Sravan Challa

Prakasam

[Sravan Challa @sravchalla]

@BabajiSutar3 N Mongia?

[Sravan Challa @sravchalla]

@nag_vasireddy @JayaHoIndia 😂😂

[Sravan Challa @sravchalla]

@vizagobelix @sriniksv 😂😂😂

[Sravan Challa @sravchalla]

@AnonAndhra @drmahishmak 😂

[Sravan Challa @sravchalla]

@cricketdistrict @Frogboxlive Not Out

[Sravan Challa @sravchalla]

@curryputtar 😂😂

[Sravan Challa @sravchalla]

@AnonAndhra I feel happy when I see a garden with no artificial grass

[Sravan Challa @sravchalla]

@gnanodayam @JpackJack Thanks

[Sravan Challa @sravchalla]

@gnanodayam @JpackJack “ED is probing the case under the Prevention of Money Laundering Act based on an FIR registered by AP Crime Investigation Department against DesignTech Systems and others.” Could not find any info regarding the GST intelligence complaint I am afraid

[ANI @ANI]

G 20 in India | The Government of India presented special gift hampers to the G20, Heads of States and Leaders representing their countries including A cup beyond compare: Araku Coffee

Araku Coffee is the world’s first terroir-mapped coffee, grown on organic plantations in the Araku Valley of Andhra Pradesh. These coffee beans bear the essence of the valley's rich soil and temperate climate. Pure Arabica with a rare aromatic profile, Araku Coffee is known for its unique texture and a symphony of flavours that makes for a smooth, well-balanced cup.

[Dr. Mukharjee Madivada @drmssm]

A tale of murder, medicine and sheer brilliance…

I can proudly credit much of my success in clinical practice to one teacher of mine: Dr. Rama Tharak Nath. His observations, teaching and language skills are unparalleled. Here is a great story where he single handedly solved an international crime recently:

The background:
****************
Dr. Tharak Nath is a neurologist who practices in Guntur, Andhra Pradesh. A young bride Kavitha (name changed) came to him recently with severe burning, tingling and numbness of hands and feet. He took her complete clinical history. Here are a few highlights he gathered:

The marriage:
**************
Kavitha got married in June. Her in-laws are truly cosmopolitan. The groom Shekar (name changed) is an engineer in the U.S. The sister-in-law, Raveena (pseudonym, again) is a doctor in the U.K. and was married to a health care professional. The in-laws, Subba Rao and Janaki, travel between India, US and the UK constantly.

The first episode:
*****************
Subba Rao and Janaki have a beautiful flat in Miyapur. After the marriage, all of the family got sick with gastroenteritis. They had stomach cramps, dragging discomfort in legs and hands.

They went to a corporate hospital in Hyderabad. Subba Rao, Shekar Raveena and Kavitha were okay but Janaki, the mother-in-law, developed weakness of limbs. Shekar went to the U.S., Raveena to the U.K. and Subba Rao was taking care of Janaki. Kavitha came back to Narasaraopet, a town near Guntur.

The unfortunate death:
***********************
Janaki deteriorated further and was admitted in the big hospital. She was diagnosed with Gillian Barre Syndrome, in which paralysis of both arms and legs occurs. Her daughter Raveena came back from the UK to take care of her. She got stabilised over a few days and was shifted to the room in the hospital. Raveena left to the UK again.

But as fate would have it, Janaki suddenly died in the room. The doctors thought that it could be pulmonary embolism, a sudden clot to the lungs.

The second episode:
*********************
All the family got together in Miyapur in the moments of grief. The new bride went from Guntur to be with her husband in the distressing time. They were performing the rituals but didn’t expect what hit them next…

All of them got sick again. They went to another corporate hospital and were treated for gastroenteritis. The water in their flats was examined and found to have E.Coli, a bacterial pathogen. They were treated and sent home. Raveena left for UK, Shekar to the U.S., and Kavitha went back to Narasaraopet, Guntur.

Enters the saviour:
******************
But Kavitha was suffering from severe neural pains in her limbs. She was sure that she will die, and she insisted that she be taken to Dr. Rama Tharak Nath. She was taken to him promptly and he examined her thoroughly and heard what she had to say. He asked her a lot of questions.

The Vital Clue:
***************
What was not obvious to many doctors, Dr. Tharak Nath identified in less than 15 minutes. He noticed inconspicuous white lines on the nails of Kavitha. These are called Mee’s Lines, he later told me. They are the diagnostic features of a poisoning from Arsenic, the King of poisons. Napoleon was suspected to have died from Arsenic poisoning.

The follow up:
**************
Dr. Tharak Nath got his patient tested for Arsenic. He also asked the husband in the US, and the father-in-law in Hyderabad to get tested for Arsenic. It was an uphill task for the NRI to get tested for Arsenic, but he managed it in the end, educating his unsuspecting doctors about Mee’s lines and using Dr. Tharak’s suspicions as props.

The lab results showed only one thing: My professor was absolutely right. It was Arsenic that troubled all of them.

#MiyapurMurder
#ArsenicPoisoning
#MedicalMystery
#MedTwitter

1/2

[TheLiverDoc™ @theliverdoc]

I am a Hepatologist.

Arguably, I care for the sickest group of patients in medical practice – end stage liver disease.

I see death almost every day in my ICU.

Some are natural deaths, leading to multiple organ failure triggered by a failing liver.

Some are decided. The family decided to pull the plug. They decide it was time to let go.

And every time, I see the heart rate drop, the blood pressure fall and the electrocardiogram go flat.

And I wonder. What goes on inside a dying brain?
Was it a small black hole, that gets bigger and bigger and then engulfs the field in darkness as the heart shuts down taking the brain away with it?

Or was it just all light at the end of the tunnel and then darkness, once the destination had reached?

A group of doctors did something strange. Something unimaginable.

And it led to them witnessing something melancholic, but beautiful.

They went inside an ICU. Saw that four patients were unconscious.

They were not clinically dead, yet. And not brain-dead. But were comatose.
They were kept alive by a machine that pumped oxygen into their lungs.
Three had brain injury due to cardiac arrest. One had haemorrhaged into the brain.

All were unresponsive for a very long time and sadly, the family decided to pull the plug on them.
To let them go away, peacefully.

But before they did that, the loving family did something bittersweet. They signed a document which was made by the group of doctors, allowing them to study their beloveds’ dying brain.

The group was led by Dr Jimo Borjigin of the Department of Molecular and Integrative Physiology, University of Michigan School of Medicine, Ann Arbor at Michigan.

The doctors fitted machines to the heart and brain of the dying patients and then withdrew their life support by removing the breathing tube.

Immediately after the tube was removed, the brain activity did not show anything different.
But as the brain got closer to death, about 300 seconds before death, a power surge. And it occurred in the regions of the brain which was associated with conscious experience. Like the dying was suddenly yearning to live.

And make no mistake, these were not “some bursts” of electrical activity that happens when the brain cells withered away without oxygen. This was a special kind of activity.

These power surges increased connectivity in a region in the brain called posterior cortical “hot zone” – an area crucial for conscious perception – when it came to just before dying, the brain cells were having a cross-talk, not dying away into oblivion.

They were passing final messages to each other within the regions of the brain, while the physical body lay, limp and motionless.

And the doctors were heartbroken – because the final electrical pattern of surge that the dying brain was showing was the similar to those seen in dreaming humans.

All the patients in the study died.
But before they died, they taught us something.
That even in death, our minds are resilient.
That we clutch at only everything that is good.

What were they dreaming of?
A husband, about his loving wife?
A mother, her children?
Children, their parents?
Or maybe a scene from a movie that changed you?
Or a song under a starry sky?
Or a pet who loved you unconditionally?
We will never know.

But know this, even in death, the mind conquers – with dreams and love, not nightmares and hate.

Remember, nothing perfect lasts forever, except in our memories.

Make good memories while living, so that we can re-live them in death.

Go hug you family, take your children for an ice cream. Walk your dog into the sunset.

Sources:
➡️"Surprising brain activity moments before death" by Dr. F Perry Wilson @fperrywilson via https://t.co/g2NmWlMrAs

➡️Research Article: Surge of neurophysiological coupling and connectivity of gamma oscillations in the dying human brain from @PNASNews https://t.co/YqvZIlDaxN

[Brut India @BrutIndia]

When she lost her memory and home at the age of 53, a family in another state adopted her. But 41 years later, at the age of 94, she remembered one word from her past. What happened next is proof that fact is stranger than fiction.

[Allari Naresh @allarinaresh]

For years you all have surprised me with me your undying love and faith, so this birthday I have decided to surprise you all instead. This is for you my fans :)

#Naandhi #Teaser #Naresh57

https://t.co/tntDkL6wq8

@SV2Ent @vijaykkrishna @SatishVegesna @varusarath

[World of Engineering @engineers_feed]

Carl Sagan explains how the ancient Greeks knew the Earth was round and calculated its circumference over 2,000 years ago.

[Sravan Challa @sravchalla]

@JayaHoIndia I am afraid the above news doesn't give the full story
https://t.co/zwbhytuVZE

[Sravan Challa @sravchalla]

@vizagobelix National General Secretary to State Recognised Regional Party 😂😂😂

[Sravan Challa @sravchalla]

@curryputtar The more the salary the more the tax he will be getting every month. So he will get what he want not what he says he want.