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Jul 3 • 9 tweets • 4 min read
1) A terrible crash at the Grand Prix today, but thankfully no lives were lost --> and it is all thanks to this man.
2) Who was he?

Dr Eric Sidney Watkins |(1928-2012) , commonly known in Formula 1 (F1) as Professor or Prof Watkins was an English neurosurgeon.

He was the FIA F1 Safety and Medical delegate, head of the F1 medical on track team and first responder for a period nearly 26 years.
3) He is most famous for treating Ayrton Senna, the Brazilian three-time F1 champion who died in 1994 in a crash at the San Marino Grand Prix in Italy. He was only 34 at that time.

Here is a pic of the two together!
4) The medical innovations that he helped kickstart have made F1 as safe as it is today, compared to the 1960s and 70s when fatalities were routine.

Here is a short article describing the Prof's many achievements.
wired.com/2012/09/sid-wa…
5) He wasn't a driver or an engineer or a designer --> but his impact on F1 racing is immense.

Not only did he change F1 racing as we know it, he did it while pursuing an extremely busy neurosurgical career in the United Kingdom!
6) Nelson Piquet (of racism infamy) crashed during practice for the San Marino GP in 1987 and tried to get the officials to allow him to race.

The Prof threatened Bernie Ecclestone that he would leave if Piquet was allowed to race.

It didn't happen, such was his influence!
7) An absorbing account of the Professor's life and work!
motorsportmagazine.com/archive/articl…
8) F1 supremo, Bernie Ecclestone and the Prof had a very special relationship going back decades.
#Formula1
#crash
#safety
#Halo
#MedTwitter
#Neurosurgery

Please retweet if you find this informative --> the Prof was a great man who tried taming this dangerous sport that tries to claim lives each day --> his story should never be forgotten!

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More from @AdiG1993

Dr Aditya Ganguly Profile picture
Jul 5
1) It must be hard being an MBBS student nowadays with everybody criticizing you for not having enough clinical knowledge/not going to the wards etc etc.

I don't think we should blame them for circumstances beyond their control.
2) Medical science has expanded so rapidly that you must now run, just to stay in the same place. Basic knowledge has also changed with along with our ideas of complications. Its no longer 'a simple case of anything'.
3) You will need an MBBS course lasting at least a decade if you need people to master all the skills that MBBS students of decades earlier could master. Medical science has far outpaced our capacity to learn.
Read 9 tweets
Dr Aditya Ganguly Profile picture
Jul 3
1) Gen med residents are taught to think of secondary hypertension, especially primary hyperaldosteronism, if the following conditions are met.

- young onset HTN (age < 40)
- family history
- resistant HTN
- hypokalemia
2) First of all, young onset HTN is a controversial term nowadays --> with the rise of fast food and sedentary lifestyles with pediatric obesity and metabolic syndrome --> it is entirely possible that the age may need to be shifted even lower!
3) This study, done in AIIMS with @DrSarahAlam as the lead author looked at PA epidemiologically.

202 patients with young onset HTN (YH) were evaluated.

Surprisingly the mean age was 43.9+/- 10.9 years!
pubmed.ncbi.nlm.nih.gov/33393127/
Read 12 tweets
Dr Aditya Ganguly Profile picture
Jul 2
1) Another case of the silent killer.

A middle aged relative of mine has been forgetting things recently --> he doesn't remember where he put his keys, his assistant's name or what he had for lunch that day.
2) His daughter calls me up and schedules a meeting.

Its borderline Alzheimers --> she worries!

What will happen to him? Is there anything to be afraid of? Should we consult a neurologist?
3) First things first --> I say.

Let me evaluate him and see what needs to be done.

Turns out he is HTNsive on meds for more than a decade, since the time he had his first stroke --> no documents available from that time.
Read 8 tweets
Dr Aditya Ganguly Profile picture
Jun 30
Bilateral locomotor brachialis in a middle aged patient with severe hypertension and severe dizziness under eval ? post circulation stroke --> 280/170 mmg Hg (manually measured 4 times by 4 different people)

HTN is a killer!

#MedTwitter
#clinics
Patient consent taken before recording and posting video on SM!
@nihardesai7 @AndreMansoor @rabihmgeha @Shubhra_011 @dr_veeprakash @JaySavla15

#hypertension
#NeuroTwitter
Read 5 tweets
Dr Aditya Ganguly Profile picture
Jun 19
1) Have you ever seen a case of rabies?

I saw two cases 5 years back and they have stayed with me since.

I do not fear any disease per se but I am not ashamed to say that I dread rabies --> it is a terrible affliction.
2) The first patient was a small child of around 7 years old --> he had been bitten by a street dog around 1 month back. But his family had opted for natural healers.

When he was brought in, he was crying uncontrollably with a terror stricken expression on his face.
3) Hydrophobia, as commonly believed, is not so common in these cases. Why you ask?

Its because these patients are so extremely agitated and combative, its very difficult to get close to them, let alone make them drink water.
Read 16 tweets
Dr Aditya Ganguly Profile picture
Jun 18
1) As an intern, GP or a gen med resident, you are constantly exposed to MR imaging of the brain. This is a complicated imaging modality that requires a radiologist for optimum analysis and reporting. But you must know the basic sequences and how to identify them.
2) The five most common sequence that we use in internal medicine are the T1 (with or without contrast), T2, FLAIR, DWI and ADC sequences. SWI/GRE sequences are also used in certain cases.
3) First check whether the soft tissue of the scalp and the skull (black) are visible or not --> if yes, you are dealing with T1,T2 or FLAIR.
Read 10 tweets

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