stranger's kindness breeze on my face Divine's sign!

Normal weight individuals and how they progress to metabolic syndrome. They fly under the radar as they don't look obese. As Indians this is something we need to understand.

While we are all gutted at Vinesh Phogat disqualification in the #ParisOlympics2024 I find the maligning of Dr Dinshaw Pardiwala particularly abhorrent. We trained together at Tata Memorial Hospital 25 years back, and I'd struggle to find someone more committed or with as much integrity

fragility of success 100 gms costs nothing and perhaps everything to wrestle an opponent stealy strength of muscle counts what's required to wrestle life or unjust of it accolades of yesterday turns to questions of today strains of triumph fragility of success to aspire does

A patient presented to the ortho doc with heel pain/plantar fasciitis. He recommended in the treatment plan for her to reduce weight to below 70 kgs. Which is all fine as a directive but the point to note is her present weight which is 107 kg. If only it were that simple.🤦‍♂️🤦‍♂️🤦‍♂️🤦‍♂️

The value of someone who gets us and is a quiet listener is underestimated. Being the same for another is also underestimated. Maybe the bedrock of any great relationship. Having such a companion for life? Priceless.❤️

Rs. 3000 as house surgeon back in 2000-2001

And while we talk of atrocities by men on women, let's not forget men who make you feel safe, are respectable and trustworthy, many from social media that we have met and got to know better over the years, Thank you, you know who all you are, you make us believe good men exist!

It's often pain of some sort that gets any diabetic to take their sugars seriously. Till then it's ignorance is bliss. Chest pain gets the highest attention probably followed by neuropathic pain. #ObservationsFromTheOPD

Saw a 13 year old girl with acanthosis nigricans (blackish discoloration at the back of her neck) BMI 26 referred by the pediatrician. Her FBS turned out to be 108 and her HbA1c 5.9% Her fasting insulin levels was 65. Unfortunately this is not uncommon.

Unfiltered Nature at dusk. Home made filter kaapi by my brother. Small moments that hold personal meaning. Life is but a string of such moments threaded together like pearls.

Vinod Abichandani Heart4PCOS PCOS Psychology PCOSGurl (Ashley) M.P- PCOS Society M Shafi Kuchay Rutul A. Thakker Sashibhusan Mukhi soumya T S Lori Shemek, PhD Ushy Mohan Das Dr_Sona Abraham Usha Ayyagari Unnikrishnan AG Beth Frates MD Dr.Nausheen yusuf Dr Manjeet Dhiman Eva Fain BSN MPH research focus: metabolism Rajesh Kesari Yes, which is why the new name is Metabolic reproductive syndrome. The original name [ PCOS} does not seem to do justice to the myriad manifestations + the presence /absence of poly cystic ovaries does not always rule in / rule out the diagnosis. It is acomplex & layered .

When we add insulin for high sugars, what we are doing in principle is addressing the relative insulin deficiency. What is not addressed is the state of insulin resistance, without addressing which the cardiac benefits are out of reach. So it's not always about the sugars.

What would be the situation for India I wonder and doctors in training where being put down and insulted is often the norm than exception. Don't know if this is unique to medicine. The same applies to our schools and kids.

Painful diabetic neuropathy that often manifests as burning pain is sometimes hard to treat. It does not always get better with good sugar control and can affect the patient's sleep and leave the patient upset. Treatments take time to work too. And side affects affects some.

What's meant for us will find a way to us. We can only keep putting the next step forward. We don't need to know the whole way. Like the old Rumi quote. "As you start to walk on the way, the way appears" #RandomMusings

#WorldSuicidePreventionDay2024 #poem #abyss #poemrecital #poemsiwrite #poetrycommunity #PoetrySavesLives

Putting a patient on insulin is always hard. Especially ones who are elderly and live alone. Their logistics of managing their own affairs are already stretched to have to deal with this in addition. Prevention is always better than cure but some get to us late.