Dr. Kirtan Shah

Move fast, break things. MBBS🩺

[Ambani 2.0 @ambani2_]

Ahmedabad congress public meeting

Public: Aap Gujarat se hona …?
Congress: yes
P: Kharge ne Gujarati ko gali kyu diya
C: unhone ne maafi maangi

P: to fir hum aap ko public mai chaata maare fir maafi maang le to chalega 😂😂

C: arey aisa thodi hota hai 😭🤣

[AHA Science @AHAScience]

The 2026 Guideline on the Management of Dyslipidemia was recently published.

Here are the top 10 things for health care professionals to know.

[Bear Grylls OBE @BearGrylls]

95% of the battles you'll face in life are fought in your head. Train there first.

[Stanford Medicine @StanfordMed]

A new Stanford Medicine study shows why mRNA-based COVID-19 vaccines can cause myocarditis.
https://t.co/wy6QO55HSu

[Dave. @guidetski]

@F1 Max: Mate, we’re in Vegas, wanna see a magic trick?
Lando: what trick can you do?
Max: You’re 42 points ahead right?
Lando: yeah
MV1: Look again

[ILLIASUL IBAD @IlliasulK]

I was on duty that day, a final-year medicine trainee.
A call came from orthopedics.

“45-year-old man, fall from bike — fracture left distal radius, rib fracture on right side. Now complaining of left-sided chest pain.”

They’d given him diclofenac for pain.
Pain had improved… but 30 minutes later, he started clutching his chest.

“Probably rib pain,” they thought.
But the rib fracture was on the right side.
He kept insisting —

“Doctor, this pain is on the left… and it’s getting worse.”

So they called me.

When I reached, he was in visible distress — sweating, anxious, restless.
No addictions. No comorbidities. No prior drug allergy.

He said, “Initially my pain was in the right chest and left forearm… now it’s heaviness on the left side of my chest.”
The X-ray had ruled out any left rib fracture.
No local tenderness.

Something didn’t add up.

I asked him to describe the pain.
He said quietly,

“Feels like someone’s sitting on my chest.”
He was nauseated, sweating more.

While talking, I noticed something else — red rashes scattered across his abdomen and thighs.
They looked fresh.

“When did this start?”
He thought for a second.

“About 45 minutes ago.”

I checked his drug chart — IM diclofenac for pain.
I looked at the rash again, then at his face turning pale.
The timing fit perfectly.

My orthopedic colleague asked,

“What are you thinking?”

I said, “Let’s get an ECG — now.”
He replied, “We already have one, it was normal for pre-op.”

Still, we repeated it.
And that changed everything.

ST elevation — V1 to V4.
Troponin and CK-MB both high.
Acute coronary syndrome.

We gave a loading dose, sublingual nitrate.
His BP was 150/80.
I added verapamil.

He started feeling better.
We repeated the ECG after an hour —
the ST elevation had vanished.

My colleague asked, “Why verapamil?”
I just smiled.

Because this wasn’t atherosclerosis.
This was an allergy of the heart.

That night, I met Kounis Syndrome —
an allergic storm that spasms the coronaries.
Triggered by a painkiller.

A paradox —
the drug meant to relieve pain had almost broken a heart.

In the following months, I saw two more.
One after penicillin.
One after a bee sting.

Each time, I remembered that man.
And his quiet, unforgettable line —

“Doctor… the pain has shifted to the wrong side.”

Medicine teaches you to treat what you see.
Experience teaches you to question what you don’t.

Sometimes, the clue isn’t in the test —
it’s hidden in the timeline.
In a rash. A word. A hesitation.

That’s where the diagnosis lives.

🩺 #MedTwitter #KounisSyndrome #StorytellingInMedicine #Allergy #Cardiology #Rheumatology #Immunology
#Sullysrounds #MedX #Medtwitter #Mnemonics #Medicine #History
@DrAkhilX @IhabFathiSulima @Janetbirdope #MedTwitter #RheumTwitter
@CelestinoGutirr @aditya_gan3500 @nileshnolkha @nirmalregency

[deutsche thepla @maybesarthak]

the new doraemon meme "accha lawde" is so fkn funny bhai

[Royal Challengers Bengaluru @RCBTweets]

𝐂𝐇𝐀𝐌𝐏𝐈𝐎𝐍𝐒 ⭐️ RCB PLAYED BOLD! 😇

17 Years, 6256 Days, 90,08,640 Minutes later, the wait finally ends. 🙌🤯

The IPL Trophy is finally coming home. And we CANT KEEP CALM! 🤩😍❤️

[Royal Challengers Bengaluru @RCBTweets]

For every ’mundin sala’… this one’s for ‘Ee Sala….. 🙏

[ANI @ANI]

#WATCH | Delhi: At Arctic Circle India Forum 2025, EAM Dr S Jaishankar says "When we look at the world, we look for partners, we don't look for preachers. Particularly, preachers who don't practice at home what they preach abroad. Some of Europe is still struggling with that problem. Europe has entered a certain zone of reality check. Whether they are able to step up or not is something we will have to see...If we have to develop a partnership, there has to be some understanding, sensitivity, mutuality of interest and a realisation of how the world works ..."

[Kshitij Kulshreshtha @kshitijkulsh]

@mufaddal_vohra That is why parents used to say, enjoy life but have good friends around you

[BJP @BJP4India]

It has always been the U.S. State Department behind this agenda.

A French investigative media group, Mediapart, has revealed that OCCRP is funded by the U.S. State Department's USAID, along with other deep state figures like George Soros and the Rockefeller Foundation.

In fact, 50% of OCCRP's funding comes directly from the U.S. State Department.

OCCRP has served as a media tool for carrying out a deep state agenda.

[Dr. Kirtan Shah @_kirtans]

@BeingSalmanKhan X timeline is insane!

[Troll Football @TrollFootball]

El Clasico highlights

https://t.co/IKdiqcxWGY

[Open Letter @openletteryt]

IISC: Started by Tata (Gujarati) and Indian govt, initial directors were Britishers and then CV Raman (Tamil)

ISRO: Started by Indian govt and Vikram Sarabhai (Gujarati)

HAL: Started by Walchand Hirachand (Maharastrian)

These men made Bengaluru a knowledge hub. Today, linguistic clowns would have called them 'outsiders'.

[Formula 1 @F1]

Ferrari family selfie 📸😁

#F1 #ItalianGP

[Rohan Khandelwal @docrohan]

Security of doctors is a national issue, not a regional one. To suggest otherwise ignores the reality that violence against doctors isn’t confined to one state.

Holding a region responsible or ‘ransom’ is a dangerous oversimplification of a much larger problem.

@TOIIndiaNews

[Mufaddal Vohra @mufaddal_vohra]

Virat Kohli and Rohit Sharma lifting the World Cup trophy at the Marine Drives. 🏆

- Picture of the Day! 🇮🇳

[𝑨𝑩𝕏𝑫 @abxdalt]

Happy Retirement Goats