I came across lithium in 1991 during pharmacology semester 2nd MBBS.

I saw its use during my psychiatry postings. Its most common use was in mania & in bipolar disorder.

Lithium regulates certain neurotransmitters in the brain stabilizing the mood of the patient completely.
It prevents further episodes of mania/depression when patient is compliant & actually improves the patient's performance in all walks of life.

It is very well tolerated by most patients. However, regular monitoring of blood levels & follow up with the doctor is most important.
#Lithium is a very valuable tool in #psychiatry

It has saved more patients than all the help lines across the world have done.

We should thank Dr John Cade an Australian doctor who found the use of lithium & published it in 1949.

He used it on himself to check if it was safe.
Today lithium is an important part of treatment in psychiatry.

#SafePsychiatry
#DrugsinDepression
#AASRA
#JohnCade
Lithium is just not about batteries.

The medical field has known its uses since 1948, since Dr John Cade used it for the first time in Guinea pigs.

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More from @Kaalateetham

Feb 15
What happens to your gastro intestinal system at sleep?

A set of neurons in GI tract get activated during sleep. It starts what's called "migrating motor complex" it helps to move digested food & waste through the tract.

Net effect: You get constipated if you do not sleep well.
Inadequate sleep can affect production of digestive hormones ghrelin & leptin. These regulate hunger & satiety, when sleep is affected, leptin is not secreted adequately by our fat cells.

Decrease in leptin keeps the hunger centre in the brain active making the person eat more.
When you are not sleeping enough, your stomach secretes more ghrelin which stimulates the hunger centre & you eat more leading to obesity.

Sleep has a direct relationship with obesity as explained above.

Apart from inadequate sleep causes leaky gut which leads to dry skin.
Read 4 tweets
Feb 14
The dignified looking lady here is another eminent physician who changed the way we practice medicine.

Dr Virginia Apgar created “Apgar” score with 10 markers, which is used to assess newborns in labour rooms immediately after delivery & in 5 minutes.

This is used even today. Image
Dr Virginia Apgar was the first woman to head a speciality in medical colleges of America.

She was a teacher & administrator par excellence.

The introduction of Apgar score in 1940s & its wide use in the US by 60s, reduced infant mortality rate significantly in 24 hrs of birth.
Dr Apgar was among the first to bring the attention of medical world to the problem of “premature births”.

She was also among the advocates of use of Rh testing to identify women at risk.

Though she started as a Anesthesiologist she ended her career as professor of Pediatrics.
Read 5 tweets
Oct 9, 2021
In my final MBBS year at a famous Govt Medical College in Karnataka; you will be surprised to know the examiner had loads of bias in favour of fair sex. They just had to show up in practicals to pass. However it is a different matter that they had to clear theory themselves.
I was young & had an idea of this because our seniors had told us this is how exams are!!

I got thyroid MNG as my major case & cervical lymphadenopathy as my minor.

At the end of a gruelling session of 4 hours despite answering most questions I could feel something amiss.
On that day there were 4 girls & 3 boys for morning session.

You guessed it right, 4 girls passed along with 1 boy & I was not that.

I was left depressed, disheartened & felt damned for life.

However, life has to go on. I was in the infamous odd batch now & had to reappear.
Read 6 tweets
Aug 19, 2021
I am informed that now there is a Taliban Air Force.

Thanks to US, which created the air fields & other necessary infrastructure. US also has left lot of Blackhawks, mid range fighter jets & a complete set of airforce equipment needed worth billions of dollars.
Afghan Air Force trained by US did not act against Taliban when they captured Afghanistan in a short span. Now this trained team of men are joining Taliban and also training the selected ones.

The question is; with this infrastructure how long will it take Taliban to attack pak?
US has not only lost trillions in Afghanistan but has left a monster incharge there with modern weaponry.

ISI has trained Taliban well & they are able to manage media better than Hamas does. WaPo, BBC & NYT etc are behaving like teenagers having a crush on Taliban 2.
Read 4 tweets
Jun 21, 2021
#InternationalDayOfYoga

Many have asked me how I overcame Covid so fast; the answer is "I used Yoga"

Here it is: the moment symptoms started treatment was on, although I had high fever for 3 days it did not bother me much as I knew my body was working against the Chinese virus
My intention was not to allow the virus to colonise my lungs 🫁. So I started "Basti Kriya" or "Bastrika" pranayama as soon as throat irritation started.

This Pranayama brings air out of lungs at high speed & is known to clean the lungs. I used to perform it atleast 20 times/day
On 4th day by the time my medications ended my fever was non existent & my HRCT showed 2 score. I just got myself discharged & went to a secluded place to recover completely.

Although tiredness was persistent for about 2 weeks after that I have recovered completely now.
Read 4 tweets
Jun 8, 2021
Dear Prime Minister @narendramodi ji

ACE Suhas hospital Jigani is a registered CVC, we have done Vaccination for thousands before end of March 2021.

Once it was thrown open & Pvt Hospitals were asked to procure directly from manufacturing companies, we have not been able to buy
Our Emails & phone calls to both @BharatBiotech & @SerumInstIndia have not been answered by them

We are unable to procure even one single dose while Corporate Hospitals are able to buy millions of doses

This stinks of cartelization & profiteering by these companies + hospitals.
We work in an industrial area with presence of lot of small vendor industries in manufacturing sector. We are not able to service them.

But large corporate hospitals led by the likes of @drsangitareddy, Dr Devi Shetty of @NarayanaHealth etc., are vaccinating IT sector with WFH
Read 6 tweets

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