Aravind Balaji

Let's hear the story of this world ✒️

[Aravind Balaji @arvybala]

Maybe always .. (because pinned tweet) 🙏🌞

[kavi @vali_maame]

On this #WorldSuicidePreventionDay , take a self pledge to spread happiness and joy, and try to always be kind to all, cuz we all have our own battles which we don't express. Being kind to all is the way to create a beautiful society eventually.

[Aravind Balaji @arvybala]

@Kettavan__Memes @ChennaiIPL @msdhoni @PRASANTH24FEB

[Nothing @nothing]

who is already sick of the look between trend?

Look in the mirror.

[Aravind Balaji @arvybala]

@gopi_rajen @Ajumplakdibampa So, i am not alone 🌝🌝✌️

[TheLiverDoc™ @theliverdoc]

The 4th Laddu.

These 3 laddus were given to me by the wife of my patient on his birthday, a few weeks before.

She was now happy and the family was doing good for themselves.

My patient Paul, suffered from alcohol use disorder. He had been drinking for more than 15y. Three months back, he developed severe alcohol-related hepatitis. Jaundiced, with abdominal fluid, blood infection and disoriented, he was transferred to our Unit for expert management & liver transplant.

Liver transplant was not an option from the outset. Paul owned a small provisions and bakery shop, had two girls, aged 5y and 9y and his wife worked part time errands, but quit after the girls were born. They did not have enough money to evaluate Paul for the transplant.

So we put him on antibiotics, cleared the infection and put him on a salvage stool transplant to increase his life. You can read more on it here: https://t.co/kAWFmEJJZ7

He responded to it. Alcohol-related hepatitis resolved and he went back to being a stable cirrhosis patient. We put him on a psychiatry program to prevent relapse. He did well. For 3 months. Then stopped coming to my OPD and started drinking again. Initially 300ml/d and then almost a liter/d.

Paul's cousins dragged him to my outpatient department one day and I got to know his relapse was bad. He had stopped meds and was back with his "good friends." He paid for everyone's drinks. I spoke to Paul and told him that it was a disease, he needed help, his friends were not real and his daughters needed a father. He cried a lot and told me alcohol was more an attractive option than anything else. He agreed for deaddiction again and went back in the protocol and also went back to drinking.

Hospital visits and medicines and expenses for buying alcohol for himself and friends were getting a big deal. One day his wife comes in alone and tells me not to get him better again. He gets better, he goes back to drinking and we lose a lot of money. Let him remain little sick, so that we will somehow earn enough from the store to get through. He will be home and I can work at the shop and provide for all.

After a couple months, after a severe binge, he developed severe alcohol-related hepatitis again. This time, it was worse. His kidneys were injured. The family denied admission. They had no money to spare. It would have to come from the daughters education, the mother had kept aside. They lived very far. Almost 400km from where I worked.

For the next 2 weeks, I regularly prescribed medicines, made suggestions to reduce symptoms and comforted the family over phone, while Paul was treated at home. A good physician nearby their home would administer antibiotics and fluids to Paul as he got sicker.

Paul died at home on the 18th day after I diagnosed him with recurrent alcohol-related hepatitis.

Three months after his death, his wife came all the way to visit me, on Paul's birthday, to give me sweets. Three Laddus. One from her and two from the daughters. Because I never stigmatized her or Paul. I did not make her look like a failure. I never blamed her or Paul for his disease. I never shouted at Paul for his behaviour. They were free now. The girls went to school and the wife was now running the shop well.

But all I could think about, was that fourth Laddu. The one I never received from Paul, because he died. A woman lost her husband, two bright young children lost their father. All three lives broken and a void that can never be filled.

I never advise anyone to even consume alcohol occasionally even if they are in the pink of their health. I don't advise alcohol in moderation. I don't, because I have post traumatic stress disorder from seeing families get shattered into a million little pieces due to alcohol.

[Aravind Balaji @arvybala]

Nothing is getting old Carl! 😶

[Carl Pei @getpeid]

The nothing puns are getting old, guys...

[TheLiverDoc™ @theliverdoc]

🚨Scam Alert terms that you must know about🚨

GUT HEALTH
Medical science has never conclusively defined this term. There is no consensus as to what a healthy or normal gut health is or gut microbiome is. Gut health is loosely used by wellness frauds to make a selling point. And is especially used by ill-informed, Insta-ready nutrition-sistas and bros and probiotic selling companies.

HOLISTIC
This term is most commonly used when the person/product has no idea about the disease or diagnosis or the treatment. They pack up their ignorance very subtly into this term that sell it to gullible people to [deceivingly] demonstrate that they know what they are doing, when they do not even know how they are supposed to do it and why the hell they are doing it for.

ROOT CAUSE
The alternative medicine practitioners favorite term. They use this when they do not know what the actual cause for the disease is, and especially in the context of chronic metabolic disorders such as diabetes or hypothyroidism or a chronic inflammatory condition like rheumatoid arthritis or brochial asthma which require long term treatments. They just put this term in the air to cover up for their understanding of disease and treatment and to mislead patients into believing that science-based medicine has no answers and hence no cure for certain conditions.

CHEMICAL DRUGS
Everthing is chemicals. Herbs contain 100s of 1000s of chemicals that can benefit or harm. A multiherbal product contains 100,000 chemicals which can interact inside the body in many different ways to potentially damage organs. Alternative medicine practitioners have no idea about what the active compound is or what it does or how safe it is, so they use this term to "demonize" standard prescription drugs.

ALLOPATHY
This is an obsolete and derogatory term used for centuries old crude 'heroic' medical practice that was prevelant 300-400 years ago. A term coined by Hahnemann, who invented the circus called Homeopathy to mislead people into thinking that Homeopathy is gentle and safe and everything else is strong and unsafe. Homeopathy is dangerous placebo and a reckless fraud. Unfortunately, scientific medicine has been given this term in bad faith by the public, media and regulatory bodies to misinform patients. Allopathy is what your ancient ancestors did and still died at the age of 18. It is not scientific medicine.

DETOX & CLEANSE
The human body has anatomical and physiological processes in place to detoxify and neutralize metabolic wastes. A bottle of herbal decoction or a herbal-oil enema or type of food or drink cannot perform the complex detoxification processes performed by lungs, skin, kidneys and liver. It is stupid to think so. Even stupider to buy such products or subject yourself to such practices. Leave your natural orifices alone.

FUNCTIONAL MEDICINE
Functional medicine is a marketing term designed to confuse patients, promote pseudoscience, and sow distrust in mainstream medicine (@jonathanstea). Functional medicine is a scam and a wellness-fraud. It is burdens the patient with massive investigations, increases financial burden and uses pseudoscientific practices along with poor quality or half-baked medical practice. A lot of it has to do with mixing up Naturopathy, Homeopathy and Ayurveda, all well known pseudoscientific practices.

INTEGRATIVE MEDICINE
"If you mix cow urine with apple juice, the cow urine does not get better, but the apple juice gets worse." Integrative medicine is the biggest quackery where pseudoscientific practices are used to fill gaps in medical care claiming better effectiveness when such benefits remain imaginary. For eg: Using Homeopathy to reduce side effects of chemotherapy or using Yoga along with aerobic exercise to improve diabetes or using Ayurvedic herbs to treat asthma along with standard medicines.

WESTERN MEDICINE
Medicine is medicine. It is accepted gloabally and has the same effect gloabally. Diabetes in India is same as Diabetes in USA. Tuberculosis in India is same as Tuberculosis in Africa. The treatments and approach to all diseases are same globally. There is no South-Western Medicine or Eastern Medicine just like there is no Eastern Physics or Northern Chemistry.

[Zach @Zacharyros3507]

In honor of Andre Braugher, here's one of my favorite scenes from Brooklyn 99

[Aravind Balaji @arvybala]

@punjaikumarsamy Man in black where? 🚶🏼‍♂️

[TheLiverDoc™ @theliverdoc]

Things that your liver will love you to do*

1⃣Brisk walk at least 150 minutes a week
2⃣Run at least once a week
3⃣ Black coffee, no sugar, 3 cups a day
4⃣Avoid alcohol (including Homeopathy) & tobacco
5⃣Sleep for at least 7 hours in a day
6⃣Avoid herbal supplements
7⃣Get your hepatitis B vaccine shot/booster
8⃣Limit added sugars & ultraprocessed food
9⃣Avoid sugar sweetened beverages
1⃣0⃣Lose weight
1⃣1⃣Follow a Mediteranean diet (sans alcohol)
1⃣2⃣ Whole eggs - 5/wk in cardio-metabolic disease
1⃣3⃣Whole eggs - 7/wk if no cardio-metabolic disease
1⃣4⃣ Include fermented food portions in daily diet
1⃣5⃣Listen to real clinical doctors

*based on published scientific evidence

[Aravind Balaji @arvybala]

💙💙💙💙💙💙💙

[Chinmayi Sripaada @Chinmayi]

I am a million times grateful to Mr Lokesh Kanagaraj and Mr Lalit for having taken this stand.

THAT. IS. MY. VOICE. IN. LEO. FOR. TRISHA.

And guess what? I have dubbed in Tamil, Telugu AND Kannada.

#Badass

https://t.co/x747eBCzU7

[Manimugdha Sharma @quizzicalguy]

I had a look at the 'Bharat: The Mother of Democracy' booklet issued during the G20 summit and was quite appalled to see the sophistry, fabrications, and outright lies contained in it. I am sorry to say but this is an assault on intelligence. Some thoughts. #Thread

[Aravind Balaji @arvybala]

Given by whom?

[Virrender Sehwag @virendersehwag]

@pradeepmagazine Playing a game invented by the English is fine, excelling at that sport and becoming better then them at it is even more fine, but naming our country by a name given by them is not necessarily fine

[a girl has a name @humandisaster13]

Best advice from best dad 🫶🏾

[Aravind Balaji @arvybala]

@whiskeysarbath 🥲

[a girl has a name @humandisaster13]

🤡🤡

[Aravind Balaji @arvybala]

and Yet! Stay mum when abuse happens! *slow claps*

[Culture Crave 🍿 @CultureCrave]

#Oppenheimer's sacred text reading sex scene is being condemned in India

"This is a direct assault on religious beliefs of a billion tolerant Hindus ... [it] almost appears to be part of a larger conspiracy by anti-Hindu forces"

[Aravind Balaji @arvybala]

@whiskeysarbath 😂😂😂😂😂😂

[Tushar Mehta Hater 🔻 @kyamazzakhai]

Very accurate representation of the filth who vote for this man. They protected rapists in the Kathua case, released Bilkis Bano’s rapists, and now they justify this. This rot will come to your doorsteps too, middle class upper caste voters.

[Arvind @absolutarvind]

How do these people sleep at night? How are these pathetic losers still in power? What is happening to this country? If you aren’t bothered about the state of affairs in Manipur or any other part of this country. The state of the women & people from a certain religion then 1/2