Yashpal Goel

MBBS, MS (ophthalmology). Drug safety physician.

[𝑟𝑜𝑠𝑎 @cozyycabin]

Lost in the golden hour

[Sandeep Mall @SandeepMall]

Golden hour at Iceland, Rishikesh, Jaisalmer, Jangalia.

[Yashpal Goel @yashdoc17]

3 things I wish every clinician knew about pharmacovigilance:

1 You don’t need to prove causality before reporting a suspected adverse reaction
2 A single report can matter
3 “I don’t think the drug caused it” shouldn’t automatically stop you from reporting a suspected reaction.

[Yashpal Goel @yashdoc17]

A safety report is not just a case to be processed.

Behind every ICSR is a patient, a clinical event and a piece of evidence that may contribute to understanding a medicine’s risk.

Pharmacovigilance isn’t just paperwork.

It’s patient safety in slow motion.

[Yashpal Goel @yashdoc17]

The hardest part of progress is that it often looks like nothing is happening.

One workout doesn’t change your body.
One book doesn’t change your thinking.
One good decision doesn’t change your life.

But repeated often enough, ordinary actions become extraordinary results.

[Yashpal Goel @yashdoc17]

If my ticket says 7:30 PM, I expect the movie to start at 7:30 PM.

Not 7:50.

I understand cinemas need advertising revenue. But why should the customer’s time be the currency?

If 20 minutes of ads are unavoidable, just call it a 7:50 PM show.

Play your ads before 7:30!!

[Yashpal Goel @yashdoc17]

I agree ORS isn’t needed for every workout, but “avoid ORS with exercise” is too categorical.

ORS is designed primarily for diarrhoeal dehydration, but its glucose sodium mechanism isn’t specific to diarrhoea. After prolonged exercise or heavy sweating, ORS can very well be used

[Dr. Anshul Sadhale @AnshulGains]

Avoid ORS with exercise.

Oral Rehydration Solution (ORS) is a WHO-standardized medical product.

It’s major role

1. To restore fluids and electrolytes lost in diarrheal illness and other pathological fluid loss.

It's not formulated, labeled, or intended as an exercise drink.

Taking it 'with every workout' is a misuse of a medicine.

This is how ORS actually works.

ORS exploits a specific absorption pathway

- glucose and sodium ride the same channel (SGLT1) to drag water into your blood.

It's incredibly effective when you've lost fluid from the gut.

But during normal training, your sweat losses are different, your stomach isn't the problem, and you don't need that mechanism.

That's literally what sports drinks and electrolytes are for.

Even those are only needed for longer, sweat-heavy sessions.

You can actually go to a online sweat calculator and estimate this.

• Sodium loss
• Whether plain water is enough
• Or whether electrolytes
makes sense for your body

I used this for my half marathon prep via up and run calculator.

ORS and electrolytes are different products for specific scenarios.

And by all means spend on high quality gym membership, clothes and shoes.

All are investments for better health.

[Yashpal Goel @yashdoc17]

A good decision isn’t always the one made with the most information.

Sometimes it’s the one made after recognising what you still don’t know.

[Yashpal Goel @yashdoc17]

The older I get, the more I value curiosity over certainty.

Certainty makes you stop looking.

Curiosity makes you ask one more question.

And sometimes, that one question changes everything.

[Kiran Mazumdar-Shaw @kiranshaw]

For those who are not diabetic or clinically obese, diet & exercise should be first option. GLP-1 alters metabolic function n has neurological signalling which in the long term may have side effects. There is not much long term data on chronic use of GLP-1s.

[Yashpal Goel @yashdoc17]

You can be the number one doctor in your area
All you need to do is to pay some money

[Yashpal Goel @yashdoc17]

@goibibo very bad experience with your customer support. I made a booking through hdfc smartbuy portal, with goibibo. Your app is not identifying the booking. The customer support team over the phone is not even listening

[Yashpal Goel @yashdoc17]

@iSatishAgarwal Thanks for the reply. Prompt as always

[Yashpal Goel @yashdoc17]

NSAIDs (ibuprofen, naproxen, aspirin) + blood thinners = severe bleeding risk.
This risk rises further if you combine two NSAIDs or add alcohol.
Source: NIH/PubMed
#DrugSafety #MedEd

[Yashpal Goel @yashdoc17]

@sanyayyyy What would you recommend as an evening snack which doesn't need any/minimum preparation

[Yashpal Goel @yashdoc17]

@ankitdewan @RohithSundares1 That is true. Needs a little planning. Few options are decent.

On a different note, Air india express new food menu is great.

[Yashpal Goel @yashdoc17]

@ankitdewan @RohithSundares1 We can change the meal while doing web check in

[Yashpal Goel @yashdoc17]

@vinodchendhil Vinod ji. Placed an order from your site. It's been more than a week it isn't even shipped yet.

[Yashpal Goel @yashdoc17]

In few years there would be no seats or jobs for our kids as general category. Also going by current trends it would be hard to survive in a foreign country. What is the way forward 🤔

[THE SKIN DOCTOR @theskindoctor13]

The MP govt has raised reservation in direct recruitment to 73%. The remaining 27% isn’t earmarked for general category, it’s open to all.

The matter went to the SC, where the MP govt, in its affidavit, made arguments like these:

The Varna system deprived 80% Bahujan Shudras of rights and exploited them for centuries.

This system, reinforced by ideas of God’s will, rebirth, and fatalism, left Shudras so crippled that they could not even imagine resisting injustice.

Ram killed Rishi Shambuk for daring to perform jap-tap despite being a Shudra.

Dronacharya denied Eklavya because he was a Bhil.

All of this can be disproven with even a little scrutiny, yet it’s shocking to hear such statements from a BJP govt. One would expect them to bridge divides and unite Hindus, this does the exact opposite. And if BJP truly wants to follow this path, why stop short? Why not reserve 100% for Bahujans? Why not close the doors entirely to the general category and be done with it for once and all?