Dr.Shivam45

MBBS MD Pulmonary Medicine
LTMMC Sion Mumbai.

[Dr Sudhir Kumar MD DM @hyderabaddoctor]

Seeing posts of people especially physicians taking statin + ezetimibe “just in case”?
Don’t fall for it.
These drugs are not general wellness supplements.

✅They are meant for selected group of people:
• Established Coronary Artery Disease
• Prior stroke
• Diabetes (selected patients)
• Very high LDL
• High calculated cardiovascular risk

You usually do NOT need statins or ezetimibe if you have:
• Normal reports
• No major risk factors
• Low overall risk

▶️Important truth:
Medicines are not harmless. Statins can cause muscle symptoms (myalgia, rhabdomyolysis), liver enzyme elevation and rare metabolic effects including diabetes. Therefore, benefits must clearly outweigh risks if you decide to take statins.

🔴Biggest mistake is starting lifelong medication without proper risk assessment.

✅You should focus on:
• Exercise
• Healthy diet
• Optimum Sleep
• Blood pressure control
• Regular screening

“Take statins when indicated. Not out of fear.”

Dr Sudhir Kumar (@hyderabaddoctor)

[सनकी 🦋 @poetry_in_]

प्रेम करना आसान है,
विस्वास करना कठिन...

[Bruce @_Bruce__007]

Tilak Varma is the best but don't forget Shivam Dube as well 🥺🙏🏻
#INDvsPAK #IndianCricket

[Dr.Shivam45 @Shivam452]

@DrVish355 Right sided Pneumothorax - Deep Sulcus Sign

[Dr Sunikesh Khairnar @DrSunikesh]

Horrors of Mumbai monsoon part 3 A thread 🧵

[Dr Anand Naik MD @DRARN93]

Just because you're a doctor doesn't mean you're superior. Patients are already scared and unwell — they don’t need to be shouted at. They need empathy, not authority. Healing starts with kindness. #MedTwitter

[Dr.Shivam45 @Shivam452]

@DrVish355 @DrDatta_AIIMS @nihardesai7 @grok Congratulations @DrVish355 Sir 👏 Achivement 🙌🎉🎉

[Dr.Shivam45 @Shivam452]

@bhat1405 Steri Talc Powder effective than Tetracycline as Recurrence rate with Talc is less than Tetracycline.

[Harshal Patil @harshalpatil233]

Every year UPSC exam brings a heartwarming story to the forefront.

This is Birdev. A always smiling and positive boy from Kolhapur, Maharashtra. He came to know about his UPSC result while he was shepherding the family sheep. The family gathered around for his felicitation where they live. His father does not know much about the civil service examinations. But he knows that his son is bright and hard-working.
Birdev spent his childhood shepherding the family sheep in the hills and studying under the open sky. The boy who used to study on the school veranda because there was no pucca house to study in, now clears the UPSC exam.
Feel fortunate that I witnessed his UPSC journey in Pune. Congratulations Birdev. AIR 551.
#UPSC
#upscresults

[Hindustan Times @htTweets]

#IITKanpur ready to tackle #DelhiNCR air pollution with artificial rain: Report

https://t.co/C6AbQKSbr4

#DelhiAQI #DelhiAirPollution

[Devendra Pandey @pdevendra]

They did to us in #Champanare and we did back in their yard. Well done #DeeptiSharma

#BCCI
#mankading #watsappforward

[Dr Mayur Kulkarni @DrMAK07]

Teaching is not just an Art, but a work of Heart ! Teachers day greetings to all my Teachers and also to all my students - who inspire me each passing day.
#MedTwitter
#HappyTeachersDay2022

[Dr. Meet Ghonia @DrMeet_Ghonia]

Respected Sir,

You declared this on 7th March but even after 5 months of declaration, NMC didn't implement this #NMCBill

Requesting you to look into this before initiation of AIQ Counseling from 1st September!

@PMOIndia @narendramodi @mansukhmandviya @DrDhruvchauhan

[Dr.Shivam45 @Shivam452]

Happy birthday @Parikshit5510

[Abhimanyu Pawar @AbhiPawarBJP]

चि. परीक्षित,
तुला वाढदिवसाच्या खूप खूप शुभेच्छा. खूप यशस्वी हो. पाय जमिनीवर ठेऊन आभाळाला गवसणी घाल. कुठल्याही माध्यमातून कर पण गोरगरिबांची मनोभावे सेवा कर. शतायुषी हो बाळा..
@Parikshit5510

[𝘽𝙡𝙪𝙚 𝙂𝙖𝙣g𝙨𝙩𝙖☄️ @itz_VJ_Srt_RO45]

Yeah! He is a King 👑🙇💙
@ImRo45 #RohitSharma

[Dr. Aditya Rodge @adityarodge]

When mind, body and the Olympic spirit align in perfect harmony, what you get is the greatest moment in Indian Athletic History.

NeerajChopra knew it when he threw it that it was GOLD 🥇

#NeerajChopra 🥇🇮🇳 #Gold #goldmedal

[BHUSHAN MADKE MD🇮🇳 @rashlessdoctor]

We are no more in Gandhi's era
थप्पड़ का जवाब sphygmomanometer से देंगे

[Dr. Himanshu raj awasthi @Being__Doctor]

Interns are supposed to learn clinical skills during their internship..
Le Intern during clinical posting-

[DrRavi @DrGodseRavi1]

Covaxin/ Covishield are about 65% effective against Delta. Meaning, if 100 fully vaccinated people get exposed, 35 will still catch Covid. BUT, those 35 have great protection against serious disease & almost all of them, will forever finish Pandemic for themselves in mere 9 days.