Dranbusubbian

Gyn Oncologist, Robotic surgeon, Passionate about patient/women’s rights/cancer awareness/education, she/her, Mum, Yoga lover 🧘‍♀️ Tweets my own

[Pramesh CS @cspramesh]

India accounts for ~25% of global cervical cancer deaths, with ~123,000 new diagnoses and ~77,000 deaths annually. This is one of the highest national burdens worldwide.
Source: IARC GLOBOCAN 2020 (India estimates) (2/n)

[Pramesh CS @cspramesh]

India’s rollout of the cervical cancer (HPV) vaccine is truly a landmark prevention policy. Cervical cancer is largely preventable, yet remains a leading cause of cancer deaths among women in India. 🧵(1/n)

[Gabriel Levin @GLevin22908]

https://t.co/sRg2aAqyui
So honored to be a guest in the second podcast published at IJGC Conversations.

You must tune in.

[Dranbusubbian @dranbusubbian]

Congrats @GLevin22908

[IJGC @IJGConline]

In this episode of #IJGCconversations @pedroramirezMD joins Gabriel Levin @GLevin22908 to discuss recent trends in the approach of #RadHyst #cervicalcancer

🎙️ https://t.co/jFVRM6jsgD

@HsuMd @JayrajAarthi @AndreFernandes2 @IGCSociety @ESGO_society @ENYGO_official @OncoAlert @IJGCfellows @GynMe4 @thomasbartlMD @kfischermd @claritasantia @stephjeangill @MMontesinos_Alb @braunchristian1 @mattmarchettiMD @yates_elisemann @jhgelissen

[Dranbusubbian @dranbusubbian]

Can’t wait to read this one.

[Anirudh Kanisetti | ಅನಿರುದ್ಧ್ ‏کنسٹّی @AKanisetti]

Twitter, my new book is out Saturday, Jan 18th: LORDS OF EARTH AND SEA, A History of the Chola Empire.

Through their brilliant temples, overseas expeditions, and the making of Tamil society and religion, it's the ultimate history of South India.

Preorder https://t.co/mS9dvcBhFi

[Devina Mehra @devinamehra]

After the comments by the L&T Chairman, S. N. Subrahmanyan on how he would like employees to work 90 hours a week and essentially hates the thought that they have any life at all outside work, let me repeat this as politely as I possibly can

This type of recommendation of working for 'nation-building' or 'company building' is bunkum and makes absolutely no sense

1. Research shows that increasing the number of hours of work beyond a point (and certainly that point is far before 90 hours) reduces productivity substantially. The human mind (or body) is simply not capable of focused, good quality work for that long - at least on a regular basis.

Not to speak of the toll it takes on physical and mental health.

Anecdotally, I remember from my days in Citibank which had a late working culture (barring exceptions like Aditya Puri who left at 5:30 sharp 😊), many officers would while away time, say from 3-6 p.m., and then get back to work again to show their bosses that they were at the desks till 8:30 or 9.

It was a dysfunctional work culture and one that I steered clear of when I became an entrepreneur.

As an employer my focus has always been on output, rather than face time at work.

I have had very good colleagues who would try to leave by 6 p.m. everyday and still be productive; whereas others who stayed late would while away time with frequent smoking breaks, talking to girlfriends etc

2. Most people including the person making this recommendation have families, including children.

This type of working hours recommendation assumes that the man (it is almost always the man) who is working around the clock while his wife is taking care of the home and children. This was very starkly visible also from this book on Mr Narayan Murthy and Mrs Sudha Murty that I read recently.
Mr Murthy completely outsourced parenting to not just his wife but also Sudhaji's sister and parents - So much so that the children thought of their grandfather as the real father and their father as only a 'backup' father. They also had no doubt that their father loved them less than he loved his company. Now of course it is all considered fine after the big payoff!
This was one of the reasons I found it a disturbing book.

Plus, this attitude means that most women would be precluded from this type of workplace and work culture; or at the very least, would have to give up dreams of having children (unless there's a social revolution and Indian men become somewhat equal partners in raising of a family).

The women then can have a career OR a family with kids, a choice which all these men didn't have to make.

3. More important, all data shows that no country has moved from low income to middle income without very substantial participation of women in the work force.

So, if the aim is to build the country and its economy, we need to attract more women to the workforce, not less.

Hence, the 90 hour week is not the prescription that will take the country to the next level.

This much is basic, but there is a deliberate blindness to this among even well-educated men!

4. The social fallout of this culture in Korea & Japan which required people to hang around the workplace all day every day is that the women in those countries decided the sensible route was not to get married at all and the birth rates in those countries have plummeted to far below replacement levels

5. Having said all of this, while I do not believe in long hours in office necessarily, the fact is that if you want to really be skilled in something like equity research or any other real knowledge area you needs to put in those 10000 hours of work to really learn the skill.

This means reading books, maybe doing courses from universities in your own time and so on. Without that you would not be at the cutting edge. So at the very least in the initial years you would need to put in the hours which may not be in office but on learning.

Let me know your thoughts in the comments.

[EJOG @EjogElsevier]

One of our most popular articles from 2023.

For those managing high risk obstetric conditions. Do have a look at this interesting video article.

https://t.co/JYgG4Oh5P7

Kasr Alainy simplified uterine preserving surgery for conservative management of placenta accreta spectrum (PAS): A modified surgical approach

Summary of the main steps of Kasr Alainy uterine preserving surgery.

1-Dissection of the urinary bladder from the anterior uterine wall.
2-A transverse uterine incision just above the PAS upper border.
3-PAS placental bed devascularisation (most important step) (3 sub-steps).
4-Enbloc resection of the invaded segment of uterine wall along with the invading placenta.
5-Myometrial reconstruction in 2 layers

[Dranbusubbian @dranbusubbian]

These are so awesome.

[Artur Alves @lebigh_official]

Fotografias tiradas no lugar certo e na hora certa, intencionalmente ou por acaso - um tópico 🧵

1. Wilma Hurskainen

[AJOG @AJOG_thegray]

A clinical ultrasound algorithm to identify uterine sarcoma and smooth muscle tumors of uncertain malignant potential in patients with myometrial lesions: the MYometrial Lesion UltrasouNd And mRi study https://t.co/F1fHTkTjco

[EJOG @EjogElsevier]

Three RCTs, met the specified criteria & studied the impact of temporarily occluding both uterine and utero-ovarian arteries simultaneously compared to no arterial occlusion during lap myomectomy

Results in the full text https://t.co/Pjf1gLzwM7
@saeed_bardwan

[Dranbusubbian @dranbusubbian]

@drumaram_ram @tmkrishna How wonderful. The reviews have been so great

[Dranbusubbian @dranbusubbian]

Love it.

[Larry the Cat @Number10cat]

Merry Christmas.
Cartoon by the wonderful Liz Climo

[Dranbusubbian @dranbusubbian]

This hits hard. Some patients can be energy vampires. Tiny problems and huge time suckers.
And doctors are human who only have limited energy resources. You can either snap outside or inside which explains the early death stats.

[Karthik Balachandran @karthik2k2]

Part of the reason why people dislike govt hospitals is, doctors there have no incentive to tolerate stupidity. There's no " will the patient run away" filter. Consequently, doctors tell stuff as they are, not as the patient wants it to be. This is especially true in crowded opds , where sweet talk is literally impossible.

In private practice, you have no choice but to pretend that the dumb things people say don't annoy you. Ego massage is mandatory. We have to put up a plastic smile, exercising enormous self restraint. After all, customer is always right.

Medicine is a business that pretends to be a profession and a profession that pretends to be business, depending on who you ask.

Unlike other professions, in medicine, the magnitude of expectation is vastly higher. There are some people who no one will put up with, including their kith and kin, for more than a few minutes. Doctors deal with such people almost on a daily basis. Perhaps that's one more reason why we die early.

[Dranbusubbian @dranbusubbian]

@PayalKapadia86 Are you coming to Coimbatore. ?

[EJOG @EjogElsevier]

International expert consensus statement on physiological interpretation of cardiotocograph (CTG): First revision (2024)
#OpenAccess Prof Tullio Ghi @edchandi
Click here for full article
https://t.co/rszTY31pbS

[Dranbusubbian @dranbusubbian]

Must read.

[EJOG @EjogElsevier]

British Gynaecological Cancer Society (BGCS) ovarian, tubal and primary peritoneal cancer guidelines: Recommendations for practice update 2024

#OpenAccess
@DrJoMorrison1 @ProfManchanda @DrEstherMoss1 @sundar_sudha
https://t.co/EShV8lu67s

[Dranbusubbian @dranbusubbian]

Indeed.

[ح @hmmbly]

this tabla x boxing jugalbandi in Monkey man was just pure genius.

Even at 73 years of age he was hitting it out of the park, he lived his artform till his last breath. Rest in peace legend #zakirhussain

[Dranbusubbian @dranbusubbian]

The legend.

[The Hindu @the_hindu]

Tabla maestro #ZakirHussain died at a hospital in San Francisco, his family said on Monday. Hussain died due to complications arising out of idiopathic pulmonary fibrosis, according to his family. He was 73.
https://t.co/XFgBzoNKBu

[Dranbusubbian @dranbusubbian]

@rbarbosa91 back in cutting mode. If you love surgery, you’ll love the thread. Waiting for the next one.

[Ron Barbosa MD FACS @rbarbosa91]

🧵regarding the Bovie, which is one of the most commonly used tools in surgery.

I have decided to reorganize my Bovie content into something that makes more sense, which will require multiple 🧵. This first one will cover the very basics and is geared toward students.
(1/ )

[Dranbusubbian @dranbusubbian]

Great read.

[Keith Siau @drkeithsiau]

Tips on how to read a paper 📚💡