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Dr Sudhir Kumar MD DM Profile picture
@hyderabaddoctor
Apr 4 • 5 tweets • 2 min read Twitter logo Read on Twitter
1. Vaccines recommended for healthy adults
2. Vaccines recommended for high risk individuals
3. Immunization for all adults with normal immune status
4. Vaccination in special situation in adults
5. Reference
#Vaccine #immunization #MedTwitter
ncbi.nlm.nih.gov/pmc/articles/P…

(Advice: Discuss with your physician before taking any vaccine)

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More from @hyderabaddoctor

Dr Sudhir Kumar MD DM Profile picture
Apr 4
Common cause of nerve damage is often overlooked due to lack of awareness

1. 41-year old Mr Sheel presented with tingling, burning sensation & numbness of both feet of one year duration. Symptoms were present throughout the day, however, they worsened during nights.
#MedTwitter
2. Mr Sheel consulted a general physician, who ordered a few blood tests, which were all "normal". He suspected a diagnosis of peripheral neuropathy (damage of nerves in feet) and referred him for a neurologist's opinion for confirmation of diagnosis.
#neurotwitter
3. Neurologist evaluated Mr Sheel and found evidence of sensory neuropathy involving lower limbs (confirmed by nerve conduction studies). He also ordered a few additional blood tests, which were all "normal". He advised nerve biopsy test to find out the cause of nerve damage.
Read 7 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 3
How to reduce the risk of becoming a patient?

1. I see a few patients who tell me: "Doc, I hate taking medicines, or doc, I don't like coming to hospitals".
My answer to them is usually: "You should rather hate diseases and reduce the risk of becoming a patient".
#MedTwitter
2. But is it possible to reduce risk of becoming a patient?
Yes, it is possible, and that is a better option than deciding to not take medicines or not consult a doctor, when suffering from a disease.
So, what can one do to reduce the risk of diseases and increase longevity?
3. These 10 lifestyle factors can reduce the risk of diseases & increase lifespan:
*Regular exercise
*Healthy food
*Regular night sleep (7-9 hours)
*Maintain BP 130/80 mmHg or lesser
*Maintain normal blood sugar. Keep HbA1C as low as possible
*Maintain normal non HDL cholesterol.
Read 4 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 3
1. Many can benefit from these fixed return saving instruments

1. Senior citizen saving scheme: 8.2% interest
2. Sukanya Samriddhi yojana: 8% interest
3. Mahila Samman Saving certificate: 7.5% interest
4. Public provident fund: 7.1% interest
#FixedIncome #savings #investments
2. Senior citizen savings scheme

*For people aged >60 yrs
*Can invest from Rs 1000 to 30 lakhs
*Duration for 5 years (extendable by 3 years)
*Interest is paid quarterly on the 1st day of April, July, October and January
3. Sukanya Samriddhi yojana
*Account can be opened in the name of girl child below age 10
*Payment: Rs 250 to 1.5 lakhs per year for 15 years
*Maturity after 21 years
*Can be availed for maximum of two daughters per family
Read 5 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 1
1. Yes.
Most mammals can sprint faster than humans. But when it comes to long distances, humans can outrun almost any animal. Because we cool by sweating rather than panting, we can stay cool at speeds & distances that would overheat other animals.
2. On a hot day, a human could even outrun a horse in a 26.2-mile full marathon.
Why would evolution favor the distance runner? The prevailing theory is that endurance running allowed primitive humans to incorporate meat into their diet.
3. Humans may have watched the sky for scavenging birds and then run long distances to reach a fresh kill and steal the meat from whatever animal was there first.
Read 4 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 1
1. I had the disease onset in 1986 (age 15)- hospitalized for 3 weeks; wrongly diagnosed as Rheumatic fever at Bihar and started on Inj Penidure every 21 days. Next major relapse occurred in 1990 (2nd yr MBBS at CMC Vellore), correct diagnosis of ankylosing spondylitis was made.
2. One of the MD Medicine PG who was looking after me advised me to quit medicine & take up another job as the disease was severe. He anticipated major disability requiring wheelchair assistance for mobility. I became sedentary partly due to disease and partly due to depression.
3. I excelled in academics but gained weight (reached 100 Kg in 2000), when I passed my DM Neurology at age 29. Until 2014, didn't do much and continued to get flare up of back and joint pains on and off. Also had several episodes of uveitis (eye inflammation) as part of AnkSpond
Read 5 tweets
Dr Sudhir Kumar MD DM Profile picture
Mar 31
From a non-runner to #running half marathons: snippets from this amazing ongoing journey

1. Nov 2020: Age 49 yrs, Wt: 95 Kg, no prior running experience. Decided to start my running journey. No personal coach or nutritionist. Aim was #weightloss and to improve #fitness
2. Running highlights:
2021: 339 runs of 10k or longer; 69 Half marathons (HM); 1 marathon
2022: 304 runs of 10k or longer, 43 HM
2023 (until today): 44 runs of 10k or longer, 7 HM
Personal best: 10k- 51:11 minutes; HM: 1:55:34 hours
3. Modifications in my daily routine
*Started sleeping 8 hours (earlier 5 hours)
*Started waking up at 5 AM instead of 7 AM
*Shifted dinner time to 7 PM from 10 PM
*Reduced daily working hours to 9 hours (earlier 15 hours) including patient care, research & teaching
Read 10 tweets

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