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Dr Sudhir Kumar MD DM Profile picture
@hyderabaddoctor
May 5 • 4 tweets • 2 min read Twitter logo Read on Twitter
1. Today at work: Conversed with patients in Tamil, Telugu, Bangla, Hindi, English, Somali & Arabic during ward/ICU rounds & OPD.
Brought smiles on patient's faces as well. I love interacting with people/patients in their own languages as they love listening to own languages. twitter.com/i/web/status/1…
2. I have seen agitations against various languages in many states, which are futile. It is always good to learn more languages, as it is a win-win situation.
(below pictures are from the internet) ImageImage
3. Speaking two languages, moreover, delays the age of onset of dementia by an average of 4.5 years. This benefit is seen in educated as well as illiterate people. doi.org/10.1212/01.wnl…
4. Take home message
Learn as many languages as possible.
#MedTwitter #Languages #dementia

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More from @hyderabaddoctor

Dr Sudhir Kumar MD DM Profile picture
May 6
Daytime napping for >30 minutes increases the risk of atrial fibrillation
1. Some nap during daytime as a habit, whereas a few try to catch up on lost sleep at nights with some daytime napping.
However, there is some bad news for those napping >30 minutes during daytime.
#sleep
2. In a recent study, compared to short daytime nappers(<30 min), those who snoozed for 30 minutes or more per day had a nearly doubled risk of developing atrial fibrillation (AF).
Meanwhile, compared with short nappers; risk was not elevated in those who avoided #napping.
3. Further analysis was done based on the nap duration.
Compared with those who napped for more than 30 minutes per day, those who napped for less than 15 min had a 42% lower risk of developing atrial fibrillation; while those who napped for 15 to 30 min had a 56% reduced risk.
Read 7 tweets
Dr Sudhir Kumar MD DM Profile picture
May 5
Stroke is the third leading cause of death and disability (the first two are heart attack and cancer). Treatment of #stroke is time-bound, and less than 10% of people receive the clot-buster drug therapy. Therefore, most people who survive a stroke are left with disabilities.
12 preventive strategies can be easily followed, and they have the potential to significantly reduce one's chances of suffering from stroke.
These are:
1. Sleep for 7-9 hours at nights;
2. 150 min of moderate-vigorous exercise per week;8000-10000 steps/day;
3. Healthy food;
4. Maintain ideal body weight;
5. Minimize the daily sitting duration to less than 6 hours;
6. Quit smoking;
7. Abstain from alcohol;
8. Reduce stress;
9. Maintain BP less than 120/80 mmHg;
10. Target HbA1C less than 5.7% (the lower, the better);
Read 4 tweets
Dr Sudhir Kumar MD DM Profile picture
May 4
Regular internet usage is associated with lower risk of dementia in older people

1. The prevalence of dementia is increasing with an increase in longevity. Prevention is preferred as there is no cure for Alzheimer's disease.
#dementia #MedTwitter #NeuroTwitter #Internet
2. 18,154 adults aged 50-65 were followed up for a maximum of 17.1 (median=7.9) years.
Regular internet usage was associated with approximately half the risk of dementia compared to non-regular usage.
Educational status did not play any role in this association.
3. In addition, additional periods of regular usage were associated with significantly reduced dementia risk.
However, estimates for daily hours of usage suggested a U-shaped relationship with dementia incidence. The lowest risk was observed among adults with 0.1-2 hours of usage
Read 7 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 28
Sugar sweetened beverages (SSBs) are associated with higher risk of heart diseases & death in people with type 2 diabetes (T2D)

1. Drinking coffee, tea or plain water, on the other hand, reduced the risk of heart diseases and death, in a long-term prospective study.
#Medtwitter Image
2. Full fat milk consumption was associated with a higher risk of cardiovascular diseases (CVDs) and death in people with Type 2 diabetes (T2D).
Low fat milk consumption, on the other hand, reduced the risk of CVDs and death.
3. Increase in consumption of coffee, tea or low fat milk (versus no change in consumption) after the diagnosis of diabetes, resulted in further reduction in the incidence of cardiovascular diseases and death.
doi.org/10.1136/bmj-20…
Read 6 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 28
Most melatonin gummies in US are inaccurately labelled

1. Melatonin gummies are routinely given to children for sleep, stress and relaxation.
Melatonin is not approved by FDA for use in children, and hence #melatonin gummies are bought OTC or online.
#MedTwitter #sleep
2. Pediatric melatonin ingestions in US increased 530% from 2012 to 2021 and were associated with 27 795 emergency department and clinic visits, 4097 hospitalizations, 287 intensive care unit admissions, and 2 deaths.
3. In a recent study, 25 melatonin gummy brands were analyzed. Twenty-two of 25 products (88%) were inaccurately labeled, and only 3 products (12%) contained a quantity of melatonin that was within ±10% of the declared quantity.
jamanetwork.com/journals/jama/…
Read 8 tweets
Dr Sudhir Kumar MD DM Profile picture
Apr 27
"The grass is always greener on the other side"

All is not bright for doctors living abroad. I have had multiple opportunities to settle abroad with salaries offered between 5-20 times (as compared to that of India's), but I chose to settle in India, and I have never regretted.
2. There are multiple reasons why doctors staying back in India could be happier:
*The joy of seeing a fellow Indian (many of whom can't afford expensive medical care) get better is manifold greater than the joy of treating a foreigner.
*Comforts of living in India are greater+
3. +as one can afford to hire cook, babysitter or other helps with lesser salaries.
*I know of doctors living abroad, whose parents (staying in India) are old & have disabling illnesses. Children feel miserable and helpless, while remotely managing their parents' illnesses.
Read 6 tweets

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