Archan Bhaumik

Doctor. Teacher. Pianist. Social worker. Writer. He/him. 🏳️‍🌈

[𝗡𝗶𝗵𝗮𝗿 𝗗𝗲𝘀𝗮𝗶 MD, DM @nihardesai7]

You are a young #medicine resident in a busy emergency when a 26/♂️ walks in with 👇🏻

C/o cough and respiratory distress + facial swelling x 7days. He is unable to sleep as the symptoms ⤴️ on lying down 😮

What do you do next?

You read this thread👇🏻

#medtwitter

1/18

[Archan Bhaumik @docarchan]

@AdiG1993 I’d agree dada. When it comes to screening, simple, broad tests are far more useful, particularly in low income settings, than highly specialised tests for very specific pathologies.

#medtwitter

[Archan Bhaumik @docarchan]

@_devaansh4 @Doctor_Dubey @marrow_med @AdiG1993 @DrAditya2935 Bailey is a phenomenal read, but not really replicable in an exam. As for gynae, DC Dutta is a very good book.

[Archan Bhaumik @docarchan]

@_devaansh4 @Doctor_Dubey @marrow_med @AdiG1993 @DrAditya2935 Medicine from marrow is overly complex imo. There’s far too much detail for a final mb course.
I’d say read something like Davidson or Kumar and Clark, and supplement it with the algorithms in the “Cardinal Manifestations and Presentations of Diseases” chapter from Harrison.

[Archan Bhaumik @docarchan]

@Doctor_Dubey @_devaansh4 @marrow_med @AdiG1993 @DrAditya2935 A very succinct summary, with a lot of useful points.
I’d add that MacLeod’s is an excellent book for learning clinical methods, and to spend as much time as you can with patients, so that you get used to taking a quick, concise history.

[Archan Bhaumik @docarchan]

@arin_damned When you’re in the ER and an unconscious patient you treated walks out on their own, you’ll know it was worth it

[Archan Bhaumik @docarchan]

@DrAditya2935 @tequilalullaby As a dog lover and a doctor, I firmly believe strays should be neutered and can be very dangerous.

[Archan Bhaumik @docarchan]

@wallflower_safi And the remainder is batshit insane

[Archan Bhaumik @docarchan]

@arin_damned Well said bhai

[Archan Bhaumik @docarchan]

Progress is not achieved by preachers and guardians of morality, but by madmen, hermits, heretics, dreamers, rebels, and sceptics.

Brilliance from @stephenfry

[Archan Bhaumik @docarchan]

@DrAditya2935 Same. Since 2008.

[TheLiverDoc™ @theliverdoc]

Since inception Ayush received 10s of 1000s crore 💰 for furthering clinical research/novel therapies

Cud anyone plz point me towards ANY SINGLE THERAPY

from
Ayurveda/Siddha/Unani/Naturopathy/Homeopathy

with Class I/II recommendation & Level A/B evidence?

Wer is the💰 going?

[TheLiverDoc™ @theliverdoc]

1
A middle aged man with severe jaundice, referred for evaluation

Cause of jaundice unknown

Denied alcohol use multiple times

Started on a different kind of clinical history: about family, work, marriage, children

The last word struck a chord

Started weeping uncontrollably

[Archan Bhaumik @docarchan]

@DoctorLFC It will pass. It may pass like a kidney stone, but it will pass.

[Arindam Hansda @arin_damned]

The best way to get better at something?
"START"
I have personally spent way too much time researching about the best ways, best resources, etc. Only to realise that it's way easier to Start and tackle one problem at a time as it gets in your way.