JoSe PaUl

Lost on a well known path....

[JoSe PaUl @stupidsAvatar]

@amazonIN booked an item (407-1290826-5045962) & courier returned it back to seller today.
1)Courier didnt cal or try to redeliver,yet dey marked it out for delivery
2)Amazon support 2 times ensured delivery
3)Do amazon assure delivery at all?
4)I waited 2 weeks,got fooled😐

[Rajdeep Sardesai @sardesairajdeep]

LATEST ED files: Enforcement Directorate conducts raids at former Kerala CM @pinarayivijayan home and 10 other sites in connection with money laundering cases. Pattern striking once again : ED hyper-active in opposition ruled states against opposition leaders, missing mostly elsewhere.
Note: An extensive @IndianExpress investigation in 2024 revealed that out of 121 prominent politicians investigated by the ED since 2014, 115 (95 per cent) were Opposition leaders. In contrast, during the UPA government's tenure (2004–2014), the percentage of ED cases involving Opposition leaders was around 54 per cent.
Are all equal before rule of ED?

[Dhruv Rathee @dhruv_rathee]

Hopefully now you have realized what dictatorship looks like…

[TheLiverDoc™ @theliverdoc]

Billionaires are wasting money on anecdotally testing longevity hacks.

Here are the best longevity hacks that you learned in high school but forgot as an adult and then some.

Avoid tobacco.
Avoid alcohol.
3 cups unsweetened black coffee a day.
Adhere to vaccinations for age.
Take your booster shots too.
Predominantly plant based diet.
Minimum 8000 steps a day.
Min 154 min of aerobics/week.
Find and do work that makes you happy.
Keep and care for a pet.
Play video games.
Avoid bro science.
Avoid alternative medicine.
Follow real experts. Not role playing ones.
Listen to your doctor. Not the internet.

[Congress Kerala @INCKerala]

The hero bows down before the almighty.

What a fine knock, Sanju! Kudos for the thriller, India! 🏏✌🏼 @IamSanjuSamson

[TheLiverDoc™ @theliverdoc]

STAY WITH ME.

A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.

He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.

Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.

But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.

He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.

I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.

It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.

This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.

Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11

[Rahul Gandhi @RahulGandhi]

Last night, the Modi government demolished twenty years of MGNREGA in one day.

VB–G RAM G isn’t a “revamp” of MGNREGA. It demolishes the rights-based, demand-driven guarantee and turns it into a rationed scheme which is controlled from Delhi. It is anti-state and anti-village by design.

MGNREGA gave the rural worker bargaining power. With real options, exploitation and distress migration fell, wages increased, working conditions improved, all while building and reviving rural infrastructure. That leverage is precisely what this government wants to break.

By capping work and building in more ways to deny it, VB–G RAM G weakens the one instrument which the rural poor had. We saw what MGNREGA meant during COVID. When the economy shut down and livelihoods collapsed, it kept crores from falling into hunger and debt.

And it helped women the most - year after year, women have contributed more than half the person-days. When you ration a jobs programme, it is women, Dalits, Adivasis, landless workers and the poorest OBC communities who get pushed out first.

To top it all, this law was bulldozed through Parliament without proper scrutiny. The opposition demand to send the bill to a Standing Committee was rejected. A law that rewires the rural social contract, affecting crores of workers should never be rammed through without serious committee scrutiny, expert consultation, and public hearings.

PM Modi’s targets are clear: weaken labour, weaken the leverage of rural India, especially Dalits, OBCs and Adivasis, centralise power, and then sell slogans as “reform”.

MGNREGA is among the most successful poverty alleviation and empowerment programmes in the world. We will not let this government destroy the rural poor’s last line of defence. We will stand with workers, panchayats, and states to defeat this move and build a nationwide front to ensure this law is withdrawn.

[TheLiverDoc™ @theliverdoc]

Many people in the comment section saying its the hospital's fault for not providing the ambulance. Yes, this is valid. But most lower-tier hospitals are just shacks with incompetent doctors and business-seeking management.

But just take a step back and think. It is our failure as a society and as human beings. Anyone could have quickly driven the man to a nearby hospital when the wife pleaded on the road. So many vehicles passing by.

I see many deaths in my clinical practice and the only thing that comforts the family is that they did everything they could to beat the odds. Can you imagine what the woman would go through, the rest of her life? Everything will be so dark.

We have to strive to be a humane society. A humanism-based society. Who will help us, if we dont help each other?

[Peter Girnus 🦅 @gothburz]

Last quarter I rolled out Microsoft Copilot to 4,000 employees.

$30 per seat per month.

$1.4 million annually.

I called it "digital transformation."

The board loved that phrase.

They approved it in eleven minutes.

No one asked what it would actually do.

Including me.

I told everyone it would "10x productivity."

That's not a real number.

But it sounds like one.

HR asked how we'd measure the 10x.

I said we'd "leverage analytics dashboards."

They stopped asking.

Three months later I checked the usage reports.

47 people had opened it.

12 had used it more than once.

One of them was me.

I used it to summarize an email I could have read in 30 seconds.

It took 45 seconds.

Plus the time it took to fix the hallucinations.

But I called it a "pilot success."

Success means the pilot didn't visibly fail.

The CFO asked about ROI.

I showed him a graph.

The graph went up and to the right.

It measured "AI enablement."

I made that metric up.

He nodded approvingly.

We're "AI-enabled" now.

I don't know what that means.

But it's in our investor deck.

A senior developer asked why we didn't use Claude or ChatGPT.

I said we needed "enterprise-grade security."

He asked what that meant.

I said "compliance."

He asked which compliance.

I said "all of them."

He looked skeptical.

I scheduled him for a "career development conversation."

He stopped asking questions.

Microsoft sent a case study team.

They wanted to feature us as a success story.

I told them we "saved 40,000 hours."

I calculated that number by multiplying employees by a number I made up.

They didn't verify it.

They never do.

Now we're on Microsoft's website.

"Global enterprise achieves 40,000 hours of productivity gains with Copilot."

The CEO shared it on LinkedIn.

He got 3,000 likes.

He's never used Copilot.

None of the executives have.

We have an exemption.

"Strategic focus requires minimal digital distraction."

I wrote that policy.

The licenses renew next month.

I'm requesting an expansion.

5,000 more seats.

We haven't used the first 4,000.

But this time we'll "drive adoption."

Adoption means mandatory training.

Training means a 45-minute webinar no one watches.

But completion will be tracked.

Completion is a metric.

Metrics go in dashboards.

Dashboards go in board presentations.

Board presentations get me promoted.

I'll be SVP by Q3.

I still don't know what Copilot does.

But I know what it's for.

It's for showing we're "investing in AI."

Investment means spending.

Spending means commitment.

Commitment means we're serious about the future.

The future is whatever I say it is.

As long as the graph goes up and to the right.

[Roshan Rai @RoshanKrRaii]

This is how Aaj Tak used to mock UPA and Manmohan Singh when Rupee was 60.

Today, when it is 90+ , forget mocking Modi, they can’t even dare report it.

This is what Modi did in 11 years, destroyed the ability and guts to question.

[JoSe PaUl @stupidsAvatar]

@BhavikaKapoor5 .

[TheLiverDoc™ @theliverdoc]

Blood boiling stuff!

The prototype of idiotic Indian public is furious at a doctor who received ₹2.5/- in commission for poorly manufactured cough syrups -the quality of which was cleared by THE GOVERNMENT HEALTH REGULATOR probably taking bribes from the manufacturer...

....BUT not furious at public and government officers taking ₹1000000/- to ₹100000000/- as bribes from companies that are destroying this country since decades.

Make doctors the scapegoat of systematic healthcare failure by the government. Easiest way out of accountability in the playbook.

[Congress Kerala @INCKerala]

So, the BJP has finally started using their Bhramastra, the shrinking Hindu population and the growing Muslim population. This narrative has been quietly circulating in WhatsApp groups for years in many different forms and versions. Today, let’s puncture this fear-mongering story.

So, in a now-deleted tweet, @AmitShah said that the Hindu population in India was 84% and the Muslim population 9.8% in 1951. And in the 2011 Census, it is 79.8% and 14.2% respectively. Forgetting that he is the Home Minister responsible for maintaining the population count, Amit Shah claimed that the Muslim population is now 24.6% and blamed it on infiltration. Saying this without even conducting a Census means he is also admitting that infiltration has skyrocketed under his own watch. Anyway, he has deleted the tweet.

So let’s answer the fundamental question. Is the Hindu population actually shrinking, or is the Muslim population growing faster and causing this 4.2% change? Let’s find out. (1/n)

[TheLiverDoc™ @theliverdoc]

I want to make a clear statement regarding cough syrup use in children and in general. This is especially for those idiotic physicians who still prescribe cough syrups for children even in 2025.

Please stop prescribing cough syrups to children, especially in a country like India where public healthcare is not evidence based and proper vigilance and scrutiny of over-the-counter (OTC) medicines is zero.

The routine use of conventional cough syrups is not recommended due to limited benefit and safety concerns. Most guidelines advise supportive care and highlight that cough in children is usually self-limiting. Overall, major guidelines suggest against routine OTC cough/cold meds for common-cold cough in kids. Honey (>1 yr.) is reasonable; otherwise supportive care.

Age related recommendations:
Under 4: skip cough syrups.
4–6: avoid, especially opioid cough syrups.
6–11: can be used cautiously, but evidence is very limited. Again never use opioids; avoid benzonatate.
12–17: no opioids; even dextromethorphan use should be cautious because abuse risk of this is high in this group.
Adults: routine cough syrups aren’t recommended.
≥65: avoid sedating/anticholinergic combos; check interactions; always favour non-drug options.

What actually helps
Honey (for anyone >1 year) for a few days at night time can modestly ease cough.

For those thinking that "natural" options are better, please avid OTC Ayurvedic and Herbal cough syrups because [1] they contain multiple herbs that can interact in the body and cause organ damage or interact with other medicines to cause harm and [2] they are not adequately tested for safety or benefits and are directly marketed without evidence and [3] the doses mentioned in those Ayurvedic bottles are not scientifically identified, but the company's arbitrary doses, which may not be safe for all, or all ages. Read the label!

And for those thinking herbal is unsafe, so lets go with Homeopathy cough syrups, please don't even tough those with a 10ft pole because not only they have multiple herbs, but also high levels of alcohol which is never safe for children or adults and will have high chances of misuse/ addiction later on. Read the label!

[Mohammed Zubair @zoo_bear]

The guy who RTd a tweet justifying the killing of Mahatma Gandhi by Nathuram Godse is Editor, National Security, @ANI. South Asia's leading multimedia News Agency. An agency very close to Modi govt.

[Mohammed Zubair @zoo_bear]

The most hateful accounts on Indian X are highly educated.

[Mohammed Zubair @zoo_bear]

Why is no News Agency/Channel talking about frothing at Yamuna River. 🫩

[✎𝒜 πundhati🌵🍉🇵🇸 @Polytikles]

Quietly, while we are busy with English-Winglish...

Election Commission has taken a decision :

– Now the data of the Election's videos/photos will be stored for only 45 days
– If no petition is filed then this data will be deleted
– Earlier the data was stored for 1 year

In December, a rule was also brought that election documents will not be available to the public.

[Anish✋ @Anish_INC]

യുഡിഎഫ് ഭരണകാലഘട്ടത്തിൽ നിർമ്മാണം നടത്തിയ നെടുമ്പാശ്ശേരി അന്താരാഷ്ട്ര വിമാനത്താവളം വയലിലാണ് നിർമ്മിച്ചത്. വല്ലാർപാടം കണ്ടെയ്നർ ടെർമിനൽ റെയിൽ റോഡ് പണിതത് വയലിലാണ്. കായൽ നികത്തിയാണ് കിലോമീറ്റർ ഉള്ള ഗോശ്രീ പാലങ്ങൾ പണിതത്
#Kerala Thread 👇👇 @INCKerala

[Rahul Gandhi @RahulGandhi]

Will JJ explain:

• Why has India been hyphenated with Pakistan?
• Why didn’t a single country back us in condemning Pakistan?
• Who asked Trump to “mediate” between India & Pakistan?

India’s foreign policy has collapsed.

[IndiaToday @IndiaToday]

#EXCLUSIVE | Quoting the Prof Ali Khan Mahmudabad's social media post, @PreetiChoudhry asks, "Where is he anti-national and where is he insulting women?

Here's what @RenuWBhatia1, Chairperson of Haryana State Commission for Women, said in response.

#OperationSindoor #TTP