Discover and read the best of Twitter Threads about #doctors

Most recents (24)

Today's #MyEDSChallenge is about doctors/nurses.
Epidemics, Book I, of the Hippocratic school says to doctors: "Practice two things in your dealings with disease: either help or do not harm the patient". Every chronic illness patient has seen doctors who have violated this. 1/6
First there were the doctors who didn't even bother to see us. Next the ones who saw but didn't care enough to do anything. After that came the ones who didn't know what they were doing but did it anyway, our bodies & minds be damned. 2/6 #MyEDSChallenge #NEISVoid
Later came the doctors who thought they knew best & asked us to not research about our own bodies. We were tossed & turned through CBT & GET repeatedly until our bodies & minds broke. If we are lucky & our stars align, we may find those rare doctors, #MyEDSChallenge #NEISVoid 3/6
Read 6 tweets
3 years ago, I was being put to sleep before surgery & while I knew everyone in the OR, I was frightened. I was fighting back tears on the table.

Today, a patient gushed to my attending that a fellow held her hand before falling asleep

A thread 🧵1/
The patient said that she normally doesn't get scared. She works in healthcare. She's seen it all. But something about being alone, naked, while people mill about you without seeing YOU was scary.

I know, I felt it too. I felt childish asking someone to hold my hand.
2/
I asked her where she'd be going during her "anesthesia holiday", to which she replied a beach🏖️. No friends. No family. A few books📚. Teeny, tiny bikini👙. Mai tai's.

My attending smiled & said, "you realize the fellow who held your hand is Dr Muldoon"
3/
Read 12 tweets
Tips on selecting the right #OxygenConcentrator 🧵

The most important is to understand that #COVID19 patients require 90% Oxygen concentration at 1 to
5litre flow and above to 10L when they are suffering with acute respiratory discomfort.
90% oxygen concentration is the most important point here.
1. We can break down oxygen concentrator into small (5 to 10 kg) oxygen concentrator suitable for COPD patients, medium (15 to 19kg) and large (20kg and above) oxygen concentrators are suitable for critical care and for COVID patients.
Read 16 tweets
Back to reporting after ~4 weeks of battling the virus, being a caregiver to 3 in family, finding hospital beds, labs, struggling to seek info about hospitalised parents. All this in a small town. Was lucky though to have eventually found resources & recover. Many are not #Thread
The chaos, health infra in JSR, my hometown & a fairly developed city, has given a 1st hand experience of healthcare in small towns. Doesn't end at lack of infra. Sheer negligence & under-preparedness both by govt & ppl is beyond belief. Story same across tier 2&3 towns in India
#Covidcrisis has fiercely moved from big cities to small towns - those having limited experience of 1st wave, were complacent & poorly educated about the outbreak. Health infra broken, unable to take the load, processes are slowing. 2020 was just taken as a one-off historic event
Read 17 tweets
#Obesity is killing Americans
#Obesity increases risk for death from #covid #covid19
#Obesity is a disease
#Obesity is associated with over 200 other medical conditions
#Obesity is usually & eventually unhealthy
#Obesity & those with it should never be shamed or stigmatized
#Obesity is mostly dictated by #genetics & environment
#Obesity is ignored by politicians
#Obesity occurs in 42% of Americans
#Obesity and people with it are ignored, shamed, humiliated, and discriminated against
#Obesity may occur after psychological trauma 2/
#Obesity is worse because we do not address it as a society
#Obesity is worse from eating unhealthy #food
#Obesity is worse because we exercise too little
#Obesity is worse because we create an environment that propagates obesity
#Obesity is a political issue 3/
Read 11 tweets
When the #ACA was implemented: there was no mandate established to ensure that #emr #ehr electronic medical records could communicate and physicians could obtain medical records from #doctors caring for the same patients at other offices or hospitals. 1/
What ensued was that the government forces practices to an incur most of the cost of buying expensive electronic medical records and forced them to use them or incur more financial penalties. In retrospect those who did not use #emr and #ehr benefitted 2/
It became impossible to afford an #emr #ehr in a private practice
costs include:
1. Computers
2. Network maintenance
3. Wi-Fi
4. Back-up systems
5. #emr #ehr Licenses
6. Cost of repairs
7. Reduction of time with patients
8. Increase typing-dictating time
9. Longer notes 3/
Read 6 tweets
Thread on Hospitals, Medicines, Plasma Donors etc for Delhi:

Hospital Info below: Image
Refer to this Page for Plasma Donors across in Delhi: instagram.com/plasmadonors.d…
Remdevsir:

1.
@itsmesabita
- please DM her
2. Cipla Med Gautam Enterprise - 9868124105
3. Mitesh Shah - He is not a supplier, he is finding the injection on demand as a social cause, and he was helpful

I request you to only text and not call them.
Read 29 tweets
(Thread) #CoronavirusIndia #Covid_19 #scam #hospitals #doctors
Hospitals 🏥 & Doctors 🥼 are unable to detect cause of illness. Instead they are treating every patient as covid patient and giving them many doses of injections and medicines resulting in death of patients (1/n)
Instead of 2-3 dose , they re giving 6-7 doses.

2. Why are remedesvir so important ? Why doctors are prescribing only that dose ? Isn’t there some other alternative or other dose which is somewhat similar ?
(2/n)
Dr. Reddy’s Laboratories launched generic drug Remdesivir under the brand name Redyx in India on September 9.

Redyx will be available in the market for ₹5,400 per 100 mg vial.

(3/n)
Read 7 tweets
PCP Papers Laid Alleging Pandemic Fraud Against Hancock, Whitty, Vallance & Ferguson.

The Bernician
At 16:23 pm this afternoon, one year after the Advisory Committee on Dangerous Pathogens' decision to reclassify COVID-19
as no longer being considered a High Consequence Infectious Disease was published by Public Health England, the papers were laid electronically at a south London Magistrates Court, in the People's Union of Britain's momentous
Private Criminal Prosecution against Matt #Hancock, Chris #Whitty, Patrick #Vallance and Neil #Ferguson for #pandemic fraud.

Early next week, the court will receive a 1,200 page bundle of evidence, which includes expert witness statements from two professors,
Read 22 tweets
Note to credulous Browder followers. Putin didn’t “off” these guys. The one on the right was retired before Navalny was in hospital. The only one mistreating doctors is Browder. Dr Gauss, Dr Litvinova and Dr Kratov are innocent
Read 4 tweets
March 6, 2019:

"Aligning for Impact: The Transformation of the World Health Organization"

#ImpactInvesting #SDGs #EmergingMarkets #WHO

unfoundation.org/blog/post/alig…
>>>"One of the biggest issues facing global health today is the planning for the eventual wind-down of the billion-dollar-a-year Global #Polio Eradication Initiative after the certification of eradication."<<<

#Vaccine #Markets
"Universal #Health Coverage: Tedros described Universal Health Coverage (#UHC) as #WHO's top priority, and that work will be supported by a division on UHC..."

July 23, 2020 thread:

Read 8 tweets
Flashback. May 2, 2020:

"Emergency wait times at London #hospitals are so low, doctors want to remind you they're still open"

#CndPoli #COVID19

cbc.ca/news/canada/lo…
May 2, 2020 Cont'd: "Doctors at southwestern Ontario's largest hospital are urging the public not to delay seeking medical care in an emergency room, after noticing a decline in emergency admissions since the #coronavirus crisis began."

cbc.ca/news/canada/lo…
May 2, 2020 Cont'd: "On average, province-wide, emergency patients are waiting a mere one hour and 36 minutes to see a doctor in #emergency departments as of Friday, according to the provincial website that tracks wait times at hospitals across #Ontario."
Read 10 tweets
I asked a child in #kindergarten if he was allowed to talk during lunch.
A: no
Q: What do you do while you eat lunch?
A: Watch a show
Q: Can you remove your #mask other than to eat?
A: no
Q? During recess/play?
A: no
Q; Have you ever seen your #teacher's face?
A: no

👇 Image
The tearful mother, who had no idea, told me that this explains why her 5-yr-old does not eat most of his lunch. He sometimes can not open the containers, boxes, etc. - & is not to ask for help. As well, he has reiterated that he has to eat quickly & has no time to eat his food. ImageImageImageImage
With approx. 78,000 students (over 55k elementary age), @TVDSB is "one of the largest #publicschool boards in #Ontario, serving an area that stretches more than 200 km & across more than 7,000 sq. km." Let's take a look at the #Covid cases justifying the oppressive measures: Image
Read 15 tweets
#Panorama - Has the Government Failed the #NHS?,
#BBC One, 27 April 2020

Summary of complaint
We have received complaints from some viewers who felt that the programme was biased against the #govt.
Our response
The programme raised legitimate questions about the govt’s role in ensuring that the #UK is providing #NHS workers with adequate personal protective equipment (#PPE), which we would consider to be of great public interest at this particular time.
The #Panorama investigation also included four significant revelations:
* That the billion plus figure of items of #PPE that the govt has supplied included cleaning products and individually counted gloves.
* That gowns, visors, swabs
Read 15 tweets
If you're a healthcare provider, whether you're a nurse, therapist, doctor, counselor, etc... If you laugh at your patients, then with all due respect, you can go fuck yourself.
I don't care how ridiculous you think your patient's hypothesis is, or how important you think you are.

You don't get to laugh at the people for whom you're providing healthcare. Have some fucking respect for your patients.
Imagine dealing with a problem until it becomes unbearable, looking for solutions on your own, then finally asking for help (and possibly paying 100s of dollars to do so).

Then, the person you ask for help laughs at you and/or tells you that you're exaggerating.
Read 4 tweets
Little is known about the interests of the #doctors, #scientists, and #academics on whose advice the #UK #government relies to manage the #pandemic.
Attempts to discover more are frequently thwarted, finds Paul D Thacker
As the number of UK deaths caused by #covid-19 reached 50 000 in early Nov, England enacted a second national lockdown to control the epidemic.
Boris Johnson’s government put these measures into action after months of controversial and sometimes confusing policies,
including the “rule of six,” regional tiered controls, and directions to “stay alert.”
At the same time, the #govt has faced mounting questions about #procurement decisions, from personal protective equipment #PPE to #testing kits, from #vaccine deals
Read 66 tweets
Horrifying😨
My latest for @TPostMillennial

🩺 Joe Biden's new EO denies patients in pain the medication they need💊

thepostmillennial.com/joe-bidens-new… #chrnoicpain #drugs #biden #politics #health #medicine #MedTwitter #healthcare #Budget2021 #environment #OTD #quoteoftheday #SuperBowl
The genie for the far-left🧞‍♂️
otherwise known as President Biden

leads the executive gov agencies & the DEA to gamify pain medicine in order to "stop" the opioid crisis

Making it harder for your family to get help when you need it

#drugs #health #journalism #politics @JoeBiden
Biden allows DEA & others to radically expand unconstitutional powers & eliminate patient privacy like HIPPA

Making it so there is nothing in health
gov won't know about U🕵️

thepostmillennial.com/joe-bidens-new… #health #drugs #opioidcrisis #opioids #medtwitter #biden #dea #LawEnforcement
Read 13 tweets
We #doctors are taught to believe that the solution to the so-called #obesity epidemic is to tell our patients to lose weight. I think that's the WORSE thing we can do. Telling patients to lose weight usually has the complete opposite effect longterm. Wanna know why?
There are a number of factors responsible for weight gain. Diet and exercise (obviously). Stress. Genetics. Hormones. Age. Medical conditions. Certain medications. Level of education. Income. There's a wealth of evidence that demonstrates weight gain is not just about lifestyle
But in most cases most of these factors cannot be avoided. We have no control over our patients genetics, whether they have had children, are going through the menopause, or have certain medical conditions. All we can do is try to help them with their modifiable risk factors.
Read 7 tweets
1
Ok this is interesting #livertwitter #MedTwitter
26 yr old woman with jaundice+severe itching (a.k.a cholestatic hepatitis). Routine causes - viruses, prescription drugs, autoimmune liver disease blood tests - neg. No #ayurveda or #herbal drug use. Mysterious🤔
Liver biopsy👇
2
#pathology expert says its #drug induced liver injury. But patient denies any drug use. She has #PCOD - polycystic ovarian disease (mayocl.in/34S2LMh) and hence, #overweight.
Deep dive into history again - says she's taking #vitamins for weight loss! Asked to show👇
3
Can you identify the culprit component that caused this woman's severe liver injury? #Pathologist is right! #PathTwitter
Culprit - Chromium picolinate in #health #supplement 4 #diabetes #weigthloss. #Chromium is micronutrient enuf in daily food intake bit.ly/3nYNeBB
Read 5 tweets
The first practice I was at in the US was a 2 doctor office. I worked in one half with 2 assistants and the other dentist in the other half.

One of my assistants had been in the business for over 30 years. She knew her s**t. When my colleague relocated, I asked the
office manager to have him assist the new guy because he was very fresh and inexperienced.

One day, I was in the middle of a tough root canal when she came running and said "Dr.G stat" and ran back.

I literally stopped what I was doing, told the assistant to stay with my
patient and ran over to the other side. One look at the patient and I knew he was having a heart attack.

I yelled out "911" which is the emergency helpline, asked them to say "suspected heart attack" which would get the paramedics on their way.

We got the patient on
Read 7 tweets
#Ayurveda treatment for alcoholic #liver #cirrhosis - case based protocol, described in a case series of 3 patients.
Once again, forget @NetflixIndia comedy shows, this is where all the fun, comedy and jokes are now.

Caution: This limited series will drop your IQs
#MedTwitter
1/
Introduction:
🔅#Ayurveda is a philosophy. Correct. No therapeutic value.
🔅Uncertainty due to uncertainty😳 HUH?
🔅#Ayush guys got 'sanskrit' spelling wrong 😵 whats with that?
🔅Time to combine evidence based medicine with case based medicine. What #herb is the author on?
2/
🌿Alcoholic is not correct. Alcohol related/associated. More compassion toward patient. But what does #Ayurveda know abt compassion right? Need a herb 4 that.
🌿Specifically note the sentence bad mouthing scientific, conventional care. That's hw these #ayush #quacks survive.
3/
Read 6 tweets
One of the main reasons we moved back was the deteriorating health care system in the US.

Everyone needs to understand there is a HUGE difference between "health care system" and "Medical Treatment".

"Medical Treatment" is what doctors do. Be doctors.

Diagnose. Treat. Cure
"Health care system" involves the huge mess surrounding the doctors under which they have to operate.

The layers and layers of bureacracy, third party payments, MBA bosses, pharma companies, medical malpractice, corporate work culture, VC partners etc.
Needless to say, the layers keep on increasing and move the patient further and further away from the doctor.

So now, the diagnosis happens only if the insurance company approves the check up or the tests or imaging.

The diagnosis has to happen within a stipulated time
Read 9 tweets
ATTN #CBD stakeholders: @US_FDA today holding scientific conf. on CBD/other #cannabinoids. I'll be live tweeting throughout. Not sure we'll get much insight on immediate path forward for consumer products but I'll share noteworthy observations. Agenda: bit.ly/3pHXU8V
I'll be paying particular attention to @DrAbernethyFDA's remarks at 9:05a (head of #FDA's #CBD Policy Working Group) and @DThrockmortonMD's keynote at 9:15a (one of Agency's principals for regulating R&D, manufacture & marketing of #cannabis & cannabis-derived #drug products).
And we're underway! First up is Kaveeta Vasisht, MD, PharmD. Associate Commissioner for Women’s
Health and Director, Office of Women’s Health, FDA. She's noting ubiquity of #CBD products in marketplace, many of which are targeted to #women.
Read 56 tweets

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