MoUo

#medtwitter #evidencebasedmedicine #pseudoscience #obseletescience

@docakx @hyderabaddoctor @theliverdoc would appreciate your inputs!

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

😂😂😂😂😂

[Haydel Consulting @juli882]

@Grampa1950 My vet has a sense of humor.

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

C because Colostrum is very important. Its main significance is early immune protection and concentrated nutrition for the newborn. It:
Protects against infection: Rich in secretory IgA, white blood cells and other protective proteins, particularly protecting the gut.

Supports gut development: Growth factors help the immature intestinal lining mature.

Provides concentrated nutrients: Contains protein and vitamins, especially vitamin A, in small volumes suited to a newborn.

Also helps in passing meconium

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

RT @theliverdoc: My dear friends, something important.

I am deeply honored to share that I am one of the eight finalists globally shortli…

[TheLiverDoc™ @theliverdoc]

Ok I'm tired of this bullshit*t. But in any case, I'll indulge your sealioning nonsense.

Yes, people were "treated" in ancient times with herbs and roots and rituals. They also routinely died at age 30 from diarrhea, a scratched knee, or a tooth infection.

The argument that modern medicine is "overrated" because ancient people used "jadi buti" (herbs) relies on a spectacular cocktail of logical fallacies and errors in critical thinking.

Saying "people managed back then" completely ignores the astronomical infant death rates and the millions who died in agony from infections that a basic antibiotic cures today in 48 hours or a simple drug prevents complications of in this era. You are looking only at the lucky survivors, not the overflowing ancient graveyards. This is your Survivorship Bias.

The assumption that because something is old, it must be wise, effective, or true is common human stupidity. Bloodletting, drilling holes in skulls to release demons, and drinking mercury were also ancient medical traditions. Age is a measure of endurance, not of scientific validity. This is your Appeal to Antiquity Fallacy.

The romanticized notion that "natural herbs" are inherently safer than "chemical tablets" is an idiocy that never dies in the minds of alternative medicine sympathizers like yourself. Nature is not your friend; it is actively trying to kill you just like "all natural" Ayurveda is too.

When an ancient remedy passes rigorous scientific tests, it stops being "alternative medicine" and simply becomes medicine.

But when a traditional treatment fails these tests, a rational, scientific system discards it. A dogmatic business promoting system keeps selling it anyway, pointing to 2,000-year-old texts as "proof."

Also there is no modern Ayurveda. Ayurveda is, was, and always will be primitive medeival dmbfckery. Hope this was sensible enough. Please don't waste my time anymore.

[MedLearn Hub @MedLearnHub]

Most people think of insomnia as a nuisance - a few restless nights, some groggy mornings.

A major new review of 1.3 million people, published in Sleep Medicine Reviews this month, says otherwise.

Poor sleep isn't just stealing your energy. It may be quietly raising your risk of stroke, dementia, depression - and early hospitalisation.

Here's what every clinician and general public needs to know and understand.🧵👇

[Dr CHIRAG 🩺 @Chiragrx07]

USA - A FLESH-EATING PARASITE IN HUMANS.

The first travel-associated human case of New World screwworm (NWS) myiasis was confirmed in the US in August 2025 after a patient returned from El Salvador.

What makes it dangerous?

The larvae of Cochliomyia hominivorax can burrow into living tissue, causing severe wounds and potentially life-threatening damage.

Clinical facts:-

• Disease: New World screwworm myiasis • Causative agent: Cochliomyia hominivorax
• Transmission: Female flies lay eggs in wounds or other suitable sites,larvae invade living tissue.
• Risk factors: Open wounds and travel to affected regions
• Prevention: Cover wounds, maintain good wound hygiene, and seek prompt medical care for suspicious infestations.

The CDC described the risk to the US public at the time as very low. This is a rare but serious parasitic infestation, not a reason for widespread panic.

Remember this - myiasis is not always limited to dead or necrotic tissue. Screwworm larvae can invade living tissue.

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@Chiragrx07 Push IV calcium gluconate and arrange for urgent dialysis

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@Chiragrx07 This would be Fitz-Hugh-Curtis syndrome because of peri hepatitis and associated usually pelvic inflammatory disease

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@MedLearnHub Never ever tilt backward and allow the blood go down airway and clot there

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@juli882 @docakx Sad

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

Predict #LAKnight winning #MITB

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@TrackYourHeart Higher doses of niacinamide can cause acanthosis nigicans - amongst the given options. I’d have thought of niacin as a better cause

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@IhabFathiSulima Typical stable angina lasts a few minutes—usually about 2–5 minutes and generally less than 10 minutes. Caveat: It usually improves with rest or sublingual nitroglycerin.

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@Chiragrx07 Ah thank you for the biological name!! Else would have had to google!

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@IhabFathiSulima With symptoms described and examination findings, going with Midbrain tegmentum lesion - I think it’s called Benedikt’s syndrome? Ipailateral involvement, sudden Diplopia led me to this- and your AI video sir!

Helps a lot with AI generated look at the patient!

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@Chiragrx07 Bochdalek left, while an unfortunate pathology remembered it as bleh (BL) when giving my entrances!

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@Doctors__squad Non-blanching, looks less than 2mm size. These are petechiae. Purpurae would be larger

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@rpsingh1894 Assuming airway and breathing are intact, potassium correction first given ECG changes - calcium gluconate first but if a second IV access can be achieved, correct hypoglycaemia parallely

[Healthcare Strategist & Wrestling Enthusiast @Prajkumar86]

@IhabFathiSulima Horse shoe kidney with both the lower poles bridged….isthmus I believe is the clinical term used