#Alcohol and bones:

Everyone knows the effects of alcohol on major organs but very few might know the damage it causes to bones & joints

When young people come with damaged hip joints as shown on X-ray due to chronic alcohol consumption, the treatment options are limited
Alcohol affects the bones with osteoporosis & hence fractures
In the joints, it reduces the blood supply leading to what is called as avascular necrosis. This in turn reduces nutrition to the cartilage & ultimately leads to arthritis .. classically seen in hip joints.
How does the blood supply reduce? There is alteration in circulating lipids leading to blockage of arteries & also increase in bone marrow fat cell size leading to blockage of venous flow.
So do you stop alcohol? 😀

Everything is good in moderation & limits are prescribed 🥂
Levels depend on the type of drink too 🍺 🍷 🥃 and hence
know the limits 👍🏼 and act accordingly

Disclaimer : These are basic guidelines only

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More from @anilbhatortho

Jan 13
#MedTwitter
Reaching out to all med students to do something more in times when classes stop due to lockdown

Also to build up your resume & have an edge when you apply for programs abroad n widen your horizons in clinical knowledge n skills

#Thread on non core opportunities
1. #Coursera
It is the world premier learning platform for “MOOC”(Massive open online courses) which brings online educational contents from the best of universities. Online courses on clinical research,emergency care, bioinformatics,public health, data science etc are available Image
2. Electives:
are highly regarded experience customising learning experience. An alternative student centric curriculum in addition to the core curriculum.Dedicated research time & early clinical experience helps in stimulating student’s self-motivation. med.umn.edu/md-students/ac…
Read 14 tweets
Dec 5, 2021
#ToolKit for #MedicalEmergency @ home

Sunday started as usual & I thought it would be a relaxing day .After the coffee (which I posted) ,I received a call from my brother in law that my mother is semi conscious & complaining of chest pain. The whole world stopped for a moment .
I did a video call to see her & I saw my dad,sis ,BIL panicking. I really had to calm them down,ask my sis to check my mom’s BP n pulse , & give a sublingual nifedipine . I quickly had to find my cardiology friend ,check the nearest hospital he visits & finally take her there .
By God’s grace she is alright now & back home with medications & plans for further monitoring.
The whole episode set me thinking as to what could have been done better today morning by the family & hence,have drawn up this 6 point tool kit for any medical emergency in a family.
Read 15 tweets
Jul 19, 2021
#orthoTwitter
Don’t massage an injured #Elbow

The elbow is a quirky joint & sensitive to injury/immobilisation/ insult & responds by throwing extra new bone called heterotopic ossification(where normally bone shudnt be present)There are many theories explaining why it happens
One practice we see is patients approaching native bone setters for their injuries who massage the joint which leads to exuberant new bone & stiffness. Even at home people apply oil massage when there is injury which is not good for the joint
A recent case where patient had injury , underwent surgery & also underwent massage instead of physio who came with this massive heterotopic ossification . Took a long time to chip off all that new bone !
Read 5 tweets
Jun 24, 2021
#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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May 17, 2021
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.
Read 9 tweets
Jan 24, 2021
#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

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