Vikas H P

MBBS, DNB, FRCR, FVIR
Interventional Radiologist 💻☢️
MIOT international, Chennai
I either know it or I'm going to learn it!

[Dr Aneesh Karwande @aneeshkarwande]

Today is Doctors Day. Let's be honest about what that means in India right now.

A 2026 review found Indian doctors face rising burnout driven by:
• Inhumane working hours
• Severe workforce shortages
• Poor hospital infrastructure
• A system that extracts without investing
And it doesn't stop at burnout.

In 2024, a trainee doctor was raped and murdered at RG Kar, Kolkata. A senior oncologist in Tamil Nadu was stabbed seven times by a patient's family. In Jalgaon, a resident doctor's eardrum ruptured after being beaten by patient attendants. These aren't isolated incidents — an attack is reported almost every other week.

India spends just 1.3% of GDP on healthcare. It ranks 145th out of 195 nations on healthcare access and quality. Yet when outcomes fall short, it's the doctor who gets blamed — and beaten.

And then there's NEET (UG, PG and SS). A system so broken that paper leaks have become routine, meritorious students are denied seats they earned, and young aspirants have died by suicide over shattered dreams. There are endless delays in counselling and admission processes every single year.
The newer batches of doctors enter the profession already exhausted and disillusioned — before they've even started.

Is this what we are celebrating?

i believe this Doctors Day just decide to stand up for doctors when things go wrong.

Study - Full review → https://t.co/HRZBOM3NCY

If you're a healthcare worker who needs support, Seek Help, Dont Hesitate :
Tele-MANAS — 14416 (24/7, free)
iCall — 9152987821
KEM HITGUJ — 022-24131212

#DoctorsDay #MentalHealth #DoctorSafety #NEET #India

[Vikas H P @vikashp369]

And unfortunately in govt set-ups, the uphill request/demand most of the time will get a threatening (we all know that), so the juniors (can be intern/PG/SR/AP/Associate/even HOD for that matter) stop questioning or asking.

[Vikas H P @vikashp369]

No one bothers to ask seniors in the hierarchy line, the instructions go only downhill and never uphill. The day Indian government doctors start asking their respective superiors for the facilities and manpower that are necessary is the day that changes their fate!

[The mood doctor @Chulbulpanda420]

India’s healthcare system is structured in such a way that doctors in government hospitals routinely see 150–300 patients a day.
They often skip meals to finish OPD on time, only to then attend to the wards afterwards.
A single mistake can land you on the list of “negligent doctors.” The media and public quickly turn against you, painting you as the villain of society.
No one asks why patients or their attendants assaulted you on duty.
No one notices when you work 36 to 72 hours at a stretch.
No one questions why you remain exhausted and grossly underpaid.
Welcome to the indian healthcare system, where everyone expects top-quality USA type work from doctors but wants to pay them salaries similar to those in Uganda.

[Dr Mohammad Momin Khan @DrMohammadMomin]

A doctor at Ashta Civil Hospital Madhya Pradesh was allegedly slapped, threatened with death and had medical equipment damaged while on duty.
This epidemic of violence against healthcare workers is spiraling out of control.
@GovernorMP @MPPoliceDeptt @CMMadhyaPradesh

[Nachiket Bhatia @bhatia_nachiket]

An apex hospital. Another assault. This time at AIIMS Bhubaneswar.

A critically ill poisoning patient could not be saved despite the best efforts of the medical team. Instead of accepting the tragedy, attendants attacked intern doctors and nursing officers.

Doctors are treating patients—not signing up to be beaten. Zero tolerance. Immediate arrests. Fast-track convictions.

#StopViolenceAgainstDoctors

[Deepika Narayan Bhardwaj @DeepikaBhardwaj]

Case Today : A senior citizen doctor arrested for alleged inappropriate touch of a teenage minor just few days short of 18, during a checkup

CCTV footage shows every second of the girls arrival along with her male family member, doctor examining her abdominal pain with door open & her male family member sitting in front in clear view of examination room, a female attendant walking in and out of the examination room, girl coming out comfortably sitting next to the doctor continuing to talk to him, understanding the medicines prescribed before leaving looking absolutely normal

Two lines FIR lodged after hours of exit from the clinic. Claims of penetrative assault that too when her uncle was sitting right opposite the room with door opened.

No analysis of evidence. No analysis of footage. No investigation. Immediate ARREST

This doctor has served the community for 50 years. He had stopped seeing patients when family of the girl insisted that he sees her because she's in pain. He obliged only to pay like this.

SINCERE ADVICE TO ALL MALE DOCTORS TO BE UNDER CCTV AT ALL TIMES WHILE EXAMINING MINORS OR FEMALE PATIENTS

If one can be immediately arrested despite a cctv footage clearly showing nothing untoward happened, can only wonder if someone doesn't have technical evidence to prove innocence

[The mood doctor @Chulbulpanda420]

An Ideal Doctor—
Available 24 hours a day, 365 days a year.
Call him anytime -day or night. Send WhatsApp messages, reports, photos he should reply instantly.
Whenever you need him, whether it’s 5 a.m. or Diwali night, he must be available for treatment.
Every treatment he gives must be 100% accurate.
No disease should be missed.
No complications should ever occur.
Even the laws of nature should not apply to him.
OPD consultation fee should be almost nothing.
After all, we’re “just talking,” so why should there be any fee?
If admitted to the hospital, he should give huge discounts on operation charges,
so we can afford a Deluxe Room and order whatever we want from the canteen or Zomato for a party.
He should prescribe medicines that are easily available everywhere,
and one prescription should last for 4 years — no need for follow-ups, tests, or re-evaluations.
He should consider accepting even a single pen from a pharma company as a sin,
but somehow he must automatically stay updated with all the latest, most expensive, and most effective new medicines.
He must keep studying continuously,
attend conferences and CMEs regularly,
but his clinic should never be closed.
He should have the latest machines, state-of-the-art operation theatres, and the best staff,
but the treatment cost should be like that of a government hospital.
He must personally see every report,
give every patient enough time,
but we should never have to wait when our turn comes in OPD.
He should be available on phone, WhatsApp, video call, messages, and email on every platform,but should never expect that his time also has any value.
We should be able to question him on every piece of advice we get from Google, YouTube, neighbours, relatives, or social media,
but he should never feel bad about it.
He should have 15–20 years of education and experience,
but readily accept defeat in front of our 15-minute internet research.
His hospital should have five-star hotel-like facilities,
but when we see the bill, it should feel like government rates.
He should treat every patient like his own family,
but his own family should be used to the fact that the doctor stays more in the hospital than at home.

He should have no personal life.
No holidays.
No festivals.
No illness.
No tiredness.
And most importantly —
If everything goes well, it is God’s grace.
And if anything goes wrong,
it is only the doctor’s fault.

Because in the eyes of the public, an ideal doctor is someone who:
Carries the responsibility of God,
possesses the honesty of a saint,
and gives the availability of a machine.
Are you an ideal doctor?

[Dr Prashant Mishra @drprashantmish6]

Most importantly, I forgot to mention that this claim was for a coronary angiography, with a total bill of approximately 15,000.
​It is incredibly frustrating to think that a 75-year-old man presenting with chest pain—who has faithfully paid an annual premium of around ₹1.3 lakh [ every year ]—has had a minor cashless claim of ₹15,000 rejected.
​The reason cited for the rejection was that during the policy porting process in 2023, he declared having diabetes but did not explicitly mention taking insulin. It is important to clarify that he only takes insulin intermittently.
in fact, for the past few months, his blood sugar has been managed solely through oral tablets.
Just imagine the situation: a husband aged 75 and his wife aged 67 live completely alone in Mumbai. Both are retired.
​Can you picture their state of mind when they suddenly find out that a cashless claim of just ₹15,000 has been rejected? This is despite the fact that they faithfully pay an annual premium of ₹1.3 lakh every single year.

[Heisenberg ⚕️ @augsby]

"Medicine is the most respected profession."

Respected by whom?

Not by the government setting our pay. Not by the patients who don't follow our advice. Not by the families who let us die in call rooms.

Who exactly is doing the respecting?

[theRadiologist @radiologistpage]

POV: You’re trying to biopsy a 10 mm lung nodule

[Vikas H P @vikashp369]

Scientifically, summed up!

[Laura Heacock, MD @heacockmd]

Apparently, yesterday @midjourney pivoted from AI image generation to...whole body ultrasound , presumably AI-augmented. I spent some time trying to find hard data and did not come up with much beyond the video. Some thoughts based on the X reactions today.

1) "Nobody's ever done this before." This seems to be a variant on ultrasound tomography, with Butterfly sensors arranged in rings. Ultrasound tomography is not new, with commercial systems available for breast imaging. The system proposed here seems very similar to Garrett et al 2024 (https://t.co/9ULMzSLfT8) which provided fuzzy images of the abdomen and extremity. By collating sound wave return from the ring array the system can attempt to minimize artifact from bone and gas. So, we have known this is possible since 2024.

2) "So easy for the patient." The system requires the patient to submerge themselves in water. For commercial breast UT, this simply requires laying on top of a shaped tank, but not going fully in water. As some people have difficulty lying on a DEXA or CT scanner (the latter of which can image in seconds) I will be interested to see how this is received by patients.

3) "This will revolutionize medical imaging." Ultrasound is limited by bone, air (lung, stomach, bowel) and depth of penetration. In the abdomen, this system can "see" around bowel and spine by adding together the full set of images. There is no workaround for the head or lungs and you'll notice that's why they didn't offer any pictures of those areas. It also means it won't be great at screening inside the stomach, intestine, or colon. I also note the volunteers appear fairly skinny. Ultrasound is always more limited in heavier patients.

4) "But AI can fix it!"...not really. Current DL-based reconstruction techniques require at least some undersampling of a region in order to reconstruct the image. You'll get a lovely picture of the outside of the skull. I can AI-upsample a fuzzy photograph but that doesn't mean what comes out of it actually existed. We have a variant of this issue already with MRI DL reconstruction.

5) "But this is better than MRI in the 1970s!" Yes, true. But the competition is not 1970s MRI, it's modern CT/MRI/US and most especially low-field MRI. For brain, for example, low-field MRI is already diagnostic quality and doesn't need shielding. A low-field scanner costs 50k and can be used in an ICU or put in a van. Why would I send a patient to get an experimental full body US when there's whole body MRI available that's already diagnostic quality? https://t.co/C93QMR3zJ6

6) "The FDA has no idea how to regulate this." This one made me laugh. There's an entire set pathway for this. Commercial ultrasound tomography already exists as an easy reference of a similar technology in the application. If they haven't submitted to the FDA, it's because they plan to try at a later date, or because they're not planning on submitting it at all.

Do I think this is new and exciting? Yes. It looks like it's going to be great for body composition, and I do think there will be improvement in the future.

Is it currently medical-grade diagnostic quality? No, not based on what they showed us. Apparently in-person there was a great hand demo. I don't see why that would be an improvement over routine US or MRI in visualizing hand soft tissues.

To quote @khakrish: "It feels like all the same problems as full body MRI with the added problem of an unproven imaging modality and no FDA clearance."

[The mood doctor @Chulbulpanda420]

I generally avoid using harsh words against our senior doctors,
but the biggest enemies of resident doctors in this country seem to be the senior doctors from the same department.
babus come second.

[Indian Doctor🇮🇳 @Indian__doctor]

#UPDATE GMC BHAVNAGAR CASE
Disciplinary action has been taken against the accused doctors, with suspension periods ranging from six months to two years:
• Dr. Virendrasinh Jadeja – 2 years
• Dr. Praveen Verma – 1 year
• Dr. Aman Verma – 1 year
• Dr. Vishal Dabhi – 1 year
• Dr. Dharmendra Dayal – 6 months
• Dr. Jayant Devani – 6 months

A total of 19 complaints have been registered against Dr. Virendrasinh Jadeja, 6 against Dr. Praveen Verma, 6 against Dr. Aman Verma, 9 against Dr. Vishal Dabhi, 6 against Dr. Dharmendra Dayal, and 4 against Dr. Jayant Devani.

★All six doctors have been suspended from the college.

★During the suspension period, they will not be permitted to participate in any clinical or academic activities.

They have also been barred from attending or participating in activities at Sir T Hospital and have been directed to vacate their hostel accommodation.

★An official police complaint/FIR is expected to be filed today.
#MedTwitter

[Aditya Gupta @DrAditya2935]

Main shuru hounga na ch***** then you won’t be able to wag your tail. Stick to your domain of quackery.

India’s strength has not been basic drug discovery because funds actually have never been given for that. Most funds are actually just bare bone salaries and outdated infrastructure.

Research in basic sciences Has not been really been funded in India tbh. Even in west - drug discovery has been relegated to private pharmaceutical- not govt.

But clinical research is being done by the blood and sweat of doctors and has contributed to better outcomes. And despite bare minimum basic sciences funding - we have made decent progress.
Here you go.

1. Indigenous rotavirus vaccine - Dr Bhan’s greatest legacy.
God knows saves how many infants.
Do you even know what virus is!

2. ORS - did Ayurved come up with that?
It was Dr Mahalanabis.
Do you know how to manage dehydration, assess it when to give ORS, when to give IVF, which IVf - how much?

3. Centrochroman - Saheli - a non steroidal OCP. What do you give for contraception in Ayurved- abstinence or coitus interruptus? Do you even understand what contraception is? Your parents should have used it.

4. To use Liposomal Amphotericin B for Kalaazar (clinical trials in Bihar)

What’s Kalaazar? How do you treat it? What causes it?

5. JenVax - indigenous Japanese Encephalitis vaccine.
How to you manage encephalitis- do you ask those children to do alom vilom since im sure you’re against ventilator and oxygen.

6. Dexamethasone-Cyclophosphamide pulse therapy by Dr Pasricha for Pemphigus which reduced mortality drastically.

7. Use of olanzapine for Chemotherapy induced Nausea vomiting

8. Indigenous Low cost CART for B cell lymphoma by TMH-IIT Bombay.

This is a non exhaustive list from the top of my mind. I for want to indulge dishonest individuals like you more.

Please stick to fooling your patients who get better on placebo.

Your entire argument will just hinge on - doctor make money - doctor bad - without an iota of truth. Stick to your delusional world retard.

[Dr.Dhruv Chauhan @DrDhruvchauhan]

Update by minister of health and welfare @prafulpbjp , Gujarat : Action has been taken!

6 resident doctors of GMC bhavnagar who were involved in physical torture and humiliation of orthopaedic surgery residents have been suspended for a period ranging from 6 months to 2 years and their entry completely restricted to hospital premises!

[Dr. Dhananjay Singh Tomar @DstDhananjay]

Doctors are treated like animals during training by their own seniors. Then, when the system fails, they are beaten like animals by the public.

A profession built to save lives is being crushed from both sides.

[Dr.Dhruv Chauhan @DrDhruvchauhan]

The moment I received this CCTV picture from GMC Bhavnagar (Gujarat), my mind froze for a moment thinking how mentally and physically devastated these Orthopaedic surgery resident doctors must have felt at this moment when they were made a murgha openly in the Operation Theatre.
Every NEET UG and PG aspirant and their parents must watch this to open their eyes regarding this over glorified profession in India .

[Vikas H P @vikashp369]

There's huge difference between generations:

Let's talk about sustainability 🤐

Current generation: https://t.co/G90n9uk5MV

Previous generation:

[Akhil @Akhil17___]

My grandmother saw two Blinkit carry bags this morning and turned them into notebook covers.

[Vikas H P @vikashp369]

Commendable 🔥

[𝕲𝖚𝖗𝖚 𝕭𝖗𝖚𝖓𝖔 🇮🇳 @spinesurgeon]

//Trust me a lot can be done if you just had guts to question the govt and administration !//

Agreed

1. I pushed for Emergency Room Protocols

2. Was that First State Nodal Officer for Tamil Nadu Accident and Emergency Care Initiative

3. Was the First State Nodal Officer for health Management Information System

4. Fought for Near Infrared Scanner for Detection of Intracranial Blood Clots in Pregnant women and got it

5. Fought for Intrathecal Baclofen Pump and obtained. Done 16 surgeries

6. Fought for and got Mobile CT

So
Where there is a will, there is a way

[Vikas H P @vikashp369]

Please send those JRs and SRs on one week leave (minimum)! They should be sent on leave until this is resolved by concerned authorities 🙃 (while the whole nation will have fun with healthcare)

[🇮🇳 Ramnik Singh ੴ ਰਮਣੀਕ, रमणिक @ramnikmann]

There seems to be Zero accountability of Doctors. Especially JR's & SR's. Probably the worst of the lot. Inhumane, unsympathetic & unapologetically unprofessional.

Cherry on top is Consultants being under pressure and the class 4 & nursing staff add injury to insult, woh to Insan ko Insan nahi samajhte.
Kindly attn Sh @JPNadda ji &
@MoHFW_INDIA