@greatbong Genes have a role but diet and exercise are the big hammer. I have given 30min to an hour everyday for exercise and changed my diet completely (low carb and intermittent fasting) for a year. Seen drastic improvement in fitness and health.
@greatbong Congratulations on the release date, looking forward to reading it! Once finalized, please list out podcasts you’ll be joining to promote the book, so that can listen to them?
@greatbong Honestly I have no idea how you manage to write books, maintain a blog/podcast while being an expert in cybersecurity which is your day job! Kudos for keeping the artist in you alive and your audience engaged. Waiting for #SultanOfDelhi Part 2..
This is the Queen's Stepwell in Gujarat, India, built nearly 1,000 years ago.
It is beautiful, but it isn't unique — India is filled with hundreds of stepwells just like it.
Here is the story of the world's most extraordinary underground architecture...
Tiny
In 2018, on what was supposed to be a silent night, I was without warning, thrust into caring for a young woman with fulminant Wilson's disease (a genetic condition where copper overload results in liver and brain damage).
Fulminant Wilson's disease leads to catastrophic liver failure where the patient presents in a comatose state to the medical ICU.
36 hours later, we struggled to keep her alive on the machine, as the family ran helter-skelter to find a living-related liver donor but failed to find one matching. She was urgently listed for a cadaver liver donor.
On the third night, our SOS was answered by a transplant center 350 km away. A deceased donor liver was available and since the patient was a young woman, she would be priority. But she had to be stable enough to get there.
On aggressive plasma exchange sessions to reduce the copper overload toxicity, and armed with a host of scientifically astute protocols, the young woman on the ventilator was transported alongside a highly skilled liver intensive team with medications that helped prevent her brain from swelling and antimicrobials that kept unseen but devastating pathogens from ravaging her body.
On the fourth night, she underwent a liver transplantation, with a liver received from a young man, a stranger, who met with a road traffic accident and whose parents were willing to save another life, while they lost one of theirs.
Today, four years later, that woman whom I took care of, for hardly 48 hours, came to me and gave me the greatest news I have heard in a very long time. That she was 16 weeks pregnant and that if my team had not given her everything, leaving no stone unturned, that little bundle of joy in her would never have existed.
“Before death takes away what you are given, give away what there is to give.”
― Rumi
People ask me why I love Hepatology. It is because it is the most intense rewardingly punishing form of clinical medicine there is.