M.Thomas MD

Medical Doctor. MD Graduate from @cuhas_bugando 2020. Monitoring and Evaluation Expert from @University of Washington. Physician and Digital health Aspirant

[Internal Medicine Residents @Makerere @InternalmedMak]

Hearty congratulations to Dr Jacob Senkondo the man from Tanzania on a successful defense.

[M.Thomas MD @calist_thomas]

@InternalmedMak Congratulations Dr Senkondo

[M.Thomas MD @calist_thomas]

@DrOribaDan @2008gomu @CelestinoGutirr @docakx @DrDimitrios @DrBalukuJoseph @caleb_kirabo @faith_nabushawo @agabagift2 @LifeSpringMed Well noted Chief

[M.Thomas MD @calist_thomas]

@DrOribaDan @2008gomu @CelestinoGutirr @docakx @DrDimitrios @DrBalukuJoseph @caleb_kirabo @faith_nabushawo @agabagift2 @LifeSpringMed What’s your Comment Chief about this.
ACEP vs SSC 2026 guideline.

[Dr Honey choudhary 🩺 @Doctors__squad]

Basics of Heart Sounds in
2 minutes 🩺 😍

[Dr. Kala. MD @kalegamyeh]

Almost madaktari 10000 kutoka sehemu mbali mbali duniani wamepata nafasi ya kuanza residency mwaka huu chini Marekani. Madaktari hawa wataanza na mshahara wa dola 5800 mpka 6500 kwa mwezi wakiwa vyuoni. Kisha kuanza na mshahara wa dola 20000 mpk 50000 kwa mwezi wakimaliza chuo.

Wakati unafanya kazi na kulipa Ada huko MMED, wenzako wanalipwa.😁

[Keith Siau @drkeithsiau]

I might be completely wrong, but based on this photo, my diagnosis is Type 3 polyglandular autoimmune syndrome. This is because if you zoom in and look:

1. The patient’s right foot suggests a diagnosis of vitiligo.

2. The doctor @DrOribaDan is examining the left foot for clonus. The hype from surrounding med students suggests this is positive.

3. Vitiligo + positive clonus is suggestive of subacute combined degeneration of the spinal cord (SCDSC). This happens with severe B12 deficiency, often in the setting of pernicious anaemia. Alcohol can cause low B12, but rarely low enough to cause SCDSC.

4. The combination of vitiligo and pernicious anaemia is seen in autoimmune polyglandular syndrome, specifically type 3.

5. Worth checking cortisol levels, coeliac serology, intrinsic factor and antiparietal antibodies, and administering intramuscular B12, in addition to brain a spinal imaging for completeness.

[Keith Siau @drkeithsiau]

How to interpret abnormal LFTs 🩸🧠

📸: https://t.co/HK8wLmKDmd

[M.Thomas MD @calist_thomas]

@drkeithsiau Congratulations Chief

[M.Thomas MD @calist_thomas]

@Vighrane01 Can I get sofcopy ?

[Hamdi # رهَبوت @Hamdisinsight]

@EM_RESUS My take … TBC

[Keith Siau @drkeithsiau]

PPI comparison table 🆚💊

https://t.co/BrmdARqNbz

[Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) @rkalyes1]

🏥 35y/F recently started on dialysis and other Rx presents with a skin rash.
She had oral sores and odema. Urine had bld & protein ++++
👉 What is the diagnosis?
👉 Explain what is likely to be happening here.
@TSM_Humanist
@ChefKarim02
@DrOribaDan
@drkeithsiau
@dr_katumwa

[Robert Kalyesubula,MD, FISN(USA), PhD-FRCP(London) @rkalyes1]

🏥 💉 🩺 Doctors, Doctors!
This is a common plea from our patients!

[Prof. Mohamed Janabi @ProfJanabi]

I am deeply honored and humbled to be elected as the WHO Regional Director for Africa @WHOAFRO .
This is not just a personal milestone, but a collective victory for our continent’s unwavering pursuit of better health for all. I thank the Member States for their trust and confidence in me. Africa is a continent of resilience, innovation, and boundless potential. As we face evolving health challenges, my commitment is to work with all partners to strengthen health systems, promote equity, and ensure no one is left behind.
To my colleagues in Tanzania and across Africa; this journey belongs to all of us. Let’s walk it together, with purpose and unity. Thank you so much.

[M.Thomas MD @calist_thomas]

T2DM

[Dr. Muhammad Moor @MoarSahitoPTI]

Type 2 diabetes management. 📌

[Jasmine Sethi @JasmineNephro]

🥗 Ketogenic diet in CKD-Very low Carb diet

👎Let’s look at Con part

🤷‍♀️Limited benefit in CKD

😡Poor patient adherence

🤔Keto diet➡️Dyslipidemia 🆙LDL Chol

👎Risk of metabolic acidosis

https://t.co/pldZ5hs5nq

@CKJsocial

[Jasmine Sethi @JasmineNephro]

🩸 Anemia correction with SGLT2 inhibitor

🤷‍♀️ It’s not just due to hemoconcentration/diuretic effect of SGLT2i

✅Its also due to ⤴️EPO production

✅Benefecial in CKD- Can ⬇️ Erthropoitin dosing

👎Caution in pts with high baseline Hb level (ADPKD)

@NDTsocial @hjanders_hans

https://t.co/isat7s9LFg

[Jasmine Sethi @JasmineNephro]

🫘🏥 Vaccinations dose and schedule in CKD

👌Info by @nephromythri

[John Chidịebube Ọkpara @Auxtas]

On behalf of the USCCB, Bishops Robert Barron and Daniel E. Thomas responded to the executive order calling for policies to make In Vitro Fertilization (IVF) less costly and more available.

Not many people understand the theological and sociomoral implications of IVF as a violation of the dignity of the human person and the integrity and integrality of human sexuality, marriage, and family.

#auxtas #IVF