Dr A K Tiwari

[Dr A K Tiwari @draktvt]

Amazon

[FalconUpdatesHQ @FalconUpdatesHQ]

Annamalai Kuppusamy - Future CM of Tamilnadu 🥶🔥

Repost if you agree !!!

[Dr A K Tiwari @draktvt]

All

[Kalam Center @KalamCenter]

USA has APPLE

China has VIVO

Japan has SONY

South Korea has SAMSUNG

India has?

[Dr A K Tiwari @draktvt]

True

[Sheetal Chopra 🇮🇳 @SheetalPronamo]

Mark my Words
One day Annamalai will be
CHIEF MINISTER of TAMILNADU

[Dr A K Tiwari @draktvt]

He is a real super star. Attached to grassroots. A true Nationalist. Have bright future.

[Dr A K Tiwari @draktvt]

22

[Zaria @ZariaTechAI]

Everyone says 20 ,but that’s not the real answer

If you solve this, you’re in the top 1%

[Dr A K Tiwari @draktvt]

👍

[Riniti Chatterjee @ChatterjAsking]

आईपीएल मैच में खरीदे गए बांग्लादेशी खिलाड़ियों का विरोध करती हूं और आप...

[Dr A K Tiwari @draktvt]

CJI. 👏🏻👏🏻👏🏻

[Megh Updates 🚨™ @MeghUpdates]

BIG 🚨

Chief Justice of India Surya Kant 🔥🫡

"Where is the order of the Govt of India declaring the Rohingyas as refugees? If there is no legal status of a refugee, and somebody is an intruder, and he enters illegally, do we have an obligation to keep that fellow here?"

"If they don't have legal status to stay in India, and you are an intruder, we have a very sensitive border in the North India side. If an intruder comes, do we give them a red carpet welcome?" CJI Kant asks.

First you enter, you cross the border illegally. You dug a tunnel or cross the fence and enter India illegally. Then you say, now that I have entered, your laws must apply to me and say, I am entitled to food, I am entitled to shelter, my children are entitled to education. Do we want to stretch the law like this?

We have also poor people in the Country. They are citizens. Are they not entitled to certain beneifts and amenities? Why not concentrate on them? It is true, even if somebody has entered illegally, we should not subject them to third degree methods.

The bench led by CJI was hearing a petition alleging custodial disappearance of Rohingyas. Petitioner argued that deportation should be done through legal process.

Credits: LiveLaw

[Dr A K Tiwari @draktvt]

U did the right thing.

[Dr. Nikhil @DrNikhilMD]

Today in my OPD a 50 year old patient came.

Pt: “Sugar ki dawai likh do.”
Me: “Sugar kab se hai”
Pt: “15 saal se”
Me: “Kaunsi dawai le rahe ho”
Pt: “Koi dawai nahi le raha… kaafi time se”
Me: “Kitne time se”
Pt: “10 saal se”
Me: “Kyunn”
Pt: “Ayurvedic le raha tha”

Me: “Sugar last kab check kiya tha”
Pt: “Saalo ho gaye”

On asking further he had symptoms suggesting neuropathy gastroparesis and even some pedal edema possibly early nephropathy.

I advised basic tests like HbA1c FBS PPBS Urine ACR KFT and Lipids.

Pt: “Test west rehne do sir. Faltu kharcha karwate ho. Bas strong wali dawai likh do aur Mai khate rhunga.”

I explained that it does not work like that.
So many years of uncontrolled sugar damage nerves, kidneys, heart aur nuksaan already dikh raha hai.

He was not interested in listening.

I finally checked an RBS just to get some baseline.
It came 493.

I again tried to explain him Ki sugar level jyada hai ek bar thik se evaluate krwa lo but he said
“Aapko dawai likhni hai to likho nahi to fee wapas kar do. Main kahin aur dikhwa lunga.”

At that point I knew I could not prescribe blindly and he did not want proper evaluation & follow up.

To avoid unsafe care I asked my assistant to refund him.

And was I right or wrong?

Honestly I feel I did the only safe and ethical thing because treating a patient without proper assessment is far worse than stepping back when they refuse necessary care.

What's your take on thisthis

[Dr A K Tiwari @draktvt]

@Memesociiety_ चिरौंजी।

[Dr A K Tiwari @draktvt]

45

[Dr A K Tiwari @draktvt]

True

[Thrilla the Gorilla @ThrillaRilla369]

My grandpa told me that in the old days, TV channels would stop broadcasting around midnight. They'd play the national anthem and then go completely off air until morning. Is that real, or is he messing with me?

[Dr A K Tiwari @draktvt]

@elonmusknews30 👍

[Dr A K Tiwari @draktvt]

@poojaofficial5 40

[Dr A K Tiwari @draktvt]

@elonmusknews30 8960

[Dr A K Tiwari @draktvt]

HOPE

[Dr A K Tiwari @draktvt]

In trap of advisors.

[Kashmiri Hindu @BattaKashmiri]

Write YES if you believe Rahul Gandhi is a Liar.

[Dr A K Tiwari @draktvt]

@BattaKashmiri @RahulGandhi Yes

[Dr A K Tiwari @draktvt]

@FanPriyankaGV नहीं

[Dr A K Tiwari @draktvt]

@SirRavishFC नहीं