#COVID19 is affecting fresh newborns. Delivered a healthy 3 kg full term baby uneventfully. Short labor, no PROM, no distress, clear liquor. Baby had persistent grunting. Shifted to nicu. Xray reveals totally white lungs bilaterally. Echo normal…
Covid antibodies level is 1600 ( normal <1) and IgG is >200 ( normal <17).
Baby is on ventilator and prognosis is grim. Mother has absolutely no symptoms.
Please please, all pregnant ladies, mask up, especially in last trimester. ..
I have already lost 4 babies precisely because of this #COVID19 in newborn. Only one survivor. I am praying for this baby.
#Omicron is dangerous for newborns.
#MedTwitter #Pediatrics #OBGYN
The X-ray
Have asked the concerned Pediatrian to address all the queries. Yes the mother was full vaccinated. He will answer by evening.
Latest update from the treating Pediatrian @JainishkB :

Child detoriating despite best efforts. . IVIG two doses completed. MPS given. Still BP and saturation falling, Shifted to HFOV (Highest ventilator available in the market)..
MIS-N is a war we seem to be losing mostly despite our best efforts. MIS-C(multisystem inflammatory syndrome in children) not as terrible in outcome as MISN (multisystem inflammatory syndrome in neonates).
A brief explanation from the treating Pediatrian
Kindly read the responses of the treating Pediatrian for the better picture @JainishkB

Pregnant women especially in 3rd trimester should be meticulous in wearing N95. That’s the most vulnerable period for the baby to get the transmission of mother is infected. Vaccines never guarantee full protection from infection. They can save serious disease and death.
This tweet was born out of severe pain and anguish and frustration because of the devastating effects of #COVID19 on newborns. Omicron also causes severe MIS-N in a few newborns. You would not like to be in that statistics. The ethical concern of parents knowing this case…
bring discussed live had been addressed with due consent. I state it categorically. I will not engage with vaccine naysayers and the best part is your prayers and good wishes has made the baby’s condition much better. May the awareness about MIS-N increase and more mitigation..
measures taken. I did not expect this tweet to have so much engagement and I am glad that folks are more aware of the silent but devastating effects of #Omicron on newborns…
Lastly, I am not after gathering followers. I am having enough patients to serve. Please, this is not fear mongering. Thanks for all the wishes for the baby. 🙏🏼
Today’s update: Patient maintaining saturation on decreased ventilator settings. BP stable. Slight sclerema developed. Withholding steroids and repeating septic screen.

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More from @imacuriosguy

Sep 28
How I deal with #sextortion :
I received a Hello from an attractive girl dp on WhatsApp.
I was curious.and wanted to know why that young girl wanted to be my friend, but accepted it.
She started sending me private messages.
She called me handsome and asked my age…
I told her I'm quite a bit senior to her.

We kept chatting for a few days, suddenly one day she asked if we could talk about adult things, I said OK.
Then she replied with a face like 🤪😉😜and said ok dude, you start."
I told her adult things like,
I snore like a steam engine, my knees hurts, I get back pain. Pass smelly gas, take laxatives daily, and have a good quality denture, wear the most expensive wig.

I was as quite honest about ADULT THINGS…
Read 5 tweets
Jul 23
A simple but fascinating explanation of a complicated concept of time-space.
The more you move in space, the less you move in time. And vice-versa.
A beautiful video explains this more vividly :

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Jul 21
Extremely important incometax law for self employed professionals:
Do not make payments in cash above ₹10,000 per day, if you are planning to claim expenses in your balance sheet.
For transporters it is 35k per day.
If a person takes a cash loan from a financial institution or a friend, the total amount cannot exceed Rs 20,000.
The same regulation applies to debt repayment.
The repayment of a Rs 20,000 loan must be made through a financial channel.
India's income tax laws prohibit cash
transactions above Rs 2 lakh for any reason.
For example, if you purchase gold jewellery worth Rs 3 lakh in a single transaction, you must make payment via cheque, credit card, debit card, or bank transfer.
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Dec 1, 2021
One of the biggest characteristics that entitled people have is the "you owe me" mentality. It seems that they fundamentally believe in their superiority over others; they see themselves as more important, smarter, and overall better in life…
So naturally, they expect bigger benefits from life which are often upsetting for those surrounding them. They are the people who think the rules don't apply to them and they should get what they want."
Another reason for entitlement might come from feeling mistreated. You might think you have the right to more gifts from the world because you were deprived of the things you needed earlier on.
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Jun 20, 2021
Do not miss the bus.
Retirement planning should begin as soon as you start earning. Strange but true.
The real power of compounding works so much better when you start so much early.
And in the equity markets, the law of averaging over a long periods like 15-20 yrs...
works wonderfully well.
So if you start investing in a mutual fund SIP at the age of 25 with only Rs.5000pm, your corpus will be a staggering Rs.3.21Cr at the age of 60. ( Assumed 12% annualized return).
If you start at 30, that will be 1.75cr
At 35 = 94 lacs
At 40 = 49 lacs..
At 45 = 25 lacs
At 50 = 11 lacs
At 55 = 4 lacs.
Shocking difference in the size of final corpus with seemingly small difference in the age when you start saving.
So pay yourself first. Select either a good actively managed equity fund or simpler an Index fund ...
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Jun 18, 2021
Angler fish:female is 40 times the size of the male. Her goals in life include not moving much, murder, and attempting to lure a male partner to procreate.
The males look almost nothing like the female Angler Fish. Not only are they much smaller,
they sport huge eyes and nostrils that help in locating her through the darkness. Once the female has been found, the male will swim up to her and bite down on some part of her body. From this point forward he will never let go for the rest of his life..
He has now transitioned into a parasite, taking in nutrients directly through the female and her blood stream. His mouth, eyes, and face will fuse into the female's skin and he will essentially become a tumor on her side..
Read 5 tweets

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