Dr Sudhir Kumar MD DM
@hyderabaddoctor
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Neurologist, Apollo Hospitals, Hyderabad/ Running, Fitness, Equity/ On a mission to prevent people from becoming patients/ Online consultation: Apollo 24/7 app
Hyderabad, India
Joined May 2010
6-yr old to me: "Doctor, I have grade 4 cancer and will live only for 6 more months, don't tell my parents about this".1. It was another busy OPD, when a young couple walked in. They had a request "Manu is waiting outside. He has cancer, but we haven't disclosed that to him+.
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Sharing experiences of my #fitness journey.Could be of help to those who have planned to start theirs in 2023.1. My earlier self:Weighed 100 kg, could walk 5 km with great difficulty.Negatives: Worked 16-17 hours/day; slept 4-5 hours; overeating, indulged in junk food and sweets
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9. "Doctor, we had a great time with Manu after we met you. He wanted to visit Disneyland and we went with him. We took temporary leave from job and spent quality time with Manu." ."We lost him a month back. Today's visit is to just thank you for giving us those best 8 months.".
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35-yr old consulted me today, as he wanted me to prescribe aspirin pill to prevent stroke. His father aged 60 had recently suffered from stroke (paralysis), and he was concerned about his higher risk of getting stroke in future. Instead of one pill (aspirin), I prescribed "6
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Younger generation is slowly turning unhealthy. Young people in the age group of 20-50 years form a sizeable proportion of patients in my OPD now. Most of them have one or more of the following abnormalities:.1. Overweight or obese.2. High HbA1C.3. Abnormal lipid profle.4. Low
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A young woman who would repeatedly experience the smell of burning incense (when in reality none burnt).1. It was nearing the end of a busy OPD, when 27-year-old Radha was brought for consultation, accompanied by her husband and mother-in-law. They all looked anxious. #MedTwitter.
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Brain shrinkage starts at 40. Brain volume reduces by 5% every decade after the age of 40, and at a much faster rate after 70. Various strategies such as ensuring adequate sleep, minimizing stress, meditation, regular physical activity, engaging in cognitively-stimulating
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A 45-year old gentleman consulted me yesterday. During his routine health check up, his BP was found to be on a higher side (140/90 mmHg). He was worried about an increased risk of stroke, as his father too was a hypertensive, and had suffered a stroke at age 60. He wanted me to
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Navjot Singh Sidhu, Wife Face Rs 850 Crore Notice Over Cancer Cure Claims .
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2-5 min Walking Breaks for every 20-30 minutes of Sitting could reduce the risk of several serious diseases and premature death.
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Case of a woman whose shoe size increased from 5 to 7 over two years. 1. It was an usual OPD, when I was counselling one of my patients with back pain about exercise, diet and correct posture. Incidentally, I noticed his wife's face who was sitting beside the patient. #MedTwitter.
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Annual Health Check-up (for a healthy person). 1. Clinical examination: Heart rate, BP, Weight, Body mass index and waist circumference; Waist-hip ratio.2. Hemoglobin.3. Fasting blood sugar.4. Glycosylated hemoglobin.5. Lipid profile.6. Homocysteine.7. Vitamin B12.8. Vitamin D.9.
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How I (a #neurologist) helped a student pass in #Mathematics, which his Mathematics teacher couldn't manage. 1. A 15-year old boy was brought to my clinic by his parents asking for some "pill" that would improve his interest and skill in mathematics, enabling him to pass exams.
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“Doc, please do an operation to remove the right side of my head so that I won’t have to suffer from horrible headaches.”. 32-year-old Ms. Neha (name changed) had been suffering from migraine for the past three years. During the first two years, she suffered from headaches about
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1. Arti to me "Dr, when will my husband Anuj start talking & walking?" Her two kids aged 3 & 5 were holding her hands, as Anuj was brought into my OPD for review one month after suffering brain hemorrhage. Anuj had become paralysed on right side and lost his speech due to stroke.
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1. Sleep 7-8 hours/night.2. Exercise 30-40 min/day.3. Avoid stress/tension.4. Eat healthy- avoid sugar/ultraprocessed foods.5. Have early dinner (6-7 PM).5. Keep BP<130/80.6. Keep HbA1C<6.5 (lower the better).7. Keep LDL cholesterol <100, total cholesterol <200, triglycerides<150.
@hyderabaddoctor With due regards , surely it can be one of the reasons but what’s solution ? Discussing just causes would not prevent the sudden deaths. Medical fraternity must come up with standard protocol (of tests/prevention ) to eliminate these scary sudden deaths.
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TamilNadu can't add more medical colleges: National Medical Commission (NMC). Reasons given by NMC.1. There should be uniform distribution of doctors across the country. The recommended ratio of doctors is 1:1000 and TN already has 1 per 600 population,. 2. Medical colleges shall
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Happy to share that our son got selected for computer science major at Cornell University, Ithaca (NY) (top ranked Ivy league college for computer science). Seeking your continued blessings🙏🙏.@Cornell
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Important tips to reduce Stroke Risk:. 1. Maintain HbA1C <5.7 (<7 in those taking anti-diabetic medications).2. Maintain TG<150, LDL<100, HDL>50.3. Maintain TG:HDL ratio<2.5.4. Maintain homocysteine <15.5. Maintain hs CRP<2.6. Maintain normal body weight and waist circumference,
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How a common nutritional deficiency turned an air hostess into a beggar.1. A few years ago, a smartly-dressed man entered my OPD with a shabbily-dressed woman, introducing her as his wife. Her hair was unkempt, clothes untidy and she wore a pair of torn sandals. #MedTwitter.
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Making sense of Lipid Profile Test. Abnormal lipid levels are associated with a higher risk of coronary artery disease and stroke. Generally lipid profile comprises of the following 4 important tests:.1. Total Cholesterol (less than 200 is considered normal),.2. LDL cholesterol
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Why do a few young, physically active, seemingly healthy people suffer from heart attack?.1. A person with normal body weight, doing regular running, cycling, or working out in gym, is not immune to heart attack, as a few recent reports suggest. Here are some of the reasons why:.
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If you are offered hot samosa along with tea (not shown in the pic), and you proceed for the tea, totally ignoring the samosa, you have achieved a state of perfect "nirvana"! 😆
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Two pics 8 years apart. It is never too late to start the journey towards fitness. #fitness #fattofit #running #weightloss #doctor
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20 Simple Food-related and Lifestyle Changes that can help in Losing Weight or preventing Weight gain. Diet related tips.1. Avoid adding sugar in tea or coffee,.2. Avoid having rusk, cookies, or biscuits with tea/coffee,.3. Have an early dinner (about three hours before bedtime),
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Vitamin B12 deficiency . Watch this video to know more about:.1. The common symptoms .2. Who are more prone to get vitamin B12 deficiency .3. How is it diagnosed? .4. What is the treatment? .5. How is the response to treatment?
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Intermittent #fasting and its impact on #health.1/n.What is intermittent fasting (IF)?.A variety of eating patterns in which no or few calories are consumed for prolonged time periods .that can range from 12 hours to several days, .on a recurring basis. #diet #nutrition.
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At CMC Vellore (1989), out of 60 seats, 56 seats were reserved: For Christians (45), SC/ST (4), underprivileged (2), Govt of India nominee (1) & open merit girls (4). I was one of the 4 boys selected in open merit. For MD Medicine, 4 out of 6 seats were reserved for Christians+.
@hyderabaddoctor Are You from General category or Reserved Category, that’s what she is asking.
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Beauty Parlor #Stroke Syndrome. 1. I recently saw a 50-year old woman with symptoms of dizziness, nausea & vomiting, which started during her hair wash with shampoo in a beauty parlor. Initially, she was taken to a gastroenterologist, who treated her symptomatically. #Medtwitter.
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Actionable items that can ensure a healthy life; reduce the risk of serious diseases and increase lifespan.1. Sleep for 7-8 hours every night.2. Go to bed at the same time every time (+/- 30 minutes).3. Avoid oversleeping (defined as sleeping for >9 hours).4. Have dinner 3-4
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A grand party with friends ended devastatingly for Aruj. 1. 33-year old Aruj was visiting home after a gap of 5 years (after landing a job with handsome paycheck overseas). It called for a grand celebration and Aruj was in no mood to disappoint his friends. #MedTwitter.
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A man who would become unconscious after singing romantic Kishore Kumar's Songs.1. 6 months ago, a 45-year-old man visited me for evaluation of a fainting episode that occurred while he was singing for a private gathering. He was a schoolteacher and singing was his passion.
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Losing just one hour of sleep could take you four days to recover. ➡️The optimum sleep duration is 7-8 hours per night. ➡️Lack of sleep (sleep deprivation) results in various problems, such as poor attention, focus, concentration and memory. ➡️Poor sleep also increases the risk
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How to increase HDL cholesterol levels?. HDL cholesterol (HDL-C) is considered the “good” cholesterol. Lower levels of HDL cholesterol are associated with higher risk of heart attack and stroke. On the other hand, higher HDL cholesterol level is associated with lower risk of
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Intermittent fasting and running. 1. Time-restricted feeding (8-hour eating window), as compared to normal feeding (12-hour eating window) decreases fat mass and maintains fat-free mass, while not affecting running performance, in trained male endurance runners. 2. Time
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May 1999 was the first time I met her. We liked each other as a friend and the friendship grew over time. However, we didn't give a marriage a serious thought at that time, as we were busy with studies then. It was a pleasant surprise when our parents fixed our marriage. Both
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40-year-old drank plenty of water in the morning for "detoxification", but it resulted in a life-threatening complication. 40-year-old Ms Rajni (name changed) was told to drink water in the morning to detoxify her body. It was claimed that drinking excess water in the morning.
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11. Take home messages.*Work-life balance is essential. *Hectic working hours, less sleep and stress are detrimental to health. *High BP needs drugs, if non-drug measures fail. *Periodic check ups for BP, sugar & cholesterol are needed, even if one goes to gym/does exercises.
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Patient wanted three pills; instead, I prescribed him 10 pills (to optimize lipid levels and reduce stroke risk). A 32-year old Mr Ashok (name changed) consulted yesterday for abnormal lipid levels. He was concerned about a higher risk of stroke, as his father had suffered a
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3rd year runniversary. A brief about my three years of running journey. When I decided to start running in November 2020, I was the most unlikely to be a runner: .🔴Was nearing 50 (aged 49),.🔴Weighed about 100 Kg.🔴Suffered from pain due to ankylosing spondylitis,.🔴Hard pressed
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Giving #Paracetamol in cases of mild #Viral #fever may be harmful.1. It is a common practice to give paracetamol (acetaminophen) to children or adults suffering from viral fever. Research evidence shows that we may be causing more harm than good by this practice. #MedTwitter.
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Sleeping for 2 or more hours extra during weekends could reduce the risk of stroke and heart attack in people who habitually sleep less than 6 hours during week days. #sleep #heartattack #stroke #Weekend
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Case of a man who shaved only on right side of face .1. 70-year-old man was brought to OPD three months ago by his son, with a complaint that he had stopped shaving on left side of face for one week. He was also not using his left hand even though he had no weakness in that hand.
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A 60 plus couple decided to enact the song of Rimjhim gire saawan. Look at them do it in #Mumbai. And their still existing chemistry. Excellent !!! (From SM)
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Eating walnuts for 6 months was associated with better sustained attention and intelligence scores in teenagers. 1. A total of 771 healthy teenagers aged 11–16 years were randomized into two equal groups (intervention or control). #MedTwitter #healthyfood
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My grandparents were small time farmers in Bihar; my mother is a class 5 dropout from a village school in Bihar. Did my schooling (1st to 12th) from KV (with total fees of 1 k INR) and my MBBS from CMC Vellore (total fees of 10k INR), so, I am as ordinary as one can be!😆.
@hyderabaddoctor @FitIndiaOff Hesitated because you are like a famous doctor 😀 but yes, next time I see you. will surely talk. You are an inspiration!.
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Do you really need to walk 10,000 steps a day? If you walk lesser than 10000 steps, is it worthless?.Watch this video for more details.
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➡️At CMC Vellore (1989), out of 60 seats for MBBS, 56 seats were reserved:.For Christians (45), SC/ST (4), underprivileged (2), Govt of India nominee (1) and open merit girls (4). I was one of the 4 boys selected in open merit. ➡️For MD Medicine (1995), 4 out of 6 seats were.
@hyderabaddoctor @georevolt Thanks for clarifying . Unfollowing you . I think u also got this doctor degree bcz of reservation . And belong to the group of freeloaders.
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9.Take home message.*Abnormal smell sensations lasting for brief periods could be olfactory seizures arising from temporal lobe of brain. *Brain scan and EEG would help in confirming the diagnosis. *Treatment (medical or surgical, depending on cause) results in excellent outcome.
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10 tests one should do prior to starting running or doing any other exercises. Videos of young, apparently healthy people collapsing (while running marathons, working out in a gym or while playing a sport) often go viral. This creates anxiety among people who are already doing
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Parents happy with their new car delivered on the auspicious day. This is only their second car. Their first car was Maruti 800 bought in 1996 (which served them well for 27 years). There are a lot of things to learn from our parents- simple living, ability to enjoy small
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Useful tips to prevent headache in a person with migraine. Watch this video to learn more about symptoms and risk factors of migraine, followed by tips to prevent headaches.
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Investment lessons learnt over the past 10 years. I have been an investor for 10 years now. Started late (at 42) but learned fast and have enjoyed a fair bit of success. Sharing a few lessons from my investment journey that could be of help to the beginners. 1. Start early-
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Mr Narayan Murthy's advice of reaching office by 6:20 AM, and to work until 8:30 PM is a recipe for becoming unhealthy and be at a higher risk of getting affected with serious lifestyle diseases. 🔴14-hour work/day + 1-2 hour/day commute time, would ensure that you devote 15-16
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Heart rate during work out: What is desirable and what is unsafe?.1. For an aerobic activity to be effective, the intensity should be at least moderate. The best way to measure the intensity of workout such as running is to check the #Heart rate. This thread is about heart rate.
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The most valuable lifestyle habits that can keep you healthy (mentally and physically). 1. Sleep well (7-8 hours per night). 2. Follow a fixed sleep schedule (vary your sleep onset and waking up time by <30 minutes),. 3. Have breakfast before 8 AM, and dinner before 8 PM (if you
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The Consultation Fees offered was unimaginable. “Dr, thank you for taking care of my mom. Unfortunately, she recently passed away. She has left something for you. Can I meet you sometime?” It was Mr Arun (name changed), son of Mrs Savitri (name changed), whom I had been treating
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Clinical Case for junior #doctors and residents.17-year old girl, 1 year history of imbalance while walking, sways to either side. Tendency to fall while washing her face. Hearing impairment for 6 months. No positive family history.Diet: Pure #vegetarian.#MedTwitter #neurotwitter
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25 Habits & Practices that can Positively Transform your Life,.Bringing Happiness & Good Health in the Year 2025. 1. Sleep for 7-9 hours at night.2. Maintain a consistent sleep schedule (go to bed at around the same time every day).3. If you take an afternoon nap, keep it short
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5. After parents left the room to wait outside, Manu said- "Dr, I have read all about the disease on iPad and I am aware that I will live only for 6 more months but I haven't shared this with my parents, as they would get upset. They love me a lot. Please don't share with them".
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Ashu’s parents wanted a memory pill so that he could do well in examinations. 12-year-old Ashu (name changed) was a bright child, and he was doing well in studies until 5th grade. However, he changed for the worse during grade 6th. He failed and needed to repeat the 6th grade.
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Yes, I hail from Bihar. Is Tamil out of bounds for a Bihari😂?.I can converse well in Telugu and Bangla too. I can understand Malayalam, Marathi, Kannada, Somali and Arabic too (enough to manage a patient with neuro issues).
@hyderabaddoctor @DeveshDubey__ How come ? You said you hail from Bihar. .
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8. Take home message.*Increase in shoe size (due to feet becoming larger) and changes in facial appearance in adults could be features of acromegaly (GH excess). *Initial diagnosis can be made by a simple blood test- IGF 1 .*Early treatment can prevent serious complications.
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At 17 yrs age, travelled by train to Vellore (Tamil Nadu) from Bihar in 2nd class alone for interviews (as parents couldn't financially afford to accompany their minor son). No one from home could come to see me for 5 yrs. Took admission & managed everything on my own for 5 yrs+.
@hyderabaddoctor Paying 1k for twitter blue tick is living frugally sir??.
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A. Today, one person who recently turned 50 consulted me in OPD. He has no symptoms & is healthy. He has no known diseases. He wanted a check up & advice to ensure he does not convert into a patient for as long as possible. I love this concept of disease prevention. #MedTwitter.
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Which is the best exercise modality for reducing resting Blood Pressure (BP)?. Isometric exercise training is the most effective mode to reduce resting BP. A recent network meta-analysis of randomised controlled trials (RCTs) by Edwards and colleagues concluded that:.Isometric
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7. I couldn't keep the promise to Manu, as it was important to bring family on the same page on this sensitive issue. It was vital that the family enjoyed together, whatever time was left. More so, as Manu knew about his illness. Whether he understood the gravity, I am unsure.
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What patients like in their doctors?. 1. Smile: Many patients tell me that they feel at ease when they see a smile on the doctor’s face,.2. A doctor who listens: It is surprising to note that most patients tell me that the doctor who they earlier consulted did not properly listen
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Prescription for being healthy & fit in 2024: Focus on the “beginners”: Dr Sudhir Kumar MD DM. Health is our greatest wealth. There is no better time than the start of a new year to embark on this amazing journey towards better health & fitness. Many people don’t know where to
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Benefits of Drinking Coffee. 1. Lower risk of type2 diabetes: Long-term preservation of proper liver and beta cell function of pancreas may account for the association of habitual coffee drinking with a lower risk of type2 diabetes, rather than acute improvement of metabolic
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Taking 6000-9000 steps/day reduces the risk of cardiovascular disease (CVD) in older adults aged 60 or more. 1. In a recent study, taking 6000 to 9000 steps per day was associated with a 40% to 50% lower risk of CVD, compared with taking 2000 steps per day. #walking #Medtwitter.
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Litchi encephalitis (chamki bukhar): Facts and Myths. 1. Lychee (or litchi) is a fruit, mostly grown in China, India and rest of Southeast Asia. Fruit ripening coincides with Indian summer (May-June). There is a concern that eating litchi can cause brain fever and death.
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25 Diet-related Tips that can be easily incorporated into daily lives for a Healthier Living. Dr Sudhir Kumar MD DM (X: @hyderabaddoctor). 1. When you are thirsty, choose water over fruit juice or soft drinks,. 2. Diet soft drinks are not healthy,. 3. While having tea or coffee,
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8. Parents were in tears but they were still thankful and left OPD with a heavy heart. I had almost forgotten this incident, when about 9 months later, the couple returned to see me. I recognized them at once and enquired about Manu's health.
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2. Please see him and advise your treatment, and don't share the diagnosis to him". I nodded my head, accepting their request. Manu, on a wheelchair, was brought in. He was referred by his #oncologist for management of seizures. He had a smile, appeared confident & smart.
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A teenager who continued enjoying the pleasurable #emotions induced by hot water bath until he became unconscious during one such bath. 1. Here I am sharing the case of a 18-year old boy who used to experience extremely pleasurable emotions every time he poured water on his head.
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5-10 minute walk after every meal can help in better blood glucose and body weight management. Ideal time to start walking is about 15-30 minutes after the meal. One can walk at a leisurely pace to derive the health-related benefits.
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6. I was shocked and couldn't speak for a few moments. I gathered myself- "sure, I will take care of what you said". I called his parents and requested them to speak to me after making Manu wait outside. I shared the entire conversation that transpired between Manu and me.
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Many of you feel upset about hospitals, pharma companies and doctors making money at the cost of treating patients. It is in your hands if you want to hurt their business. The top 10 diseases/conditions contributing to hospitals' patient load (not in any order) are:.1. Heart
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Happy Woman's Day. ➡️She was born in a village in Nalanda (Bihar) in 1955. ➡️She discontinued her studies in class 5th. The reason cited by her was she did not want to attend school in a saree, which was the norm in her village once girls attained puberty. ➡️She assisted her
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Ten lifestyle tips to keep your heart healthy. 1. Walk briskly (5 km/hour pace) or run (8 km/hour pace) on 4-5 days a week. 2. Do strength training/resistance training/weight lifting on 2-3 days a week. 3. Reduce total sitting duration. 4. Break sitting every 30 minutes (by 1-2
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Many things changed from 2014 to 2024. ✅Weight reduced from about 100 to 71.✅Resting HR reduced from 70-75 to 40-45 bpm.✅HbA1C dropped from 6 to 4.9%.✅HDL cholesterol increased from 32 to 52.✅Triglyceride reduced from 300 to 43.✅Wardrobe completely changed . Lifestyle
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Those of you who are planning to take up running on a regular basis in 2024, please read on:. I started running in November 2020 (completed >3 years of consistent running). During this period, I have run >14,000 km (including 822 10km runs and 133 half marathons). I run outdoors.
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Young Man in whom a Healthy Habit caused erectile dysfunction.1. 30-year-old Rijo consulted me for 3-month history of problem with erection. He was evaluated by Urologist/Andrologist & no cause for the same was found. Therefore, he was referred to rule out neurological disease.
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3. On reviewing history and medical records- Manu had been diagnosed with glioblastoma multiforme grade 4 in left side of brain, due to which he had paralysis of right hand and leg. He had been operated, and was on chemotherapy. Seizures were due to brain cancer. #MedTwitter.
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Today's long run was special! .It was the 125th time I ran a distance of 21.1 Km (half marathon) or more (since Jan 2021). For someone who started running at age 49, last three years have been a "dream run". Weight reduced from 100 to 71 Kg,.HbA1C dropped from 5.6 to 4.6,.Lipid
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Young woman who would lose eyesight in left eye each time she took hot water bath. 1. 25-yr old woman consulted me with complaints of losing #vision in left eye after hot water bath. This had occurred 8 times in the past one month. Vision would get restored in a few hours on own.
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2014-2024: The Decade of Transformation from obese to normal weight (from fat to fit). 2014 (Age 43).🔴Weighed about 100 Kg .🔴Worked 13-14 hours/day.🔴Slept 4-5 hours/night.🔴Unhealthy eating pattern, including sweets; eating out often, and late dinners.🔴Hardly any exercise;
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Intermittent #fasting may reduce symptoms of gastro esophageal reflux disease (#GERD). 1. GERD causes troublesome symptoms such as #heartburn and #regurgitation. In a recent small short-duration study, eating in an 8-hour window, followed by 16-hr fasting improved these symptoms.
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How to achieve a lower heart rate (HR) while running?. HR increases while running as with any aerobic activity. Workout is more effective when HR increases. How much increase in HR is ideal? How to achieve a lower HR if it exceeds the recommended maximum HR? Sharing my experience.
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A common habit resulted in severe #vision impairment in a young woman. 1. 30-year old Manju had severe disabling vision symptoms for one and half years. This included seeing floaters, bright flashes of light, dark zig zag lines and at times inability to see or focus on objects.
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Is Walking after Meals Healthy?. Walking is a healthy habit and people prefer to walk in the mornings or evenings, before breakfast or dinner, respectively. There are contradictory opinions regarding potential health-related benefits of walking after meals. Here, I present some
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Cause of coma in a #woman surprised us!. 1. 65-year old woman was brought in an #unconscious state to #emergency dept. She sounded normal over phone to her son about 24 hours earlier. She stayed alone, so, further details were not available. #MedTwitter #internalmedicine.
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An elderly man who repeatedly kicked the woman ahead of him while waiting in queue to board a flight. 1. 69-year old Balu, while waiting to board a flight, started to repeatedly fling his right leg that hit the woman standing in front. The woman was shocked with this incident.
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Why did I choose long-distance running as my regular exercise?.I was obese (wt 100 kg) at age 30, and remained between 95-100 until 43. It was due to overeating, eating junk foods, sweets & soft drinks, coupled with sedentary lifestyle (long OP hours, research work, less sleep).
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