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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Started loosing interest in cricket once the T20 format started becoming popular. Completely lost interest and became disgusted with the sport once the abomination that is the IPL came into existence. But test cricket still manages to remind me just how beautiful the game can be.
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Perfectly alright with the diagnostic burden being "passed on" to medicine. Particularly in case of multi-system involvement. That being said, any surgeon worth their salt sould be more than capable of identifying a dire surgical emergency requiring urgent surgical intervention.
That's why many patients land up in medicine rather than in surgery just because surgery people refuse to take those patients despite of clinical findings and for what? they want imaging and then there are radio people refusing their work and sending back patients.
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Why would you order imaging (particularly an emergency study) without providing the required clinical details and specific indication to do the scan?.They are well within their rights to do that, and I'd exactly do the same. I'd also call out my registrar / intern for doing so.
@ashwinrajenesh Our hospital has a terrible horrible Radio HOD who literally sends every patient back to casualty which is also 10 mins from radio department, and asks for indications every f*cking time. Are bhai agar emergency na hoti to bhejte hi kyu itni raat me.
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Having absolutely no class is modern India's remonstration to having been subjected to hundreds of years of class based societal stratification.
I'm an Indian. I love my country, and I love to travel. But lately, I've started feeling a sense of dread and second-hand embarrassment when I see a large group of my countrymen at a tourist spot. And I'm sick of it. This isn't about culture. Spreading out a meal on an airport.
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Patients aren't meant to be "brought" for an eFAST. The eFAST is meant to be brought to them.
Every time an intern brings a patient for eFAST, I ask them the full form. So far, only 1 could answer and that too, barely. #MedTwitter.
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Jaguar aircrafts from the 1970s are still deemed flight capable putting our IAF pilots at risk, while the government wants to ban 10 year old cars to further burden the common man. India is the only country to still have the aircraft in active service.
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Atleast part of the label is correct. It caused "ACCUTE INFLAMMATION" and gave you a new HEADACHE as promised.
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"We are just a sad generation with happy pictures".
*opens instagram*. yep, everyone's life is still better than mine. *closes instagram* . *opens twitter*. haha yes. my fellow trash bretheren.
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"We are just a sad generation with happy pictures".
*opens instagram*. yep, everyone's life is still better than mine. *closes instagram* . *opens twitter*. haha yes. my fellow trash bretheren.
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Clubbing. Someone tell the bloke to get a chest X-ray.
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Absolutely, I actually agree with you. It is the duty of the government (and thus, the people who elect it) to have a strong, incorruptible, scientific, evidence-based regulation & enforcement for the practice of medicine. Only in it's absence does such madness thrive and ensue.
@ashwinrajenesh All citizens of India need to come out to protect themselves from the modern medicine and its predatory practices. Unnecessary use of medicine and its commercial interests are ruining lives of people. We must stand against this evil.
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* Forgot to mention in the above tweet the obvious corruption in nation and regional regulatory systems and institutuonal governing bodies such as the NMC and MCI.
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The writing is on the wall. Its time for the modern medical community in India needs to come together and make a mature, clear, learned, and informed decision against mixopathy, integrative medicine and actively campaign against the harms of traditional and alternative medicine,.
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The year 2025. You, a doctor who has taken the hypocritic oath; now conflicted between fulfilling your oath, and respecting autonomy with acceptance of their stupidity.
If you prefer to die like a peasant from the middle ages, who am I to stop you 🤷🏽♂️.
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Pseudoscience.
What's it called when you're delusional but self aware.
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