Rupa Valaulikar

Dermatologist

[Prasanna Karthik @prasannakarthik]

With so much unpleasant news and shocking revelations around an incident involving an IIT educated Chief Minister, his official residence and a female member of his own party, I wish to share my experience with another IIT educated Chief Minister, his official residence and a female relative of his own staff (1/10).

[DD News @DDNewslive]

Devotion has no limit, #Rangoli artists from Sangli, #Maharashtra create attractive patterns at Lata Mangeshkar Chowk ahead of the consecration ceremony. Watch Report by #DDNews correspondent
@Rituvermaddnews
@UPGovt @tourismgoi @MinOfCultureGoI #Ayodhya #AyodhyaRamTemple

[Morbid Knowledge @MorbidKnowledge]

In 2013, Doctors kept the hand of Chinese factory worker, Xie Wei, alive by stitching it to his left ankle and "borrowing" a blood supply from arteries in the leg.

Following the surgery, the hand itself felt warm, he said, but it was numb since no nerves were connected and only blood vessels were attached. His leg felt no different, he said, but was “heavier than usual.”

After a month, doctors were able to reattach the hand to his arm.

After being discharged, Xie Wei said he can twist his wrist to a certain degree, but doesn’t have full movement with his fingers.

Doctors told him a full recovery for the nerves in his hand should take about six months.

[Massimo @Rainmaker1973]

Tumbleweeds start out as tiny seedlings; by summer the plant has a round shape. They grow flowers and fruits. By fall they dry and detach from their roots, so they spread their seeds

[source: https://t.co/XLKA9YjF8U]
[video: https://t.co/JqAMLmJ4nx]

[TheLiverDoc™ @theliverdoc]

The 4th Laddu.

These 3 laddus were given to me by the wife of my patient on his birthday, a few weeks before.

She was now happy and the family was doing good for themselves.

My patient Paul, suffered from alcohol use disorder. He had been drinking for more than 15y. Three months back, he developed severe alcohol-related hepatitis. Jaundiced, with abdominal fluid, blood infection and disoriented, he was transferred to our Unit for expert management & liver transplant.

Liver transplant was not an option from the outset. Paul owned a small provisions and bakery shop, had two girls, aged 5y and 9y and his wife worked part time errands, but quit after the girls were born. They did not have enough money to evaluate Paul for the transplant.

So we put him on antibiotics, cleared the infection and put him on a salvage stool transplant to increase his life. You can read more on it here: https://t.co/kAWFmEJJZ7

He responded to it. Alcohol-related hepatitis resolved and he went back to being a stable cirrhosis patient. We put him on a psychiatry program to prevent relapse. He did well. For 3 months. Then stopped coming to my OPD and started drinking again. Initially 300ml/d and then almost a liter/d.

Paul's cousins dragged him to my outpatient department one day and I got to know his relapse was bad. He had stopped meds and was back with his "good friends." He paid for everyone's drinks. I spoke to Paul and told him that it was a disease, he needed help, his friends were not real and his daughters needed a father. He cried a lot and told me alcohol was more an attractive option than anything else. He agreed for deaddiction again and went back in the protocol and also went back to drinking.

Hospital visits and medicines and expenses for buying alcohol for himself and friends were getting a big deal. One day his wife comes in alone and tells me not to get him better again. He gets better, he goes back to drinking and we lose a lot of money. Let him remain little sick, so that we will somehow earn enough from the store to get through. He will be home and I can work at the shop and provide for all.

After a couple months, after a severe binge, he developed severe alcohol-related hepatitis again. This time, it was worse. His kidneys were injured. The family denied admission. They had no money to spare. It would have to come from the daughters education, the mother had kept aside. They lived very far. Almost 400km from where I worked.

For the next 2 weeks, I regularly prescribed medicines, made suggestions to reduce symptoms and comforted the family over phone, while Paul was treated at home. A good physician nearby their home would administer antibiotics and fluids to Paul as he got sicker.

Paul died at home on the 18th day after I diagnosed him with recurrent alcohol-related hepatitis.

Three months after his death, his wife came all the way to visit me, on Paul's birthday, to give me sweets. Three Laddus. One from her and two from the daughters. Because I never stigmatized her or Paul. I did not make her look like a failure. I never blamed her or Paul for his disease. I never shouted at Paul for his behaviour. They were free now. The girls went to school and the wife was now running the shop well.

But all I could think about, was that fourth Laddu. The one I never received from Paul, because he died. A woman lost her husband, two bright young children lost their father. All three lives broken and a void that can never be filled.

I never advise anyone to even consume alcohol occasionally even if they are in the pink of their health. I don't advise alcohol in moderation. I don't, because I have post traumatic stress disorder from seeing families get shattered into a million little pieces due to alcohol.

[Latest in space @latestinspace]

Fun fact: The last day of 2023 will be 123123 👀

[Vala Afshar @ValaAfshar]

No matter what you do, do it like an artist. Take pride in your work. https://t.co/MQU3HiIgJw

[All The Right Movies @ATRightMovies]

There's a tradition of film directors and studios congratulating each other for beating their box office records. A THREAD

In 1977, when STAR WARS beat Jaws to become the highest-grossing movie ever, Steven Spielberg took out the below ad for George Lucas in
@Variety

1/11

[Massimo @Rainmaker1973]

The jackdaws are gathering material for a comfy nest and offering a free trim to the moulting red deer: a kind of symbiotic relationship

[read more: https://t.co/1QJ4vkS1Ad]
[📹 HD, Lawrence Chatton: https://t.co/zKMQuCEQlR]
https://t.co/lXWUwHkJXZ

[Vertigo_Warrior @VertigoWarrior]

10 Divya Prasadam of our Sanatan Mandirs

1. Tirupati Balaji Laddu

[Harsh Goenka @hvgoenka]

These moving circles are like the promises of a politician. Both are illusions!
https://t.co/KegPaExqzH

[Dr.Samrat Gowda IFS @IfsSamrat]

Reflex!!!!

[Desi Thug @desi_thug1]

10 Extremely Beautiful Gopurams of Southern India temples that rich in Divinity..

1. Meenakshi Amman Temple, Madurai

[Supriya Sahu IAS @supriyasahuias]

How to navigate through ice sheet without breaking it - ditto for life 😊 Life lesson from a Polar bear #FridayFeeling

[Raghu @IndiaTales7]

What a unique and divine rendition of alphabets ABCD chanted by 3 year old Bhagwat Das who studies in Gurukul!

[Massimo @Rainmaker1973]

In 1995, 14 wolves were released in Yellowstone National Park. No one expected the miracle that the wolves would bring

[video, HD: https://t.co/rsjS56xnQ8]
[read more: https://t.co/p3YBOBXyyF]

[Susanta Nanda IFS (Retd) @susantananda3]

If you wondered why the leopard climbed a coconut tree, see till the end🥺

[Erik Solheim @ErikSolheim]

This is the Japanese Puffer Fish - one of nature's greatest artists. To grab a female’s attention he creates something that defies belief.

Nature is more amazing than we will ever know. Protect it in all its forms.

[Umashankar Singh उमाशंकर सिंह @umashankarsingh]

ये तो बस ज़ूम इन होता ही जा रहा है!

ऐसा ज़बरदस्त डिजीटल आर्ट आपने पहले देखा है क्या? 😍

[Science girl @sciencegirl]

this 360° view from the top of Mount Everest

📹filmed by Ben M. Jones