U don't need to cheat all the ppl, all the time. Cheat some of the ppl, some of the time, & u cd hit jackpot. J, a nervous, jittery woman, who became the CM of TN just bc of the assassination of Mr. Rajiv Gandhi demonstrated this wonderfully well.(1/3) A nervous, jittery woman who begged for praise all her life, she looted Tamilnadu worse than Malik Kafur or the British in 200 yrs of colonization.(2/3)

Toxicity in med colleges: A thread;
Junior residents accuse Jipmer HoD of harassment  - , For the best experience read this on The Hindu App. (1/n) 🧵thehindu.com/news/cities/pu…
bit.ly/THNewsApp I entered d Dept of Gen Surgery, as a blue eyed young boy, long back in my 20s, expecting to learn surgical skills. What awaited me was a nightmare. My Prof, a Sanghi, used to take me daily to his room& an hr of religious mental torture followed. My Christian name ws an irritant.

🚨Trigger warning: Sex case study:

Vinod & Leela(names changed), two 14 yr olds, dressed in school uniforms, entered my clinic. I enquired what the problem was. A 🧵 thread;

https://twitter.com/Jasonphilip8/status/1753318864564408547

Leela narrated the big catastrophe. They both were children of IAS officers& were in love( Deiveega Kaadhal ws d description in Tamil). Being classmates at school, they hd been having near-daily sex, with 'appropriate protection'. She described their sexual activity in grt detail

🚨 sex case study:
" Sir, my husband has an erection." It is true that I run a sex clinic, but this was the first time, I had heard a lady barging into my room, screaming thus. Now, both u and I know that husbands can hv erections, but this is a slightly different story. A 🧵; Manju & Parth( names changed), had been my (MBBS) students. Today Manju is an anaesthetist,& Parth a leading cardiologist in India. It was Manju who had entered my room, anxious & sweating. Short story: Both were newly married& were having a fabulous sex life.

THE BUDDHA SMILED.
Now the great ancient Buddha must hv smiled several times in his remarkable life. But, the date was 18.5.1974, a Buddha Purnima. PM Indira Gandhi took hr secret phone. Raja Ramanna spoke those code words. Indira smiled& sat back on the Sofa. India hd won. A 🧵; The Indian military nuclear program had several twists, turns, threats & several acts of bravery,patriotism. Let us go down memory lane.Sarvepalli Gopal, records in his book that it was Nehru who first contemplated an Indian atomic weapon, while publicly talking nuke disarmament.

It was 31.12.1989. I was reading the India Today( Tamil) special edition whose cover featured my former schoolmate drinking alcohol freely at a Pub. It summarised how both India & Chennai (Tamil edition) had changed in the previous decade. A thread🧵; Chennai attained a major metamorphosis in the 80s. Feeling Nostalgic, lazing in my Chair,I let myself look back at the Chennai of the 80s. My first memory was my father showing me paper-clips, carrying photos of the victory of the DMK-Indira alliance in the national elections.

'If u know the enemy and know yourself, u need not fear the results of a 100 battles'.
SUN TZU.
General Manekshaw, looked puzzled at his file, the 100 th time. The date was December 3, as it is today, but the yr was 1971. A thread on India's finest moment.🧵 Kao, Indira's legendary spymaster, hd sent the file, a few days back. 'Expect Pak to attack on Dec 2." But, there had been NO ATTACK. What was wrong? Indira Gandhi had managed to plant a mole among the aides of Pak President, General Yahya Khan. The heavily encrypted msg,
R.N.Kao

Why did not Indira Gandhi after comprehensively winning a war, not leverage 93,000 Pak POWs to
1. Obtain POK in return?
2. Atleast change the Kashmir ceasefire line into an International boundary? After all, India had obtained the largest troop surrender since WW2? A thread 🧵; When Indira left for Simla, she had a few objectives. They were:
1. Secure Pakistani recognition for Bangladesh, thus formally dividing & humiliating Pakistan.
2. Change the Ceasefire Line into a line of control in Kashmir, stabilizing it.
3. Obtain the return of Indian POWs.

The date was 23.6.1985. Emperor Kanishka, the majestic Air- India-182 flight, btw Montreal( Canada ) & Bombay was on air over the Atlantic Ocean at 10,000 m, over sea level. Children laughing, friends sharing jokes were having a good time. A thread: 🧵 Suddenly, a bomb ripped open the aircraft, killing all 329 ppl abroad, mostly Indians who had obtained Canadian citizenship. This is the worst terrorist attack in Canadian history. The worst aviation terrorist incident ever,till 9/11 happened. But, what was wrong with security?

This morning's post by @Sona_unplugged about her father's heart attack@Kochi brought back memories of my own experiences as a pt of 2 heart attacks at the same city. I own majority shares of a 'Sex Hospital' at Kochi& can be found there, whenever I hv a break at Chennai.A thread; So, here I was on a busy Monday morning, advising pts/admonishing some/reassuring others in chaste malayalam, when I suddenly vomited& collapsed in my consulting room. Luckily, our visiting cardiologist ws sitting next room, alerted & revived me. Our psychiatrist & cardiologist,

What is the root cause of toxicity during the period of CRRI/PG/SS student in Medicine? Solution? Having been a victim of toxicity, I hv tried to organize my thoughts. A thread🧵; I entered MBBS as a blue eyed boy at age 17. Became a CRRI at age 21. Here r some of my experiences;
1. Work was hectic. We were immediately(all) put on 36 hr duties once a week. You cdnt bathe/ change clothes. Just brush ur teeth & run to the ward. The next day had dawned!

In Tamilnadu, it is routine that PG residents are considered below CRRIs, nurses, nursing students and wardboys by everyone. A 25 yr old nurse, abusing a 50 yr old MCh resident is normal. When I did my MCh Urology in a Chennai govt med college, (1/n)

https://twitter.com/Sanjaysasane277/status/1687045719767826432

though I was young, my senior was a 50 yr old gentleman. He was called by name( also verbally abused) by 25 yr old nurses, ward boys & pretty much everybody. To them, he was a servant. And to make the OT nurses& ward boys come for night Cadaver Kidney Transplants (2/n)

Trigger Alert! ⚠️ ⚠️⚠️Sex case study;
"Dr, my husband doesn't have a penis!." Startling words even to a urologist. Especially so, when heard from a 20 yr old newly married bride about her husband. Tony and Rita had been married 30 days. Theirs was an unconsummated marriage. A 🧵 The couple walked into our place on a sweaty, warm, humid evening. The first thing I noticed about Tony was his immense obesity, contrasted by his young age( 24 yrs), and impeccable dress sense. After being seated, there was an awkward silence. The girl broke the ice.

Alfred Durayappah, the Jaffna mayor stepped out of his car, to worship the local diety on 27. 7. 75. A puny boy, all of 20 yrs, stepped over to greet him. He pointed his gun at the Sinhala-rented Tamil Mayor& shot him dead, point blank. Prabhakaran, had started his career. A 🧵 The month of July is known throughout the world for many things. Kargil victory, Pride month, Disability month, Doctors day & several other things. For Tamils spread across the world , it means only one thing- Black July- a genocide of Tamils in Srilanka.

"The President has proclaimed an Emergency. There is nothing to panic about." The icy calm voice of PM Indira Gandhi came over All India Radio, at dawn on 26.6.1975. With these words, Indira Gandhi hd appropriated powers to herself, the extent of which even she did not fathom.A🧵 But how could the daughter of that great democrat Nehru suspend democracy? Fundamental rights? Strangle the judiciary? Arrest 110,000 Indians? What led to such a decision? How draconian was it? What lessons can we today, draw from this dark episode in Independent India's history?

There was another PM and another far, far greater N.E.crisis, to which my mind wanders today, & the way a truly tough Prime Minister smothered it immediately to bring normalcy. A 🧵;
PM’s silence on Manipur has razed State’s credibility deccanherald.com/opinion/modi-s… @DeccanHerald Indira Gandhi assumed office on 24.1.66. A crisis of far greater dimensions was looming in N.E. India. The Mizo National Front formed on 28.10.61 wanted secession from India& took up arms. Terrible violence followed. The MNF launched Operation Jericho on 1.3.66(2/n)

The GOI & pvt sector r on a Medical College building frenzy. But did u ensure that there enough qualified asst profs/profs to teach these students? Hospital owners, govt or pvt do not ensure this before announcing colleges& arm-twisting statutory bodies to grant recognition.(1/n)

https://twitter.com/ajumathew_/status/1670291491342909441

For eg, a pvt medical college hospital owner in Tamilnadu called me up and offered a urologist's post fr an astronomical salary, to become their full time urologist ( I refused ). But, how come this college is granting M.S & MCh( Urology ) seats, without a single urologist (2/n)

On the third anniversary of Galwan, let us, if possible, look dispassionately at their border dispute( Disclosure- I am a China Hawk). The India-China border must hv been the easiest border to resolve. But it wasn't. Why? Let us explore. A 🧵; China has resolved is border with all countries except India & its protectorate, Bhutan. Why? Both giants hv their core interests, which they will never cede. India has the McMohan line, & China-Aksai Chin. Till 14.2.79, when Deng talked to FM Vajpayee, China agreed(2/n)

For #MedStudentTwitter , here r some urological terms explained:
👉Hesitancy- Delay in starting urination
👉Intermittency-A complaint received from the patient that the urine flow stops & starts during the urination episode.
👉Pyuria- Pus in urine. A thread 🧵(1/n) 👉Pyelonephritis- Infection of the kidney
👉Renal Calculus-Kidney Stone
👉Azoospermia-Absence of sperm in semen.
👉Cryptorchidism: A birth defect in which the testes fail to descend from the abdomen into the scrotum
👉Cystocoele- The urinary bladder has herniated into the vagina

So, you saw blood in your semen( ejaculate). Hmmm. Alarmed much? As your urologist, I am not. Blood noticed in the ejaculate is called haematospermia. Typically occurs in the under-40 age group. The majority are harmless conditions. Let us discuss. 🧵 Common causes are Inflammation/infection in the prostate,testis or seminal vesicle. Tuberculosis of these organs is a significant cause in the Indian context. The usual pathogens are gonococcus, Chlamydia and T.Pallidum. UTI, bleeding disorders, liver dysfunction,

டாக்டர்கள் ஏன் இறப்புச் சான்றிதழ் தர யோசிக்கிறார்கள்?
இதோ சில காரணங்கள் :(1/n)

https://twitter.com/kaka_offic/status/1666328183380254720

1. என் நண்பன் ஒரு மருத்துவன். அவனுடைய கிளினிக்கிற்கு தெரிந்த நபர் ஒருவர் மனைவியின் உடலுடன் கதறியபடியே வருகிறார். நெஞ்சு வலி சொன்னா சார். போயிட்டா..கதறலைக் கேட்டு டாக்டர் இறப்புச் சான்றிதலில் மாரடைப்பால் இறந்தார் என சான்றிதழ் தருகிறார். மறுநாள் வரும் Inspector (2/n)