Ashwin Rajenesh MD
@ashwinrajenesh
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Consultant physician & Prof - Internal medicine | Chief of Emergency + Acute care medicine, NSMIMS | MD alumnus @offcmcvellore | Spurs #COYS
Trivandrum, India
Joined January 2013
Shared with permission: This is the sort of abnormal postural variation of heart rate due to #Dysautonomia in #POTS. This previously athletic, fit and healthy young man has been suffering with these symptoms ever since his #LongCovid set in nearly 8 months ago, with no respite.
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Two observations from a cardiologist who has always believed in the physical exam: 1. Residents and fellows will sometimes look at you as if you’re doing a party trick. 2. Even when I do a focused, cursory exam of a patient, patients tell me that it is the most thorough
Ways to reinvigorate the physical exam in medicine Step 1. Do the exam. No "WNL"—we never looked https://t.co/2zpB6Xjtqt
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During training, we chase zebras: the thrill of spotting the rare, exotic diagnosis & presenting it with pride. But as we grow, we realize the true art lies in managing the herds of horses (common diseases with uncommon complexity, demanding good judgment, patience and balance)🤔
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In Delhi, the nip in the air are toxic particulates. Are the respirators out?
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Premium men’s jewelry that elevates every fit. Black Friday deals live now!
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Occupational therapy isn't restricted to therapy for occupation
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I'll take a shot of that boring luxury dopamine
my take is life with generational wealth can be incredibly luxurious but also equally boring. the beauty of life is to keep upgrading linearly. your goals. your lifestyle. your desires. it’s a game. but when you have it all from day 1, nothing really excites you. you’ve
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Very often we think we know the biology but we actually don’t. We may have sequenced the human genome but we still really know only a small fraction of the human biology and disease pathology there is to know. I’m reminded repeatedly by clinical trial results. They sometimes
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A spritz you can drink before noon and no one will look at you funny
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A word that has become a euphemism for promoting and selling things without data or evidence
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Someone please help the poor bloke out and tell him who his father is
"Do you know who my father is?" Karnataka BJP leader Vijayagouda Patil’s son Samarthgouda Patil thrashes toll staffer for asking him to pay toll fee & saying he doesn't know who his father Vijayagouda was. Incident at the Vijayapura–Kalaburagi toll near Kannolli.
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Literal emission
Why do pens leak in your pocketz
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Parents should take this analysis seriously. I believe there is increasing evidence that nearly every single case of choking on food in children occurred after they had the food in their mouth. I strongly advice you to not feed your child.
Parents should take this analysis seriously. I believe there is increasing evidence that we are giving way too many vaccines to very young children. This is spreading in India too and we are seeing a rapid increase in autism in India.
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Dr. @dr_sivaranjani painstakingly fought for 8 years to convince the Food Safety and Standards Authority of India (FSSAI) to heed the harms of fake ORS drinks targeting children, flooding the market from greedy corporate companies. She won. FSSAI ordered the ban on the use of
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'FEELS' (prod. boomerang kid beats) got some new beats on the way! message me to work rappers / singers! got a lot of heat to rap over
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Kerala once again, and this time 70-hour scrotes are in for a twist. The Right to Disconnect Bill allows private sector employees to legally abstain from work-related communications (calls, emails, video conferences, SMS) outside of agreed working hours, protecting personal time
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Meconium aspirated as a baby, and is now called Lil'Shit Eater
Anne-Marie has named her baby boy Forever Sugar, inspired by her grandmother and the gestational diabetes she had while pregnant with him.
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This is a CT machine without the outer casing. Would you dare have enough trust to place your patient in an amateur built CT machine, with cost-cutting at the forefront of the agenda?
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This is a CT machine without the outer casing. Would you dare have enough trust to place your patient in an amateur built CT machine, with cost-cutting at the forefront of the agenda?
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Seriously don't bother. It'll turnout like those absolute shite made-in-India ventilators that came during peak COVID times.
Yesterday at dinner with one of our mentors, who happens to be one of India’s top cardiac surgeons, I asked why we don’t manufacture MRI and CT scan machines in India. What’s stopping us? He explained the risks, psychology, and economics behind it. A CT scan machine costs
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The opinion of people who received a medical degree is vastly superior to the opinion of those who did not, when it comes to medically related topics.
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ATTENTION: Service With A Shotgun is OUT NOW We asked one of the Sale Associates at Undead Depot to provide you with proper training. Make sure you watch carefully. We wouldn't want any workplace incidents. Outside of the undead.
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ECG taken 10 minutes following the episode of angina/diaphoresis. @smithECGBlog @ecgrhythms @EcgOxford
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55/F chest pain with diaphoresis a few hours prior to presentation, currently asymptomatic with stable vitals. No palpitations, syncopes. Normal prior exertional tolerance, no dyspnoea. Thoughts on the ECG? Rhythm?
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A simple question always being asked by everyone that previously vaginal delivery was so common and now why this shift to increasing C-sections? A multifactorial answer : Here’s the reality: 1. SURVIVORSHIP BIAS (Most Important): - India’s maternal mortality in the
@imacuriosguy Sir, this is a question I needed to ask for a long time & sorry for taking up yr time. My mother, who was married at 14 had her first child at ao 16 & 6 subsequently.She delivered the first 5 in her parents home in a small village,with the local midwife & my grandma to assist.
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