Let us Explore this <<not a judgemental forum>> approach a bit more

Assuming that the first Confession is Real and not fake

What we know for sure is that this lady is not happy for what happened (Symptom)

Now
This could be due to 4 causes (etiology)

https://twitter.com/agizo_jay/status/1337692061445758976

1.
Her husband is at fault

2.
She is at fault

3.
Both are at Fault

4.
Neither is at fault. The Circumstances are at fault / Society is at fault / there was miscommunication / there was misunderstanding

Now
We need to solve the problem
So
We need to find the cause

இதில் நிறைய பிரச்சனைகள் உள்ளன.
இது குறித்து நிறைய பதிவுகள் வந்துவிட்டன.

ஆனால்
ஒரு பிரச்சனை குறித்து யாரும் பேசவில்லை

ஒரு 27 வயது பெண், தனக்கு ஏற்பட்ட அனுபவம் / கவலை / வருத்தம் குறித்து

தன் தாயிடம், பெரியம்மா, சித்தி, அத்தை, உடன்பிறந்தவர்களிடம், cousin brothers & sister, வகுப்புதோழிகளிடம், ஆண் & பெண் நண்பர்களிடம், உடன் பணிபுரிபவர்களிடம், குடும்ப மருத்துவரிடம் பேசாமல்
சமூக ஊடகத்திற்கு வந்துள்ளார்

இப்படி நடந்திருப்பதன் மூலம்
1.
அந்த பெண் அவரது தாயை, பெரியம்மாவை, சித்தியை, அத்தையை, உடன்பிறந்தவர்களை, cousin brothers & sisterகளை,

Thread :

There are news that MBBS Graduates will be posted Mandatorily in PHCs for 2 years and then only given certificate

In My Opinion

This is a very very wrong move

I say this not from the point of view of the graduate, but from point of view of a common man Before one you jump and start your lecture on the importance of Doctors in Villages blah blah
Let me tell you that I had worked for 3 years in PHC

And
I can also tell you that I did not merely "scratch my chair" but did some work

National Digital Health Mission : Clarification

Long Thread. Please be patient even if you feel certain Points are repeated

Let us start with a letter. How do I send you a letter. I send to your home address or office Address. You have got the letter, read it and filed it Now, if you want to read it for some clarification, you need to go to your home or office, retrieve the file and check it

This was how letters were being used.

Then in 1990s came the eMail. Here The Mail was served in a server and you can read it any time.

Warning : Images with Blood / Images with Mutilated Face Ahead. Viewer Discretion Adviced

Last Week, this person has sustained a injury face due to crackers.

This was how he was bought to the #RGGGH (Rajiv Gandhi Government General Hospital)

1/5 attached to Madras Medical College.

#TNHealthAchievements
#TNHealthAchievement
#ENT
#OFMS
#CrackerInjury
#PlasticSurgery
#Anaesthesiology

2/5

#FAQ (Frequently Asked Questions) on #BCG (#Bacille #Calmette-#Guerin) #Vaccine Trial
Question : Will BCG vaccine really benefit to control COVID in elderly ?
My Answer : Yet, It will. But, “control”, (like Prevent or Save) is a wrong word to be used. The Right word is “Reduce” BCG Vaccine won’t benefit to control COVID in elderly
BCG Vaccine won’t benefit to prevent COVID in elderly
BCG Vaccine won’t save elderly from COVID
But
BCG Vaccine will reduce Mortality and Morbidity in Elderly

To Substantiate this, they are planning to start a trial

Charaka, one of the principal contributors to Ayurveda, is the compiler or editor of the medical treatise, the Charaka Samhita

#DoctorsDay2020 Sushruta, an ancient Indian physician and main author of Suśruta-saṃhitā). He is one of a number of individuals described as the "Father of surgery" and "Father of Plastic Surgery".

#DoctorsDay2020

I have seen many comments regarding this photo

But
In all I saw,
The Crux was missed
Let me explain

-oOo - Alert : Long Thread -oOo -

Once upon a time, when home deliveries were the norms, deaths due to Neonatal tetanus was very high as compared to other conditions Once Home Deliveries Reduced and People started delivering in hospitals, once Asepsis was brought into deliveries, Neonatal Tetanus reduced. And then There were deaths due to Diphtheria and Pertussis

Later Vaccines reduced deaths due to Diphtheria and Pertussis

Often I find GEMs talk about #Empathy and #Compassion in Healthcare
And
Without exception, those who insist these are the people who totally Lack Empathy and Compassion

Empathy
is the ability to understand and share the feelings of another.

(GEM - Google Educated Morons) What does this mean
This means that
The Doctor should understand and share the feelings of the patient
Or
The doctor should feel the pain of the patient himself / herself
The Doctor should feel the apprehensions of the patient himself / herself

அரசு பள்ளிகளின் தரம் தனியார் பள்ளிகளின் தரத்தை விட குறைவாக இருக்கிறதா ?
ஆம்

ஏன்
தனியார் பள்ளியில் ஒரு மாணவனுக்கு செலவழிக்கும் தொகையை விட அரசு பள்ளியில் ஒரு மாணவனுக்கு செலவழிக்கும் தொகை குறைவு

அரசு பள்ளியில் ஒரு மாணவனுக்கு செலவழிக்கப்படும் தொகை எவ்வள்வு
வருடத்திற்கு 1300. மாதத்திற்கு 110 ரூபாய்

இந்த பணத்தில் அரசு கல்வி மட்டும் வழங்கவில்லை
சத்துணவு
முட்டை
புத்தகங்கள்
சீருடை
பாடப்புத்தகப்பை
அட்லஸ்
டிக்சினரி
மிதிவண்டி
பஸ்பாஸ்
சானிடரி நாப்கின்
லேப்டாப்
என்று அனைத்தும் இந்த 1300குள் அடக்கம்

What is the common cause of death in CoVID19 ?
Cytokine Storm

What is Cytokine Storm ?
That is over acting Immune System producing various chemicals

What is treatment of Cytokine Storm ?
Reducing Immunity by Specific Drugs and Steroids What saves Life in CoVID19 Cytokine Storm ?
Reducing Immunity

What will kill life in CoVID19 Cytokine Storm ?
Increasing Immunity

What do drugs which boost immunity do in CoVID19 Cytokind Storm ?
They will kill the patient

Long Thread Alert

There are few questions raised about the Doctor Protection Ordinance

Let us find the answer for these

On Morning of Monday 20th April 2020 , we get News about Dr Simon
On the same evening, the Government is contacted On Evening of Wednesday 22nd April 2020, we Get an ordinance
This is really Fast

However, there are few doubts.
Q1. Why Ordinance and not Act
Usually, a Bill is introduced in Parliament. It is then debated. If needed it is send to a committee.

Sirumugai is a small village east of Mettupalayam in Coimbatore District. Once upon a time, it was bustling when South India Viscose was in Full Glory. After that it became a sleepy village.

Needless to add, access to Coaching Classes etc was less and limited there But, that did not prevent Jayamohan to score 1179/1200 in 12th Exams in 2007, get the State 3rd Rank and join MBBS in Madras Medical College in 2007.

He was a very intelligent, hardworking and sincere CRRI

After completing MBBS, he joined Government Service and worked in PHC

Long thread on Transfusion and few Polls

Blood has three main functions
1.
Carry Oxygen (Red Blood Cells do that )
2.
Fights against Bacteria and Viruses and every thing (White Blood Cells and the Antibodies do that)
3.
When there is a wound, it forms a clot (Platelets and clotting Factors do that)

So
When do you need to give blood or various blood products to a patient

You need to give blood to a patient when
1.
Capacity to carry oxygen is low (due to blood loss or anemia)
Blood loss can be due to injury or surgery or

One of the common Problem in Social Media is that People don't understand the difference between

1. Facts
2. Opinion
3. Wish
4. Belief

And keep on Arguing

-oOo-

Let us see the definitions and difference with few examples Facts are Facts.
They are common with every one
It is not that you can have a different fact than me
If India has won World Cup 2011, it is common to every one
You cannot say that Australia won it

Facts can be either
1. Knowledge
2. Information
3. Data

This is a good question.
Let us find the answer
And
In the process let us understand the significance of Lock down, social distancing once again

There is a fort and the fort has 100 soldiers
Now
What happens when an enemy comes and attacks this forte

https://twitter.com/saysatheesh/status/1245345059182010371

Assume that the enemy has 10 soldiers
The 100 soldiers in the forte will kill them in no time
And
After killing them, they will seize the enemies weapons, their maps, their attacking methods and be prepared for next attack

Let us consider this as scenario 1

In case you have not read this thread, read it first

Now

Depending on how bad the virus (bad means ability to cause bad to you) is and how good your immune system is and the number of viruses attacking you can escape with a running nose
or
Get MODS

https://twitter.com/spinesurgeon/status/1240201562867130369

In Other words
1
If the Virus Load in your Mouth and Nose is very very High
2
If the Virus that in your throat is a real bad virus that can damage your cells
3
If your immunity is weak

You will end up in ICU (or Mortuary . . Let us stop with ICU)

@learning_pt An Epidemic Kills People by 4 Ways

IISS

Infection
Immunity
Starvation
Stampede

Infection - The Virus or Bacteria Destroys your cells

Immunity - The Virus or Bacteria does not directly destroy the cells. But the Immune reaction to the virus or bacteria destroys the cells @learning_pt Starvation : Food becomes Scarce or Money becomes scarce, mostly due to hoarding when panic is created by media or rumours
To Understand this, see this picture

https://twitter.com/spinesurgeon/status/1241046621095264256

This is the classic example of

Stampede : breakdown of law and order

@NChozhan @Rasanai @AskAadithya Not all antibiotics work
Few work

Generally bacteria have a cell wall
Cell membrane
Cytoplasm which has proteins which are synthesised by 70 S Ribosomes
Nucleus

Human cell has
Cell membrane
Cytoplasm which has proteins synthesised by 80S Ribosomes
Nucleus @NChozhan @Rasanai @AskAadithya Virus has cell membrane
Few proteins
Nucleic acids

Antibiotics can work by inhibiting any of these

For example

Penicillin inhibits cell wall
Human cells does not have it
Virus does not have it

So
Penicillin has no action on virus

The high mortality in Europe and US
And
Low mortality in many other countries
Again reinforces the relationship between Vaccination and Spread
-
How can vaccinating against BCG, Polio, Diphtheria, Pertussis, Tetanus, Mumps, Measles, rubella protect against #CoVID19

https://twitter.com/spinesurgeon/status/1239812363760439296

First read this

google.com/amp/s/www.cric…

Long Thread : #CoVID19

There are many viruses which can affect the respiratory system (throat, lungs)

Depending on how bad the virus (bad means ability to cause bad to you) is and how good your immune system is and the number of viruses attacking you The Following Can Happen
1. Virus is killed by your immune system (if the virus cannot cause bad to you, less virus comes, you have good immune system) and it cannot go out of your nose or mouth

2. Virus comes and gets away unharmed