"There are 3 kinds of truths in our world today.
1. Objective truth
2. Personal truth
3. Political truth "

Neil deGrasse Tyson
American astrophysicist

#TIL
#FoodForThought
1. Objective truth
This is what is proved by science. Whether you believe it or not it is scientific fact. It has faced numerous testing, experiments & has been proved to be true by multiple people across the world using different methods & materials yet coming to same result.
Government policies should ONLY be made as per objective truths. No place for pseudoscientific mumbo jumbo. We go where the science takes us. Where the evidence takes us.
2. Personal truth
This is your own beliefs. Religious beliefs come under this. You have every right to believe whatever you want as long as the country you live in protects free speech & religious freedom. The only problem comes when personal truths influence government policies.
Our own constitution does not mention any god. Hence it is a secular constitution where all faiths/beliefs are welcome & free to profess & propagate. That's what makes India a beautiful nation. The moment we start passing laws to discriminate against certain faiths we are failing
3. Political truth
Something that is repeated by political parties whether true or false is irrelevant because it is repeated enough and more times that the people believe it to be true. You can think of infinite number of examples of this in India right now without me having to.
So

Which truth should we be focusing on to consider ourselves to be a modern progessing nation?

Do we look forward or do we look back?

The choice is yours.

Elect your officials wisely.

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More from @just1doctorwala

14 Jun
Some people are on social media just to get a few likes/shares/retweets etc

They will give up their integrity and dignity to say the most vile things

All in the aim of getting the online attention they so desperately crave to substitute their pathetic offline lives
For the rest of us who have a lot IRL social media is just an "escape"

A means to take a break maybe connect with some "online buddies"

None of this online stuff should ever be taken seriously. This isn't real life. Real life is out there. Just look above your screen
I find it fascinating how some people are so disgusted with their own lives that it seems their only distraction is to try and spread hate to others online. And it frustrates them even more that if you disengage from their antics. Treat them kindly and it enrages them.
Read 6 tweets
13 Jun
Unfortunate remnant of our British past
In UK even today the ED is called "Casualty"
The term Casualty in India has negative connotations
As we have been trained with American based books and protocols we are more used to the term Emergency Medicine Department or ED
In India historically and in many places to date "Casualty" was staffed by junior inexperienced freshly graduated MBBS doctors who were poorly trained in emergency situations. They were employed with minimal pay and for these doctors it was a chance to gain soke experience.
Now that emergency medicine has become a recognised specialty in India we need to educate the general public of the change and that ED docs are now well trained to handle all emergency cases. Unfortunately this is still a growing specialty. And the awareness is only spreading.
Read 8 tweets
1 May
Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) & is the fastest & most effective means of controlling the emergency airway.
RSI is particularly useful in the patient with an intact gag reflex, a “full” stomach, and a life threatening injury or illness requiring immediate airway control

Some people also call this as "Drug assisted Intubation"
‘modified’ RSI is a term sometimes used to describe variations on the ‘classic’ RSI approach (e.g. ventilation during apnea, titration of induction agents);
Read 15 tweets
30 Apr
"The dictate that one 'not speak ill of the dead' is (at best) appropriate for private individuals, not influential public figures.

While the supporters of this person will rightfully feel aggrieved the opponents equally have their right to react how they please."
So enough with the moral high horse shithousery
People can say what they want about him
That's their right
And people can abuse each other for it
That's what social media is for isn't it?

Personally it makes no difference to me what happened to him except for one tiny point.
A very simple point really
I just want to emphasize that
1%
Those 1% are people who were loved or hated
People who meant something to someone
Remember that the next time you decide to spew the 1% bullshit in your propaganda
At least let that be the good that comes from his death
Read 4 tweets
28 Apr
let's get a little more technical with this explanation

so we know that atmospheric air is 21%

but when the lungs are damaged we need to give oxygen support in higher concentrations to overcome the damage and allow oxygenation

we use different delivery devices for this
Nasal cannulae
Deliver 24-30% oxygen
Flow rate 1-4L/min (4L will dry the nose, 2L is more comfortable)
Hudson mask
Delivers 30-40% oxygen
Flow rate 5-10L/min
Read 11 tweets
27 Apr
As long as the propaganda plays up the "there is no oxygen shortage no bed shortage all lies to defame Modi" lies scenes like this will be the norm

To my fellow HCWs
My humble suggestion
If family members get agressive De-escalate & walk away
In a pandemic your life is priority
Learn & keep ready exit strategies
Do not engage with agressive behaviour
Call the police & escape

I repeat again
In a pandemic your life is more important

We are on our own
This government won't help
Their cheerleaders may abuse you online
But not worth your life
Good luck 😞
Read 4 tweets

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