Neyhaa

Radiologist, overthinking mom, day dreamer, compulsive reader, student for life.

[We, the People of India @India_Policy]

wow!

[Dr Hema.Venkataraman @hemsdoc]

Had a visibly distraught and shaken lady in her 40’s who had been told she possibly had pancreatic cancer by a posh AI driven cancer screening package costing her over 20k!

Of course, she was referred to me, the endocrinologist, apparently the expert in all things pancreas!

Reason? Her glossy, colorful, booklet album of results showed a mildly elevated ca19-9
(With normal scans-again very posh looking)

First! Ca19-9 is a terrible cancer screening tool! (The AI should have got that right)

Second! Don’t bother doing a test if you have no clue what to do with the result! At least get the referrals right! (The AI should have got that right)

Finally! Cancer screening is serious business, requires evidence-based pathways, careful test selection and expert oversight. Clearly meagre oncologists were not consulted or their advice overruled by the I behind the AI!

Fancy interiors, glossy reports and “luxury healthcare experiences” clearly trumped clinical judgement!

Of course my oncologist then reassured her plenty ….verbally and with further scans to prove her worth (ruling out becomes her responsibility!)

₹20,000 spent creating anxiety….
Another ₹10,000 spent proving the ₹20,000 was a mistake!….

Moral of the story:
screening should start with your doctor! Not in the lab / fancy machine however exotic the interiors!

#screening #healthcare #health #oncology #doctors

[Science girl @sciencegirl]

Football fans gathered at a 2,000-year-old Antiphellos Ancient Theatre in Kaş, Turkey, to watch their national team’s World Cup match on a giant screen.

📹 dordenis

[Neyhaa @RadNMore]

@Geeky_Foodie Happy birthday, Yuvraj! 🎂🥂

[Neyhaa @RadNMore]

What a fascinating read!

[Ambarish Satwik @AmbarishSatwik]

In 1955, the Archives of Surgery published a paper titled Management of Adreno-cortical Insufficiency During Surgery, describing the successful operation on a 37 year old Addisonian patient undergoing major spinal surgery. The paper was there in the open, respectably cited and available to anyone inclined to look. The patient's identity, naturally and properly, was withheld. And so the case remained in the annals: visible in every respect, yet detached from the identity that would have revealed its wider significance.

Addison's disease begins when the two small adrenal glands that sit above the kidneys fail. They stop producing cortisol, a hormone involved in maintaining blood pressure, blood sugar, energy metabolism, and the body’s response to stress. The simplest tasks (climbing a flight of stairs, rising from a chair) may require an effort out of proportion to their apparent demands. There’s also the matter of stress. Healthy people meet illness, surgery, grief, fear, mental crisis, or injury with an invisible hormonal surge. It’s a physiological reserve they never have to think about. The body prepares itself for adversity. The Addisonian cannot. It’s one of those conditions that reveals how much of what we call character is in fact hormonal physiology.

The patient in the paper was John F Kennedy. Five years after the paper was published, he won the US presidential election by a razor thin margin. If voters had learned that the handsome young senator was dependent on corticosteroids, and afflicted by chronic illness, and perhaps engaged in a daily struggle with pain and endocrine failure, Richard Nixon might well have become President instead.

So Nixon enters the White House. The Camelot legend never takes hold in America. The Bay of Pigs belongs to another presidency altogether. And the Cuban Missile Crisis, perhaps the nearest our species has come to a collective obituary, is entrusted to another temperament entirely. The Cold War’s most celebrated exhibition of presidential nerve is never performed by a man whose body (undisclosed to the public) required relentless chemical maintenance just to get through the day.

For Kennedy, Addison’s was an invisible dependency. He was sustained day to day on a pharmacological scaffolding. It’s quite absurd that the destiny of nations and the continued existence of several hundred million people may have rested, for a time, on the daily successful replacement of a hormone measured in milligrams.

[TheLiverDoc™ @theliverdoc]

This is the silent part that people wouldn't know.

Behind closed doors inside a medical conference, a large group of clinicians and researchers giving a standing ovation to another group of clinicians and researchers who found a way to increase survival in patients suffering from one of the, if not the, worst cancer in humans.

Metastatic pancreatic cancer.

They'll do this and then be on their way to see their patients the next day as if nothing happened.

And then work on something new to better what they did in this room.

That is how medical science works.
Value it and value its practitioners.

[Neyhaa @RadNMore]

One can spot this exact lack of civic sense in domestic tourists too. Goa has already lost its charm, many hill stations are also suffering. Don't see any change happening in my lifetime.

[Harsh Goenka @hvgoenka]

A Swiss hotel once displayed a list of special rules exclusively for Indian guests which I personally saw and was appalled.

Today, videos of garba in restaurants, loud conversations in airports, and turning aircraft cabins into picnic spots keep doing the rounds. Even in Davos, an Indian businessman blasted Punjabi music in a club so the whole town could hear it, calling it “soft power” but to everyone’s annoyance.

Japan earned global admiration through their courtesy and civic sense. If India wants to be a true global superpower, the world should remember Indians for its excellence, consideration and respect for others.

Our civic sense seriously needs to be upgraded.

[Neyhaa @RadNMore]

@Geeky_Foodie This one I'm not sure many remember. I grew up in Nagpur and this was a huge hit amongst us kids then. Guess it was popular more in the Vidarbha region.
I also loved Koko Naka and Mr Pops lollipop

[Neyhaa @RadNMore]

Last paragraph is gold

[SREEVATSA NADIG DM FSCAI FESC @nadig_cardio]

“Doctors are the worst patients,” they say.
I don’t know whether we are the worst patients, but we are definitely not the smartest ones.
A senior and respected doctor from a nearby town had central chest pain about 5 days ago. He dismissed it as “gastritis ” and continued running his busy OPD.
The next day, he developed chest pain again while working out in the gym, but ignored it thinking it was due to lifting weights.
The pain continued over the next few days, and by the 4th day he was unable to operate.
That evening he finally came to us.
His ECG showed an evolved anterior wall MI ,( a major heart attack). Echo showed an LV EF of just 35%. He had already developed Q waves.
Since he still had ongoing chest pain, we took him up for coronary angiogram , which showed a subtotal occlusion of the LAD ,( “widow maker.”)

He underwent successful angioplasty and went home

But this part hit me hard
As his wife , (herself a doctor) was taking him to the ER, patients waiting outside started arguing with her because he was leaving without finishing the OPD.
She literally had to plead with them, saying:
“He is probably having a heart attack… he will see you if he comes back alive.”
And the last thing this poor doctor asked me before discharge was:
“Can I restart OPD in 3–4 days?” 🤦
I’m sure this is the story of many of us in medicine.
We ignore our health and behave as though we are indispensable.
Many cardiologists have succumbed ignoring chest pain. I m sure colleagues on #MedTwitter and #CardioTwitter would have similar experiences !

To the younger doctors on #MedTwitter:
Take things slowly. Play your career like Test cricket, not T20.
Enjoy the little moments of life.
Watch the sunset.
Breathe mountain air.
Cry with your friends.
Read good fiction.
Climb a rock.
Fall in love.
Health and peace first.
Everything else comes next. ✌️

[Neyhaa @RadNMore]

@DrPyaricetamoI Priorities 😂

[Neyhaa @RadNMore]

I know some very educated folks who have dismissed exhaustion from low Hb levels as "inability to cope" in their wife/ sister/other family members.
A man goes horizontal with common cold yet women are supposed to "cope" even when their bodies are shutting down.

[Dr. Priyam Bordoloi @DocPriyamMD]

Saw a patient today with a hemoglobin of 1.9 g/dL. For context, a level that low is almost incompatible with normal consciousness, but she walked right into the clinic on her own feet.

For three long years, she lived with crushing weakness and since last 6 months breathlessness from just walking across a room. Why didn’t she get help sooner? At first, it was because the kids had crucial school exams and later her husband was reluctant to deal with the hassle of a hospital admission.

Her health was treated as a background inconvenience.
When we dug deeper, it got worse. A year ago, her Hb was 6.4 g/dL. A doctor explicitly told them she needed immediate admission. The family refused, walked out with a basic strip of iron tablets, she took them for two weeks, forgot about them, and nobody in the house ever bothered to check on her or remind her.

She didn't even come to the hospital today because of the air hunger. She came because her periods had completely stopped for months. Her body was so profoundly starved of iron and oxygen that it literally shut down her reproductive axis just to divert what little blood she had left to her heart and brain.

It’s completely heartbreaking. A woman will literally bleed her body dry, gasp for air for years and keep working silently, only to be brought to a doctor when her normal functioning stops.

Please check on the women in your homes. Stop letting them normalize chronic exhaustion.

[Neyhaa @RadNMore]

Know so many men from the previous generations who are like this in extended family, relatives and amongst friends - men who confuse fear with respect.

[Collins🦋 @collinstimbela_]

A grumpy man can control a family without ever raising his voice. He just has to make his displeasure expensive enough. A long silence at dinner. A ruined car ride. Soon, everyone starts pre-adjusting. The kids are told “not now” before they can ask. She chooses the restaurant he likes, the movie he won’t complain through, the route that avoids traffic because traffic makes him unbearable. This is how a household becomes organized around one person’s refusal to regulate themselves.

[Dr. Vineet Kumar @vineet_mausam]

Sharing some key info based on imd data to tackle widespread fake propoganda by several influencers.
Follow only imd site for offical forecasts instead of any instagram influencer or youtuber

[ಡಾ. DopaMINE👨‍⚕️ @NaaneNiranjana]

Had the worst experience in clinic today,

A Senior guy, who is educated and we'll settled, came with simple dry cough.
After histry and examination, I said him its because of GERD and asked him to change his lifestyle and prescribed him medicines for the same,

He took and went to pharmacy and after 5 minutes he came back and yelled at me for not giving antibiotic,,,
Literally doubted my graduation and post graduation, said you charged so much but you didnt give an antibiotic anta 😒

Dont know what's the people's obsession with antibiotics🤦‍♂️🤦‍♂️
I think its becoming difficult to practice with ethics these days😒

Only scamming doctors are correct for these half educated chatgpt uncles 🤷‍♂️

[Science girl @sciencegirl]

A three-year-old boy who went missing overnight in a cornfield in Alto was safely located thanks to thermal imaging technology.

Thermal imaging cameras on drones pinpointed the child’s location in just 15 minutes. This happened in 2024

[Panashe @NasheCeezet_zw]

"A kid coded in Room 3 today, 14 years old. I did CPR for 22 minutes."
"His mom asked me to tell him she loved him. He was already gone."
"I was late to you because I was dead on-time for him."
"You still want me to be on time?"

I deleted the review.
Now I bring two books.
One for me and one to leave in the waiting room.
Moral: The person who "disrespected your time" might have been busy saving a life.

[Neyhaa @RadNMore]

Looks like the two kids club is making a comeback!

[Doctor @DipshikhaGhosh]

Men don’t age better than women. Men are simply allowed to age.

[Neyhaa @RadNMore]

@DipshikhaGhosh Truer words haven't been said 👏🏻

[𝙍𝘼𝙅𝙀𝙎𝙃 𝙋𝘼𝙍𝙄𝙆𝙃 @imacuriosguy]

We trained fetal medicine specialists for the 5%. We regulated away the sonologists who served the 95%. The anomaly scan doesn’t need 3D or 4D.
It needs a trained eye and a system that doesn’t treat every practitioner as a suspect.

PCPNDT, designed to prevent sex-selective abortion, has inadvertently chilled the entire ecosystem of routine prenatal sonography. Sonologists exit the field or refuse to do obstetric scans, while fetal medicine subspecialists proliferate at the tertiary end, leaving a gap precisely in the middle where most anomalies should be caught first.

The irony is that PCPNDT’s enforcement architecture penalizes documentation errors and procedural lapses far more readily than it catches actual sex determination, so the honest practitioner bears disproportionate compliance burden while the intent of the law is served poorly.

#pregnancy #ultrasound