Berlin Pharma

[United Extra @TheUnitedExtra]

Dang, they’ve been dirty since back then 😭

[Berlin Pharma @Rapha808]

@amirjorgec Enzo should have recieved red on first time calling.
Protest and applause thats only if u knkw the rules

[Whizz @CFCWhizzHQ]

🚨 For Cristiano Ronaldo to equal Messi's achievements, He needs:

• 1 World Cup
• 3 Ballon D'or Award
• 2 French League titles and
• 1 Human Hormone.

🚨 But For Lionel Messi to equal Ronaldo's achievements, He needs:

• 3 Premier League titles
• 2 Champions League titles
• 1 Puskas Award
• 2 FA Cup
• 2 English Super Cup
• 2 Italian League titles
• 2 Italian Cup
• 1 Club World Cup
• 6 Globe Soccer Award
• 1 UCL All Time scorer Award
• 1 Diamond YouTube play button.
• 1 Saudi Pro League title

Any disrespect to Cristiano Ronaldo from all Messi fans will not be tolerated anymore... 🤔

[Preeti @MadridPreeti]

🚨Graham Scott ( Premier League Ref )

"It’s a clear yellow card for reckless play

I’m surprised because the fourth official has the perfect view so should have been able to advise accordingly"

Why is it that Only Fouls AGAINST Argentina are checked by VAR🤯

[fan @NoodleHairCR7]

This is what happens when you reach a World Cup final with rigging

[Piers Morgan @piersmorgan]

Disgusting behaviour by the Argentinians at the end, especially Paredes.
Just a bunch of nasty violent thugs, and a disgrace to football. Never been so happy to see a team lose.

[🎩 Andy’s Football Tips @AndyRobsonTips]

Embarrassing this from Messi.

[TC @totalcristiano]

Argentina players showing zero class.

Disgusting. https://t.co/ITbCyX8Kug

[Toni Kroos @ToniKroos]

Football won

[Berlin Pharma @Rapha808]

@Koladoskidculer So u play safe against 10 men.
Miopic.
Nefore the red it was one shot on target and the fact is Red card changed it all.

[Berlin Pharma @Rapha808]

@declanstar1 Madrid has more trophies than Bayern and ypu choose those rankings over trophies.
🤣🤣🤣🤣🤣🤣

[Berlin Pharma @Rapha808]

@Adeyemi_AFC 🤣🤣🤣🤣🤣

[Berlin Pharma @Rapha808]

@Vfynn_ But thesame FIFA in the previous world cup brought more thsn enough rubbish

[Berlin Pharma @Rapha808]

@PolymarketSport We move to the next..

[Berlin Pharma @Rapha808]

@rkalyes1 @TheUMAofficial @ChefKarim02 @27Jipman @dr_RaymondM @Dr_Chris_Twine @CKyobutungi @RubabindaJr @DokitaSharon @DrOtileUg @MirembeDr @faith_nabushawo Is it sustainable

[Berlin Pharma @Rapha808]

@rkalyes1 Regulatory bodies.
Society sensitizations .
These two would do a big deal to ensure we get quality and trusted herbal products.

[Berlin Pharma @Rapha808]

@FootyHumour Thats a penalty

[Berlin Pharma @Rapha808]

@rkalyes1 Webale nyoo

[Berlin Pharma @Rapha808]

Right reaction

[Dr. Priyam Bordoloi @DocPriyamMD]

Today during evening ward rounds, I almost had a full verbal argument with an attendant.
The kind that stays with you long after duty ends.

A 39-year-old woman.
Eyes so yellow they didn’t look real.
A distended abdomen, tense with fluid.

She had been admitted 3 days ago.

She came with her elder sister.
No male attendant.
No money.

They told us they couldn’t afford tests.
So we helped activate Ayushman.
All investigations were arranged free.

Her reports were alarming:
Bilirubin: 21 (normal ≈ 1)
Hemoglobin: 6.1
Liver enzymes (AST,ALT) badly deranged

This wasn’t “jaundice that will settle.”
This was serious liver disease.

Treatment was started.

The next day, her husband arrived.
The sister was sent home.

He asked only one question again and again:

“When will she be discharged?”
“There are children at home.”
“She needs to take care of the house.”

We explained calmly:
This is not a minor illness.
Recovery is slow.
Evaluation takes time.

He looked angry.
We did an ultrasound.
In simple words, we explained to him:
Her liver is enlarged.
There are signs of hepatitis.
And the main vein carrying blood to the liver may be blocked.
(When that vein is blocked, blood backs up, fluid collects in the abdomen, and the liver slowly fails.)

We sent viral markers.
Hepatitis A, B, C, E.
HIV.
Leptospira.
Scrub typhus.

Conservative treatment continued
because in this situation, aggressive treatment can do more harm than good.

Then we advised one more test:
CECT abdomen.
That’s when he snapped.
“You doctors are only doing tests.”
“I don’t have money.”
"I am tired of running around."
"Whatever happens to her let it happen, i can't do more than this"

We explained again:
All tests are free under Ayushman.
Money is not the issue here.
And it's not been 2 days, this kind of presentation needs a detailed workup

This CT will decide whether the vein is blocked or not.
And treatment depends on it.
The CT was done.
Today, the report came.
Cirrhosis of the liver

Her bilirubin had improved from 21 to 17.
Yes, there were signs of improvement.
But cirrhosis is chronic.
It needs time.
And more evaluation to find the cause.
We explained this gently.

That’s when he said:
“No more tests. I’m taking my wife home. Today.”
Negotiation failed.
Reasoning failed.

And then… I lost my calm.

In front of others, I said:
“So you’re basically killing your wife.”
“Is that because you want to get married again?”
He froze.
He wasn’t expecting that.
Maybe no one had ever said it out loud before.
After a long silence, he agreed to stay.
I don’t know for how long.

But today reminded me of something medicine never teaches you:
Sometimes the disease is not the biggest threat.
Sometimes it’s
impatience, denial, and abandonment
from the very people the patient depends on most.

In times like this, all we need is patience.
Because if our loved ones abandon us when we are sick…
who will stay?

[Samuel Hume @DrSamuelBHume]

5 medical breakthroughs this week (🧵)

1. Record-breaking Retatrutide

26.6% weight loss (placebo-adjusted, efficacy estimand) in its first phase 3 trial – and an improvement to knee osteoarthritis

https://t.co/aIK2cPQWHZ