I am anti PPI unless its for documented ulcers or H. pylori.

Unexplained dyspepsia +/- alarm symptoms should ALWAYS be evaluated.

PPI without a specific reason qnd for long term --> DANGER

#MedTwitter
#PPI
#dyspepsia
#pepticulcerdisease
Thanks to @MedRewind for the table!
*and
Are you still recommending PPI without a clear indication?

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Keep Current with Aditya Ganguly MBBS MD II Internist

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More from @AdiG1993

Nov 15
1) If a medical college has 'mandatory' lectures, its most likely because the lectures are terrible and no sane person would spend hours there.
2) If you are a high brow academic institution and yet provide horrible slide based lectures that I can watch in a 10 min Marrow video --> I am not going to class.
3) Time is money and there is more to life than medicine.

Lets be real, most coaching institutes today rule the roost when it comes to medical education because they retain the best teachers.

Its as simple as that.
Read 6 tweets
Nov 14
1) A relatively poor quality digital CXR - PA view.

But this often the best that you get.

Hx --> Middle aged man with passage of reddish urine

What do you see? Image
Choose your answer
Read 11 tweets
Nov 13
1) The commonest factor that puts people off a healthier lifestyle is the 'all or none' principle.

This is what I have learnt after dealing with lifestyle diseases for over 5 years and having faced certain issues of my own.

I will explain this in my tweet.
2) What is the 'all or none' aka AON principle?

It is the presumption that you have to follow the diet/gym/morning walk schedule EXACTLY as it is.

If you don't complete it, there is no benefit.
3) This AON principle, in my humble opinion, pertains to medication only.

Why?

If you are taking meds for lifestyle diseases (LD) --> you are in the 2ndary prevention phase where you aim to prevent COMPLICATIONS! Image
Read 13 tweets
Nov 9
1) If you are using Twitter for academic purposes, please stop the meaningless scrolling.

Use a targeted approach wrt the content you follow --> use a note taking app like Google Keep/Notion to organize a framework --> save the Tweetorials you find important.
2) 90% of academics = organization

The difference between great scholastic performance and merely ok --> repeat revisions of a highly organized and structured study material.
3) Bookmarking hundreds of Tweetorials without any system is foolish and unproductive.

It is a classical example of the TREADMILL effect.

You are running a lot but you are not going anywhere.
Read 5 tweets
Nov 8
1) If you are a resident, you really need to learn how to store academic/interesting cases in an easily accessible format so that you can produce them at a moment's notice.

Storing stuff on your phone = BAD MISTAKE!
2) First of all, no physical storage devices like pen drives or hard drives.

You WILL lose them and they are NOT easily accessible!
3) You HAVE to use a cloud service.

Google drive is a pretty nifty tool for beginners.

But uploading/downloading data can be a pain in the ass.
Read 10 tweets
Oct 7
The tragedy in Gambia underscores what many Indian physicians have known for decades.

There are cheap generic drugs flooding the market with little to no oversight on manufacturing protocol.

If you see patients --> your personal reputation is tied to whatever you prescribe.
But if you prescribe branded drugs with arguably more transparency --> you will be accused of making black money.

You will called a liar and a thief and Aamir Khan will proselytize on national TV.
Most patients and attendants have forgotten the basic rule of a capitalist economy.

NOTHING IS FREE.

If something is free or cheap --> its because YOU ARE THE PRODUCT.

In this case, it was the life of 66 Gambian children.

#MedTwitter
Read 4 tweets

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