sharma_dineshMD,DM🧐

#makingdifference #savinglives
shorttermgoal #change500lives

[sharma_dineshMD,DM🧐 @withoutscalpel]

May I please get 2 friends to copy and repost? I am trying to demonstrate that someone is always listening.

#SuicideAwareness
1-800-273-8255

Just two. Any two. Copy- not retweet

[Rohan Acharya (UR) @DrRohanAcharya]

My friend who is a Radiologist, has secured Rank 1 in FET in Neurovascular intervention.

The Head of Neurointervention @NarayanaHealth @NHrudayalaya is apparently make his residents call my friend to not take up the seat because he prefers DM Neuro candidate!

What Nonsense?!

[Rapid Medical @Rapid__Medical]

When using aspiration, it’s important to consider effective methods that preserve intra-arterial safety at every step, such as utilizing a combination approach to keep the vessel patent during suction.

Here are three different examples showing vessel collapse from aspiration, which can lead to serious complications.

In a JNIS publication* evaluating the ADAPT technique, Dr. @_AdnanSiddiqui explains, “It’s important to note that the vessel collapses every time aspiration is used unless the clot is fully engaged by the catheter. Therefore, it is vital that when using aspiration, the catheter is advanced well beyond the point of contrast clot opacity border to prevent the collapse.”

Continue reading: https://t.co/IwXwwgubGm

*Dossani, R. H., Tso, M. K., Waqas, M., Rai, H. H., Rajah, G. B., & Siddiqui, A. H. (2020). Mechanical thrombectomy of right internal carotid artery terminus occlusion using the ADAPT technique: impact of aspiration on parent vessel. Journal of NeuroInterventional Surgery, 12(11)

#mechanicalthrombectomy #activetechnology #stroke #TIGERTRIEVER13 #aspiration #JNIS

[🇮🇳 मुमुक्षु @Pratyangira1]

I’m a lady Travelling in Mahakaal superfast express from Indore to Govindpuri, Kanpur! A group of 8 rowdy men calling fauji themselves started commenting on my modesty,saying vulgar comments, singing vulgar bhojpuri songs and kept harassing me till Sant Hridayram Nagar!(1.)

[Dr Sharath Kumar G @SharathKumarGG7]

@InnvolutionH How do u justify your installation of cardiac cathlabs across neurology/neurosx departments of major Government medical colleges of Karnataka, when you don't even have neuro cathlab portfolios in your kitty?
This is not only unethical & misleading but harmful!
@Innov_Medicine

[jitender saini @manurika]

Money takes precedence over ethics and it becomes difficult to listen to your inner voice . All the stars, cricketers are advertising for tobacco brands shamelessly shows that in the current world greed and personal gains r supreme, morality can take a backseat.

[sharma_dineshMD,DM🧐 @withoutscalpel]

🫡🫡🫡

[Keith Pereira MD, #VIrad @keithppereira]

In 2023 a dedicated IR clinic should really be the Rule not the Exception for any clinical #IRad practice.

Started with 2 patients in my first clinic in 2016 and see where we are now 📈

#ClinicalIR @SLU_VIR

[ISNR @isnr_in]

📢 Calling all neuroradiology enthusiasts! 🧠🔬 We are thrilled to announce our upcoming "25th Annual Conference of Indian Society of Neuroradiology" 📅 Mark your calendars for "08th - 10th MARCH, 2024" to be held at AIG Hospitals, Gachibowli, Hyderabad,

[Austin Bourgeois @AustinBourgeois]

IVUS of a normal vein before and after valsalva. Important to keep percent stenosis in context of physiologic norm. #iRad. Credit to my partner @DkimMD for the video

[sharma_dineshMD,DM🧐 @withoutscalpel]

Time to bump #medtwitter with cases done in last 6 months
#basilarthrombectomy #mechanicalthrombectomy #neuroradiology #stroke

[Jay Mohan, D.O., FACC, FSCAI, FASE, RPVI @DrJayMohan]

For the fellows! #FellowBootCamp!

Yes yes yes, trigger #EchoFirst peeps 😂 but that doesn’t mean never do LV gram! Gives more data/ useful in a pinch.

🔑 RAO 30 Projection (MC)
🔑 LAO for septum/lateral wall
🔑 Power injection (I like 10:3)
🔑 PIG tail always. Never end hole

#Cardiotwitter #Cardiology #July

[pirocca ugo @PiroccaUgo]

@linemonkeymd @SIRspecialists I would like radiologists to return to their origins, in particular coronary angiography (which we invented), which is less aberrant than a cardiologist who performs GAE

[Dr. Sameer Gupta @SGuptaMD]

As a cardiologist, every day I see 2-3 patients who need clearance for surgery 🔪

ALL of them are on blood thinners🩸

Every surgeon wants to stop these medicines💊

The patients ask:
Is it safe?
Should I stop?

Let's see how to deal with blood thinners before surgery
🧵👇

[Daniel Liebman MD MBA @D_Liebman]

Aravind is remarkable.
1.5 million annual outpatient visits, 250,000 surgeries per year, 70% of which are essentially free. Their surgeons are easily as talented as any I’ve met in the US, and their ORs have cleared 300 procedures every day I’ve been here.

[Dr G Rajesh (Gopalan Nair Rajesh). @DrRajeshG1]

“Man is not what he thinks he is, he is what he hides”.So why hide failures?ASD with IVC rim only 3-4 mm, deficient aortic rim was taken for device closure and resulted in this.Emergency Surgery done, it was entangled amidst chordae. Have you ever retrieved it from LV by snaring?

[TheLiverDoc™ @theliverdoc]

The Gift

When he started drinking socially in 2012, she disagreed.
When he started shouting at her for "unsolicited advice," she kept quiet.
When he started drinking after office hours, she voiced her concerns.
When he started shouting at her in front of the children, she kept quiet.
When he started drinking every day in the morning, too, she shouted at him.
When he started beating her up in the room before bedtime, she kept quiet.
When he started drinking to the level that he vomited blood, she pleaded with him.
When he got better and started drinking again, she asked for help.
When he started beating her up in front of her children, she went silent.
When he started beating her up for no reason, she kept quiet.
When the beatings were prolonged, she made a deal that it had to be behind closed doors, to save her children from trauma.
In the morning, even when soreness got the better of her, she still walked her children to school because he slept in his own vomit someplace else.
His friends duly returned him, sometimes in a blacked-out state.

End of 2018, when I asked him to choose between a loving wife, beautiful children, and bottles of alcohol, in front of every family member who was in my outpatient department, he chose bottles.
End of 2018, my repeated plea for de-addiction went unheard, unconsented.

At the beginning of 2019, he was dragged to a de-addiction center, where he threatened and abused the doctors and nursing staff within two days of his stay, and they let him go because he was violent.

In 2019, when he drank and vomited blood at home in front of his children, he was dragged to the hospital by her.
When I admitted him to the ICU, she asked me for painkillers, and I told her they were dangerous for alcohol-cirrhosis patients.
She kept quiet and then told me it was for her, to calm the bruises he gave her for dragging him to the hospital.
In three days’ time after the severe bleeding, he went into a hepatic coma.
On the fourth day, he developed severe infections that led to multiple organ failure.

On the same day, the family decided he was a burden, both physically, mentally, and financially.
But she pleaded with me to get him better. She would try to beg and borrow, for all her gold and her assets from her home were now used for his treatment over the years.

When the money ran out, her family support broke away, and she was lonely.
She started praying at the hospital chapel because there was nothing she could offer.
She kept quiet.
When I told her each day, that, one by one, an organ was failing, she kept quiet.
When finally, she died on the ventilator after her father consented to a do-not-resuscitate order, she remained silent.

When they took his body away, she remained silent.

Years later, when she met me in my OPD, she got me a box of chocolates.
She thanked me for fighting alongside her.
She thanked me for giving her hope when we both knew we were lying to each other about his survival.
She thanked me because, at times, I remained silent and listened to her.
I do not accept gifts from my patients.
But there are some instances when I do, and remain silent.

Remember what some mothers do and go through.
I am cursed to see this almost everyday.
Today is Mother’s Day, 14th May 2023.

[sharma_dineshMD,DM🧐 @withoutscalpel]

Thanks to neurosurgery, neuroanesthesia and all the ICU Staff without them its nothing but just plumbing🤲🏼
#happypatient #regainingthefaith #aneurysmsurvivor #interventionalradiology #interventionalneurorad
#neurosurgery
#ApolloHospitals

[sharma_dineshMD,DM🧐 @withoutscalpel]

Discharged after two weeks!!!
Came after 1 month walking I could’nt recognise him at this time but he was able to recognise me🤪
Clicked Happy faces!!
Fortunately detected aneurysm in one more relatives as family had a strong history!!!
Gearing up for the next before it bleed🤞

[sharma_dineshMD,DM🧐 @withoutscalpel]

Taken in angiography suite by interventional radiology team…Found to have aneurysm>underwent coiling (closing fo aneurysm) on the same day!!! Had a stormy course in ICU(managed by experienced neuroanesthesia team), many ups and downs!! But family stood firm, never lost hope!!!