Vijeth Sb

accept criticism and grow stronger

[Vijeth Sb @drvjth]

@KiranKS It's not samadhi as per locals

[Vijeth Sb @drvjth]

@nadig_cardio I am very happy for Rishi.

[Dr. Praveen Tripathi @drpraveenpsy]

Imagine a 17 or 18-year-old kid.

A kid who practically locked himself in a room.

Cut himself off from the world. Did not attend family functions. Did not watch movies. Felt guilty even while taking breaks.

He would look outside the house and see other kids having a good time. He would long for their carefree lives, but then he would remember that lifelong dream, the dream of becoming a doctor, and he would return to the world of books.

Life became all about A, B, C and D.

As the exam came closer, life became even tougher. The pressure became too much to bear. He was still a kid, but grown up enough to dislike sharing his anxiety with others.

He would talk to a friend who was in the same situation, and then came the line that kept both of them going:

“Few weeks more, and it will all be over.”

He pushed himself further.

The anxiety increased. For the first time, he understood what sleeplessness meant, what palpitations felt like, what the pressure of expectations was, and what loneliness could do to a person.

The whole ecosystem of preparation kept telling him that he needed to do more.

Every motivational video, every strategy session, every video of toppers being made to dance awkwardly, all seemed to tell him the same thing:

You need to do more.

So he pushed himself further.

“Few days more.”

That was the thought that gave him some strength.

Then came exam day.

He had struggled to sleep the previous night. In the morning, he puked. He could not eat. His family forced him to take some juice, and somehow, he reached his exam centre.

The next few hours would decide whether his dream would come true, or whether he would see it shattered at the tender age of 17.

He did everything he could in those hours.

The exam went well.

And now, he had hope.

But that hope rested on one basic presumption:

That the system is fair.

That in this system, hard work gets rewarded.

And then came the news of a paper leak.

The boy was shattered.

The seats are few. What will happen now?

If those who got access to the leaked paper get the seats, students like him will be edged out.

And then came another news.

There may be a re-exam.

He has to go back to the same books again.

Again the sleepless nights. Again the puking. Again the palpitations.

Will he survive it?

Or will the stress be too much, and will it finally break him?

What is his fault?

What did he do wrong?

Why can his government not ensure even basic fairness in the system?

Why do leaders who cannot stop praising themselves fail to do the minimum for the kids of this country?

And why do officers who write essays on ethics become corrupt the moment they get power?

Why is this country still so dysfunctional?

And why are people still afraid to ask questions?

Alas, there will be no answers.

The kid will be told to stay strong and go back to the grind.

It will be business as usual.

Justice? What is that?
#NEET

[Vijeth Sb @drvjth]

@volklub Chose Taigun 1.5 MT over creta for power and driving pleasure

[Vijeth Sb @drvjth]

@spinesurgeon @Fintech03 There's a community by name Maheshwari in north India

[Vijeth Sb @drvjth]

@volklub Sir, would you suggest this over taigun 1.5 MT?

[Vijeth Sb @drvjth]

@LoneWolfKaAdda The picture of sri krishna devaraya samadhi is false

[Vijeth Sb @drvjth]

@CricCrazyJohns But no live streaming of games

[Vijeth Sb @drvjth]

@ghatti_chutney Try hubli dharwad bypass

[Vijeth Sb @drvjth]

@lospectra_ Etòo

[Vijeth Sb @drvjth]

@GurorangriPadme Navodaya schools have two language formula. One is mother tongue/ hindi and another is english. There's no imposition of any language.

[Vijeth Sb @drvjth]

@LegacySiu Anelka

[Vijeth Sb @drvjth]

@LegacySiu Morata

[Ashutosh Singh @AshutoshSinghMD]

🧵 COMPLETE ECG CRITERIA — THE MASTER THREAD

How do you diagnose LVH in LBBB, RVH in RBBB etc. ?

Lets revise the brain-twisting but exam-friendly, clinically-useful ECG criteria made simple for ECG freak MBBS & MDs👇1/10
@DrAkhilX @anujtiwari11
#MedTwitter #cardiotwitter #ECG

[ILLIASUL IBAD @IlliasulK]

Stopping Blood Thinners Before Surgery?

Most people STILL get it wrong.

Here’s the cleanest peri-op cheat-sheet you’ll read today 👇

1️⃣ VKA (Warfarin / Acenocoumarol)

• Stop 5 days before
• Bridge only if very high thrombotic risk
• Restart: Day +1 (low-bleed) or Day +2 (high-bleed) once hemostasis is secure

2️⃣ DOACs (Apixaban / Rivaroxaban / Dabigatran)

• Low-bleeding-risk surgery: hold 1 day before
• High-bleeding-risk: hold 2 days before
• Dabigatran + ↓renal function: extend to 2–4 days
• No heparin bridging. Ever.
• Restart Day +1 (low-bleed) or Day +2–3 (high-bleed)

3️⃣ P2Y₁₂ Inhibitors

• Prasugrel: stop 7 days
• Clopidogrel: stop 5 days
• Ticagrelor: stop 3–5 days
• Restart once surgical hemostasis is stable

4️⃣ Aspirin (ASA)

• Low-dose (75–150 mg): usually CONTINUE
(except intracranial, spinal, posterior eye, other very high-bleed surgeries)
• High-dose or if surgeon insists: stop 5–7 days before

✨ Bookmark this.
Teach your residents.
It prevents peri-operative disasters.

Infographic 🔽
#MedTwitter #Surgery #RheumTwitter #CardioTwitter #FOAMed #PerioperativeCare @DrAkhilX @CelestinoGutirr @IhabFathiSulima

[Dr. Nikhil @DrNikhilMD]

🧵 HYPOXEMIA: The ICU Masterclass

1️⃣ Start with the foundation
Hypoxemia = low PaO2 in arterial blood (mmHg).
Hypoxia = low oxygen at tissues.

A patient can have SpO2 99, Hb 5 and lactate 7. This is hypoxia despite normal saturation.

❓ SpO2 98 but lactate rising. What failed?
A Oxygenation
B Oxygen delivery

#MedTwitter #FOAMed #ICU #CriticalCare #InternalMedicine

[Jamir Pitton Rissardo @theneurolander]

The Sound of Footsteps!!!

“it's possible to learn more about neurologic status from watching a patient walk than from any other single procedure”

Russell Nelson DeJong (1907-1990)

#MedTwitter #neurotwitter #EndNeurophobia

1/

[sikandar adwani @SikandarAdwani]

Mrs. D , 58, arrived overnight with a minor stroke; the morning CT is clean.

Nonvalvular AF is newly diagnosed. The family asks: Doctor, can we start today?

Is a DOAC better?

Next door, Mr. K, 35, has a mechanical aortic valve and a low INR.

His son asks: Can we switch to a DOAC?

Two patients, opposite answers.

Today we will settle it—when a DOAC, when warfarin, and why so your decision is fast, safe, and guideline true.

#Medtwitter #Neurotwitter #Stroke #DOAC #Warfarin

[Vijeth Sb @drvjth]

@VSOMANNA_BJP @PMOIndia @narendramodi @AmitShah @JPNadda @AshwiniVaishnaw @RailMinIndia @BJP4India @BJP4Karnataka ಬಹಳ ಸಂತೋಷ ಸರ್. ನಮ್ಮ ಬಹುದಿನಗಳ ಆಸೆ ಚಿತ್ರದುರ್ಗದಿಂದ ಬೆಂಗಳೂರಿಗೆ ರೈಲಿನಲ್ಲಿ ಪ್ರಯಾಣ ಮಾಡುವುದು

[Abdul Muqtadir Abbasi @AbbasiMuqtadir]

One and only cheat sheet for anemia. Revise in 5 minutes.

Like, learn and re-x

Enjoy #MedTwitter