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Dr. Anil Bhat

@anilbhatortho

24 Jun

#orthotwitter
#Amputation is a life changing experience, especially involving thumb/fingers.Most important step is to transport the amputated part in a correct way in order to suture back(Replantation)
We get queries from local practitioners & remote places as to how to send it

Often the part reaches in a bad state & is difficult to salvage it as the tiny blood vessels are not viable for restoring circulation.The most common mistake is dipping it in some solution (saline/ water/ Iodine) or putting it directly in ice which is to be avoided.
#medtwitter

If there is lot of dirt, the amputated part is gently washed in water/ saline & wrapped in a clean cloth/gauze & put in a plastic cover. It is then kept in an ice container but never directly in any fluid or in direct contact with ice which injures the blood vessels

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Dr. Anil Bhat

@anilbhatortho

17 May

Thread on #HumanBehaviour
When the couple entered my room in OPD, I could make out that she was agitated. She was trying to pull her mask down to speak to me, probably to show me her emotions. I asked her politely to wear the mask & tell me what happened.

Her husband was operated in a outside hospital 3 months back for a fracture. He has been having pain since then, not able to get back to work which worried her. Her main query was whether the surgery was done correctly. Her husband kept telling her it was alright and not to worry

I seated them, examined him ,asked them to get the latest X-rays. Once they came back, I saw the X-rays and told them the fracture is healing well, but might take some time. I asked him does he smoke, which might delay healing in some fractures.

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Dr. Anil Bhat

@anilbhatortho

24 Jan

#uppittu ( Upma if you want to be stylish😀)

The magic of Rava ( Suji) transforming to uppittu before your eyes is magic ❤️

In my personal opinion, the satiety factor of uppittu is next only to rice for a South Indian🙂

My learnings for making this humble but royal dish are

1. Take time to roast the rava ( Bansi/ Bombay rava) to get a good texture
2. Give adequate time to roast each ingredient during initial seasoning ( mustard, dals, ginger, onion)
3. Light fry the onion till they become translucent only. Retain their juiciness. Don’t brown them

4. Add ghee twice , once before adding the rava to water & later when the process is done n the uppittu cooks for those couple of minutes at the end
5. Add lime juice liberally to enhance the taste
6. Rava is a sucker for oil. Don’t be shy if you need a moist plate of uppittu

Read 5 tweets

Dr. Anil Bhat

@anilbhatortho

21 Jan

A #thread on paradigm shift in Indian medical education

How many of you doctors entered the hospital in the first week of joining MBBS, met clinicians, joined rounds or entered operation theatre or a clinic? It would have been at least a year & half before we did such things

The new curriculum involves a foundation course which has a component called 'Clinical shadowing' in the first week of them joining the course. It is an interesting concept which none of us have experienced among the old school doctors or even the batches which did MBBS recently

The new batch MBBS students have joined 2 days back with enthusiasm in their eyes we see in those initial days. I perceive a huge difference in this generation who are confident, outspoken & tech savvy. The idea of tagging is to give them a feel of the hospital right from day one

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Dr. Anil Bhat

@anilbhatortho

9 Jan

4 types of learning
#MedicalEducation now teaches about learning from teachers,self directed learning,peer learning & lifelong learning.This has been explained beautifully in this shloka long ago

आचार्यात् पादमादत्ते पादं शिष्यः स्वमेधया ।
सब्रह्मचारिभ्यः पादं पादं कालक्रमेण च ॥

One fourth from the teacher, one fourth from own intelligence,
One fourth from classmates, and one fourth only with time...

Not necessarily that one fourth should come from each of these, but is based on any individual’s capacity to absorb from each of these sources

1.Teacher : it’s a two way traffic here. The best of the teacher might not be successful if the student is not ready.The teacher can guide you , but you need the student to work on themselves, take help of their peers & nurture everything as you mature in time

Read 8 tweets

Dr. Anil Bhat

@anilbhatortho

3 Jan

#SundayMusings
Parents left to Bangalore back today .. It’s a heavy heart for all . Few thoughts on parents in their old age , especially when you meet them after almost an year

Dad has definitely slowed down compared to Mom.. His walking, his reflexes etc.

I realised how thin our patience is with elderly people. It took me couple of days to adjust myself to their speed & not become impatient , especially when we travelled out. We need to slow down for them n remember our own kids when they were tiny. Parents become kids again

The most striking was Dad’s struggle with his denture while eating. Got it changed here & the joy of chewing food without pain was immense . Lesson to be learnt is look after your teeth well into your old age & of course, your general health as well,to the maximum extent possible

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