murali krishna

being nice and smart is normal, you don’t need a medal for it. Family Physician/Geriatrics/Diabetes/Mental Health. Disability rights! Alum: RGUHS, IIMB

[murali krishna @krishna2310]

What can govt do to encourage medical professionals to work in the rural areas when the mindset of the population is market oriented?

[UNITED DOCTORS FRONT (UDF) @UDF_BHARAT]

Disgraceful and deeply disturbing.

CCTV footage from a Dombivli hospital shows an elected representative and his associates allegedly assaulting a doctor along with nurses and staff.

Attacks on doctors and healthcare workers are no longer isolated incidents — they are becoming frighteningly common. When those in positions of power engage in such violence, it sends a dangerous message to society.

This is an attack not just on one doctor, but on the entire healthcare system and every citizen who depends on it.

Immediate arrest and strict legal action are the minimum that must happen. No one is above the law.

@mieknathshinde @Dev_Fadnavis
@CMOMaharashtra @ThaneCityPolice @DGPMaharashtra
#ProtectDoctors #EndViolenceAgainstHealthcare #DoctorSafety #Maharashtra

[murali krishna @krishna2310]

@IRCTCofficial @RailMinIndia @AshwiniVaishnaw dad traveling to CBE unable to book retiring room for 5th night, only doing day bookings.
PNR 4240562353. Pls help

[Indian Doctor🇮🇳 @Indian__doctor]

Rural doctors are working under conditions as dangerous as a battlefield.

A Doctor at chc sukrauli #kushinagar( UP) did everything possible to save a patient suffering from a venomous snakebite using the limited resources available.

Despite all efforts, the patient could not be saved.
Instead of understanding the limitations of medicine, an angry mob allegedly chased the doctor with the intent to attack. The doctor reportedly had to run through fields just to save his own life.

Medicine can never guarantee a 100% survival rate. Doctors promise their best efforts not miracles.

If this violence continues, who will be willing to serve in rural India?

@PMOIndia @narendramodi @myogiadityanath

[D Prasanth Nair @DPrasanthNair]

On Wednesday morning Sinoj, who runs a lottery shop at Kochi developed severe chest pain while driving himself to a hospital. As traffic came to a standstill, he collapsed inside the car.

Two nurses - Anjali Baiju and Ardra Raj, who were travelling in a bus, noticed the commotion on the roadside. They immediately got off the bus, rushed to the car and began cardiopulmonary resuscitation (CPR).

A passer by Ranjith, took over the car and drove Sinoj to the hospital. The two nurses continued CPR inside the vehicle until Sinoj reached a hospital.

Doctors said he had regained signs of recovery by the time he arrived.

Respect to the two sisters. God bless
This truly made my day

[murali krishna @krishna2310]

@ICMRDELHI 👍👌 shall follow this 🙏

[ICMR @ICMRDELHI]

On #WorldHypertensionDay, ICMR presents the Standard Treatment Workflow (STW) for Hypertension in Adults-an evidence-based guide for screening, diagnosis & management.

🌐 https://t.co/QUE8jk0CS0

📱 https://t.co/FGQzUBgJTu

[Dr.Sivaranjini @dr_sivaranjani]

Today, on my birthday, I ask you all to share this message tagging @narendramodi @MoHFW_INDIA @JPNadda @eduminofindia @dpradhanbjp
and ask
1)Only CDSCO approved medicines are sold in the pharmacies, and not FSSAI approved products, especially chocolates, biscuits, sugary liquids, misbranded tetrapacksetc
2)Make every school, every home, every office, every factory, every construction site, every public transport, and every public place safe by ensuring CPR training and First Aid training(especially for choking, seizures, poisoning, and trauma) is imparted to every one.
3) Ensure car seat and belt guidelines for children, helmet guidelines for children, and seat belt guidelines for those sitting in the rear seat are formulated and enforced
4) Teaching children about 'OK touch' and 'Not OK touch' is incorporated in the school curriculum.

#childsafety #medicationerrors #publicsafety #CPR #FirstAid

[KV Iyyer - BHARAT 🇮🇳🇮🇱 @BanCheneProduct]

At nearly 100, Dr K Laxmi Bai gifted her entire life’s savings, Rs 3.4 crore, to AIIMS Bhubaneswar to build a gynaecological oncology unit for women battling cancer across Odisha and beyond.

Born in 1926, Dr Laxmi Bai was in the first MBBS batch at SCB Medical College, Cuttack. She later earned her DGO and MD from Madras Medical College and went on to pursue an MPH at Johns Hopkins Hospital in the USA, an extraordinary achievement for her time.

For more than five decades, she served women with care and dignity, from government hospitals in Sundargarh to teaching at MKCG Medical College, Berhampur, where she retired as professor in 1986.

Now, as she steps into her 100th year, her gift is shaping a future where more women receive timely, specialised cancer care. Her only wish is that this contribution trains future doctors and offers hope to countless lives.

She could have used the years to rest. Instead, she chose to heal.

Some call it charity. The world will remember it as a legacy.

[murali krishna @krishna2310]

@BPCLLPG Sent DM, Invoice that was sms to me, it has my consumer number and phone number. Look forward to hearing from you. Thank you. 🙏

[murali krishna @krishna2310]

@BPCLBangalore COMPLAINTS SECTION ON WHATSAPP/website not working.”SUBMIT”not working after OTP verification
LPGcylinder has been issued on my name with Orderno:164473and Invoiceno:250790,date:22/03/26.
I did not place the above order so unableto book till16/4/26 @PetroleumMin

[Dr.Sivaranjini @dr_sivaranjani]

I am Dr. Sivaranjani, a pediatrician , raising concerns about how ERZL is being marketed and positioned in pharmacies, and the risk it creates for consumers making critical decisions during dehydration.
This issue is not about whether ERZL is safe in isolation.
It is about how it is presented, perceived, and potentially misunderstood in real-world settings.

ERZL is a commercially marketed electrolyte drink. However, its branding and advertising raise serious concerns.
*It should not be using ORSL in its communication.*
Why?
Because:
* ORSL itself is not the original medically recommended ORS
* Referencing ORSL in any form creates brand recall in the minds of consumers
* Instead of reducing confusion, it continues and reinforces it
When ERZL is positioned as a continuation or replacement of ORSL, it keeps that same association alive — especially among parents who may already believe ORSL was equivalent to ORS.
👉 This defeats the very purpose of regulatory action.

In pharmacy settings:
* People are often making quick decisions under stress
* They rely on familiar names and visual cues
* Branding can directly influence what they choose
If ERZL continues to build on ORSL recall, it risks being perceived as a medical solution for dehydration, even when it is not the same as ORS (the medically recommended solution).

There are also concerns around ingredients like sucralose, especially in children and with prolonged use, based on global health guidance.
This makes clear communication even more important.

After raising these concerns, I have received a legal notice from Johnson & Johnson and Kenvue.
This petition is not about conflict.
It is about:
* Clarity in healthcare communication
* Preventing consumer confusion
* Ensuring responsible branding and advertising
* Allowing doctors to raise public health concerns without hesitation

We urge the Food Safety and Standards Authority of India and the Ministry of Health and Family Welfare to:
1 *. Ensure that, since ERZL closely resembles ORSL, Kenvue is directed to rebrand it in a way that does not create recall or association with ORSL.*
2. Prevent misleading positioning that may confuse consumers
3. Strengthen enforcement at the pharmacy level
4. Ensure clear differentiation from medically recommended ORS
5. Protect healthcare professionals raising genuine concerns

In healthcare, even small confusion can have big consequences. Clear choices save lives.

@fssai @JPNadda
@MoHFW_INDIA @narendramodi
Stand for public health. Sign and share this petition to help protect every family from confusion in critical moments.
https://t.co/EzGFbVddDU

[Narendra Modi @narendramodi]

During today’s #MannKiBaat, appreciated an effort called Anveshana which seeks to make science popular at the grassroots.

@PrayogaIER

[ANI @ANI]

#WATCH | Delhi: On GLP-1 Drugs, Dr Nikhil Tandon, Delhi AIIMS professor and HOD of Department of Endocrinology and Metabolism, says, “We can take many steps to reduce obesity. The first and foremost step towards it is physical activities and diet… The medicines which are used in weight control are always given with a foundation of diet control and physical activity. We have to make changes in our lifestyle first to achieve weight loss… After all this, if we are still not achieving the required weight, we should consult a doctor… Earlier, there were some medicines for weight loss which were withdrawn due to their side effects… A medicine is only approved when the benefits outweigh the risks, and it can reduce up to 5% of your weight. The GLP-1 was initially used for diabetic management but was later found to have an impact on weight… But one should not consume it recklessly as these are serious medicines for a serious problem… People should be careful as there can be side-effects…”

[anand mahindra @anandmahindra]

Indian deep-tech startup Genrobotics has secured an ₹80 crore contract with Singapore’s water authority to deploy 44 robots for cleaning & inspecting sewer networks over the next two years. The company beat over 600 global firms following an 18-month evaluation.

This was particularly satisfying news for me because I invested in them in 2020.

And I invested because I was moved by the fact that their motive for starting the company was to create the ‘Bandicoot,’ for ridding the country of manual scavenging.

This was not a goal that would deliver them a fast path to an IPO and sky-high valuations & make them extraordinarily rich.

But it was a goal that would have a dramatic social impact.
Our municipalities were not just robbing workmen of their dignity, but putting their lives at risk. The Bandicoot robot would rectify that.

So, to paraphrase Robert Frost: They took the path “…less traveled by / And that has made all the difference”

In other words, they created a purpose-led company

And the news of their win in Singapore was gratifying because it signals that purpose and profits are not at odds with each other.

(Since that win, they also have won a ₹17 crore tender from the Ahmedabad Municipal Corporation (AMC) for the deployment of its advanced Bandicoot Mobility+ robotic sewer cleaning systems.)

Startups like Genrobotics that are created with a higher Purpose, are my #MondayMotivation

[ANI @ANI]

#WATCH | Pune, Maharashtra: Indian scientists developed DME (Dimethyl Ether) technology as an alternative to LPG.

Dr Thirumalaiswamy Raja, Chief Scientist at CSIR-NCL, says, "...Two decades ago, we started this kind of chemistry to attain DME in a cost-effective and legally sustainable way. With this lab, we made it all happen. This was inaugurated by the then Science and Technology Minister, Dr Harshvardhan. We developed syngas to methanol, and syngas to direct DME for using syngas, because CO+H2 from wherever it comes (NG, natural gas, biomass, etc.). Later, we focused on methanol to DME, an indirect route... We developed a catalyst and obtained around 5 patents for this catalyst..."

He adds, "We built it to an industry standard from the beginning. From scratch, we focused on industry needs... We are working with industrial partners, including one in Pune, for a 250 KPD plant. Our fabricator is also based in Pune and is ready to deliver shortly to meet India's needs. We are collaborating with different PSUs, including IOCL, the biggest refinery of Indian Oil Corporation Limited. They validated our process successfully. Now, we are talking with ONGC, which is willing to set up a 2.5-ton-per-day plant (about 2,500 kilograms per day). Once it’s validated with a semi-commercial demonstration plant, it can be scaled to any size. We are ready to roll..." (15.03)

[murali krishna @krishna2310]

@CSIR_IND How do farmers get access to the seeds

[CSIR, India @CSIR_IND]

https://t.co/Iwnztc9mTz

[Dr Sudhir Kumar MD DM @hyderabaddoctor]

Is HbA1c Still the "Gold Standard"?
Recent reports have cast doubt on the reliability of the Glycosylated hemoglobin (HbA1c) test, leaving many patients (and some doctors) confused. As a neurologist, I see how vital this number is; not just for diabetes management, but for long-term vascular and brain health.

✅The Verdict: Yes, HbA1c remains our most reliable "time machine" for tracking blood sugar over the last 3 months. However, it is not an absolute truth; it is a proxy.

▶️The "120-Day Rule"
HbA1c assumes your Red Blood Cells (RBCs) live for exactly 120 days. If that biological clock speeds up or slows down, the "sugar coating" (glycation) on those cells will give a false reading.

▶️When HbA1c "Lies" to You:
For my colleagues in the wards and junior doctors, remember these three scenarios where you should trust the patient's logs over the lab result:

1. The False High (Slow Turnover):
In Iron or B12 deficiency anemia, RBCs live longer than average. They spend more time in the "sugar bath" of your blood, resulting in a deceptively high HbA1c.

2. The False Low (Rapid Turnover): Conditions like Hemolytic Anemia, Pregnancy, or erythropoietin (EPO) therapy (common in Chronic Kidney Disease) cause a rapid churn of young RBCs. These "new" cells have not had time to get glycated. Result? A "perfect" HbA1c that masks high sugar levels.

3. The Dialysis Trap: In advanced Kidney Disease, uremia and altered RBC survival make HbA1c notoriously shaky.

✅The Takeaway
Don’t discard the test, contextualize it.
🔸For Patients:
If you have anemia or kidney issues, your HbA1c might not tell the whole story. Don't panic over a single number; look at the trend.

🔸For Junior Medicos:
If the HbA1c doesn't match the patient’s clinical picture or glucose logs, check the CBC and Reticulocyte count. In these "gap" cases, use Fructosamine or Continuous Glucose Monitoring (CGM) to find the truth.

Confidence in a tool comes from knowing its limits. Let's practice precision medicine, not just "protocol" medicine.

Dr Sudhir Kumar
@hyderabaddoctor

[Dr.Sivaranjini @dr_sivaranjani]

Who is to blame? The authorities for giving permission and allowing OTC sale, or the pharmacist handing them out without the prescription, or the parent? Victim is the baby, finally!
If you ask me, if a medicine is not to be given to some one below 4 years of age, permission should not be given in the first place for these drops. If it is a schedule H drug, OTC sale should not be allowed.
@MoHFW_INDIA

#maxtradrops #sinarestAFdrops #solvincolddrops #zyrtecdrops #sinarestdrops

There is nothing like 'cough syrup'. Cough can be because of a lot of congestion,bronchospasm, bronchiolitis, acid reflux, allergy or infection. It can be a habit cough, or due to inflammation of the throat or stress related. Address the underlying cause.

Syrups available in India in the name of cough syrups contain either decongestants like phenylephrine (whose side effects are mostly due to overdosing or wrong dosing - increase in heart rate, increase in blood pressure, and arrhythmias), or anti allergy medications like chlorpheniramine and cetirizine (overdosing can cause sedation and respiratory depression- less with Levocetirizine, though), mucus breaking drugs like ambroxol and guaifenesin, bronchodilators like levosalbutamol and Terbutaline(overdosing can cause tremors, increased heart rate and arrhythmias) and cough suppressants like dextromethorphan and codeine(which can cause severe respiratory depression when overdosed). We should not suppress the cough, as it might even help in expelling the germs out.

For every medicine there is a minimum age before which we can't give the medicine to the child, especially without the paediatricians's advice. For phenylephrine in India, it is now four years, though most guidelines say it is 2 years. For cetirizine, it is 6 months. In India the combination of Phenylephrine and Chlorpheniramine should not be used below 4 years of age.
If a medicine is prescribed by a doctor, If the right dose is given by a mother for a right indication, problems usually don’t happen. The problem of overdosing happens when the parents go and buy over-the-counter medications, and give them randomly without knowing the doses. So, don’t buy the so called cough syrups on your own and decide to give them to the children. If they have a cough, paediatricians are there to address the underlying cause for cough and prescribe the treatment depending on the age group, symptoms, and the etiology. Stick to the doses, read expiry date. Doctors should write the prescriptions clearly, mention composition and tell the parents not to repeat the prescription, explain to them about dangers of wrong dosing, overdosing and repetition of prescription.

First aid for cough mainly is compression with a warm cloth. In India many of them give steam directly. That is dangerous. If steam should be given, then the bathroom should be filled with the steam and the kid should be made to sit there.Don't give vicks,eucalyptus oil, Zindatilismath etc. In younger children they can cause seizures, and can worsen the cough and asthma symptoms.

If the nose is blocked, put one to two drops of saline nose drops (from the pharmacies) in each nostril. If the cough is severe, the kid is vomiting or coughing continuously, consult the doctor.

Drug regulators should avoid giving permission for drops and syrup with the same brand name, for unscientific combinations of medicines, for formulations with different components but the same brand name with a suffix or prefix. We need to have only a few standard brands or generic medicines with strong quality control. Form a panel of paediatricians for the same.

Also, Terbutaline and Levosalbutamol shouldn't be part of the combinations. We have specific indications for these medicines. Safer route of administration for Levosalbutamol is using a nebulizer or MDI with or with out spacer, only if advised by the paediatrician when the child has bronchospasm.

INFACT, AVOID COMBINATIONS!

Dr Sivaranjani Santosh

[ICMR @ICMRDELHI]

Thank you Hon’ble Prime Minister for highlighting the critical issue of antimicrobial resistance on Mann Ki Baat.

As rightly emphasised, antibiotics must be taken only on medical advice. Together, informed choices can protect the power of life-saving medicines.
@DeptHealthRes