@amittiw84@theskindoctor13 Saying "I'm 100% sure". Interesting. Is it a guess or you have done some investigation on this to arrive at this conclusion?
Almost every dementia consultation in my OPD begins the same way.
Doctor, he doesn’t recognize us anymore.
He doesn’t sleep at night.
He refuses to eat.
He keeps asking the same question.
Everyone is talking about the patient.
Then I look at the person sitting beside them and ask,
And how are you coping?
For a few seconds, there is silence.
Then the tears come.
That is the part of dementia we rarely talk about.
The disease slowly takes away the patient’s memory.
It quietly drains the family as well.
As neurologists, we are trained to diagnose dementia and prescribe medicines.
But I feel our job doesn’t end there.
Our responsibility is also to prepare families for what lies ahead, help them make difficult decisions without guilt, and remind them that comfort is not the opposite of good care.
Many families leave my OPD with the medicines they came expecting.
I just hope they also leave with a little less fear than they walked in with.
#Dementia #Neurology #Caregivers #PalliativeCare
I don’t know if this story is true or not.
But I know for sure this person is not an investor. He bought shares without knowing about cos and kept averaging based on price not on value of whatever he could understand. And as price fell he felt helpless. Stop loss is a trigger on price action not value action. And in trading it may not matter whether you buy Infosys or a lesser known co.
At some price he lost and at some price someone won. What will transpire over time will depend on co earnings and value which are clearly not even in his radar. It’s a diff thing I was negative on IT sector for years but my point here is only to emphasise the diff for this person to seek sympathy for his own misdeed. Though I hope he recoups. And learns.
@moneycontrolcom
My favourite example of Goodhart 's Law is from a Koramangala restaurant around a decade ago.
After your meal, the manager would come around and ask very graciously whether you enjoyed the meal. If you were effusive in your praise, he would hand out a feedback form. For anything else, you only got a sympathetic ear.
If that guy isn't CEO somewhere, there's no justice in this world.
@aditya_kondawar Putting one's life savings into an overpriced house because the landlord asks you to vacate the rented house shifts one type of problem to another and doesn't solve the issue.
#RightToWalk This is the condition of the footpath on Old Madras Road near Byappanahalli Metro/police station on Wednesday, after the Safe Footpath drive.
This campaign should not be limited to removing encroachments but must also ensure the footpath is truly walkable @krishnabgowda@GBAChiefComm@GBA_office
Heartbreaking. My deepest condolences to the families who have lost their loved ones.
World-class highways alone aren’t enough. They must be matched by world class road discipline, enforcement and driver education.
Until reversing on expressways and wrong-side driving invite swift, certain consequences, we’ll keep building better roads while failing to make them safer.🥹
@AdityaD_Shah "Bad management commands discount". In this case, did the stock move based on whether the management was good or bad or did we decide if the management is good or bad based on stock price movement??
Daycare calls me. That's never good.
For them.
Daycare: "your son hurt his elbow and won't move his arm. Can you come take him to a doctor's office?"
Me (ex Special Forces Medic): "A real doctor is on the way to you now. I am 6 mikes out. Alert me of status changes."
I arrive at daycare. I locate the patient. 21 month old male. Scene is not safe. I drag the patient to cover and concealment behind a seesaw, away from the other small terrorists in the AO.
I begin my assessment. Blood sweep negative for massive hemorrhage. Mental status: conscious and verbal but confused (answers "dada" when asked for blood type). One breath every 2 seconds. Bilateral rise and fall of the chest. Strong carotid pulse, strong bilat radial pulse.
Teeth and tongue intact no blood no mucus no dip or foreign objects. Eyes PERRLA, negative JVD/trach deviation, C-spine intact upon palpation.
Heart sounds strong upon auscultation. Percussion negative for hemo-T. Abdominal quads normal upon palpation. Pelvis negative for book sign.
Arms and legs negative for crepitus. However, Patient indicates discomfort in right arm upon palpation and supination/flexion of the elbow.
Nursemaid's elbow.
I begin interventions. Supination/flexion technique complete at 1215. Palpable clunk on successful reduction. I write the time on his chest in Sharpie. I tape a popsicle to his hand and tell the patient to suck but do not bite/chew. I write "1 x popsicle (10g sugar)" on his chest in Sharpie.
I reassess the patient after performing interventions then package the patient for handoff to daycare/higher level of care. I yell at daycare over the Blackhawk in my head: "21 month old male!!! Nursemaids elbow!!! Treated with supination/flexion technique at 1215!!! Patient has 1 x popsicle onboard!!"
Daycare: "sir please leave."
Me: "you should have called my wife."
In the next ten years, there would be a few wonderful startups in India, from the NRIs that have returned for good, due to de-globalization (aka Visa issues).
@Ankit2626Jain@ANI Being an armchair warrior feels great. Reality is- one move from his knife and anyone can get hurt badly or get killed. Even if a group jumps on him. One needs to ask themselves if they are okay to be that person to get hurt/get killed.
@Ankit2626Jain@ANI It would be wonderful if you could mention one of the instances when you took such brave action along with others. If none- reality hits different when things are happening in real versus watching a video on Twitter.
Dear leaders- make India livable. Build cities that are aspirational for all. Moving abroad has become a norm for our bright minds. It's when our brightest feel a good future in our country, they stay and build.