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TheLiverDoc Profile picture
@theliverdr
Aug 2, 2020 • 3 tweets • 6 min read Twitter logo Read on Twitter
1/2
 2017: #young #male after a #trip to Hills with '#Naturalists'. Fever and abnormal liver tests. #jaundice in a week. Long evaluations multiple places. Following up as fever of unknown origin. Father a pastor. Son denies everything, studious. #Liver #biopsy done.
#livertwitter Image
2/2
 Classical #liverpath
Top:Lobular #inflammation, #Portal triaditis; Bottom: central venulitis, perivenular #cholestasis
Asks young man alone, 1hr #interrogation
Finally, S(n)ORTED OUT THE PROBLEM.
#Cocaine induced #Hepatitis
Its pays to invest in good #clinical #history
#MedTwitter #MedStudentTwitter #MedicalStudent #MedEd #teaching #education
Link to paper: bit.ly/2EIOtmT
#ThrowbackThursday #tbt

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More from @theliverdr

TheLiverDoc Profile picture
Sep 20
1 of 45

"There is a place, but it is a long journey
If there is any hope for your jaundiced father, this place holds it"

"Where is it?" - the young man enquires

"A place called Kochi"

A son
A dying father
A terrifying battle
A terrible liver disease

From Telangana to Kerala Image
2 of 45

Few months ago, Deepak, a middle aged man started losing appetite

As days progressed, he felt lethargic and every small work became a chore

Hailing from a small town and with a small family in Telangana, he was taken to a local doctor...
3 of 45

Deepak's wife, a homemaker, looked after their family with love and motherly care

Deepak was the sole bread winner, with 2 children

His daughter started medical school on hefty fees, and the son was about to join an engineering college...
Read 45 tweets
TheLiverDoc Profile picture
Jun 29
Number of people dead from small pox from 1900 to 1980 - THREE HUNDRED MILLION.

Number of people dead due to small pox after 1980
- ZERO. https://t.co/AyC2qFAvkp
Diphtheria

Number of deaths in 1920's before introduction of vaccine, reported annually in the United States - 13,000 to 15,000.

Number of deaths reported from 1996 to 2018 in the United States - ONE.
https://t.co/ISKQJuqHeA
Polio
Outbreak in 1916 - 2000 dead
Outbreak in 1952 - 3000 dead
Survivors - disabled for life.

Number of cases after 1994 in Western Hemisphere
- ZERO.
https://t.co/EBLgktBQPO


Read 5 tweets
TheLiverDoc Profile picture
Jun 6
1/
 Ok some friends sent me private messages that I was harsh on Rachit. They feel that I have to correct Rachit's presumed "Busting" of my tweet content by "Busting" his tweet content on mine. So here goes. Stay for the real science friends. Image
2/
 Rachit says creatine is FOR ALL but gives no evidence to back his claims and goes on to copy paste biochemistry of creatine from a Google search.

International Society of Sports Nutrition position specifies creatine use in sports & athletics only...
ncbi.nlm.nih.gov/pmc/articles/P… Image
3/
...and not in others. There is some inconclusive data in patients with muscular dystrophy and aging population, but they are not solid recommendations. In fact all recommendations are in training professionals only and not otherwise.
jissn.biomedcentral.com/articles/10.11…
Read 14 tweets
TheLiverDoc Profile picture
Jun 6
This is some real epic sh*t from Ankur Warikoo. So epic, that its worthy of immediate flushing.

➡️Whey protein for special populations - atheletes, sportspersons, bodybuilders, chronic liver and kidney disease ✅️

➡️Omega 3 supplements is only useful in people with high… twitter.com/i/web/status/1… ImageImage
Collateral damage. Local creatine dealer feeling the heat. Image
A Gym-bro tries to debunk the factual details I have provided (he claims "everything busted") in the tweet but instead, lands head-on, in his own epic sh*t.

I cant even understand where these science-illiterates get the brains & guts (I know they have the balls, because their… twitter.com/i/web/status/1… Image
Read 4 tweets
TheLiverDoc Profile picture
May 19
I was invited to The Hindu Parley Podcast via @the_hindu to discuss and debate the Indian Government's new move on integrating Ayurveda & Homeopathy with conventional (modern, science-based) medicine.

I spoke with @zubeda_h and discussed "against" the standpoint that… twitter.com/i/web/status/1… Image
PS: Here is the excerpt section from The Hindu Opinion published today (I suggest listening to the close to 43 minutes podcast for a fat better take on the subject from two viewpoints). twitter.com/i/web/status/1… Image
Read 5 tweets
TheLiverDoc Profile picture
Apr 30
2 mins of silence for all the people who ditched table sugar, and opted for jaggery as healthy sugar alternative, & special 2 more mins of silence for the ones drinking sugarcane juice after watching health benefits advertised on YouTube, FB, & WhatsApp. You've all been scammed.
You can add this so called "orthodontist" to the likes of Luke Coutinho "superdumb" nutritionists cult. The idiotic explanations are so cringe, all you have to do is check the carb, calorie and sucrose profiles before making a fool of yourself. Image
Ok this tweet has blown up. But something very interesting to note is that every contradicting comment, harassment response, and abusive QT are from "proud Indian" nationalist and "proud Hindu" and Ayurveda and Yoga sympathizers, mostly from North India, who has taken this tweet… twitter.com/i/web/status/1…
Read 4 tweets

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