Michaelis_👑

Medical Doctor🧑‍⚕️ | Liverpool @❤️ | StudentOfLife📝

[Michaelis_👑 @Mpuuga_MD]

We all owe life a death, an inevitable death which we can meet.
But the unnecessary death that wastes life denies all consolation._L.B.

[Siyasa Jimmy @JimmySiyasa]

“Modern Tooro begins with Kasagama”
—Tony Owana

A productive way to spend 44 minutes this weekend is to watch this highly informative documentary on the modern history of Tooro Kingdom.

From Omukama Kasagama to Oyo.

📹 Owanapedia

[🧗🏾‍♀️Bentique🦍 @bentique3]

We need to crown @Solomon_Kaweesa as the king of story telling in Uganda.

[Daily Monitor @DailyMonitor]

WATCH: Members of the Basiita clan on Friday made a cultural announcement following the death of Tooro King Oyo Nyimba Kabamba Iguru IV. The announcement followed a directive by Omujwera Musuuga Charles Kamurasi, head of the Babiito royal clan and uncle to the late King Oyo. The Basiita gathered at a kaswa, a small raised hill, where they sounded an alarm to notify subjects of the Tooro Kingdom about the death of the King. The ritual is part of the traditional system used to communicate significant events within the kingdom, particularly the death of a reigning monarch.
#MonitorUpdates
📹: Alex Ashaba

[Ian Gumisiriza @T_E_F_L_O_N]

Words fail.
Hearts sing with sadness in silence.

[Internal Medicine Residents @Makerere @InternalmedMak]

Join us this Tuesday for an interactive multidisciplinary Grant Round@InternalmedMak

“Responsible steroid use”, harm-reduction approach.

2:00–4:00PM

Zoom Meeting
https://t.co/w8jTrSUjF7
Meeting ID: 856 3748 5814
Passcode: 321515
@MakerereCHS, @SemitalaFred, @rkalyes1, @dmeya

[Dr M Shujat Rasool @DrMShujat]

Never approach IRRITABLE BOWEL SYNDROME (IBS) randomly. Instead use this structured approach.

Here’s my step-by-step clinical approach to IBS.

Step 1: The Diagnostic Anchor - Rome IV Criteria

[Dr. AK 🇮🇳 @docakx]

Side sleeping is discouraged to prevent SIDS. But room sharing>bed sharing is recommended.

This is a detailed thread about Sudden Infant Death Syndrome (SIDS) and prevention.

[TOKO @GodwinTOKO]

Habibi, can HIV/AIDS be cured through divine intervention?

On September 8, 1989, when Yoweri Museveni was president of Uganda, and the HIV/AIDS pandemic was at its peak, Yowerina Nanyonga from Ssembabule announced that God had revealed the cure for HIV/AIDS to her - in her dream.

At the time, little was known about HIV/AIDS, let alone the science/medicine of curing patients or making effects less severe - not just in Uganda - but the world. Regardless, Yowerina announced that her niece, Margaret Nazziwa was the first beneficiary of her medicine healed of the deadly virus.

The cure? Well, Yowerina announced that God had revealed to her that the soil in her shamba - backyard - mixed with water, and drunk by HIV/AIDS patients was the cure for the deadly virus. Her instructions were simple: the soil was to be mixed with cold water - nothing else - and then taken by the patients.

People flocked Yowerina’s places from around the country and even northern Tanzania, Rwanda, Burundi, and Eastern DRC. One report says the lines stretched for over two kilometres! Some people spent the night in lines waiting for their share the next day. In all this, residents of the area made a fortune: hawkers of gonja, michomo, water, roasted bananas sold, sold, and sold some more as lines grew longer and hunger did its thing to people on the line.

If she wanted, Nanyonga could have made a fortune out of it all, she didn't: the mugfuls of the soil were given out for free to anyone who wanted. Her instructions were so much against monetising this that she warned that when the soil was sold, not only would it lose its healing power, but also the seller would run mad!

Within days, there was a deep excavation in the shamba - see photo - as more and more people flocked her home for this “God revealed cure”. Even then, some of her neighbours said she was mad and someone not to be listened to or given attention. However, the sheer desperation of the time meant that more and more people - even doctors and scientists - took a chance with the soil for there was nothing else to do.

Then, the story began to fall apart. Remember Margaret Nazziwa? Nanyonga’s nephew allegedly cured of HIV/AIDS after taking the soil? She started coughing blood and then died. Those who doubted Yowerina’s story from the start had a good point of reference to underscore their doubt. Those who believed it? Well, they blamed Nazziwa: that she didn't believe enough, and also that she was reckless - someone said she even started drinking alcohol and going to bars, dancing inappropriately - after being “cured” instead of thanking God in church. So, her death was to be blamed on herself! Not Yowerina, or the “blessed soil”.

For the government, there was a dilemma. If Nanyonga charged money, it would have been a clear case of extortion or obtaining money by false pretences to investigate. She didn't. Also, Nanyonga, a practising Roman Catholic had gained a cult following overnight. Going after her was not the easiest thing to do.

However, people who received her cure started to die. Investigations into her activities revealed she was probably not in the most mentally stable person in her village, let alone district. The doubters increased in number. With time the whole thing fell apart. She didn't cure anyone of HIV/AIDS. There were just enough people desperate enough to believe her.

Photo: Born In Africa: The story of Philly Bongoley Lutaaya by Andrew Ssempala Ssengendo.

[Michaelis_👑 @Mpuuga_MD]

@_heysamuel @ATLsoso1 😂😂😂

[Michaelis_👑 @Mpuuga_MD]

@SpireJim 😂😂😂

[Dr. AK 🇮🇳 @docakx]

A urosurgeon does laparoscopic surgery training by folding origami figures.

[Michaelis_👑 @Mpuuga_MD]

@kunmigbenga 🤣🤣🤣

[Eric @amerix]

When you go to the gym,

You will see fat people doing this exercise. It is called Scissors Kicks.

They have been misinformed that this exercise will cut their obese abdomen.

IT WON'T.

First, you can't spot reduce fat. The body doesn't decide where to lose fat.

To lose fat, the body only responds to a metabolic system influenced by hormones and the body's nutritional habits.

Systemically, the body loses fat from the periphery and ends centrally.

The stomach is the last region to lose fat. The face is the first, then the arms.

Second, this exercise targets the hip flexors (Psoas major, Iliacus, and Rectus femoris). It doesn't target abdominal muscles.

Abdominal muscles are targeted when the upper chest flexes to meet the knees, eg hanging raises or cable crunches.

A fat person doing this exercise will end up with an impinged pelvic girdle, also known as Pelvic Girdle Pain (PGD).

A fat person who intends to fix his big stomach must first fix his diet.

Then, build a structure or routine where 10,000 steps of walking must be achieved daily.

Then, after 3 months of consistency in diet and walking, he can start an 8KM morning run once a week, and then functional gym workouts (Push, Press, Pull, Hinge) thrice a week.

Add basic callisthenics movements like dead-bug, bird-dog and Turkish get-ups.

Once there is considerable weight loss, then add isolation workouts in addition to the simple functional workouts and the simple callisthenics movements.

Otherwise, sit-ups, bicycle kicks, and Russian twists are useless.

The aerobics are also useless and will leave you hungrier, with high cortisol and inflamed joints.

[Livingstone Mukasa @MukasaMulya]

Know Your Burn Rate

One habit is almost universal across Africa's informal economy: people know exactly how much they need to earn today to survive (pay for daily expenses).
The taxi driver knows how much fuel must be paid for before taking anything home. The market vendor knows the day's sales target before opening the stall. The boda boda rider knows the minimum number of trips needed to put food on the table. When income is uncertain but bills cannot wait, survival demands an intimate understanding of your daily burn rate.

Ironically, many people in the formal economy lose this habit.
They know their annual salary but have no idea how much value they must create today, this week, or this month simply to sustain their lifestyle. They celebrate a raise, negotiate a bonus, or switch jobs without ever calculating the minimum economic engine required to keep their lives running.

This is a dangerous blind spot.
Your burn rate is the cost of maintaining your current standard of living. Housing, food, transportation, healthcare, utilities, insurance, education, and every recurring expense combine to form your economic baseline. Once you know that number, you can translate it into a daily, weekly, or monthly income target.

Suddenly, personal finance becomes much more practical.
The question changes from "How much do I earn?" to "How much value must I create consistently to ensure my survival?"
That subtle shift changes everything.

It also provides one of the simplest ways to evaluate your skills. If your earning capacity cannot comfortably support your burn rate, the problem is rarely just your paycheck. More often, it is a market-value problem.
The market pays for skills that solve problems.

Your degree/education matters only if it enables you to solve valuable problems. Your experience matters only if someone is willing to pay for it. Every new skill should therefore be viewed as an investment capable of increasing your economic value and widening the gap between what you earn and what you need.

Your burn rate also acts as an excellent filter for opportunities.
Many projects are enjoyable. Many businesses are exciting. Many passions are personally fulfilling. But very few are economically sustainable.
Knowing your required income forces difficult but necessary questions.
Can this business realistically generate enough cash flow? Can this career support the lifestyle I want? Is this a hobby, an experiment, or a genuine economic opportunity?
These questions do not suppress ambition. They protect it by directing time and capital toward ideas with a credible path to sustainability.

Then comes the most important transition.
The day your income consistently exceeds your burn rate, you stop playing defense.
Every dollar above your living expenses becomes investable capital. Your focus shifts from simply earning income to acquiring assets that generate income of their own.
This is where wealth is built.
Income pays today's bills. Capital pays tomorrow's bills. Assets eventually pay bills you have not yet imagined.

Viewed this way, personal finance becomes one connected system. Your burn rate defines the minimum income you need. Your skills determine the value you can create. The surplus becomes capital. Capital acquires productive assets. Those assets eventually generate enough income to fund your burn rate without requiring your daily labor.
That is financial independence.

Wealth, then, is not measured by how much money sits in your bank account. It is measured by how many productive assets are quietly working every day to finance your life.
The journey begins with a deceptively simple question: How much must I bring it today to survive?

[Michaelis_👑 @Mpuuga_MD]

@Bigodi58 😂😂😂

[Eric @amerix]

This is called a HAEMODIALYSIS CATHETER.

It is for patients undergoing dialysis.

It is inserted into a patient's chest through the internal jugular vein.

The red port cannula is the arterial lumen that draws deoxygenated blood out of the patient's body and sends it to the dialysis machine for cleaning.

The blue cannula is the venous lumen that carries cleaned, filtered blood from the dialysis machine back into the patient's bloodstream.

This catheter stays in a patient's body for 6 - 12 weeks, or even longer, depending on medical decisions, before being replaced with a permanent fistula.

A healthy kidney filters your blood 400 times per day, while a dialysis machine does so only 2 times a week, for about 5 hours per session.

Dialysis patients have to arrive at the renal unit as early as 3 am, twice a week.

Not even a dialysis machine can replace the efficiency of a healthy kidney.

Therefore, take care of your kidneys.

#FoodFriday

[Dr. Priyam Bordoloi @DocPriyamMD]

Today, let’s dissect and discuss a Complete Blood Count (CBC) like a specialist. But not just any CBC. This actual report is a downright medical emergency. If you see this on the wards, you drop everything. Let me break it down in detail

[Modern Health @modernHealthMe]

This woman has a dangerously fast heartbeat. The doctor doesn't start with an IV drug.
He asks her to blow as hard as she can into a syringe & then lifts her legs.

Why?

[Dr. Priyam Bordoloi @DocPriyamMD]

Some medicines are safe alone. Mix them and they become a lethal poison.

As a doctor, here are 5 classic drug combinations people accidentally take that land them straight in the casualty.

1. Viagra + Chest Pain pills.

[Michaelis_👑 @Mpuuga_MD]

@Arkemys_ 😂😂😂