ABCTUTORIALMED

Your go-to source for clear, concise, and engaging medical tutorials. Simplifying complex concepts for students and professionals alike.

[ABCTUTORIALMED @ABCTUTORIALCLI]

https://t.co/cSiz7zi9c8

[hormone_healer @kolla_bharathi]

“Doctors treat symptoms. We treat the root cause.”

This line is usually said by people who have never opened a physiology textbook.

Hormones. Feedback loops. Receptors. Axes. Metabolism. Evidence.

But on social media, root cause means:

• 10 kg weight loss → Hormone Coach
• Canva certificate → Endocrine Expert
• Saying “insulin resistance” loudly → Metabolic Specialist
• Drinking jeera water → Thyroid Detox Authority

Meanwhile, someone who did MBBS → MD → DM Endocrinology must submit biodata, caste certificate, college history, and viva voce to strangers in the comments , and random people questioning if I really know what menarche and menopause means?

Incredible country.

Here, ignorance gets followers.
Education gets interrogated.

You can “reverse menopause,”
“detox thyroid,”
“reset hormones,”
“cure PCOS,”
with seeds, smoothies, and slogans…

…and people will say “So true doctor.”

But when an actual endocrinologist talks about diet, physiology, and metabolism,
suddenly everyone becomes a scientist.

Because reels are easier to digest than textbooks.

We now live in an era where:

Anecdote is evidence.
Confidence is qualification.
English fluency is expertise.
And ring lights produce endocrinologists.

The loudest voices explaining cortisol today are people who would fail first year MBBS biochemistry.

Yet they speak with the authority of a guideline committee.

And the real comedy?

A doctor with 15+ years of training is told,
“You don’t treat root cause.”

No.

Apparently, root cause is now sold in a 30-day detox plan with a referral code.

This is not funny anymore.

This is what happens when pseudoscience gets better marketing than medicine.

And since we are talking about “truth” and “root cause” — here is the real one:

Everything I listed — detox, reversal, reset, anti-ageing with diet — is nonsense.

Not exaggerated. Not controversial.
Medically impossible.

Except for one narrow, evidence-based exception:

• Type 2 diabetes can go into remission in some carefully selected individuals with significant weight loss and sustained lifestyle change. Not all. Not most. Some.

• Thyroid function may normalize only in very specific situations like subclinical hypothyroidism due to transient causes such as iodine/nutrient deficiency or thyroiditis.
Overt hypothyroidism does not “reverse.”

Menopause doesn’t reverse.
PCOS doesn’t get cured.
Hormones don’t get “reset.”
Thyroid doesn’t get “detoxed.”
Ageing doesn’t go backwards.

If anyone tells you otherwise, they are selling hope packaged as physiology.

And hope sells better than science.

That is the real problem.

(P.S. I’m not kidding.)

[ABCTUTORIALMED @ABCTUTORIALCLI]

@BodyExplained Congratulations 🎊

[ABCTUTORIALMED @ABCTUTORIALCLI]

@ParveenYograj @DrAkhilX @Doctors__squad @SukhSandhu @modernHealthMe @s_mamta99 @ChatGPTJob Congratulations 🎊

[Dr Parveen Yograj @ParveenYograj]

I AM DEEPLY HONORED TO BE INVITED TO CHAIR SESSION NO. 1 at THE AOI-CANclave on GALLBLADDER CANCER Updates, organized by the AMERICAN ONCOLOGY INSTITUTE, JAMMU, in collaboration with ASCOMS Hospital. This flagship academic event on 12th September 2025 at KC Residency brings together eminent experts to deliberate on the latest advances in gallbladder cancer management.
I extend my heartfelt gratitude to the organizers for giving me the privilege to chair the session on “RADICAL CHOLECYSTECTOMY &BEYOND BEYOND ”, a subject of immense surgical & oncological relevance. Such initiatives are invaluable in enhancing knowledge exchange, fostering collaboration, ultimately improving patient outcomes.
Radical cholecystectomy is the standard surgical approach for resectable gallbladder carcinoma beyond T1a stage. It involves en bloc removal of the gallbladder with a wedge resection of liver segments IVb and V, along with regional lymphadenectomy. The aim is to achieve R0 resection with optimal clearance of both hepatic and lymphatic disease spread.
KEY POINTS IN RADICAL CHOLECYSTECTOMY:
INDICATIONS: T1b, T2, and selected T3 gallbladder cancers.
EXTENT OF LIVER RESECTION: From wedge excision to extended hepatectomy depending on tumor spread.
LYMPHADENECTOMY: Porta hepatis, cystic duct, common bile duct, hepatic artery, and celiac axis nodes.
BILE DUCT RESECTION: Considered if cystic duct margin is positive or when nodal clearance requires it.
BEYOND RADICAL CHOLECYSTECTOMY:
Advances in surgical oncology and multimodality care are reshaping management:
ADJUVANT THERAPY: Role of adjuvant chemotherapy and chemoradiation remains crucial in high-risk disease.
MINIMALLY INVASIVE APPROACH: Selected centers are now performing laparoscopic or robotic radical resections with comparable oncological outcomes.
MOLECULAR AND TARGETED THERAPY: Research into molecular markers and immunotherapy is opening future avenues.
MULTIDISCIPLINARY CARE: Collaboration among surgeons, oncologists, radiologists, and pathologists ensures individualized treatment planning.
IN CONCLUSION, while radical cholecystectomy remains the cornerstone of curative treatment, the approach must continually evolve with evidence-based refinements, integration of systemic therapies, and technological innovations to improve survival and quality of life in gallbladder #Cancer patients.
@IhabFathiSulima @drkeithsiau
@Lap_surgeon #MedTwitter #MedEd #MedX #CancerCare #Oncology #GallbladderCancer #SurgicalOncology @ajaykraina #CancerAwareness #MedicalEducation #CME #Jammu

[ABCTUTORIALMED @ABCTUTORIALCLI]

🦷

[The Body Explained | Medicine, Injuries, A+P @BodyExplained]

Dental Trauma🦷

[Aravind Palraj @Rheumat_Aravind]

🧵 Thread: ESR vs CRP – Friends? Foes? Or Just… Different?

They’re both inflammatory markers—but they don’t always agree.
Let’s break down how they differ, overlap, and mislead.
#MedTwitter @IhabFathiSulima @DrAkhilX @CelestinoGutirr

[ABCTUTORIALMED @ABCTUTORIALCLI]

🫀 Ventricular Fibrillation (VF) is the most dangerous arrhythmia—chaotic electrical activity leads to cardiac arrest in seconds.

@BodyExplained @Doctors__squad @IhabFathiSulima @ParveenYograj

[ABCTUTORIALMED @ABCTUTORIALCLI]

@michola94 @pshegs Seedless fruits can actually occur naturally, although rare.

[ABCTUTORIALMED @ABCTUTORIALCLI]

Doctors operating on a Patient in Russia amid the ongoing Earthquake and refused to leave.
Everyone in thw clip is reported safe.

[ABCTUTORIALMED @ABCTUTORIALCLI]

The uterus transforms during pregnancy — from a small pelvic organ to an expanded space reaching the rib cage!
It grows over 20 times in size, increases in weight from ~70g to over 1kg, and its volume can go from just 10 mL to up to 20 liters!
@ParveenYograj @IhabFathiSulima

[ABCTUTORIALMED @ABCTUTORIALCLI]

Wow.

[kira 👾 @kirawontmiss]

Japan is on a different level…

[ABCTUTORIALMED @ABCTUTORIALCLI]

Overview of the anatomy of perineum.

@BodyExplained @Doctors__squad @IhabFathiSulima @ParveenYograj

[ABCTUTORIALMED @ABCTUTORIALCLI]

There is also the African Enigma as regards H pylori infection and gastric cancer.
Despite high prevalence (70-90%), gastric cancer rates are relatively low.

Possible reasons:
H. pylori strains (less virulent strains)
Host genetics
Dietary or environmental protective factors

[Dr Aditya Gudheniya @Gastronaut___]

India has one of the world’s highest Helicobacter pylori infection rates , estimated between 50-90%, often acquired in early childhood.
In contrast, Japan’s H. pylori prevalence is around 55%.
Yet, India reports a much lower incidence of gastric cancer (~4.5 per 100,000) compared to Japan (~27.6) or China (~13.7).
This mismatch between high infection and low cancer burden is known as the Indian Enigma.

This is one of the reason why India doesn’t implement population wide H. pylori screening:- very high infection rates without correspondingly high gastric cancer

[ABCTUTORIALMED @ABCTUTORIALCLI]

Thank you to every single person who watched, liked, shared, and learned with ABCTUTORIAL.
This journey has been nothing short of amazing, and it's all thanks to YOU.

@BodyExplained @Doctors__squad @IhabFathiSulima @ParveenYograj

[ABCTUTORIALMED @ABCTUTORIALCLI]

🧠💀 Surface Anatomy of the Skull!
Ever wondered what lies beneath the skin, Let’s explore the bony landmarks of the human skull in this quick 3D tour!

@BodyExplained @Doctors__squad @IhabFathiSulima @ParveenYograj

[ABCTUTORIALMED @ABCTUTORIALCLI]

Even Healthwise.

"The biggest enemy of health in the developing world is poverty."
— Kofi Annan

[Arojinle @arojinle1]

People don't really know how terrible poverty is.

They think it's just a lack of money.
Meanwhile, it's lack of money, access, help, choice, mentorship, and so much more.

It's the absence of someone to guide you through doors you didn't even know existed.

It's watching opportunities pass by not because you're lazy, but because you never even heard they were calling.

It's waking up with talent in your bones, fire in your chest, but nowhere to pour it into.

It's being brilliant, but stuck, because brilliance alone can't buy data, can't pay transport, can't afford connections.

Poverty blocks travel. It blocks exposure. It blocks the kind of education that teaches you how to dream and reach.

It blocks safety, because when you're poor, even sickness becomes a luxury you can't afford to have.

It blocks creativity. Not because the ideas aren't there, but because survival takes up all the mental space.

It blocks confidence. When all you've ever known is lack, it rewires your self-worth.

It blocks voice. Because society listens differently to someone with empty pockets.

It blocks experimentation, because you can't afford to fail when failure means hunger, prison or even death.

It blocks rest. It steals sleep. It drains peace.

It blocks time, as everything takes longer when you have to figure it all out alone, from scratch, with no safety net.

It blocks joy. Not all of it, but the kind that lasts.

It blocks visibility. You can be exceptional and invisible at the same time if you're poor.

It blocks love. Real, safe, sustained love.
It blocks even the belief that things could ever be different.

But here's what makes it more tragic... Poverty is not just financial. It becomes mental. Emotional. Generational.
It passes down like an unwanted inheritance. A chain of silence, of limits, of "manage it like that,"
... of "this is how it's always been."

Gradually, it stops being just a condition. It becomes an environment. A culture. A cage.

So if you've escaped poverty, I congratulate you. What you have accomplished is in the list of top three most difficult things in the world. Please, don't just count your blessings, reach back, open doors and help some out too. Just be sure that you've escaped totally. You can pull people out of the well if you've made it outside the well. Doing it inside the well can make you fall back to the bottom.

If you're still in it, hold on. You're not crazy. You're not broken. The system is.

And if you're in a position to do something, do something. Not everyone needs a miracle. Sometimes, people just need a ride to the interview.

A connection. A kind word. A break.

What you feel is a negligible help might just be what they need to begin to break the chain.

[ABCTUTORIALMED @ABCTUTORIALCLI]

The truth is a doctor cannot "fully" understand a disease if they haven't lived it.
Which is why in clinical medicine, you don't "underate" or "dismiss" any patient's symptom even if sounds illogical.

[Bright_light @Dr_Schro]

@Wizarab10 Sir Wiz, Thanks for the excellent submission. However, I beg to differ from the last point which says "You'll not understand poverty if you've never lived it".

That statement is too broad. It's like saying a doctor will not understand a disease bcos they haven't experienced it

[ABCTUTORIALMED @ABCTUTORIALCLI]

🧠✨ 3D Rotation of the Human Skull!
🎥 Watch the full rotation to appreciate the details.
🔄 Loop it to study bone landmarks.
💀 Can you name all the visible bones?
@BodyExplained @Doctors__squad @IhabFathiSulima @ParveenYograj

[ABCTUTORIALMED @ABCTUTORIALCLI]

@grok @ParveenYograj @IhabFathiSulima @ajaykraina @Doctors__squad @SukhSandhu @1JKPDP 💯