If you have fatty liver (MASLD/MAFLD), you’ve probably been told that Just do BRISK WALKING
But most people don’t know what “brisk” actually means physiologically.
A short thread 🧵
ANA+ consult? 2 Yr study of 207 asymptomatic ANA-pos, found only 11% progressed to systemic autoimmune rheum Dz (89% did not). Progressors developed SLE (48%), Sjögren (22%), scleroderma (13%), RA (4%); Arthritis (RR 1.74) more likly in progressors https://t.co/j54Vnsl50V
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A 62 yo man p/w a 3 year hx of progressive walking difficulty. He denies muscle cramps or cortical signs.
Exam: spastic paraparesis: 4+/5 strength in hip flex, knee ext, & foot dorsiflexion.
Patellar reflexes are brisk.
He has diminished proprioception. A #ContinuumCase
A big company has gotten the account of a qualified doctor suspended. This must be highlighted by the media. Requesting @sanket@saurabhtop@chandrarsrikant@IsmatAraa@aajtak@ndtv@ZeeBusiness to take note of this.
The full story must be presented to the common man.
And a request to the medical community, we may not have liked the people skills of @theliverdoc but all of us know that he was doing great work. Let’s stand in solidarity with him and amplify the message
WHO declares Monkeypox a public health emergency of international concern (PHEIC)
What does it mean, how to protect yourself and why it’s not the end of the world
Read on. A 🧵
https://t.co/6wuf38g8ww