Rajeev Menon

[Sabeer Bhatia @sabeer]

All you guys abusing me on X about living abroad and denouncing my Indian citizenship, I can prove I am a citizen because I have a document that says “Overseas Citizen of India”. An Indian passport is just a travel document (according to the FM of India).

[Rajeev Menon @rajeevm]

@JulianGoldieSEO N8n

[Rajeev Menon @rajeevm]

@FoodDarzee i have ordered non veg meals and I have been delivered veg meals for the past few days. I have taken up this matter but in spite of that this issue persists. If you cannot sort this issue out refund my money.

[TheLiverDoc™ @theliverdoc]

A woman was admitted to my Liver ICU.

She was jaundiced since five days.

Her eyes were a deep yellow, her bilirubin levels were 23 mg/dl (normal <1.2)

She was in altered behaviour since three days. When she was in my ICU, she was unresponsive and gasping. We put her on a ventilator to protect her airway.

Her blood tests showed that she was "acidotic" - meaning, she had a build-up of acid in the bloodstream due to failing kidneys.

We put her on continuous renal replacement therapy or CRRT a special type of dialysis that we do for unstable patients in the ICU whose bodies cannot tolerate regular dialysis. Instead of doing it over four hours, CRRT is done 24 hours a day to slowly and continuously clean out the waste products and fluid from the patient.

She went into shock and her blood pressure fell, because her heart was failing due to a failing liver and the intense inflammation ravaging her body. We started her on vasopressors, a type of medication that help constrict blood vessels, which can increase blood pressure and inotropes, a group of medications that help increase the force of heart muscle contractions, which can improve blood pumping efficiency.

She had no pre-existing liver disease. In fact, she was hale and hearty just a week ago, travelling and spending time with her family. Now she was on a ventilator, in multiple organ failure - an event brought on by a sudden failure of her liver functions.

A catastrophic condition called acute liver failure, when a devastating insult overwhelms the healthy liver's ability to regenerate and it shuts down rapidly, dragging all other organs to hell with it.

As part of this process, due to the failing liver, ammonia, a toxic waste byproduct of metabolism, drastically increases in the blood, crosses the blood brain barrier, goes into the brain cells, causing them to alarmingly swell, leading to brain failure - a condition called hepatic encephalopathy - the hallmark of acute liver failure.

A failing liver also brings about another disastrous event. Severe thinning of the blood - called coagulation failure, because the liver is what makes the proteins that help maintain balance in clotting/bleeding activity. The INR or international normalized ratio, that looks at the clotting function of the blood was 6 in her (normal ~ 1).

Her brain swelling worsened so badly and so rapidly that her brain fell down through the holes at the base of the skull - a condition called herniation. It was instant brain death.

She is on full on supports. The tubed-machine is breathing for her. The CRRT machine is doing what her kidneys were supposed to do and the vasopressors and inotrope drugs were forcefully making her heart beat and pump until they fatigue and give away.

An ultimate event that was likely to happen tonight. She will die. I spoke to her sons and told them this is what it was going to be. Their healthy, beloved mother who was smiling and laughing with them last week, was now going into the dark without even the chance for them to say proper goodbyes.

They asked me for a space in the ICU for them to complete their religious ceremonies for the dying so that she can go in peace and unto God. I allowed them.

She will die tonight.

But before she did, we found the cause for her liver failure and eventual death.

Unani.

Unani medications given for osteoarthritis of the knee. She took it for 4 months, up until her symptoms started. And now she was going away.

This is the prescription. I could not retrieve the products, which was about 100km away, at their home. A cousin in the family promised me that he will get them to me for analysis because I told him the greatest probability for her avoidable death were those Unani medications - toxic herbs, liver toxic adulterants. I will analyze them for their understanding, spending money from my pocket, like I always do, for victims of alternative medicine.

Unani is to the Muslim community, what Ayurveda is to the Hindu community. Both are pseudoscientific practices without any benefits whatsoever, but with well documented harms. Some fatal.

If you have to make a choice for your healthcare, make sure it is modern, science-based medicine. Because it is not built on lies and deception. But objective evidence and understanding of benefits vs. risks.

Choose the science, because it does not dramatize to promote, but only acts to your benefit.

[Rajeev Menon @rajeevm]

@Airtel_Presence DM sent

[Rajeev Menon @rajeevm]

@airtelindia I have been trying to shift my eSIM from my old phone to the new phone but even after multiple tries and calls to customer care it has not worked. What should I do next ??? @jagograhakjago

[Rajeev Menon @rajeevm]

@CIBIL_Official i want to reset my password but in trying to do so I have been locked out of my account and your reset password link is also not working.

[Rajeev Menon @rajeevm]

@TransUnionCIBIL Thank you. The verification is done but now I am not getting the OTP for login. My phone number is correct

[Rajeev Menon @rajeevm]

@TransUnionCIBIL @CIBIL_Official my account is stuck at Online Authentication Unsuccessful stage and the phone numbers mentioned are of no help. Please assist.

[Rajeev Menon @rajeevm]

The recently opened “new” Vashi toll plaza was supposed to make things smoother and faster but this is to the contrary. Pic was taken at 11:30am on a Tuesday (March 2024) @nitin_gadkari #vashi

[Rajeev Menon @rajeevm]

@InterMiles Yes my concern was not resolved rather it was confirmed that you guys have stolen my hard earned miles by not allowing me to redeem all my miles for a flight ticket and this was done without any prior intimation #intermilesfraudalert @IndiaConsumers

[Rajeev Menon @rajeevm]

@InterMiles why am I not allowed to redeem all of miles to book a ticket. Why should I be inconvenienced because of your operational issues. Please explain and your website sucks, nothing loads on time .

[Rajeev Menon @rajeevm]

@airindia We could wait in the terminal rather than sit in the plane

[Rajeev Menon @rajeevm]

On the air India flight Ai 865 was scheduled to depart at 10am to bom but got delayed and once we all boarded and doors closed captain announced that we will be sitting inside the plane from 10:30 to 12:45 due to airspace closure owing to Republic Day. @airindia @JM_Scindia

[TheLiverDoc™ @theliverdoc]

1/ 'There's a self referred patient for you', ER doc tells me

'Self referred?'

'Yes, husband getting her discharged from multiple hospitals looking for a diagnosis'

Self referrals are nerve-racking, I thought, as I walked in, looking at the deeply jaundiced, disoriented woman

[vir sanghvi @virsanghvi]

The Taste: Will the Goa boom go bust?
During the Pandemic with most of the world off-limits to Indians Goa boomed. But now South East Asian destination are cheaper to get to, have better &amp; cheaper hotels &amp; you don’t need visas. https://t.co/yPOQEbBliV

[TheLiverDoc™ @theliverdoc]

Legalized menace to society and public health

1. Religion
2. Alcohol
3. Tobacco
4. Complementary &amp; Alternative medicine
5. Traditional medicine
6. Integrative medicine
7. Gym bros with nutrition diploma
8. Dietitians with gym membership