Not sure who needs to hear this, but this is a strong personal view of mine. Consider this as a #Rant. Contd...
If you are a student of any sort and born after the 1980's , not having basic computer and technology skills is NOT ACCEPTABLE.
Perhaps those born before the millennial generation can be excused since some skills are difficult to acquire after a certain age and need a certain background
However, if you are someone who has lived their young adulthood using computers, smartphones, and the internet, not having basic technical skills is NOT ACCEPTABLE.
It is certainly not something to laugh over or to be considered a quirk.
Over several months I have encountered students much younger than me who can't login to their Zoom meetings, cannot share a screen or even unmute themselves or make a half descent PowerPoint presentation.
These are absolutely necessary skills in today's world and if you don't know them then LEARN THEM FIRST.
I cannot teach you to how to refresh your browser window or how to check speaker and microphone on Zoom or how to share an article over WhatsApp, WE ASSUME YOU KNOW ALL THIS AND IF NOT YOU BETTER DO.
Q1. The title of your video says "Release of scientific research paper" . Would like to see the research paper. Can you share the Pubmed link for the paper ?
Q2. The title of your video also says "1st Evidence based medicine for COVID19" . You mean everything we have used so far and because of which several lives were saved were not evidence based ? Only a medicine from @PypAyurved is evidence based ? If so please share the evidence.
Is your patient having persistently high TSH , despite increasing the dose of your thyroid medications ? The patient on the other hand is asymptomatic and the T4/Free T4 values are always normal. Contd..
High TSH despite adequate LT4 replacement is a common clinical issue that we deal with in Endocrinology and it is an area of several #ClinicalPearl threads
However today we focus on one such issue on possible reason for the problem. The reason is what is called a Heterophile antibody
A patient comes to you with a thyroid function test suggestive of Thyrotoxicosis, but the patient has absolutely no clinical features of the same. What do you do ?
In such a scenario, you need to look for Biotin interference with endocrine lab assay
50% of endocrine tests have been developed using biotin in their separation step
A high dose of biotin (defined as biotin intake >5 mg /day) is often a component of dermatological treatment. It is also a treatment for multiple sclerosis.
GLP-1 and GIP are both incretin hormones. Incretins are the X factor in the pathogenesis of type 2 diabetes and are a key component of the 'Ominous octet' - the 8 factors that cause type 2 diabetes. Contd..
But GLP-1 and GIP have subtle differences
GLP-1 inhibits insulin and also inhibits glucagon secretion
Happy to share the publication of a very interesting case report, published in the 'Journal of Orthopedic case reports'. The first author is the renowned spine surgeon @modispine (Dr. Hitesh Modi)
The Patient has a spinal tumor which was thought to be the cause of the Quadriparesis.
However, it turns out the patient has hypokalemic period paralysis secondary to Primary aldosteronism