Rohith R

Mad, Stupid, Idiot, Stubborn, Different, Entirely different!

[Rohith R @rohithmvk]

Trying out Comet browser from perplexity. Here is one month of pro version for you to try it out: https://t.co/Vy4XIjIgSg

[Rohith R @rohithmvk]

Seeking some help from professionals in the automotive industry. As part of my MBA project, I am looking for some insights into cybersecurity focus. Could you help to complete an anonymous survey? https://t.co/2FP0EYKAxw
Pls RT.

#automotive #cybersecurity #fuzztest

[Rohith R @rohithmvk]

Seeking some help from professionals in the automotive industry. As part of my MBA project with @NanyangBizSch we are looking for some insights into cybersecurity focus. Could you help to complete an anonymous survey? https://t.co/2FP0EYL8n4

#automotive #cybersecurity #fuzztest

[Rohith R @rohithmvk]

No, it's not only you. Chill, nobody has (yet) hacked your account.
@instagram & @facebook login services seem to be facing issues.
#facebookdown
#instagramdown
#metadown
#meta
#fb

[Rohith R @rohithmvk]

No, it's not only you. Chill, nobody has (yet) hacked your account.
@instagram & @facebook login services seem to be facing issues.

[Rohith R @rohithmvk]

@SamsungSG Hey @SamsungSG When vivid fix?
#s24ultra #notsovivid #display

[Rohith R @rohithmvk]

Early bird offer for Redmagic 9 Pro - Buy early access & $40 off for $1
https://t.co/XNWGEP2I21

[Rohith R @rohithmvk]

@FitbitSg What went wrong? Try how many times again? @Google is the culprit?

[Rohith R @rohithmvk]

@FitbitSg Server Down? Can't log in or connect the device to the app.

[Rohith R @rohithmvk]

Comments!
https://t.co/AtKWvFy7PP

Interesting thing is that the video is from the worst ever movie I have watched in theater.

[YouTube India @YouTubeIndia]

can you guess the song @Mohanlal is dancing to?

[Dylan Patel @dylan522p]

Walmart used an LLM (PaLM-2) generated embeddings for their DLRM to make product search better on https://t.co/dXWRG9d6Qa
They are about to push this out into their live website because the results were so good.
Noteworthy other firms have already done this such as Google

[Rohith R @rohithmvk]

I'm on threads as well.
https://t.co/FrGXdCnnl5

[Rohith R @rohithmvk]

Yes!

[JerryRigEverything @ZacksJerryRig]

THIS IS AMAZING!

Smartphones Must Have User-Replaceable Batteries by 2027 https://t.co/utlv20mQO7 #PCMag

[Andrej Karpathy @karpathy]

yay the ability to share ChatGPT conversations is now rolling out. I can share a few favorites.

E.g. GPT-4 is great at generating Anki flash cards, helping you to memorize any document. Example:
https://t.co/TVmTlXxbDB

Easy to then import in Anki: https://t.co/kaHdvO2FFc

[Rohith R @rohithmvk]

Do you remember when you joined Twitter? I do! #MyTwitterAnniversary

[TheLiverDoc™ @theliverdoc]

FISHES

My patient, Srijan is visibly in pain. It is not the kind of pain where you ask a patient and they tell you an "yes or a no." It is the kind of pain that you need not ask about, because the pain is visibly palpable. He can barely sit, barely shift positions while seated and needs to think whether he really have to use the bathroom even when his bladder was bursting at the seams. Because getting up from that "least worst" comfortable position required not only physical prepration, but mental strength too, because the low back pain was death itself, but without the liberation.

Srijan's sister Nandini's husband, Sumedh is my patient. He has been, for over three years. When I first saw Sumedh in 2020, he suffered from unstable cirrhosis. With need for repeated fluid removal from the abdomen, to treatment of nearly fatal infections and a disastrous episode of blood vomiting, the cause for cirrhosis was hepatitis C virus (HCV) infection. With the advent of science, the HCV virus, from a dark, undefeatable boogeyman became a Sunday lunch picnic-basket when direct acting antivirals (DAAs) were introduced as new armaments against HCV. With DAAs for only 6 months, Sumedh was cured of the virus and his cirrhosis went back to being stable and meek as a kitten. He survived. Survives.

Sumedh nearly saw death, and the knowledge and rational use of medical science in me & many doctors like me, bring patients at the brink of death, back to their families. I do it, we do it, because we live for it, are trained for it and our duty as healthcare workers embraced by scientific medicine is the only hell-crushing obstacle between patients and death. Nandini hoped that Srijan could be saved too.

But Srijan will die. And the medical science in me will be used for something else, an aspect of clinical medicine that no one really talks about, but should, an aspect of clinical medicine that every doctor must learn and apply at every oppurtunity they get even when it gives you new scars in a corner of the heart every single time - comfort care as palliation.

Srijan was not supposed to die. But he will, because he has stage D liver cancer. The cancer has spread to his spine and hip bones, where, as they eat through the calcium and the marrow, the excrutiating pain will keep him awake at night, deprave him of his sleep and depress him to the core, when at some point, he would find his 52 years of life on Earth meaningless, his family dispensable and thoughts of killing himself would become his friend.

Srijan was not diagnosed with stage 4 liver cancer. In fact, he was diagnosed with stage 2 cancer, but the lack of faith in scientific medicine, the misinformation on chemotherapy and constant exposure to fearmongering through false narratives on social media and from lay folk led him to opt for safer treatments. He chose Homeopathy. And for two months, the Homeopathy practitioner, who has no idea about anatomy or physiology of the liver, no clue about staging and prognosis of liver cancer, no idea about the pathology and immunology of liver cancer and who has never successfully treated any disease other than the ones that go away on their own, gave false promises of a cure. In 2 months, Srijan went from a completely downstageable, curable liver cancer patient, to one where I was going to give comfort care.

The cancer will not kill Srijan. Homeopathy already did that. And I was just the ferryman, going to take him to the otherside, giving him hope & ensuring him that his life was not wasted. That he was loved. He was needed. He will be missed. I have nothing to offer Srijan, a stranger whom I just met. I have nothing to offer, other than the bitter truth which I have to make him accept with kindness and compassion and help him make purposeful choices for the time he has left.

And I will do that, by not demonizing him for the grave mistakes in healthcare choices he made. I will not demonize him by telling him, that every bodily attack that he was going to face from the progressed cancer - from aggressive infections, to vomiting blood and passing black tarry stools with the stench of corpses, to getting repeatedly tapped of the fluid accumulating in his abdomen to help him breathe better and ultimately, the liver coma that is going to take his life, was his fault. It was not his fault. We created him. Our society, with its indoctrination in science-denialism did that. He was the victim.

And I will help him, by comforting him about the fact that he was not the first one, and he wont be the last, but stories like his, will cease to exist one day, because I and others like me, will fight for people like him, who are misled to their deaths, when they had more life and living, to gift their families.

You may ask me, why the fishes? Because watching them move around, comforts me. They look calm and swim free and knowingly, they would not jump out of the water, until someone or something took them out. Srijan would not have knowingly jumped the waters, if he knew that medical science would have truly set him free. To live longer. To cherish every moment with glee.

Srijan will die without seeing his grand children and I will die a little inside, knowing that, he could not.

Post script: Srijan underwent the first (of his many) palliation procedure that will ease the severe pain from the bone metastasis considerably. A recent technological advancement called stereotactic body radiation therapy or SBRT which delivers radiation safely, without conventional side effects. Srijan's first request to me was that he wanted to sleep without pain for at least a few hours at night. And I pormised that he will. And after SBRT, he did, after so many weeks.

[Rohith R @rohithmvk]

Thank you Abhinav Aji for the follow! https://t.co/oYoTmJpeRj Will follow you back shortly!

[Shashi Tharoor @ShashiTharoor]

The other #KeralaStory!

[TheLiverDoc™ @theliverdoc]

In case you missed it, you must read this interesting report on the Ayurvedic dietary supplement called Chyavanprash by @KhandekarOmkar for @MorningContext
➡️https://t.co/2hWJyhdvAV

Chyavanprash is an ancient Ayurvedic multi-herbal recipe made from 25 to 80 types of herbs in a base of sugar, honey and clarified butter (ghee). It is only used by the Indian community based on untested traditional knowledge and belief and faith in such practices, without actual empirical evidence.

But wait, there is some evidence.
But not what you expected.

A randomized uncontrolled trial (June 2021) funded, performed and analysed by the biggest manufacturers of Chyavanprash, the Dabur Company, as a "preventive" supplement for #COVID19 showed that it was "beneficial."
➡️https://t.co/OZI9o2i09P

But, when a randomized controlled trial (Dec 2021) without the company's presence or funding was performed by a group of Ayurveda practitioners, they found that Chyavanprash did not prevent viral infections and did not significantly modify any inflammatory markers or immune profiles.
➡️https://t.co/dKAtTo8ac8

But it did something worse.

It had a "boosting" profile, oh yes. The total immunoglobulin G fraction (IgG) increased significantly in those consuming Chyavanprash.

This is actually not good. Non-specific IgG elevation is associated with autoimmune disorders and is not something we want our immune systems to do.
➡️https://t.co/3cZKXSThNY

In patients with risk of autoimmune diseases, such unwarranted, immune-modulation can lead to immune-mediated organ injury due to the multiple herbal components in herbal formulations. We saw this with Giloy herb use, where many persons developed severe immune mediated liver injury due to Giloy when used as "immune booster" because the herb increased IgG immune proteins.
➡️https://t.co/zPoxXh8VPz
➡️https://t.co/DqvSpeAd2z

As a child, I was given this for general wellness and prevention of seasonal illnesses. I remember that I always fell sick with the seasonal flu everytime, Chyavanprash or not. That Chyavanprash has no good clinical benefits, but only meager evidence or poor clinically relevant trials is now well known.
➡️https://t.co/1oWmKgGOe6

Would prolonged use of Chyavanprash in childhood lead to autouimmune diseases in adolescence or adulthood? Would use of Chyavanprash in adulthood precipirate autoimmune disorders? Are people with unknown or silent autoimmune disorders at higher risk of immune-mediated organ damage with Chyavanprash? - we do not know. Why do something that you do not fully know about? Why take that risk?

Reconsider your approach to preventive medicine in healthcare. Reject untested practices that are drenched in beliefs, culture and traditionality. Embrace the ones that are rich in the science of healthcare replete with empirical evidence and the ones based on celebrity advertisements or blind promotions.

[Rohith R @rohithmvk]

Amazon Prime Video ditches microservices and serverless to save >90%!
https://t.co/9e23s9izue
Proves that there is never a "one size fits all" architecture.

#returnofthemonolith #microservices #stopchasingbuzzwords #TechnologyNews