Rajath Profile picture
Jul 30, 2020 3 tweets 1 min read Read on X
#NewEducationPolicy #languages are so many things.
Transactional, medium of learning, to read 'literature', the one you express yourself in, your thinking language and so on.
Non-Hindi languages have been at risk; it is a welcome move that much more is being done for them
However, both Hindi and Local languages are taught in most unimaginative ways. It is hard to grasp the syntax, beauty, versatility of each one of those unless taught well (some children may get it instinctively).
We need better writing in Indian languages for children
Make languages fun, get the basics right, enjoy the quirks, make children listen to people talking .... then focus on literary pieces;
Right now many text books of middle school have excerpts from writings which are either out of context or have complex constructs. Off putting

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More from @FoolzWizdom

Mar 8, 2023
#Adenovirus in Children: Recent surge
 
Adenovirus causes mild infections mostly in children
Outbreaks of ‘Madras eye/pink eye’, clusters of seasonal respiratory illness are not unusual
Severe illness with adenovirus has been rare

After a build up over 3mo we now see a surge
Parents should look out for:
Sudden onset high fever with chills
Headache and throat pain
Nausea and vomiting
Red eyes and red throat
Poor response to fever medications
Excessive tiredness
Burning sensation during urination
This infection is more of an inconvenience than a cause of concern
As a rule, kids get better in 5-6 days, very few need short hospitalisation to stay hydrated
Severe and unusual presentations needing ICU care (pneumonia or multi-organ involvement) are exceptionally rare
Read 6 tweets
Jul 12, 2022
#CSection conundrum 1/n

As a neonatologist I shall delve into short & long term effects on the child a bit later on.
For today, the question I am looking into is ‘will > C section = < maternal and neonatal mortality’ adjusted and not adjusted to Human developmental Index (HDI)
#Csection and #MMR and #NMR 2/n
WHO recommends an ideal rate of 15% at a population level. Less than this, mums and babies are at risk, more it will veer towards unnecessary sections.
Does this hold good when we look into pooled country wise data?
When adjusted to HDI, especially amongst developing countries there is ⬆️ risk of maternal deaths when C section rates are below 10%. But the correlation (higher C section - lower mortality) irons out pretty rapidly beyond 10% for MMR and 20% for NMR 3/n
Read 8 tweets
Aug 13, 2021
I am further convinced that Twitter at least is not the place where we can further the cause of general welfare. Some of us will note the blind spot we have to numerous privileges we have. But, we still have to give the best for ourselves and our kids. We have no choice.
So we make points that clearly lay out - we can’t escape the race, we work hard. We find lateral entry points for others a great disadvantage.The label of our own privileges: class, caste, IQ, merit is a burden if anything.I don’t see why anyone should have a problem with that.
The other side is now cogently arguing need for equitable opportunities and representation in the society. This would be for the common good, but at individual cost. There may be a point in that merit alone will not bring social justice. Do we have the right means to that end?
Read 7 tweets
Aug 12, 2021
Finally read Prashanth’s editorial. Not easy or comfortable read. Not easy also because we all have inherent biases. The flow of thoughts are complex and the sentences are long. One drifts to one’s own life events rather than read author’s reflections, hence maybe a bit lost 1/n
Basic premise is to question the merit of meritocracy. But meritocracy exists very patchily in our society. The ladder to climb to a better social standing, affluence, influence if only was professional college, degrees, high paying jobs the equation would have been simpler.
Most ‘merit student’ doctors, academically excel, train well and work for 💰 but have a smaller sphere of influence in my opinion. We end up securing our place that’s mentally challenging plus financially rewarding.
Read 7 tweets
Jun 4, 2021
#violenceagainstdoctors
Doesn't make sense at all, but somehow feel compelled to.
What could it be due to?
1. It is Ok to hit someone:
Physical retribution for perceived wrong has been acceptable in our society (thrashing in schools/police with lathi/spanking kids for eg)
1/n
2. Bipolar perception of the profession:
Noble profession - not a job that should pay the bills (expecting anything in return for job well done makes it less noble)
Doctors deified (can perform miracles, bring back from dead) + vilified (fleece patients, take cuts, looters)
3. How dare they make money?
We celebrate young techies, IITians making big money: they are meant to.
Doctors - no!: It is ok if they make some, but we really don't like them making a lot
An entrepreneur hitting gold - must be a genius
A doctor well off - must be fleecing
Read 17 tweets
May 22, 2021
Assuming #Children will be affected more in #COVIDThirdWave. We need to prepare
Uniform Rx approach
Upskilling providers
Better networking of pediatric beds
Capacity building
Leveraging telemedicine
Prioritising more vulnerable
Registry of pediatric covid
Taskforce
Uniform treatment approach:
@iapindia and @nnfindia already have good protocols in place. We need all practicing pediatricians sign up to it. Any deviation has to be made consciously, discussed with family and peers. Exceptions should be the exception not the rule
Upskilling of GPs and Pediatricians
Triage, systematic approach, early pick up of danger signs, appropriate use of investigations, 1st responder management/stabilisation to ensure good outcome
Case scenario based &
Simulation based learning can be effectively put to use
Read 10 tweets

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