Dr. Miller A M

தமிழன் , Consultant Psychiatrist , PDF in Emergency Psychiatry and Acute Care @NIMHANS_BLR , amateur writer , ramen addict , democratic socialist.

[TheLiverDoc™ @theliverdoc]

My dear friends, please, I hope to demand your absolute attention to this matter:

In 2018, my junior from St. John’s Medical College, Bengaluru, Dr. Randall Sequeira (middle in the pic), trekked up a steep, bauxite-rich plateau in Odisha to hold a monsoon health camp in the indigenous Kutiya Kondh village of Kutrumali.

In a piece he wrote then titled "Kutrumali’s Demons," Randall described sleeping under a dripping school roof in freezing fog, borrowing utensils from a local health worker to cook khichdi, and waking up at 6 AM to a line of tribal mothers. He wrote with heartbreak about treating malnourished toddlers with protruding bellies and visible ribs, listening to stories of stillbirths and chronic fevers, while noticing the shiny new solar lights installed by a mining conglomerate eyeing the aluminium ore beneath the villagers' feet.

Comparing his small medical team to hobbits sheltering in the night, Randall worried about the outside forces coming for that fragile village.

Randall stayed with the tribal/ adivasi community to serve them. After St. John’s and an MD in Internal Medicine from SMS Jaipur, he gave up every comfort of urban medicine to live in Kalahandi, recognizing that clinical prescriptions are meaningless when indigenous communities are stripped of their forests, water, and dignity.

On the night of October 16, Odisha police picked up Dr. Randall Sequeira and Dalit activist Laxman Naik at 11 PM from his home in Bhawanipatna. A gentle physician who has spent years trekking up hills to save tribal children is now locked in Rayagada sub-jail under frivolous but draconian charges (attempt to murder, dacoity), simply for standing with Adivasis peaceful protesting the mining of their sacred hills in Sijimali and Kutrumali.
https://t.co/PsxZZCngyV

Odisha Govt. said it will cut down forests to connect tribal villages. But it was a way to bypass green laws and fast track London based Vedanta’s, and Adani's mining plans. Local organisations estimate that around 45 villages depend on these hills and would be affected.
https://t.co/0pATUIYADm

The state has answered with repression rather than dialogue. In the last three years, at least 43 police cases have been filed and over a hundred Adivasis and Dalits, both women and men, have been incarcerated in Odisha jails. For example, from In March and april 2026, 8, 2026, to April 8, 2026, within one month, 24 people were sent to jail, 217 were made accused, and the number of “others” total 1,140. An activist who was not named in the original FIRs, but has since been implicated in about 12 cases, so that bail in one case is followed by arrest in another. This pattern of capture and releases have been used to crush rational dissent.

Dr. Randall understood that being a good doctor means understanding that prescriptions cannot compensate for the denial of land rights, that surgery cannot undo displacement and that no medical can substitute for the basic infrastructure a government has failed to provide.
https://t.co/fOC9AU3jaR

To my fellow medical fraternity, and every citizen with a conscience: a kind physician who embodies the highest ethics of our profession is being criminalized to clear the way for bauxite mining. Please do not let his voice be buried in a sub-jail.

Amplify this, demand due process, and demand the immediate release. Please sign in this form to show solidarity: https://t.co/cgLIoEXExG

If anyone can help out in this situation please reach out to Medico Friend Circle - https://t.co/OT2D2E3DuW

[ًًneenee ⚢ @noonchaand]

what bjp has done to india is so sinister that it's going to take more than a regime change to fix the minds of the people. they have managed to make the population bloodthirsty, violent, self victimizing fanatics. a cultural revolution is needed.

[Dr. Miller A M @federermiller]

@exit30b Both SCARF and NIMHANS has a good schizophrenia units. Better to choose one which is closest to the patient's home and continue proper follow up from the same centre.

[Awais Aftab @awaisaftab]

When patients ask, “What disorder do I really ‘have’?” the honest answer is usually more interesting and messier than a single label. I wrote for the @nytimes on what I wish people understood about diagnoses and the nature of mental health problems.

https://t.co/ua2g6PzeAZ

[Dr. Miller A M @federermiller]

As someone who worked in the emergency psychiatry wards #Thepitt captures the chaos of an ED better than any show. Most intriguing & honest performances from @SupriyaGanesh @SepidehMoafi @LadyLaNasa . All Emmy worthy! Also shoutout @SupriyaGanesh for the tamil representation!!

[Dr. Miller A M @federermiller]

@bicblr @bicblr Hello! I have filled out the RSVP for this event. When do I get the confirmation? 🥹

[Dr. Miller A M @federermiller]

The frustrating part as a psychiatrist is treating a systematic problem as individual illness. We medicate individual patients but they go back to the same system which caused them this. There needs to be some radical change in the way tech companies exploit their employees.(4/4)

[Dr. Miller A M @federermiller]

Unfortunate but very alarming trends I see in techies in Bengaluru as a psychiatrist- Anxiety is at an all time high, Depression ranging anywhere from mild to suicidality, severe cognitive difficulties, and most importantly substance addiction. (1/n)

[TIMES NOW @TimesNow]

A tragic incident unfolded in Bengaluru when a techie, Bhanu Chander Reddy, was found dead in his apartment, having hanged himself. Shortly after he was found dead, his wife jumped from their building's 18th floor. Reddy's suicide note revealed his distress over losing a lucrative job in the US due to AI cuts, which led to anxiety and joblessness.

Scroll the thread for details👇

[Dr. Miller A M @federermiller]

Work place toxicity, the constant need to optimize your work, volatile nature of the job market lead to very unstable mental health. Most IT employees prefer to take more medications than therapy so that they can get back to work faster and cannot afford an hour/week. (3/n)

[Dr. Miller A M @federermiller]

Why did they make it sound like it's some dystopian hellhole if the computers shut down for 24 hours.That's everyday in Indian hospitals lol. Most ERs of government hospitals in India still run analog with paper charts and white boards #thepitts2 #ThePittSpoilers #ThePitthbo

[Dr. Miller A M @federermiller]

Cleanness by @GarthGreenwell

[Reads with Ravi @readswithravi]

Have you ever read a book by an author that was so good it made you want to read everything else they've written?

[Dr. Miller A M @federermiller]

My city triptych found a home at issue 20 of @GulmohurQ . Do read.

[gulmohur quarterly @GulmohurQ]

Our quarterly ISSUE 20/ DECEMBER 2025, marking our fifth anniversary, releases today! Read here: https://t.co/xcbxxcnpCe

[Dr. Miller A M @federermiller]

I really gotta be deranged to write a novel while having a nice high paying desk job.

[Dr.Gargi Mahananda Dhananjayan @Doctor_Gargi]

I'm noticing a lot of Psychiatrists overstepping a lot, especially if the patient is a queer person. And I now understand why queer people have started to want Psychiatrists who are queer themselves. The lived experience is always unmatched.

[Dr. Miller A M @federermiller]

@Doctor_Gargi Needs thorough clinical evaluation. Post partum psychosis is rarer (less than 1%) than post partum depression (10-15%) .

[Dr. Miller A M @federermiller]

That one modern family episode when Jay gets a botox.

[Jeremy Kaplowitz @jeremysmiles]

so this guy like 100% had a stroke right

[Dr. Miller A M @federermiller]

@PrudyRay So glad.💙

[Dr. Miller A M @federermiller]

The sanghification of Indian academia & higher education is an open secret. Critical thinking & spiritual charlatanism can never coexist. We're witnessing the death of scientific temper in real time in India.Shameful, @aiims_newdelhi

[AIIMS, New Delhi 🇮🇳 @aiims_newdelhi]

Miracle of Mind with Sadhguru
We are delighted to invite you to an eye-opening session with Sadhguru on quiet rise of mental imbalance & how we can take charge of our inner wellbeing.
On 30/07/2025, 5:00-6:15 pm at JL Auditorium
Seating:Auditorium,Conf. Hall, LT 2 & Board Room

[Dr. Miller A M @federermiller]

@poetrification @NIMHANS_BLR Yes, I worked as an SR before and then got a pdf last year.

[Dr. Miller A M @federermiller]

Last day as an Emergency Psychiatry Fellow & SR at @NIMHANS_BLR. It’s been an intense two years. Grateful to all the incredible nursing staff and residents. I’ll miss the chaos. Leaving with a heavy heart & much love. One of my patients gifted me his art as a farewell. 🩺 😭💙