Bamishwar Nameirakpam

MBBS 2018 Batch
SMIMS

[Aditya Gupta @DrAditya2935]

It’s been 10 years since I have been associated with Medicine.
And still, the most difficult question to answer is - when a patient asks
Will I be alright? Am I going to be fine? Would my child be alright?
NRP says 90% of the deliveries don’t require any resuscitation. Most Asthma attacks tend to subside with just Salbutamol nebulisation.
Heck, even standard Risk ALL has 95% cure rate in children .
But how do I Answer that question for that particular patient?
How can I be sure?
And that’s what makes medicine all so exciting and interesting. And sometimes, unimaginably tough.
Each person is different, every symptom distinctive, every disease has its own flavour.
Every person, every patient unique in its own idiosyncrasies.
Every one with their own set of quirks, each disease with its own set of do’s and don’ts
It can get tiring. It can get exhausting. But it’s never boring.
And I can’t thank my stars enough to be apart of this marvellous field.
I answer that question with a maybe.
‘ Maybe. We will try. We will try our best‘
And isn’t that how exactly how life is? A big maybe. And all we got to do is try. Don’t give up. Never give up.
It’s tough to not know for sure. To deal with the uncertainty, the randomness of it all. It’s human life after all - how can you be uncertain. But that’s how life is - uncertain.
Medicine is Imperfect, imprecise, illogical at times. Just like life.
You just need to do it each day every day. Just like life.
And take each patient as it comes. Each day as it comes.
One patient at a time. One day at a time.

[Dr. Vrinda Kabra @KabraVrinda]

Every-pathy WANTS to claim that they are the ones who find out the ROOT cause and dont just treat the symptoms, meanwhile evidence based medicine has been taught in a way to the residents to cater to the horrible doctor-patient ratio, the lack of resources population has to pay for “root causes”, and the overall lack of change in treatment algorithm even after finding the root cause.

But, even if doctors do start trying to find the “root cause” by doing a Holter ECG, or a brain MRI, or a genetic test, a HOMA-IR, the next day theres a post on twitter scandalising the money hungry doctors 👀
Ofcourse these tests cost money 👀 which is why they are not extremely popular for a population that cannot afford 3 meals a day 👀 and not because doctors dont read about them.

1)So like, do YOU want to know the root cause or not?
2)do you want to know the root cause but only from the mouths of a pseudopathy practitioner?

Which is it?

[Bamishwar Nameirakpam @bamishwar_n]

@DrShauryaGarg A-QT prolongation
B-physostigmine
C- it increased cardiac depression and cause seizures

[A. Bimol Akoijam @Bimol_Akoijam]

Accountability is a word not found in the Government of India's dictionary under the present BJP leadership…

It’s not only about NEET and question leaks but also about numerous issues: electoral bonds, the PM CARES Fund, the tragedy of Demonetisation and the Covid fiasco, including the Covishield vaccine controversy…This is in addition to the general abuse and subversion of institutions, including the basic mechanisms of the legislative oversight function under the parliamentary system.

Far from the cosmopolitan gaze, amidst these “national” issues, like the invisible provincial tragedies of the distant colonies of the European empires of yesteryears, Manipur, my home state, has been reeling under an unprecedented tragedy for more than three years.

Today, as I witness the tear gas and lathi charges right in the heart of Delhi, I can’t help but think of the blown-off shoulder and pellet-ridden heads of protesting young students as they face tear gas and pellet guns in Imphal during the present crisis in Manipur…And of course, those mutilated and bruised bodies, burnt down villages and residential complexes, life of the internally displaced persons (IDPs) in the wretched condition of the so-called “relief camps”, pathetic conduct and bankruptcy of the political class, and the incompetence and failures of the security establishments, including units of the powerful Indian army, under whose nose, hundreds of people have been killed, thousands of houses burnt down and villages emptied of their inhabitants… There is NO ACCOUNTABILITY for all these criminal acts and negligence.

And the PARLIAMENT of the largest democracy doesn’t have time for any discussion on this tragedy…Let alone fixing accountability, to make the tragedy visible itself is a struggle; to recognise it as a tragedy of a “constituent state” of the UNION, if not a “national issue”!

Unthinkable, and unconstitutional as it is, people are still not able to move freely in the state or get access to the “national” highways, as they are being denied access, or there is no security for them to get access to these highways because they belong to this or that community (as if Article 15, Article 19 are not for the people of the state).

And just as they cannot get access to roads, air travel becomes a necessity. Airlines have been milking these helpless people by hiking prices, and when elected members like me have approached the ministry and other officials, they say these are “private airlines” driven by demand and supply, and hence the Government cannot impose a “fare cap,” etc.

And lo! When the Indigo crisis hit the “national mainstream”. The Government of India imposed a “fare cap” to stop the airlines from exploiting the situation by manipulating the fare hike!

But one day, hopefully, accountability will be heard, and the reality that postcolonial scholars talk about, namely, the continuity of the colonial in the postcolonial, will also finally come to an end! "Vande Mataram”, "Ima Leipakna Yaiphare"!

#cjp_पार्टी #sansadchalo

[Dr. Shalin Shah @GuyThatbrown]

“Nothing humbles you quite like being the person in the white coat to a patient in a hospital gown.”

In January of 2026, I was diagnosed with Acute Myeloid Leukemia. For those outside the medical sphere, it’s a chaotic, aggressive monster of a disease, a type of blood cancer.

[Bamishwar Nameirakpam @bamishwar_n]

@Peroneal_ Check marrow MCQ ID: MF6032

[Bamishwar Nameirakpam @bamishwar_n]

@nihardesai89 @docakx @DocPriyamMD @drkeithsiau @drsthanus Sir..can it be cystic fibrosis?
Considering his brother was also affected and ... staph infections

[Bamishwar Nameirakpam @bamishwar_n]

@_Kratik_Agarwal Multiple enchondromas
Ollier's syndrome?

[Bamishwar Nameirakpam @bamishwar_n]

@mondalankit007 @ScalpeLwizard @DrAditya2935 😂😂

[Bamishwar Nameirakpam @bamishwar_n]

@_Kratik_Agarwal 100 qs ini pyq custom modules
Along with my own schedule of revising is enough?
GT wrong qs analysis is taking too long sir

[Bamishwar Nameirakpam @bamishwar_n]

@differential404 @crissa9009 Oh yeah
I got it wrong.
Thanks for correcting

[Aditya Gupta @DrAditya2935]

You only fight when the fight is fair.
If it ain’t fair - you fuck off from there. Sometimes- it’s just about survival.

People ask - why do people tolerate toxicity in residency. They can complain, resign etc etc.

Actually they can’t .
It’s an extraordinarily unfair fight.

When you join residency - in many if not all states - you can’t resign without paying a huge bond (upto 1 crore)!
You’re also banned from counseling for 3 years.

You can’t complain - whom will you? - to HOD?
You think that same HOD doesn’t know about what’s happening in the department.

The faculty will ensure you fail in MD exit if you talk/rebel.
Or will not sign your thesis.
Half the suicides - the trigger is almost always pressure over a random thesis(which should be banned imo in India)

It’s worse in surgical branches- they won’t give you a chances/any cutting.

It’s an unfair fight.
And people - just - they just survive.
It’s 1 year. Maximum 2. They keep the head down - tolerate the humiliation and just leave after taking the damn degree.

[Bamishwar Nameirakpam @bamishwar_n]

@ScalpeLwizard Done.
Thanks brother🤝

[Bamishwar Nameirakpam @bamishwar_n]

@ScalpeLwizard Payment is done.
Transaction receipt sent via email
Application status is showing pending.
Does this happen for everyone?🫠

[lana @___lanaline]

The Northeast has produced films that have earned international acclaim and within the local theatres, yet there's no dedicated platform to watch them. It's time for the region to launch its own online hub for all Northeast cinema.

[Bamishwar Nameirakpam @bamishwar_n]

@ScalpeLwizard Les go!💪

[Bisoya Loitongbam @BisoyaLoitongb1]

A lesson from a peripheral ICU in a conflict-ridden district.
On 15 Dec, an 11-month-old girl was admitted at 8:30 pm to the 10BedICU Spoke ICU at Churachandpur District Hospital, Manipur, in status epilepticus. Standard escalation was initiated—benzodiazepines, repeat dosing, followed by levetiracetam. The seizures did not settle. During treatment, the child aspirated, leading to acute desaturation and bradycardia.
With real-time guidance from a Meitei Hub ICU specialist and on-site pediatric support, the team took a timely call to intubate (~8:45 pm) for airway protection. The child stabilised, was extubated on 17 Dec, and shifted out of ICU on 18 Dec, stable and breathing on her own.
This is not an isolated case. Over the last two years, the Churachandpur Spoke ICU has managed more than 1,550 acutely critical patients—many arriving with extreme physiological derangements that, as a Hub doctor notes, are often described in textbooks as “non-salvageable.”
One recent case had an ABG pH of 6.7. At this peripheral ICU, the nursing team—led by Sister Lian—responded calmly and decisively, in constant coordination with the Hub specialist. The pH improved, and the patient recovered.
Over the last couple of years, health workers belonging to the two warring communities—Meitei critical care specialists at JNIMS and Kuki doctors and nurses at the Spoke—have continued to work together, quietly and consistently, to save lives.
At the 10BedICU Spoke ICU at Churachandpur District Hospital, Manipur, this coordination has endured despite disruptions driven by conflict and vested interests—disruptions that do not reflect the intent of most ordinary people. What keeps this going is not infrastructure alone, but trust, clinical skill, and sustained coordination across communities, focused only on saving lives.
I hope this story reminds our youth that the future is built not by those who deepen divisions, but by those who show up, work together, and save lives. #peaceforManipur