Atypical Manifestations of Chikungunya in current outbreak 1. Parotitis ( unilateral / bilateral ) 2. Cervical Lymphadenopthy 3. Non cardiogenic pulmonary edema due to 3rd spacing 4. Only rash( predominant on face ) without any other symptoms 5. Asymptomatic : only PCR

"Boredom is a filter. Common ideas come before it. Uncommon ideas come after it. Sit with a project long enough to get bored with it, then sit a little more. The most useful insights bubble up after you get bored." -James Clear

An excellent Narrative Review about use of Antimicrobials in criticallay I'll patients 1.Due to the considerable and frequently unpredictable variability in PK among critically ill patients, it is essential to adopt a personalized approach for antimicrobial dosing in this

New study: A keto diet leads to weight loss, which is explained by eating fewer calories. No change in energy expenditure. So, a keto diet makes you eat less, and that's how it makes you lose body fat. Can't wait for the inevitable "reanalysis" by people who don't like it.😇

More on Current Chikungunya Outbreak ...

Fabulous sessions by Georgia Ede MD and Lori Calabrese MD on Therapeutic Ketogenic Diet in Mental Health Illnesses at San Diego Metabolic Health Symposium. #SHMP

At LowCarbUSA® , Brian Lenzkes, MD presents his inspiring talk on Strongholds and Footholds: Applying the Science to Real Life #SMHPSD2024

"To experience time travel, read. To achieve immortality, write." -James Clear

Calcium Supplements A lot of research around calcium supplements is controversial. Habitual supplementation without an objective indication is unnecessary. In fact the research is sure about adverse effects of chronic calcium supplements . This includes - Increased

Learnings from the Current Chikungunya Outbreak - 2 1. It's a full pledged Rheumatoid Arthritis disguised as Viral Disease ! 2. Many elderly people develop brain fog ( confusion ). 3. Most common joints involved are ankles, Knees , shoulders & small joints of Hand. 4.

Students looking for DNB/MD colleges- Please personally go if you can to these colleges, find out number of someone recently passed out or a 3rd yr student to know what’s exactly happening. Don’t just go by the name and reputation, you’ll be disappointed. Things change over time

Over - care is Stupid Care Been seeing a lot of people taking care of senior parents at home While these efforts/ care is commendable , there is a trend which is harmful for the health of seniors. 1. Constant discouragement to move around. ( " I will bring water for you " )

"Clarity is freedom. Know what is important to you and it will grant you the freedom to ignore everything else." -James Clear

Inflammation of unknown origin (IUO) IUO has been described as a prolonged illness of >3 weeks with CRP >30 mg/L and/or ESR > age/2 in the absence of temperatures ≥38.3°C (≥100.9°F) and uncertain diagnosis despite investigation after 3 days of hospitalization or 3 outpatient

More Fat >>> More Inflammation >>> more fever >> less endurance to the infectious diseases Adipocytes do not only play a role in lipid storage, but also on metabolism & inflammation through the secretion of cytokines and adipokines, such as leptin ( Pro inflam ) & adiponectin

Learnings from the Current Chikungunya Virus outbreak - 3 The most dreadful complications of Chikungunya are encephalitis & Myocarditis. All the organs are overwhelmed by very high viral loads. Joints can handle that viral load but the brain simply can't handle it ! 1.

Does taking folic acid and methotrexate on the same day reduces MTx effect ? No. Large doses of MTX are used to treat some cancers, and the drug’s anti-cancer activity results from its interference with folate. So cancer patients taking methotrexate should not take supplemental

My life got better when I realized I didn't have to be nice. Nice got me ran over, stressed out and disrespected. I'm not nice. I'm a good person. There's a difference. 😊 #notmyquote #lifequotes #stopselfharm #learntosayno