1) Why is biochemistry so commonly disliked by medical students?

Because they are made to memorize metabolic pathways without rhyme or reason.
2) They spend hours memorizing the structures of amino acids and the Krebs cycle.

Its a classic case of missing the forest for the trees.

They never learn integrated metabolism as a whole and with proper clinical correlation.
3) I started MBBS in 2012 and I have checked out several biochem texts over the years.

Harper is the worst --> for 1st year.

The Indian textbooks don't do much better either.
4) There is only one book I promote when it comes to biochemistry.

Lippincott.

It has several chapters dedicated to this integration of metabolism --> I have returned to this book again and again --> as recently as last month.
5) This is my copy from 2012.

I used it last month to review the feed/fast cycle and hypoglycemia.
Classic biochem question that I got right in a NEET PG mock test because I studied Lippincott --> wrinkled tissue paper appearance in Gaucher disease :D

If you think that biochemistry is meaningless and has no place in clinical medicine, you need to learn about Dr. Holmes Morton.

He is an American physician specializing in genetic disorders of Old Order Amish and Mennonite children.
Here is an article describing his life and work.

dnascience.plos.org/2013/12/12/an-…
Here is a piece the New York Times Magazine did on him in 2005.

nytimes.com/2005/11/06/mag…

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More from @AdiG1993

Nov 27
1) I am presently working on curating the best free resources for medical professionals.

I will focus on the medical subspecialties.

I will also post some of my own work.
2) Why am I doing this?

Because FOAMed is the future.

Because we have some amazing work on Twitter and other SM that does not get the visibility it deserves.
3) All creators will be credited.

If by any chance, it is not --> please bring it to my attention.
Read 4 tweets
Nov 26
I follow a lot of educational podcasts.

This is a recent addition to my list that I am finding extremely useful both as a refresher and for first time reading.

I would recomment it for gen med residents without hesitation.
Pros

1. Crisp and clear explanations.

2. Short duration

3. Deals with common topics that are dealt with everyday in the wards.

4. The website has additional material that can be perused for further reading.
Read 6 tweets
Nov 26
1) I have had the pleasure of listening to this podcast episode by @ebtapper and @ShreyaTrivediMD among others.

It is hands down the best review of alcohol-associated hepatitis I have had the pleasure of perusing in the past few years.
3) These are the important pearls from this segment in csase you don't have 40 mins to listen to the podcast!

coreimpodcast.com/2022/11/09/alc…
Read 9 tweets
Nov 23
I normally don't push brands on social media but @SkechersIndia has to be an exception.

I have suffered from plantar fasciitis for years and it has been gruelling.

I have tried every brand --> homegrown to foreign and most of those don't work. Image
I bought this pair of running shoes a few days back and put them through the paces.

They are amazing. No doubt about it.

Single best pair of shoes I have ever worn.
Hard surface or soft, uneven ground or metalled roads --> this has your back.

The heel support is great and it really feels like an extension of your feet.

This is a great buy as far as I am concerned.
Read 9 tweets
Nov 23
1) The most important aspect of a medical residency and one that I always pay great heed to --> how well you are able to follow up your patients.

I cannot overstate how vital this is.
2) A lot of residents love talking about how they have seen this case and that --> but they have no case details and have no longitudinal data on the patient.

It means nothing.
3) You discharge your patient and they never come back to you.

How will you know whether the diagnosis you have made or the treatment that you have started has yielded benefit?

Longitudinal data is crucial.
Read 7 tweets

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