Ultrasoundwalebhaiya

Navodayan,MBBS(MKCG MCH),MD Radiodiagnosis BHU

[Sonam Wangchuk @Wangchuk66]

READY FOR 6th JUNE...
Armed with nothing but PEACE & LOVE

Use of force if any, must not be from our side! Even if it means Jail...

HAR EK KO ZINDAGI MEI EIK BAR JAIL JANA CHAHIYE
NOT FOR A CRIME BUT FOR A CAUSE...!

Sonam Wangchuk

#CockroachJantaParty #CJP #SonamWangchuk

[Press Trust of India @PTI_News]

VIDEO | Delhi: "Reported leak of JEE (Advanced) 2026 candidate data shows how 'incompetent' is Dharmendra Pradhan... We appeal PM Modi to sack Education Minister immediately," said CJP spokesperson Ashutosh Ranka.

(Full video available on PTI Videos - https://t.co/bIyFWTfmBd)

#Delhi

[ALL INDIA MEDICAL STUDENTS' ASSOCIATION @official_aimsa]

My name is Shivani Jaiswal, I am an MBBS final year student of NBMC. I visited Dr. Deepti Tiwari's clinic (UPMC Reg. No- 96141) for asking medicine's name written by Dr. Deepti as it was unreadable. (The patient who is my aunt and neighbour purchases her medicines from PM Jan Aushadhi Kendra due to affordability).
Dr. Deepti refused to tell medicine names and insulted me. After that my brother came with me and a friend, we insisted on getting the medicines' name but we were threatened, abused and physically assaulted by Dr. Deepti's husband Dr. Akash Pandey and 4-5 goons. It has been 15 days now, no FIR has been filed against them and no arrests made. Instead FIR has been filed against us because many powerful people, politicians and even some IMA members are lobbying with Dr. Akash Pandey. They are also threatening to ruin my MBBS career.
Private doctors like these are not letting patients buy affordable medicines from 'PM Jan Aushadhi Kendras'.
As a fellow MBBS student and an aware citizen of India, I need your support for getting justice done. @dgpup
@myogiadityanath
@abijith_ips18 @Uppolice @UPGovt @BJP4UP @News18UP @drsfaizanahmad

[Ultrasoundwalebhaiya @PruthuchandanM]

@otvnews Nischit roop se star campaigner

[Mohamad Safa @mhdksafa]

I don't think people understand the gravity of the situation as the UN is preparing for possible nuclear weapon use in Iran.

This is a picture of Tehran. For you uneducated, untraveled, never-served, warhawks licking your chops at the thought of bombing it. It's not some low population desert. There are families, children, family pets. Regular working class people with dreams. You're sick to want war.

Tehran is a city of nearly 10,000,000 people. Imagine nuking Washington, Berlin, Paris, London, or beyond, bombed with nuclear weapons.

I gave up my diplomatic career to leak this information. I suspended my duties so as not to be part of or a witness to this crime against humanity, in an attempt to prevent a nuclear winter before it is too late.

Yesterday, nearly ten million people protested “No Kings” in the United States. The possibility of the use of nuclear weapons must be taken very seriously. It's dangerous. Act now. Spread this message worldwide. Take the streets. Protest for our humanity and future. Only the people can stop it. History will remember us.

[Ultrasoundwalebhaiya @PruthuchandanM]

@Kushal_Sheth_5 @DrDatta_AIIMS These are the other things 😂

[Ultrasoundwalebhaiya @PruthuchandanM]

@beyorek Bc tu bhi wahi hag hi Raha hai

[Dr Sumer Sethi @sumersethi]

2026 Dyslipidemia Guidelines: Key Updates in Cardiovascular Prevention

On March 13, 2026, the ACC/AHA Multisociety Guideline on the Management of Dyslipidemia was released, replacing the 2018 cholesterol guideline. The update broadens the focus from cholesterol alone to overall dyslipidemia, including LDL-C, triglycerides, and emerging markers like lipoprotein(a), with a central goal: earlier and more personalized prevention of ASCVD.

Major Highlights

1. New Risk Calculator
The PREVENT-ASCVD risk equation replaces the older pooled cohort equations for adults 30–79. It often estimates lower and more accurate risk, and also introduces 30-year risk assessment for younger adults.

2. LDL-C Targets Return
Clear lipid goals are reintroduced:
•<100 mg/dL for borderline/intermediate risk
•<70 mg/dL for high risk
•<55 mg/dL for very high risk

The principle: “lower for longer” to reduce lifetime exposure to atherogenic lipids.

3. Routine Lp(a) Testing
For the first time, Lp(a) measurement at least once in a lifetime is recommended for all adults to identify genetic cardiovascular risk.

4. Greater Role for CAC Scoring
Coronary artery calcium (CAC) scoring is emphasized for decision-making.
A CAC score of 0 may delay statins, while higher scores strongly support treatment.

5. Earlier and Broader Treatment
Statins and other therapies (ezetimibe, PCSK9 inhibitors, bempedoic acid, inclisiran) are recommended earlier in high-risk individuals, including those with diabetes, CKD, or strong family history.

6. Lifestyle Still Comes First
Healthy diet patterns, regular physical activity, and weight control remain the foundation of dyslipidemia management.

The Big Picture

The 2026 guideline emphasizes earlier risk detection, lower lipid targets, and lifelong prevention—aiming to reduce cumulative lipid exposure and ultimately prevent atherosclerotic cardiovascular disease before it develops.

[Donald J. Trump @realDonaldTrump]

Be prepared, there is a small chance that our horrendous leadership could unknowingly lead us into World War III.

[Sarbananda Sonowal @sarbanandsonwal]

A historic day for Assam as the PM Modi-led Cabinet approves India's first underwater Road cum Rail tunnel.

Gratitude to Hon'ble PM Shri @narendramodi ji and Union Minister Shri @nitin_gadkari ji for the game-changing ₹18,662 crore project connecting Gohpur and Numaligarh under the mighty Brahmaputra.

This engineering marvel will not only reduce travel time from 6 hours to mere minutes but also serve as a strategic backbone for our national security & economic growth.

PM Modi Ji's Act East vision is writing a new and powerful script of development for the North East.

[Dr. Tanmay Motiwala @Least_ordinary]

Notes to self:

1. Markets are boring most of the time. Having a primary job that keeps you busy and ensures steady cash flow matters more than constant market action.

2. Stocks can fall after you buy. They can rally after you sell. You’ll never catch exact tops or bottoms. If you do, it’s luck, not skill.

3. If you don’t have time for active reading and tracking, it’s wiser to stick to mutual funds.

4. A portfolio is like a team. Every player won’t perform at the same time. What matters is that the team wins (i.e., beats the benchmark)

5. The real edge is cutting noise. Too much of news and information doesn't help. Filtering it surelg does.

[Isaac Bogoch @BogochIsaac]

Step 1: Insert bacteria ("Wolbachia") into mosquitoes.

Step 2: Release mosquitoes.

Step 3: Watch Dengue rates plummet.

Phenomenal results from Singapore.

Link: https://t.co/6TZZf5EdIs, by Lim et al.

[Dr Sumer Sethi @sumersethi]

Coffee research continues to suggest benefits ☕️

[ANI @ANI]

Union Cabinet Minister for Environment, Forest & Climate Change, Bhupender Yadav tweets, "Kuno Welcomes the Birth of FIVE Cubs. Aasha’s legacy leaps forward—India welcomes her five adorable cubs! A moment of immense pride and joy for Project Cheetah as Aasha, the Namibian cheetah and a proud second-time mother, gave birth to five cubs on 7th February 2026 at Kuno National Park. With this, the tally of Indian-born surviving cubs rises to 24, marking the eighth successful cheetah litter on Indian soil—a significant milestone in India’s cheetah conservation journey, undertaken and nurtured under the environmentally-conscious leadership of PM Narendra Modi"

[Dr Sumer Sethi @sumersethi]

Healthcare &amp; Business
How to bridge the gap
Special sessions on DAMS α app
If you want to be an entrepreneur, this is nudge you needed from Doctors who took the road less travelled #entrepreneurship #docpreneur

[Dr Sumer Sethi @sumersethi]

NEETPG dates uncertainty since 2021

2018 – Jan 7
2019 – Jan 6
2020 – Jan 5

January meant one thing.
You finished internship → you wrote NEET PG → life moved on.

Then…

2021 – Sept 11
A crack in the system.

2022 – May 21
Confusion became routine.

2023 – March 5
Hope of normalization.

But look again.

2024 – Aug 11
2025 – Aug 3
2026 – Aug 30

Let that sink in.

So yes, ask the uncomfortable question:

Is this the new normal?

You get your MBBS degree in March. You wait till August to give the exam. You wait till February of the next year to enter PG.

By design.
By default.
One year lost.

Not because you failed.
Not because you were unprepared.
But because the system now runs on delay.

This is not just a date shift.
This is a structural shift.

Earlier, time worked for you.
Now, time tests your patience, mental stamina, and planning.

And here’s the brutal truth
If you prepare assuming “things will normalize”…
You will always be late.

[Dr Kishan Dash @Dr_KDash]

Doctors are not abandoning patients.
Doctors are protecting healthcare.
OMSA President reiterates clearly
Emergency services continue
Protest remains peaceful ethical and professional
We appeal to the public to stand with doctors for safety dignity and fair healthcare.@PMOIndia

[TheLiverDoc™ @theliverdoc]

STAY WITH ME.

A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.

He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.

Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.

But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.

He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.

I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.

It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.

This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.

Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11

[Ultrasoundwalebhaiya @PruthuchandanM]

@snigu2696 Interested 😉

[Dr.Dhruv Chauhan @DrDhruvchauhan]

Everyone need to come out in support of the IGMC Shimla doctors

Unity is the need of the hour or else the professional integrity will collapse !