Scared to move my fingers between my hair when I do a bunch of hair come out! My OPD is full of such panic struck patients some even carrying bunch of hair👇. #postcovid#hairfall 1/4
Immense shedding of hair is expected 2 to 3 months after #COVID19 recovery. This is acute #TelogenEffluvium and is self limiting.
Hair on your head are in different phase of growth. This prevents excessive shedding at any one time. 2/4
85% - 90% of hair is in active growing - anagen phase, while the other 10% - 15% is transitioning into or is in the telogen phase.
Telogen effluvium is a diffuse, non-scarring shedding of hairs, resulting from the early entry of the hair into the telogen phase 3/4
Release of pro-inflammatory cytokines and direct viral damage on the hairfollicle are hypothesized as causes of post covid TE.
It is estimated that 1 in 4 people who get inked regret the decision.
There is a recent spurt in Tattoos and India leads worldwide #tattoo Removal procedures
#TattooRemoval has an uncertain outcome so always "think before you Ink"
Here is a tweetorial on Tattoos 1/8
Science of Tattoos
Skin is made up of many layers. On the surface is the epidermis, which is constantly shedding. Directly under your epidermis is the dermis. Using a machine, tattoo artist creates minor puncture wounds to the dermis and deposits ink into them. 2/8
Detecting “breach” in protective epidermis barrier, immune system sends macrophages to site of tattoo to "swallow" the foreign particles and cart them away through lymphatic nodes in dermis. Some macrophages remain at site making the ink visible even when body has healed 3/8
After some bitter sweet experiences I made few guiding principles for consulting n interacting with my extended family n friends.
1)My standard response to every innocuous consultation request from friends/family is I will tell my staff to call you n schedule an appointment..1/n
pls don't pay but let's keep the process professional. "Ask my staff" and not ask them to call is to show my commitment to consult. The process is more satisfying for both sides, I have observed better compliance to treatment as well 2/n
2) When people are persistent to see it then and there, I reason it out that I see I am here to relax just like you and this is work for me. I don't think this set up gives your condition the respect or the respect to you as a patient or me as a dermatologist 3/n
Whenever patients reveal history of consuming ayurvedic drugs. I always ask them to stop taking these till the time they are taking my prescription. I often encounter sceptical looks or a more ubiquitous WHY? and a retort that ayurvedic medicines hv no side effects. My take1/n
I have three major concerns:
Interactions: simultaneous treatment with allopathic drugs can lead to interactions and impact the pharmacodynamics of the drug which are not documented and not studied well so neither the ayurvedic vaid nor MBBS doctor can advice about these 2/n
Pharmacovigilance rigor: marred by the strong belief that ayurvedic drugs are safe, there is abysmal rigor on this discipline in ayurveda and not more handful institutes which cover this discipline in ayurveda 3/n