Amit Daphale

M D Medicine !

[Amit Daphale @Daphale]

@drradhikachavan @AnandSahaiEUS @DrSonamMathur @drsridhars @giri_gutnliver @ZaheerNabi8 @DrLakhtakia @stefanobps @KDevaniMD Now youngsters are following your work ma’am ! Congratulations! Hope we can get some tips from you !

[Amit Daphale @Daphale]

@UltravioletteEV My bike has been at the base for System upgradation since 5 days. No response. Unhappy with the delay. Response awaited.

[Nico Gagelmann @NicoGagelmann]

Young patient with abdominal pain, anemia, high blood fats and high fever. Diagnosis?

[Nadeem Tehami @helpatologist]

Bubble🫧 sign❗️

In addition to 💦 sign to confirm a technically successful EUSGJ.

Have I fulfilled my lifelong dream & managed to get a sign named after me❓😜

@AnandSahaiEUS @drKumarGI @SanchezLunaMD @KM_Pawlak @docdhir @drdalbir @dredgodfrey @Vikram90439299 @pbendoscopist

[Amit Daphale @Daphale]

@SahajRathi Sir, what size of abscess would you recommend ?

[Sahaj Rathi MD, DM, MRCP @SahajRathi]

A tough case: Difficult cannulation in a juxtadiverticular Type 3 papilla in an older male with choledocholithiasis

Personally I find gentle dissection by needle knife much easier and safer than struggling with a difficult papilla

#GITwitter #ERCP #Endoscopy

📹 sped up 1.5x

[Sahaj Rathi MD, DM, MRCP @SahajRathi]

#EUS guided Transgastric Shunt Obliteration- a novel technique to block shunts for difficult to treat Hepatic Encephalopathy

Supplementary data out now, contains:
👉Video of the technique
👉Case details
👉EEG data

Video link:https://t.co/7U1iwhRhDv

#Endohepatology #GITwitter

[Amit Daphale @Daphale]

Subscription dilemma - Apple Music vs Spotify premium ; genuine opinion please ! #spotify #AppleMusic #MusicBank

[@drradhikachavan, MD, DNB, FISG, FASGE @drradhikachavan]

EUS-guided vascular intervention is increasingly used. In this review article @videogie , we have discussed the technical aspects of EUS-guided embolization for varices & PSA. Big thanks to my friend @stefanobps & Nishant Patel for contribution.https://t.co/PtYOXk2AyK

[Shivaram P Singh @shivaramsingh]

#Pune is a non-city! My experience has been very bad. It's an overgrown village. Traffic is abysmal on the roads.The administration is too callous.There is no policing.Even a small city like Cuttack seems to have 10 times the traffic police as Pune.Mikes blare away. Poor Puneites

[Karthik Balachandran @karthik2k2]

Deepest condolences to the bereaved family.

Crux :
A girl had come with acute abdomen and despite treatment, has succumbed to the illness. Relatives cry negligence. Their first complaint - drs injected in the neck and the patient died later. Their second complaint - only resident doctors saw the patient.

1. Can a patient with acute abdominal pain require an injection in the neck ?

YES.

Common example in my field - Diabetic ketoacidosis.

A jugular venous catheter (see pic in 1st comment) is placed to get vascular access and even monitor venous pressure. Through the catheter , medications can be given. It's not inserted for no reason.

2. Only resident doctors saw the patient..is this standard practice?

YES.

This is the standard practice in teaching hospitals across the world. Because of the very nature of medicine, no promise can be made regarding the outcome, even in elective surgeries. The age of the treating doctor is not sufficient grounds to claim negligence, even if the outcome is negative.

So how can we know if there was a lacuna in care ?

We have systems in place to detect deficiencies in care. It's called Morbidity & Mortality meeting. Doctors analyse the circumstances surrounding the death and check if all standards and protocols have been followed. Following protocols doesn't mean no one will die. It just means doctors took the conventionally accepted best course of action under the circumstances.

A two minute sensational video clip is not a substitute for dispassionate scientific analysis..media trial is not a substitute for Mortality meeting. In fact, it's potentially harmful - as it destroys public faith in hospitals and doctors.

A media trial is low on details and high on emotions. For every death in a govt hospital, thousands more are saved. This is NOT to suggest that one death, if caused by negligence, be brushed under the carpet just because a 1000 more are saved. One death caused by negligence is still too many.

What it means is media can't be the aribiter of negligence. Nor can the misinformed public be the sole judges. Every unfortunate death that is turned into a referendum on the intention /action of doctors is not just unfortunate, but irresponsible.

Let sanity prevail.

[Pulkit Kochar @kocharpulkit]

RDIU (Ranbir Daddy Issues Universe) has a new movie coming up

[preyal @prey4l]

Got 97.9% in 10th and 96.7% in 12th back in 2014. Took admission in IIT Bombay for B. Tech. After almost 8 years, I have a good paying job (40-50L), been to almost 28 countries and enjoying in general. Marks do matter. Remember to work on your skill as well. 👍

[Amit Daphale @Daphale]

@mayankb92 Well said !
The med board in India now gives equal recognition to all the authors mentioned

[Amit Daphale @Daphale]

@MumbaiPolice @CPMumbaiPolice @MahaCyber1 need help cyber blackmail

[Amit Daphale @Daphale]

@RolfGandhi__ @MausamJa1n

[Aaditya Thackeray @AUThackeray]

Today, more than 400 EV 2 wheelers, 3 wheelers, 4 wheelers participated in the EV Rally at Pune Alternate Fuel Conclave making it one the biggest EV rally ever conducted. This showcases Maharashtra’s encouraging transition to clean mobility for long term, sustainable development.

[Amit Daphale @Daphale]

How come John's movie's trailer ain't having a Nora Fateh dance number footage ! #ATTACKTrailer2 #ATTACKMovie @TheJohnAbraham @norafatehi @LakshyaRajAnand

[Film Companion Studios @FilmCompanion]

We can't deny how much Kabir Mehra from #DilDhadakneDo spoke to us on several levels - right from the conflicts to the comforts. Read more in this article. #RanveerSingh https://t.co/kq8AXab8Xb