Dr Varsha

Viewing life through a microscope 🔬👩🏻‍

[Dr Varsha @pathologicrain]

Hey guys please follow @FoliumArts. Lots of quilling jewellery & other art work made by me will be posted here.

[Vijay Shankar S @VijayPatho]

National Pathology Day @2024

India celebrates “National Pathology Day” today, which is the birth anniversary of Padmabhushan Dr V R Khanolkar who is regarded as the “Father of Pathology and medical research” in India.

The idea is to celebrate national Pathology day with a three‑pronged
strategy to Celebrate, Communicate, and Educate. We should take pride in being the consultant’s consultant

There is a need to change the perception of pathology as a branch with minimal or no patient contact to a discipline which play a crucial role in delivering high‑quality medical care.

Dr Khanolkar

Born on April 13th, 1895 Dr. Vasant Ramji Khanolkar completed his medical education at Grant Medical College, Mumbai before obtaining his MD in Pathology from the University of London in 1921
First Indian to obtain this degree, which marked the beginning of a distinguished career.

Played a pivotal role in the planning of premier institutes of national importance including the All India Institute of Medical Sciences, NewDelhi, the Bhabha Atomic Research Centre, and the Post‑Graduate Institute for Medical Education and Research, Chandigarh

First to confirm cutaneous neural involvement in all forms of leprosy

Founder of the Teaching Pathologists Association (Bombay), The Indian Society for the Study of Reproduction, and the Indian Association of Pathologists and Microbiologists (IAPM)

First president of IAPM from 1950 to 52

Served on the WHO and UN panels as an expert in the field of leprosy, radiation, and cancer.

The Government of India conferred a Padma Bhushan on him in 1955 for his services in promoting medical research and education in India
#NationalPathologyDay #NPD2024 #IAPM #KCIAPM #Pathology #Pathologsts @Thejaspatho @ariella8 @archibhat3 @prachipath123 @adi_agnihotri @PanditApoorva @RamyaPathology @LakshmiKoulmane @tumashankar @kriyer68 @smlungpathguy @Vik_deshpandeMD @Sinchita_Roy @Saroja_DeviG @dr_amenona @ananthvikas @erikanuradha @DeepaIyerKotari @njayaram1959 @kciapm @DrAbhishek_G_MD @SharadaPathMD @JR_Kini @IJPMSoMe @drnalinibansal @Rajiveera1 @rdpatho @mydermpath @PradVaideeswar @_SaranyaS_ @DrVasudevPrabhu @Sharadaraipath @DrNithyashree @pathodoodles @drsupriyatiwari

[Dr Varsha @pathologicrain]

Total thyroidectomy specimen of a 70yr old lady. Pic1 is a 1.5 cm lesion and pic2 is a 2mm lesion picked up on microscopy away from the first lesion. Background has Hashimoto’s thyroiditis. What are pic1 & pic2 lesions? #thyroid #Pathtweet #caseoftheday #Pathology #PathTwitter

[Dr. Mukharjee Madivada @drmssm]

A tale of murder, medicine and sheer brilliance…

I can proudly credit much of my success in clinical practice to one teacher of mine: Dr. Rama Tharak Nath. His observations, teaching and language skills are unparalleled. Here is a great story where he single handedly solved an international crime recently:

The background:
****************
Dr. Tharak Nath is a neurologist who practices in Guntur, Andhra Pradesh. A young bride Kavitha (name changed) came to him recently with severe burning, tingling and numbness of hands and feet. He took her complete clinical history. Here are a few highlights he gathered:

The marriage:
**************
Kavitha got married in June. Her in-laws are truly cosmopolitan. The groom Shekar (name changed) is an engineer in the U.S. The sister-in-law, Raveena (pseudonym, again) is a doctor in the U.K. and was married to a health care professional. The in-laws, Subba Rao and Janaki, travel between India, US and the UK constantly.

The first episode:
*****************
Subba Rao and Janaki have a beautiful flat in Miyapur. After the marriage, all of the family got sick with gastroenteritis. They had stomach cramps, dragging discomfort in legs and hands.

They went to a corporate hospital in Hyderabad. Subba Rao, Shekar Raveena and Kavitha were okay but Janaki, the mother-in-law, developed weakness of limbs. Shekar went to the U.S., Raveena to the U.K. and Subba Rao was taking care of Janaki. Kavitha came back to Narasaraopet, a town near Guntur.

The unfortunate death:
***********************
Janaki deteriorated further and was admitted in the big hospital. She was diagnosed with Gillian Barre Syndrome, in which paralysis of both arms and legs occurs. Her daughter Raveena came back from the UK to take care of her. She got stabilised over a few days and was shifted to the room in the hospital. Raveena left to the UK again.

But as fate would have it, Janaki suddenly died in the room. The doctors thought that it could be pulmonary embolism, a sudden clot to the lungs.

The second episode:
*********************
All the family got together in Miyapur in the moments of grief. The new bride went from Guntur to be with her husband in the distressing time. They were performing the rituals but didn’t expect what hit them next…

All of them got sick again. They went to another corporate hospital and were treated for gastroenteritis. The water in their flats was examined and found to have E.Coli, a bacterial pathogen. They were treated and sent home. Raveena left for UK, Shekar to the U.S., and Kavitha went back to Narasaraopet, Guntur.

Enters the saviour:
******************
But Kavitha was suffering from severe neural pains in her limbs. She was sure that she will die, and she insisted that she be taken to Dr. Rama Tharak Nath. She was taken to him promptly and he examined her thoroughly and heard what she had to say. He asked her a lot of questions.

The Vital Clue:
***************
What was not obvious to many doctors, Dr. Tharak Nath identified in less than 15 minutes. He noticed inconspicuous white lines on the nails of Kavitha. These are called Mee’s Lines, he later told me. They are the diagnostic features of a poisoning from Arsenic, the King of poisons. Napoleon was suspected to have died from Arsenic poisoning.

The follow up:
**************
Dr. Tharak Nath got his patient tested for Arsenic. He also asked the husband in the US, and the father-in-law in Hyderabad to get tested for Arsenic. It was an uphill task for the NRI to get tested for Arsenic, but he managed it in the end, educating his unsuspecting doctors about Mee’s lines and using Dr. Tharak’s suspicions as props.

The lab results showed only one thing: My professor was absolutely right. It was Arsenic that troubled all of them.

#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter

1/2

[Dr Varsha @pathologicrain]

How can your government office be so careless! I demand that you issue my marriage certificate copy. If I could search for my marriage registration number online then surely there must be a digital copy made.

[Dr Varsha @pathologicrain]

@CMOTamilnadu @mkstalin @pmoorthy21 I had applied for my marriage certificate copy online on 10th feb23 in Pammal SRO & since it was delayed I sent my uncle to collect it in person. He was told that my marriage certificate is missing from the office!

[Dr Varsha @pathologicrain]

#APCON2022 took me back to my alma mater. I met my dear teachers and met amazing Pathologists. Cherry on the cake was the banquet which had yummy food and dancing.

[Dr Varsha @pathologicrain]

@pembeoltulu @JMGardnerMD @HeadandNeckPath @JCGarcesPath @feldstej @WKemp_MT_FPDoc @Histopatolomon @pepeheffernan @smlungpathguy @GeronimoJrLapac @DrGeeONE @VijayPatho @aakasharmand Branchial cleft cyst. Wishing you a speedy recovery 🌟

[Vikram Deshpande @Vik_deshpandeMD]

An appendiceal twofer! LAMN and carcinoid (oh come on, what the harm!). #GIpath PS a case from Dr. Yilmaz

[Sanjay Mukhopadhyay @smlungpathguy]

Q. What do pathologists do?

A. We stare at evil

[Ismail I. Matalka - دكتور إسماعيل مطالقة @IsmailMatalka]

Future Pathologists Office/Station!!

The 34th European Congress of Pathology.
The art of next generation pathology.
Basel- Switzerland

[Sanjay Mukhopadhyay @smlungpathguy]

@pathologicrain Thank you @pathologicrain ! I would defer to cultures in this case. Although both coccidioides and rhinosporidium were my first thoughts too, the site is unusual for both and I don’t think morphology is perfect so I don’t think you can be definitive.

[Dr Varsha @pathologicrain]

@ID_pathology @GerardButler @Vik_deshpandeMD @smlungpathguy @nandinipath @Meghna0630 @VijayPatho @adi_agnihotri I don’t have the measurements. I have given a differential of both rhino and coccidio and advised fungal culture

[Dr Varsha @pathologicrain]

54 yr male with a thigh mass. Suspected to be a soft tissue sarcoma. What are are these #PathBugs ?#PathArt #Pathology #Pathtweet #PathTwitter @GerardButler @Vik_deshpandeMD @smlungpathguy @nandinipath @Meghna0630 @VijayPatho @adi_agnihotri

[Dr Varsha @pathologicrain]

@smlungpathguy Didn’t get much in terms of history. So its up to the microbiologist on this one 😁 gave a differential of rhino and coccidio and hoping fungal cultures help.

[Dr Varsha @pathologicrain]

@DiegoMoralesN @GerardButler @Vik_deshpandeMD @smlungpathguy @nandinipath @Meghna0630 @VijayPatho @adi_agnihotri Morphology somehow doesn’t fit Rhino…spores are smaller in Rhino. I was thinking of Coccidioidomycosis. Rare in this part of the world. Definitely going to ask the Clinician for more history esp about travel.

[Dr Varsha @pathologicrain]

@Carryon_Dr Oh damn! Thanks for pointing out. That was by mistake 🤣

[Dr Varsha @pathologicrain]

@smlungpathguy Got the GMS and PASD today

[Dr Varsha @pathologicrain]

Longest break from Pathology, but this little princess is worth it. 🥰🥰🥰 It’s going to be very difficult to get back to work!

[Dr Varsha @pathologicrain]

@Dulce_LS Budding spores of Candida