Swati Garekar
@swatigar
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Mom. Pediatric Cardiologist. #echofirst . 3Dprinted🫀 🫀failure 🫀transplant; Fetal echo. Pt privacy vital. WB posts r off internet. Fortis. yes Seth GS. #Dhoni
Mumbai/Thane, India
Joined August 2013
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here is the link to our institution's experience with pediatric heart transplantation. I hope it gives a good idea of the current scene here. This is a repost from a month ago; my original tweet got deleted inadvertently.
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Yet another farewell party...
Sis goes off to a super setup in Europe.
There is no way to stop this.
We can't match the pay/benefits of the West
We train the ICU nurses( she wasn't ICU though) & 18mo later ...✈️
They absolutely deserve better than what they are offered here
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1/4 Its been 5-6 years....
Every year this young lady without fail comes to the hosp and celebrates our birthdays with us.
She is enjoying her second life to the fullest.
Before her heart transplant, she was bed-bound...no energy for anything.
Now she attends dance classes!
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My Neighbour.
Underwent open heart surgery 2months ago.
Walks 45min twice a day still.
84yre old.
#ageisjustanumber
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I can't believe it.
The doorbell rings and we get this !
We have the best neighbours!
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1/2 So this young lady who got her 🫀 transplant when she was an adolescent; & shares all her happy moments with us
Yesterday it was Eid. She came with kheer for us..
10th boards; performance through her Shamak Daivar dance classes; her bdays- real n the day she got a new 🫀;
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My fav thing to do when I get a chance ..in my downtime. Grab a recovering post op child on their way out of the hospital and sit with them.
#SoHappyMe
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I am on
@Twitter
.
I am a pediatric cardiologist.
There are very few of us on twitter. Most are off twitter.
Me being on twitter doesn't make me the best of them ( nor the worst😊).
Twitter presence isn't a factor in deciding how good or bad a specialist is.
In any field.
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Had the chance to hold a pediatric cardiac camp in Chandrapur recently .
Saw so much pathology. We have come a long way in India but still a long way to go ahead as far as pediatric cardiac care.
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This post for LOW IQ people only:
I am Pediatric Cardiologist.
I dance.
I wear what I like.
I eat/drink what I like.
And yet every working day I take care of my patients in the best way I can.
Yes, a subtweet.
#LookLikeADoctorNot
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I like
@SadhguruJV
. I like how he explains things about Hinduism.
I have never heard him be anti modern medicine .
He is pro Yoga and pro Meditation. But so am I.
And I am also a modern medicine practitioner.
#JustSayin
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from my archives. This little pt had HOCM; was on beta blockers; not compliant; came with chest pain. Initial echo showed his usual severe HOCM. Within the next 48hrs hours, his echo changed to this. no fever. high crp. unrelenting chest pain. Tapped him: thick purulent fluid
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I am not crying. Something went in my eye
हॉकी का सुनहरा दौर वापस लौट आया है ! 🇮🇳
Don't break down girls, you all played superb at
#Tokyo2020
by reaching top 4 in the world!
Prime Minister
@narendramodi
Ji spoke to the players & appreciated them for their performance.
#Cheer4India
🇮🇳
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Women's day coming up!
#PedsCardiology
There is a a cardiac anesthesiologist, a cardiac radiologist, a cardiac technician , a cardiac ICUist , and some Cardiologists here!
All of them pediatric 💪🏽. ...
🫶🏽
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The day is getting better by the hour!
Thank you
@therealkapildev
for the bday wishes.
And thank you
@AmitDas_2k
for helping me fulfill my forever wish.
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Specialities like ours (pediatric cardiology and ped card surgery and ped card Anesthesia and ICU) are not popular in India now.
Compensation doesn't match the hard work put in.
Passion doesn't compensate for EMIs and school fees.
So why not opt for more paying subspecialties💔
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Cxr of a young child.
Q: normal or abnormal?
#cardiotwitter
Abnormal , correct?
What is abnormal?
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Our beautiful echo machine ... pooja on Dussera .
Seekng God's blessings to use it for each child's benefit.
Our sharp as-a-tack echo techncn ws quick to add
"Dear God pl make dr Swati lose her temper less. And also dear God evn wen we miss smthng on echo,let the child be well"
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Yeah. Got to do this to keep my family in touch with our culture. .
I admit to it.
#AshadiEkadashi
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Alright lets get started!!!!
OPD begins.
Have a stupendous day, all!
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Airline crews at airport counters should be well versed in basic life support. ...
Witnessed a person seize while waiting to check in.
She was ultimately wheeled away by a duty doctor but not before airline staff put keys between her fingers and honestly were looking for an
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Street dog attacks are often unprovoked.
They attack in packs.
They attack alone too
They attack kids and adults too sometimes.
They are a menace.
I have given rabies shots as an intern... ( KEM Hosp opd) ... Horrific number of cases we had.
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The sky is the limit when a Team Works Together.
One of our tiniest patients so far..... Going home on pod 10.
Tipped the scales at <1.5kg.
Category: high risk open heart surg.
🎵🎶 Posin' with my fav nurse- tiny fist raised! 🎵🎶
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Lil Missy wore a saree for the first time ... (If we discount the pre-stiched navvarees she has donned on various occasions in school.)
The raids on my cupboard will become worse now I guess🤷🏾♀️
#SareeTwitter
#sareeswag
#ILoveBeingaMom
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Dear medical students
Pl do not post faces of patients on social media without informed consent.
Pl do not time / date stamp any patient photo even with consent
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The period of covid service should be deducted from the compulsory bond period for the doctor trainees. That's only fair.
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My Day began the night before..
When I walked in all tired from a long long day in hosp......
The neighbour got me these...
Then the midnight party with family
And today ... Very very busy opd but lot of fun thanks to my team...
🤗
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I thank the rude, unkind, selfish people around me.
Who teach me how Not to be.
😁
May I never become like them.
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Please retweet.
This paper mentions phone numbers to call when a loved one's death occurs and the loved one had wanted to donate organs after death.
I wrote it out to make it easy for families to donate.
Actually no pledge card is needed.
As long as willingness of family is…
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The tanned appearance of the back of the neck of your overweight/ obese teen isn't that.
It is acanthosis nigricans. Abnormal darkening and thickening of skin there. U may find it in their armpits too
It isn't a good thing
It likely means that the teen has insulin resistance🧵
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@ThatBaaghiAurat
Unsolicited advice to all my junior colleagues
No job is below our " level".
Do what it takes to get the pt to be better, with what is in yr control.
Be smart. Find a way out to work well with nurses, wardboys, ayahs and seniors ofcourse.
Yes it is tough.
Medicine is not only…
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Stop moral policing of doctors .
What they do outside their place of work is their choice.
As much as it is the choice of any other law abiding citizen of India.
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My 2 cents.
Dear resident in distress:
U have to strengthen yourself.
Coz even if the system is at fault for your distress, it may not change in time to be of help to you
So work on yourself
Look at what the psychiatrist (seek them) is saying: same thing.
-Pray/ meditate 🧵
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My Saturday is made😌
Got a compliment from 2 lovely older ladies from my bldg for my saree as I walked out.
Just the other day , one of them told me proudly, " I am 84. I am healthy coz I walk daily"
I wished her many many more morning walks....
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The Bangalore is now, Mumbai was a month ago.
I want to shout out to unaffected areas of India: pl take care. Mask up. Physically distance and stay at home. Have plans ready for covid hitting you.
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Sorry but not sorry .
I don't appreciate women's day messages that say... The world revolves because of u. ...u are a great multitasker. ...etc etc
Hello!
The world revolves because of men and women . And We are half the world.
The messages mean well...but ...
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Saturday opd ending time.
I like being a doctor.
Yes tiring
Yes stressful
Yes work before family many times.
But still.
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Touched!😍
This child recvd a device closure with us sometime ago
The Mom took a couple photos before they flew home.
Today she sent me a photo of her daughter in school, for their CAREER day .
This is what being a doctor is all about❤️
(Mom gave permission to share photos)
+1
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people are giving advice on what to do if stray dog comes after you or to prevent being chased altogether....
"Stay calm"
"Don't carry a stick
"Don't carry pepper spray"
"Stray dog will not do anything if you are kind"
" This has never happened to me"
Laughable really.
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Raise your hands if you dig through chivda dabba for the nariyal- coconut bits.
🤚🏽
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Only in the third world.... Child with uncrrected cyanotic heart defect.
This photo is post surgery.
Hb ws 22
The Indian govt has great schemes for kids esp in rural areas.
No reason for children to remain uncorrected
Wrong advice given by extended family/ quacks is 1 reason
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I knew being a parent to a teen was tough... But I am having a really tough time these days.
I get courage from the fact that their basics are right: to be a good human being.
Rest will evolve the way it is supposed to. 🙏🏽
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Send me anyplace with an echo machine and I'll be happiest.
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Dear psychiatry colleagues on twitter:
Pl share
What to do when u are very very stressed as an Indian medical resident.
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1/ Consider yourselves warned.
Mobile overusage ( looking down into mobile all the time) has led to overuse of upper trapezius and loss of normal cervical lordosis .
This needs good physiotherapist guided exercises.
The lower trapezius hs 2 be strengthened. Amng othr things
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The most challenging bit about being the lady of the house is deciding the daily menu
😭
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If a person can't afford a private hospital fees, doesn't have insurance (no foresight); doesn't qualify for charity help there, there is always the nearby government hospital to go to.
Yes, a subtweet.
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The pack of stray dogs in my neighborhood had starting barking and following me when I cycled past them ....
So now I step off my cycle and walk across their area.
The kids anyways have given up cycling coz of the dogs.
When is this terror going to end?
@TMCaTweetAway
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This infant had heart surgery the day prior.
Now they are ready to feed and feed and feed some more.
Most kids after repair of large VSDs develop a ravenous appetite and in the 1 month post repair gain 600-800g weight.
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Travelling today... Ofcourse dressed in yellow!
#NavratriFestival
#NavratriVibes
#WhyNotBeMerryEvenThoughTheColorCodeHasNoReligiousSignificance
#VandeBharatExpress
@IndianRailMedia
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@psychedamygdala
I would call the crew.
(Turning on my politeness knob to max when talking with crew).
As many times as it takes to stop this obnoxious behaviour.
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Call me biased.
But Indian breakfasts are amongst the best.
These are just the chutneys, folks.
😋
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No biggie ..
Just a young woman celebrating her birthday with us .
And oh yes....She happened to have a heart transplant 5 years ago!
#DoYouKnowAboutBrainDeath
#OrganDonationIsTheBiggestDonationOfAll
#OfWhatUseAreYourOrgansAfterYouDie
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My dear Trainees all over: u are not weak if u are asking for help.
U are taking care of yourself. That's all.
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Cycled after months!
The inspiration was lunch time banter recently, with work colleagues...chiding each other to cycle on a Sunday AM rather than sleeping in late.
I did it! 😌
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I like coming home on time and being able to light the lamp in the evening.
Praying is such a vital power. May my kids ( and all kids everywhere) have the power of prayer in their minds. Always.
#ShubhamKarotiKalyanam
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A baby is born w Ebstein and cardiomyopathy. Gets an open ❤️surgery for it.
Then gets a heart transplant some years later .
She is now a preteen. This ❤️fails so she then gets fitted with a total artificial heart and 2months later gets another new heart from a donor.
Amazing
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The pediatric cardiac society of India (pcsi) just had its first batch of peds card critical care fellows pass their exit exam.
Dr Parvathy Iyer, Dr Suresh Rao were my co-examiners along Dr R Shetty, Dr Jigar and Dr K Tailor
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Am a happy mumma tonight.
Teen got a (co) best speaker trophy in a big interschool event .
🎵🎶Let each of our kids discover what makes them blossom🎵🎶
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Dr GhanShyam Athavle...a physician practising in rural Maharashtra for decades ... Close family friend of my late mil from village... full of ideas always..to raise awareness about health...
For instance he used to give out these playing card decks...loaded with health facts. ..…
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😌
Actually 😏... Been in Mumbai for so long, yet hardly any star sightings and rarest of rare photos with them.
Even this one is so old. ...
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Dont be that colleague others hesitate to talk to, coz it is stressful to talk to you.
Just don't.
It's your loss.
Whatever your own stress maybe, you need to be approachable.
#justsayin
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Am feeling a little under the weather....the new Covid strain?..I donno....
Anyways...
Shubh Deepawali Tweeple!
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🙄
I am the only sane person in my home.
I asked the boyteen to draw the curtains in the room where I was sitting .
He gave me this 2 min later.
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1/ Poorly understood entity on echo.... Pediatric ARVD. Echogenic RV with hypertrabeculations . Thinning of walls. .
#echofirst
#chd
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Aaah .. the satisfaction of seeing weight percentiles return to normal after large vsd closure surgery!!!
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Some colleagues, I should say very senior colleagues inspire us by their passion..
Presenting the one & only Dr Hemant Joshi, senior pediatrician who is on a mission to educate the masses about primary level, basic care of their babies and children. And themselves ( adults too)
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My parents' medicine cabinet. ...
Exactly how I had left it >5 yrs ago. Same boxes, clean labels.
Their gen knows how to take care of things for eternity.
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#TravelDiaries
#vandebharatexpress
✅Determined not to overeat...
✅ And determined to use my time well!
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Was supposed to be a simple coffee break at the counter outside our opd.
In minutes it turned into a mini-treat session foisted on me by the team 😂
They had hot coffee, sandwiches, chips, puffs, washed that down w cold coffee n juice.
All coz I didn't give a treat on my bday!
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2/2 She is now looking for a break to showcase her dancing skills. She is awesome.
Would anyone on twitter be able to help I wonder.
The family does all it can to raise awareness about heart transplant and organ donation on social media.
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Totally correct response by doc.
If someone suddenly collapses in front of u, the correct response is what Dr Ganesh did.
✔️Call out ( hello! Are u ok?)... No response...
✔️Check breathing. No chest rise?
✔️Check pulse... If u feel it well and good...if not or u dont know how…
As I was waiting in queue....one lady had syncope and cardiac arrest in front of me
There was no pulse and I started immediate CPR ... luckily she got ROSC within minutes
#LokSabhaElections2024
@ECISVEEP
@SpokespersonECI
@Lolita_TNIE
@chetanabelagere
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