If you are pregnant or planning pregnancy or you have anyone who is pregnant amogst your family or friends. Do spare 5 mins to read this important thread 🧵

Can you imagine a condition where baby is born with paralysis of both the legs, may not have control of potty and urine throughtout the life and may even die at early age? But this can be prevented? (1/6)

(Painting credits: Dr Vidya Bangalore, Pediatric Surgeon) (2/6) Neural tube defects include spectrum of conditions which affect a baby’s brain and spinal cord leading to either a spina bifida which may present with a swelling along the back where nerves may be trapped, or a anencepahly. I cannot even post a picture of it coz it may trigger a lot of you, or even an encepahlocoele where part of brain herniates out.

As the nerves are trapped in the swelling, it may lead to the problems discussed in the first tweet. I have operated and managed so many cases till date and I can feel the pain of families and the babies who have to face this condition.

What’s heartbreaking is that India has one of the highest rates of neural tube defects in the world.

But here’s the good news—this problem can be addressed, and the solution is surprisingly simple.

So there were so many DMs with lots of queries regarding "Pediatric Surgery" as a branch 🧵

Lemme try and answer most common queries for all of you who are considering it as a choice 👇🏻

#MedTwitter 1. How is overall Pediatric Surgery as a branch and what cases do you get to do as Ped Sx?

You basically get to do everything in children (in most hospitals- Day 1 to 18 year old)

Neurosurgery- Hydrocephalus, Spina Bifida

Head and Neck surgeries- Thyroglossal cysts, Branchial anomalies, Cleft lip, palate (only in some centers)

Thoracic surgeries- Tracheoesophageal fistulas, Lung malformations, Empyemas, CDH, tumors etc

Entire Gastro Intestinal Surgery spectrum

Pediatric Urology- PUJ obstructions, PUVs, VURs, Ureteric Reimplants, Bladder Augmentation, Ureterocoele, Ectopic Ureters, Hypospadias, Bladder Exstrophy

Hepatobilliary Surgeries- Biliary Atresias, Choledochal cysts etc

Solid Tumors- Wilms, Neuroblastoma, Hepatoblastoma, RMS, Testicular n Ovarian tumors

Colorectal Surgeries- Anorectal malformations, Hirschsprung disease etc

Neonatal Surgeries- Intestinal atresia, TEF, CDH, Gastroschisis, Omphalocoele.

Special cases- Conjoined twins

These are just some common cases.
However, we don't operate septal defects- ASDs, VSDs, Tertology of Fallot, EA etc

Some 🇮🇳heroes need to be famous.
Did you know about this interesting story about the man behind ORS?

I am sure you must have seen these sachets in your homes when someone had diarrhoea?

Let us know about the man who saved millions 🧵 (1/11) (2/11) It was during the Bangladesh Liberation war where thousands of homeless people were taking shelter in refugee camps. There was no access to clean drinking water nor there was good sanitation which lead to a severe outbreak of cholera.
So many people including kids were… twitter.com/i/web/status/1…

🚨 10 hard hitting facts for juniors who aspire to become doctor in India-

1. The respect for which u wanted to work crazy hours will be limited and time bound.

2. Patient doctor relationship isn’t the same. There is big mistrust. Patients think you rob them off

#MedTwitter 3. Barring few names, you won’t be filthy rich. Don’t jump in if you want just money. On top of that, people will still think that you earn everything from MRs and commissions, even if you are honest.

4. People will be good to you when they need you. Favours won’t always be… twitter.com/i/web/status/1…

He said “ I couldn’t go to school beyond class 8th because of my illness. My father got silicosis. So i learnt sketching online and used to sell it for 700-800₹”

Let me tell you the story of a real life hero. (1/11) (2/11) A kid was there in the post op ICU. Someone told me that he is an amazing artist.

I went upto him and asked him how he learnt it.

The above answer is what he told me.
I was dumbstruck.
I asked- 700-800₹ used to help?
He said mostly it was debts taken by father.

The day she breathed her last-
Sharing something very personal to my heart. (1/12) (2/12) The video above is of my dadi who was clapping while I was serving in covid duties.

She was sick, she had undergone a surgery on her leg.

This video made me cry, coz I could see that she was missing me and clapping for all covid warriors.

Do this today itself‼️🚨 Important.

Throw away the toys containing these Chinese button batteries.

Read why 🧵 (1/5) (2/5)
A 3 year old kid came with ingestion of this battery while playing with a toy.
Kid thought it it to be gems chocolate.

X ray showed it to be in the stomach.

Since new set of residents will be joining their PG courses soon and would want to begin personal finance journey too.

Here are some very basic things that can help you. (1/6)

#MedTwitter (2/6)

(1/8) *Multibagger Stock*

The mental war as a hurdle.
(Thread 🧵 )

(Pic source: WA forward) (2/8) 1st part is sorted when u feel that this stock is a multibagger.
👇🏻
This is after your due research.

But it is very difficult to allocate big capital to it.
Why?
Because after 1 shot analysis you can’t go crazy on the stock even after due research.

Gold mine for retail investors if you are learning “Art of valuations” in stock market.
Amazing stuff by @connectgurmeet sir ❤️

Excerpt from our previous twitter space.

A thread (1/9) 🧵 (2/9)

🖐🏻 very basic but powerful habits that I want to share with my dear juniors, interns, UGs
(Financial + non financial)
#medtwitter 1. As soon as you start getting your first pay.
Start SIPs in index funds.
Be it 500/1000₹, keep increasing it every time your salary/ stipend increases.

This will be a good habit to have right from beginning.
You pay urself first and then it will pay back while you are young

(1/7)

🖐🏻 financial habits that I started in my young 20s that has helped me big time-

(short thread🧵) (2/7) 1. Maturity is when you take care of your finance 🫡

As soon as I got my first salary, I ensured I never ask for money from my parents.
Secondly, I started learning about how to manage personal finance- how to invest, save taxes etc when I was 23.

[1/14] “She needed surgery in a small town. There was a naxalite attack nearby. I was helpless”

A short story 🧵
#MothersDay2022 [2/14] I was in class 7/8th. During the summer vacations there was a naxalite attack some 100 kms away my home town. They had disrupted some power transmission by a big attack.
Effect: There would be no power supply in the entire district for almost 2 weeks.

[1/12] “Do you need a health insurance?
If yes, how to buy one?”

Should I buy as a doctor too? 🧵 [2/12] During COVID one of my friend’s father was admitted in ICU. The children didn’t know details of the bank accounts much. My friend and her mother exhausted their savings for the treatment of father.

The cost was crazy but what is beyond life?