Anna Thomas

Doctor | Palliative Care |Clinical Microbiologist | TaiChi For Health Instructor |

[Anna Thomas @drthomasa]

Palliative Care in Oncology: A Paradigm Shift in Two Decades https://t.co/ghCjZML3ui

[Lalit Rathi - LKR @lalitinvestor]

My mind is blown away reading the 109 page SEBI order on Rajesh Exports… not that its surprising given some in last few yrs had called it a fraud but shocked on the size of it and how a Rs 3,000 crore market cap company may potentially be heading towards ZERO.! 😲

This is not a normal accounting issue. This is SEBI practically alleging that out of nearly Rs 15.45 lakh crore consolidated revenue reported over 5 years, close to Rs 15.15 lakh crore revenue itself may have been misrepresented. Yes, you read it right - lakh crore.

And the most shocking part?
The core operating subsidiary, Valcambi SA, whose numbers supposedly drove the entire global scale of the group, reportedly showed only a few hundred crores of standalone revenue annually in audited Swiss accounts. Meanwhile, the holding structure above it magically showed revenues running into several lakh crores.

SEBI’s allegation is brutally simple in layman terms: A refining business which allegedly earned only processing charges/value addition was shown at group level as if the company owned and traded the entire value of gold flowing through the system.

Imagine a toll booth operator claiming ownership of every car crossing the highway and booking the value of all cars as its own revenue. That is broadly what SEBI is questioning here.

The order repeatedly mentions:
• No proper invoices
• No customer/vendor level breakup
• No ERP access
• No journal dumps
• No confirmations
• Missing subsidiary financials
• “Swiss confidentiality laws” being cited to deny information

SEBI has also highlighted that even the forensic auditor BDO India faced severe non cooperation.

What makes this even more serious is that this is an ex parte interim order. Meaning SEBI has passed the order based on its own investigation and material gathered, without relying on cooperation from the company side. Regulators generally do not go this aggressive unless they believe the findings are extremely serious.

The statutory auditor named in the order is BSD & Co, a mid sized Bengaluru based audit firm along with P V Ramana Reddy & Co. SEBI has specifically mentioned non submission of working papers and missing subsidiary records.

Another fascinating angle:
The annual reports reportedly show borrowings of around Rs 1,000 crore, but there is very limited clarity on which banks gave these loans and against what underlying audited cash flows.

This may go down as one of the most dramatic accounting fraud allegations ever seen in Indian capital markets post Satyam..

If even a fraction of SEBI’s findings sustain, this is not just a corporate governance failure. This is a complete collapse of reported financial reality.

Absolutely insane reading.!

You can read the order here - https://t.co/RWP594BT2r

#Rajeshexports

[Gutta Jwala 💙 @Guttajwala]

I donated around 60 litres of breast milk to the government hospital in Hyderabad and Chennai during my first year of post partum!!

Why does it matter? Just 100ml of donor milk can feed a tiny 1kg baby for several days. This donation could potentially support dozens of infants in the NICU. Donating is safe, screened, and desperately needed. Many NICU babies don't have immediate access to their mother's own milk due to medical complications. Donor milk acts as a vital bridge, providing immunity and nutrition during those critical first days.

It serves as a bridge for mothers whose milk may be delayed due to stress, illness,malnutrition or premature birth. 

Donor human milk is proven to significantly reduce the incidence of Necrotizing Enterocolitis (a life-threatening gut condition) in premature infants!!!

Check your local govt hospital to see how you can help! #MilkBank #SavingLives #MaternalHealth

[Anna Thomas @drthomasa]

Mahindra Thar Roxx Owner Moves Kerala High Court Seeking Law To Regulate Vehicle Sales & Services https://t.co/FbaliVusCB

[Singh Varun @singhvarun]

On 20 June 2009, around 1:30 pm, Arogyaraj Chetiyar stepped out of his home in Vivekanand Nagar, Goregaon (West), Mumbai.

He met his friend near the house. Both decided to go to Churchgate. They bought two second-class tickets from Goregaon to Churchgate at exactly 13:51 hrs. The tickets were in Arogyaraj’s pocket. They boarded a local train.

What happened next destroyed a family — and exposed a broken system.

[Anna Thomas @drthomasa]

At 72, She Fulfills a Lifelong Dream and Drives Through the Streets of Jammu With Fearless Confidence https://t.co/cXQXAxyPLC

[Anna Thomas @drthomasa]

https://t.co/gA4CHCzBIT

[Anna Thomas @drthomasa]

Maharashtra Village Reaps Rs 68 Lakh from Soil Biodiversity Discovery https://t.co/4s6C0dojHk

[Dr. Priyam Bordoloi @DocPriyamMD]

A 7-year-old is brought to your clinic for a routine check-up. The parents are mostly worried about his grades and some slight hearing difficulty they've noticed lately.

But when he smiles, you see this.

What is the diagnosis, and what other sign are you hunting for in your physical examination?

[Anna Thomas @drthomasa]

5 Leadership Lessons from Former EDB Chairman Philip Yeo – A Book Review - Jeraldine Phneah https://t.co/SqzAYdF790

[Ravindra Ambekar @RavindraAmbekar]

12–13 hours stranded on the Mumbai–Pune Expressway. ZERO information. ZERO facilities.
No public announcement. No guidance to avoid travel or take a U-turn. IRB continued collecting tolls while passengers were left stranded for hours without water, toilets, or medical aid.
Helplines went unanswered. Officials vanished.
VVIP convoys got priority. Common citizens got chaos.
This is not inconvenience, this is criminal mismanagement.
Refund tolls to all affected motorists. Fix accountability.
#MumbaiPuneExpressway #IRB #TollLoot #PublicMisery #GovernanceFailure

[Anna Thomas @drthomasa]

'Palliative care still not widely integrated into mainstream medical training' https://t.co/zd9z4jLqO2

[Anna Thomas @drthomasa]

Japanese-American, 60, who went viral saying it’s never too late to start over - https://t.co/Ob3eKj5W1M

[Rema Nagarajan @RemaNagarajan]

The kind of things that only a govt hospital would do👇
Lovely story on how "unidentified" patients with no family/attendants were treated in Chennai's Rajiv Gandhi Govt General Hospital and many were reunited with family in home town, state or even country
769 people in 5 yrs

[Anna Thomas @drthomasa]

‘Invitation to crashes’: 4-lane bridge near Mumbai suddenly narrows to 2; MMRDA denies design flaw | Mumbai News - The Times of India https://t.co/EXzdAS9OeF

[Dr. AK 🇮🇳 @docakx]

17-year-old girl rescued a kitten drowning in a ditch which was sick and died the following day.

After a week the girl developed this. No response to antibiotics.

What is this?

Image from @bmj_latest

[Science & Nature @ScienceIsNew]

For decades, doctors believed the most common kidney stones (calcium oxalate) were lifeless lumps formed purely by chemistry—minerals building up in the kidney.

​A groundbreaking study published this month (Jan 2026) by UCLA Health has proven this wrong.
​
Using high-tech fluorescence microscopy, researchers discovered that these stones actually contain live bacteria and fungal-like biofilms "entombed" inside them. The bacteria act as a scaffolding (nidus), allowing the minerals to crystalize and grow layer by layer.
​
This solves a long-standing medical mystery: Why do patients sometimes get severe infections (sepsis) after stone-breaking treatments (lithotripsy), even when their urine was sterile? The answer: breaking the stone releases the bacteria trapped inside.

​This could revolutionize treatment, shifting focus from just diet changes to targeting the hidden microbiome within the kidney.

Journal Reference: Wong, Gerard C. L. et al, Intercalated bacterial biofilms are intrinsic internal components of calcium-based kidney stones, Proceedings of the National Academy of Sciences (2026). DOI: 10.1073/pnas.2517066123.

​#MedicalBreakthrough #Microbiology #KidneyHealth #UCLAHealth #NewDiscovery

[Sunita Sayammagaru 🇮🇳🇬🇧 @drsunita02]

A single adult child taking care of elderly infirm parents is stressful.

A single adult child having married another single child, and now having to take of 4 elderly infirm parents is stress times double.

The adult couple tries to manage their jobs, their own kids well-being, household chores, the innumerable hospital visits of their elderly parents....their own mental and physical health goes for a toss.

Similar is the case when one sibling goes abroad and the other sibling is left to take care of the elderly parents. The abroad child usually helps financially. But the physical stress and strain falls on the adult child staying back in India.

Not discussing which is correct and which is wrong....all these are complex family dynamics and each family is different.

Majority of adults in India still genuinely care for their elderly parents and in-laws.

Perhaps, all that the adult child just needs is a kind word, a compassionate acknowledgement of all the hardwork that he/she is voluntarily and willfully undertaking.

My pranaams to all such adult children. 🙏🏼

#ElderlyCare