Shilpa Gandhi

Thoracic Surgeon!

[Shilpa Gandhi @msshilpagandhi]

Uniportal VATS TOS surgical decompression for neurogenic thoracic outlet... https://t.co/HlOfnfdQ5z via @YouTube

#UVATS #thoracicoutletsyndrome #neurogenicTOS #MITS #Decompressionsurgery #multidisciplinary #thoracicsurgery #WomanThoracicSurgeon #DrShilpaGandhi #Nagpur

[Jayant Bhandari @JayantBhandari5]

If an average Indian had peacocks at home, he would go to prison under the wildlife acts. In India the whole purpose of being in power is to be above the law.

[SirKazam {blu tik} @SirKazamJeevi]

UPI, Aadhaar, MNREGA all work because they were planned, designed & developed before Modi. He continued with them & takes credit

As for initiatives & slogans started by Modi, here is a summary report:

[The Society of Thoracic Surgeons @STS_CTsurgery]

It is with a heavy heart that I inform the global membership of The Society of Thoracic Surgeons of the untimely passing of Professor David Taggart of Oxford University—a distinguished cardiac surgeon, clinical investigator, teacher, and leader in our specialty.

David’s contributions to the science and art of coronary surgery are immeasurable. His rigorous intellect, thoughtful critique, and willingness to challenge convention advanced the evidence and scientific discourse of cardiac surgery. Unbeknownst to many, David had been bravely yet quietly battling esophageal cancer. His legacy will endure not only through his scholarship, but also through the surgeons he inspired and the countless patients who benefited from his work.

On behalf of STS and our global community, I extend our deepest condolences to his wife, Kathleen, his family, and our colleagues throughout the United Kingdom and around the world.

We honor his life, his courage, and his enduring contributions to our profession.

@BadhwarVinay
STS President

[Roshan Rai @RoshanKrRaii]

This is Archita Sarangi, Daughter of BJP MP from Bhubaneswar , Aparajita Sarangi.

She is literally celebrating Dharmendra Pradhan’s resignation even while being a BJP MP’s daughter.

This is courage and also shows the youth of this country hates BJP so much that even children of BJP leaders don’t like the party anymore.

[TheLiverDoc™ @theliverdoc]

Coffee is one of the only drinks with strong evidence that benefits the liver. Here's what decades of research actually says about how to drink it right:

Coffee genuinely lowers liver disease risk.
Meta-analyses show regular drinkers have about 35% lower risk of significant liver fibrosis and nearly 50% lower risk of liver cancer compared with non-drinkers.

Aim for 2–3 cups a day, minimum.
The effect is dose-dependent. The Hepatology socities such as AASLD and EASL says 3 or more cups daily is reasonable for liver benefit, if you tolerate it.

Caffeinated works better than decaf.
But decaf still helps.
Caffeine blocks adenosine receptors that drive liver scarring. Decaf lowers chronic liver disease risk too, just by a smaller margin (UK Biobank, n=494,585).

The target dose: ~300 mg caffeine/day, or 3 cups.
Fibrosis protection kicks in around the 75th percentile of intake, roughly 308 mg caffeine, or 2.25 cup equivalents, per day - the AASLD 2023 advises 3+ cups for liver benefit.

What a "cup" actually means
One standard cup = 240 ml (8 oz), not a 60 ml tiny Indian "cup." A 240 ml filter coffee has ~95–165 mg caffeine. A single espresso shot (30 ml) has only ~60–75 mg.

Coffee-to-water ratio: 1:15 to 1:17.
For filter/drip/pour-over: 15 g of ground coffee to 250 ml water. This is the standard brewing ratio and gives clean extraction of chlorogenic acids and caffeine.

Choose medium roast, not dark.
Medium roast has significantly higher chlorogenic acid (CGAs) content than dark roast. Dark roasting thermally degrades CGAs, the main antioxidant doing liver work.

Arabica beats Robusta.
Arabica beans are richer in CGAs and polyphenols, the antioxidants doing most of the liver-protective work.

A note here:
Arabica for polyphenols, Robusta for caffeine.
Arabica (1.5% caffeine) has more CGAs and polyphenols. Robusta (2.7% caffeine) has more caffeine but a cruder phenolic profile. A 70:30 Arabica-Robusta blend is a reasonable compromise.

Water temperature: 92–96°C.
Just off a rolling boil. Too hot (>96°C) burns the grounds and extracts bitter compounds; too cool (<90°C) under-extracts CGAs and caffeine.

Grind size matters.
Medium grind (table-salt texture) for filter/drip. Coarse for French press. Fine for espresso. Brew time: 3–4 minutes for pour-over, 4 minutes for French press, 25–30 seconds for espresso.

Filtered coffee is the safest daily choice.
Paper filters trap cafestol and kahweol, naturally present plant diterpenes that raise LDL cholesterol if consumed daily in large amounts. Pour-over (V60, Kalita, Melitta) or drip machines with paper filters give you CGAs and caffeine without the cholesterol penalty.

Espresso and French press: fine, but not unlimited.
They retain more polyphenols but also more diterpenes (so more chances of increased lipids). Great occasionally; don't make them your 5-cups-a-day default if you have high cholesterol or heart disease.

South Indian filter coffee: acceptable, with caveats. The metal filter does not remove diterpenes as well as paper, so limit to 1–2 cups/day if you have dyslipidemia. The decoction itself is rich in CGAs. Use less sugar. Skip condensed milk.

BUT ULTIMATE: Drink it black. Or close to it.
Sugar, syrups, flavored creamers and whipped cream cancel the liver benefit, especially if you already have fatty liver, diabetes, or obesity. Skim milk or unsweetened plant milk is fine.

Instant coffee: still works.
UK Biobank (n=494,585) showed instant coffee drinkers had similar reductions in chronic liver disease as ground coffee drinkers. Not as potent, but far better than no coffee.

Cold brew: underrated for the liver.
Medium roast + coarse grind + 6–7 hours at room temperature extracts CGAs and caffeine efficiently with lower bitterness. pH and CGA content are comparable to hot brew.

Timing.
Spread across the day. one at breakfast, one mid-morning, one early afternoon. Stop by 2 pm if you have insomnia.

It helps across almost every major liver disease.
Evidence supports benefit in fatty liver (MASLD), alcohol-related liver disease, hepatitis B and C, cirrhosis, and liver cancer.

The mechanism isn't magic, it's chemistry.
Chlorogenic acid cuts oxidative stress and liver fat. Caffeine inhibits stellate cell activation (that promotes scarring or fibrosis). Melanoidins and polyphenols reduce inflammation.

Who should go easy.
Pregnancy, children, those with uncontrolled heart rate and rhythmn issues (arrhythmias), panic disorder, or insomnia.

And no, coffee does not undo a bad diet or bad choice - such as alcohol, herbal supplement or that Ayurvedic "liver tonic."

Sources: Modi et al., Hepatology 2010; Kennedy et al., BMC Public Health 2021 (UK Biobank); Fuller & Rao, Sci Rep 2017; AASLD MASLD Clinical Care Pathway 2023; EASL 2016 CPG, Frontiers in Nutrition 2026 (Italian coffee cohort).

[Jeetu Besla @JeetuBesla]

अमित शाह ने कांग्रेस के एक बड़े नेता को फोन कर राहुल गांधी की शिकायत की...
वो नेता राहुल गांधी के पास ही बैठे हुए थे उन्होंने राहुल गांधी से कहा ग्रह मंत्री अमित शाह का फोन है।

अमित शाह ने कहा उस नेता से कहा राहुल गांधी को प्रधानमंत्री मोदी पर व्यक्तिगत टिप्पणियों से बचना चाहिए।

पास में बैठे कांग्रेस नेता ने कहा पिछले 12 सालों में आपने कहां कसर छोड़ दी है...
पंडित नेहरू से लेकर इंदिरा गांधी, राजीव गांधी, मनमोहन सिंह और राहुल गांधी पर अनगिनत व्यक्तिगत टिप्पणियां की है.।

इसलिए बेहतर होगा कि इस विषय पर आप सीधी बात राहुल गांधी से ही करें।

[Rony @Ronycoder]

Instead of watching an hour of Netflix, watch this 60 minute lecture from Steve Jobs after being fired from Apple. It will teach you more about building companies than most startup books ever will.

[mahaveer jain @incmahaveerjain]

अब किससे न्याय की उम्मीद करेगा आम आदमी

ये दिल्ली हाई कोर्ट की जज स्वर्णकांता जी शर्मा है
ये खुलकर कहती है में जब भी आरएसएस के कार्यक्रम में जाती हूं मेरा प्रमोशन हो जाता है

अब समझे क्यु एसआईआर पर बिहार से लेकर बंगाल तक सिर्फ सुनवाई तक बात रही चुनाव खत्म सुनवाई खत्म
मतलब साफ़ है सारे कोर्ट सरकार के इशारों पर चल रहे हैं।। इनके दोनों बच्चे वकील है सुनने में आया है कि उन्हें सेंकड़ों केस मिले है इन दिनों

कोई नहीं आप हिन्दू मुस्लिम धर्म जात पात में अपना वक़्त देते रहे बाकी काम इन्हें मिल ही जाता है
#MKStalinComingAgain
#WorldEarthDay

[Sincere Dibya @TheSincereDude]

🚨 BIG STATEMENT 🚨

A former US Ambassador just said out loud at Harvard what every Indian should hear:

“America has literally spit in India’s face under Trump.”

30 years of bipartisan US diplomacy - wasted. Modi got none of it. He traded away ₹500 billion in US purchases, surrendered Russian oil, slashed Indian tariff autonomy; just to get tariffs CUT from 50% to 18%.

50% tariffs that NEVER EXISTED before Trump imposed them.

He was blackmailed. And he called it a deal.

Trump chose Pakistan over India. Trump took credit for ceasefire. Trump threatened 200% tariffs. And Modi? Silent on every single one.

This isn’t foreign policy. This is submission.

The man who sold “56-inch chest” surrendered India’s strategic autonomy to avoid a phone call going unanswered. 🇮🇳 💔

[Congress Kerala @INCKerala]

FLIGHT RISK | Now Nitin Gadkari and Narendra Modi are playing with real fire, driven by ignorance and greed. Let’s understand why this is dangerous.

Ethanol has an energy density of about 26.8 MJ/kg, whereas Aviation Turbine Fuel (ATF) is around 43.2 MJ/kg. During take-off, an aircraft engine needs maximum thrust and energy output. If a fully loaded aircraft does not get enough thrust, the consequences can be catastrophic, like the Air India Express Flight 1344 crash.

An aircraft running on ethanol blends would need a much higher volume of fuel to achieve the same range. This directly reduces payload capacity and overall efficiency.

Ethanol is hygroscopic, means it absorbs moisture from the air. At cruising altitudes, where temperatures can fall below -50°C, this moisture can freeze into ice crystals. These can clog fuel lines and filters and potentially cause engine failure mid-air.

Aircraft fuel systems are built for hydrocarbons and use specialised seals and materials. Ethanol, being a solvent, can degrade these components, leading to leaks or debris entering precision engine systems.

If they are serious about testing this, let them first use it on Modi’s 8400 Cr aircrafts or Gadkari’s private jet for a couple of years, prove it is safe, and only then consider introducing it to the public.

This is not experimentation we can afford. If such reckless decisions go unchecked, the safety of air travel itself will be at risk.

[nimma @nimma_51]

राहुल गांधी जी ने अब तक जो भी कहा है वह सब सच हुआ है लेकिन भारत में शिक्षित लोगों की कदर ही नहीं है।

[Sincere Dibya @TheSincereDude]

BJP installed a tribal CM in Odisha.

A tribal sits in Rashtrapati Bhavan.

A tribal holds the Tribal Affairs Ministry.

And yet, tribal MOTHERS are forming human barricades with their own bodies because the BJP government is handing their sacred land to NALCO without even asking the Gram Sabha.

This isn’t development. This is robbery in constitutional clothing.

Koraput’s Serubandh hills fall under Fifth Schedule territory. The PESA Act 1996 is unambiguous; no mining, no land acquisition without Gram Sabha consent.

Forest Rights Act 2006 protects these communities’ rights over forest land. BJP has violated all three with a single signature.

The tribal CM is a cosmetic appointment. The tribal branding is electoral optics. When 59 villages rise up and women stand in front of police vans, that mask falls off.

Remember August 2024; protesters tore down the inauguration stage and sent a Union Minister of State for Mines back empty-handed. BJP didn’t listen then. They’re still not listening.

@RahulGandhi ji, these women aren’t waiting for anyone to save them. They are already fighting. What they need is a national voice loud enough that Delhi can’t ignore Koraput anymore.

Odisha tribal belt is watching Congress right now. Don’t let them down. This is both a moral duty and a political moment, and both are pointing in the same direction.

Adivasi ki ज़मीन, Adivasi ki माँ, Adivasi ka हक़; ये BJP को नहीं, संविधान को माननी पड़ेगी।

[Gianl1974 @Gianl1974]

“Why do some British people not like Donald Trump?” Nate White, an articulate and witty writer from England wrote the following response:

A few things spring to mind. Trump lacks certain qualities which the British traditionally esteem. For instance, he has no class, no charm, no coolness, no credibility, no compassion, no wit, no warmth, no wisdom, no subtlety, no sensitivity, no self-awareness, no humility, no honour and no grace – all qualities, funnily enough, with which his predecessor Mr. Obama was generously blessed. So for us, the stark contrast does rather throw Trump’s limitations into embarrassingly sharp relief.

Plus, we like a laugh. And while Trump may be laughable, he has never once said anything wry, witty or even faintly amusing – not once, ever. I don’t say that rhetorically, I mean it quite literally: not once, not ever. And that fact is particularly disturbing to the British sensibility – for us, to lack humour is almost inhuman. But with Trump, it’s a fact. He doesn’t even seem to understand what a joke is – his idea of a joke is a crass comment, an illiterate insult, a casual act of cruelty.

Trump is a troll. And like all trolls, he is never funny and he never laughs; he only crows or jeers. And scarily, he doesn’t just talk in crude, witless insults – he actually thinks in them. His mind is a simple bot-like algorithm of petty prejudices and knee-jerk nastiness.

There is never any under-layer of irony, complexity, nuance or depth. It’s all surface. Some Americans might see this as refreshingly upfront. Well, we don’t. We see it as having no inner world, no soul. And in Britain we traditionally side with David, not Goliath. All our heroes are plucky underdogs: Robin Hood, Dick Whittington, Oliver Twist. Trump is neither plucky, nor an underdog. He is the exact opposite of that. He’s not even a spoiled rich-boy, or a greedy fat-cat. He’s more a fat white slug. A Jabba the Hutt of privilege.

And worse, he is that most unforgivable of all things to the British: a bully. That is, except when he is among bullies; then he suddenly transforms into a snivelling sidekick instead. There are unspoken rules to this stuff – the Queensberry rules of basic decency – and he breaks them all. He punches downwards – which a gentleman should, would, could never do – and every blow he aims is below the belt. He particularly likes to kick the vulnerable or voiceless – and he kicks them when they are down.

So the fact that a significant minority – perhaps a third – of Americans look at what he does, listen to what he says, and then think ‘Yeah, he seems like my kind of guy’ is a matter of some confusion and no little distress to British people, given that:

• Americans are supposed to be nicer than us, and mostly are.

• You don’t need a particularly keen eye for detail to spot a few flaws in the man.

This last point is what especially confuses and dismays British people, and many other people too; his faults seem pretty bloody hard to miss. After all, it’s impossible to read a single tweet, or hear him speak a sentence or two, without staring deep into the abyss. He turns being artless into an art form; he is a Picasso of pettiness; a Shakespeare of shit. His faults are fractal: even his flaws have flaws, and so on ad infinitum. God knows there have always been stupid people in the world, and plenty of nasty people too. But rarely has stupidity been so nasty, or nastiness so stupid. He makes Nixon look trustworthy and George W look smart. In fact, if Frankenstein decided to make a monster assembled entirely from human flaws – he would make a Trump.

And a remorseful Doctor Frankenstein would clutch out big clumpfuls of hair and scream in anguish: ‘My God… what… have… I… created?' If being a twat was a TV show, Trump would be the boxed set.

[Shilpa Gandhi @msshilpagandhi]

Thoracic Surgery – छाती, फेफड़े और अन्ननली की बीमारियों का इलाज Dr. Shil... https://t.co/0Wcgf7Juym via @YouTube

[Shilpa Gandhi @msshilpagandhi]

Absolutely

[Shikha Singh Yadav @ShikhasingYadav]

हां, मैं RSS पर प्रतिबंध लगाने का समर्थन करती हूं

अब आवाज उठाने की आपकी बारी है 🙏🏻

[Shilpa Gandhi @msshilpagandhi]

Food and hotel rooms for 24hours which was a huge support for all of us. However, this fire needs special investigation with fast rack results.

#firedepartmentnagpur #DevendraFadnavis #NitinGadkari #PMO #BanCrackers #BanRockets #Diwaliwithoutcrackers

[Shilpa Gandhi @msshilpagandhi]

Absolute lack of civic sense by some random drunk lackies who kept playing with burning firecrackers &amp; rockets in a residential space. 24families literally struggled fighting a life-death drama whole night. Hats off to Hotel Ashok owner who was kind enough to provide to …