Intensivist | Neuro-Trauma Specialist | AI in Clinical Systems | Founder, CritiTAR | Navigating the Grey Zones of Critical Care. Think. Analyze. Reflect.
Launching CritiTAR: Navigating the grey zones of critical care.
My inaugural deep-dive: "The IVC Delusion" — moving from measuring a vessel to understanding a system.
Read & Subscribe: https://t.co/KZGyYO13aL
Think. Analyze. Reflect.
#FOAMed#POCUS#IntensiveCare#MedEd
ATLAS strengthened case for EVT in large-core LVO. After TICI 2b/3 reperfusion in ASPECTS 3–5 patients, what SBP target are you using? We accept SBP 140–180 mmHg post-EVT, but does that remain appropriate in the setting of extensive infarction and greater reperfusion injury risk?
Ee Sala Nu Cup Namdu! ❤️🔥🏆
Welcome to the RCB Era, ladies and gentlemen! 😎
You waited, you believed and you stayed… this one’s for you again, 12th Man Army! 🥹❤️
#PlayBold#ನಮ್ಮRCB#IPL2026
At the End of the Bed is a short piece about the space between the machines and the patient. An honest look at the gray zone they enter when we have done everything, but they still slip through.
https://t.co/zTBe2XVsm6
#CriticalCare#ICUstories
When a patient's numbers look acceptable but their physiological reserve is slowly draining, timely and right decisions depend on reading what the bedside monitor misses entirely.
Read the full post here:
https://t.co/SUkOdldsrG
#FOAMed#CriticalCare#Physiology#MedTwitter
Disappointment, Anger and Fear
Every summer in India, lakhs of children quietly disappear for two years. They vanish into coaching centres, hostel rooms, mock tests and rankings. Everything becomes “after the exams”. Cricket after exams. Vacations after exams. Sleep after exams. Even Living after exams.
At 16 or 17, instead of making memories, doing stupid things with friends, first crushes, discovering hobbies, learning who they are , they learn about stress. Timetables. Competition. Dark Fear.
And after all that, it comes down to few mornings or in some cases a single one.
A few papers. A few hours. One bad day. Panic attack, brain freeze and silly mistakes. Maybe even a surprise section in the paper. And suddenly two years feel wasted. That itself is brutal enough, isn't it ?.
Then comes something even worse. A paper leak.
Imagine the relief of a child walking out after months and years of preparation. Finished. Finally. Whatever the result, at least the fight was fair. Then suddenly the news breaks that the paper may have leaked.
What must that feel like?
Anger, yes. But also betrayal.
Because these children did everything asked of them. And Indian parents can ask a lot. They sacrificed birthdays, holidays, sleep and peace of mind. Parents spent money they sometimes did not have. Families adjusted their entire lives around these exams. And then somewhere, someone decides greed matters more than the futures of lakhs of students.
We talk so much about the next generation. About India’s future. About youth power. But what are we really showing them?
Adults jumping queues. Breaking signals. Throwing garbage everywhere. Removing all the green cover. Corruption. Screaming in road rage. Cutting corners whenever possible. Children watch all this quietly. They learn far more from our behaviour than our lectures.
And then we expect them to believe in fairness.
Parents too sometimes unknowingly add to this pressure. It comes from love, mostly. Wanting their child to do well. Wanting them to have a secure future. But pressure has limits. Push too much and children stop listening. Some become rebellious. Some withdraw into themselves. Some simply break.
And sadly, every year we hear of children taking extreme steps because they could not handle the stress, disappointment or fear of failure.
No exam should carry that much emotional weight.
And no child who genuinely prepared deserves the added insult of a leaked paper.
Can we not at least protect this ?
Can someone actually take this up seriously and show the people behind these leaks that we care? Not just with outrage on television for two days. But real consequences. Real accountability.
Because a paper leak is not just a leak. It is theft. Theft of effort. Theft of trust.
We may not fix every ugliness adults have normalised in society. But surely we owe children at least this much , a fair chance.
A system where hard work still means something.
A country where, for once, the honest child does not feel like the fool.
Let's give them real HOPE... #neetpaperleak
The clock is a suggestion. Physiology is the mandate.
Previous guidelines matched the evidence of their era, but 2026 finally codifies the shift from chronology to tissue.
My latest deep-dive for CritiTAR:
https://t.co/KGyAAug7iM
#Stroke#NeuroTwitter#AHA2026#FOAMed#NeuroICU
Bengaluru has no "margin of safety." World’s 2nd slowest traffic on dry days; one record 111mm rain spell simply finishes the job.
High taxes shouldn't buy "patchwork" fixes. We need structural resilience & engineering, not just slogans.
@CMofKarnataka@DKShivakumar@GBA_office
I genuinely find Suryakumar Yadav extremely immature in PCs.
First, when he was asked a genuine question about Sanju Samson’s inclusion, he turned it into a joke and mocked the situation instead of giving a straight answer.
Now again, just before a final, he was asked a perfectly valid tactical question : “India has lost the most wickets against off-spinners in the tournament and also has one of the lowest strike rates against them. Naturally, the question was: what’s the plan to tackle off-spin?”
His response was : “We didn’t discuss it. If we reached the final with a 120 strike rate, I don’t have a problem. I’ll keep playing with a 120 strike rate.”
And when he was asked about captaincy : he replied : “Bade papa aur dada banne ki jarurat nhi hai blah blah”
That’s borderline arrogance. A press conference isn’t your personal social media account where you throw out whatever comes to mind. There are some questions being asked about the team before a final, and brushing them off like this just reflects a lack of maturity.
Hello @YESBANK, @BookMyForex my Forex card is being used in BRL currency and multiple transactions are happening. Customer Support is not reachable. The app also seems to be having troubles. Do look into this immediately.