Dr Lakshmi Nagendra MD,DM (ENDO)
@idrlakshmi
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Health. Hormones. Happiness 🌟💫 Endocrinologist| Mysore |6363694025 for appointments
Mysore, India
Joined April 2020
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An ophthalmologist consults me for her diabetes. She has my personal number but she always calls my secretary for an appointment or any queries. Doctors who respect boundaries are a blessing!
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Replacing sugar with jaggery in your coffee/tea does not make your coffee/tea sugar free.
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Finally.. MRCP!!!
Can you be a new mother AND pass MRCP exams?
Of course!!! 😬
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This patient was on “Ayurvedic medications” for a year 😣
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72 g of carbohydrates in a “sugar free” biscuit packet. Just to put things into perspective, 72 g of carbohydrate is equivalent to 4-5 chapatis. If u have this after lunch for your evening snack, you are probably consuming more carbohydrates in your “snack”compared to lunch!
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Patient : should I take 1000 mg metformin? Isn’t it too much ?
Me : no, standard dose
Patient : will it harm my kidneys
Me : No
Patient : can I take a lower dose
Me : ok we will try 1 gm
Patient ( on top of the world) : Thank you doctor 😅
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In clinic today. 🤯
63 year old man with Type 2 diabetes since 3 years not on medications.RBS 600.HbA1C 15.
Me:why aren’t you taking any medicines
Patient:Medicines have side effects
Me:What about the effects of uncontrolled diabetes on your body?
Patient:Will amla juice work?
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A professional update on the auspicious occasion of Diwali. I’ve joined the Department of Endocrinology at JSS Medical college, Mysore. Thrilled and excited to be back in my hometown!! I’ve always believed, the best is yet to come ✨
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Met a patient last week who had recently relocated to India. She regaled me with tales of waiting six months for an appointment abroad and then, without missing a beat, asked for my personal number and was utterly shocked when I didn't share it. It's amazing how that sense of
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Patient’s daughter in opd today : I couldn’t meet our dermatologist. He has no sense. He had gone for lunch at 2 pm
Me: But that is the lunch hour
Her: I got free only at that time
Me : So he shouldn’t have lunch?
Her : He should have lunch when there are no patients after 4 pm
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This patient came with cosmetic concerns and was diagnosed with diabetes. This dark velvety patch that usually appears in the armpits, neck or groin is known as Acanthosis nigricans and could be a harbinger for underlying diabetes and metabolic disorders. Get yourself tested!
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Treated a patient with long standing Diabetes insipidus n sodium 170 who came in a semi comatose state for 8 long days in the ICU-carefully monitoring sodium every 6 hours.
Today she came back n told me that consuming 2 drops of some special kind of water on lunar days cured her
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It is a myth that good doctors are only from good hospitals in tier one cities. It is never about the institution. It is always about the person!
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A conversation with a beautician who was doing my Cousin’s wedding Makeup
Her: pls see this TFT report and advice if the dose of thyroxine is ok
Me:This dose is ok. Hey, nice hairdo. Can u show me how to do it
Her: Sorry you will have to learn it in my class which costs only 10K
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One of my patients had a persistent high fasting glucose. No regimen was able to bring it down. After revisiting the history again n again,turns out it was not really fasting glucose.He has a “health drink” every morning before breakfast.What does this health drink contain? Ragi.
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Random relative at Diwali Pooja : what do you specialize in ?
Me : I’m an Endocrinologist
Her : I have acidity issues. When can I come for endoscopy ?
Me : 😭😭😭😭😭😭😭😭😭
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Sunday morning at a supermarket
Random person : Hello doctor. Good I met you here. I am not finding time to come to the clinic. I am on two round white tablets for diabetes. My fasting sugar is 170. Can you please suggest what to do?
😂😂😂😂
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Endocrinology as a speciality is so fulfilling because it mostly deals with prevention. Prevention of diabetic kidney disease, amputations, strokes, ischaemic heart disease, blindness and of course fractures 🙂
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I am an endocrinologist and I don’t practice dentistry. When I have a patient who has a dental issue, I refer. When I have a dental issue, I see a dentist. When I want some information on a dental issue, I ask a dentist.
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Me after MD Medicine- I know it all. I can treat anything 🙈
After DM Endocrinology - I’m still learning. Learning is a life long process!
#MedTwitter
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Asia Pacific Consortium on Osteoporosis Congress 2024, Singapore
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Mysuru, tune into All India Radio 100.6 FM at 9.40 A.M tomorrow to listen to me speak on myths and facts about Diabetes Remission
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Nursing staff over phone- Patient’s premeal blood glucose is 130. Due dose of insulin is 30 units
Me: ok give 30 units
Her: Blood glucose is 130
Me: Yes. 30 units
Her: You mean 30 units?
Me : yes 30
Her: But blood glucose is only 130
Me : 30 units
Her : 30 or 13???
😂😂😂😂
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5 important things for weight loss
1)Calorie restriction
2)Calorie restriction
3)Calorie restriction
4)Calorie restriction
5)Calorie restriction
If somebody tells u there exists a magic potion that can bring about weight loss without calorie restriction? They are fooling you
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This is exogenous Cushings with florid striae. This is secondary to the steroids in the medicines he was taking.
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Patient with hypothyroidism : I have not been having brinjal, cabbage, onions, carrots and radish for 2 years now.
Me : But why ?
Patient : Neighbour’s advice
Me : is your neighbour a doctor?
Patient : No, She is studying for MBBS entrance exams 💁♀️
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Feeling incredibly touched by the thoughtful gesture from my clinic staff today – they surprised me with the most special birthday cake ever! Grateful beyond words!
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Anaesthesiologists are the coolest doctors. Period.
Happy World Anaesthesia Day!!
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👩🏻⚕️
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Just a friendly reminder: when you grace your doctor with those lab reports, it means you are seeking a consultation and not “just showing reports”
Shocking concept, I know.
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Insulin doesn’t harm your kidneys.
Uncontrolled diabetes does.
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It is true what they say about endocrinology. I am spending half my time convincing patients with diabetes and osteoporosis that they need treatment and the other half, convincing patients with tsh of 5 that they don’t need treatment 🥲
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A patient from Wayanad was struggling to converse in English. When i switched to Malayalam, she couldn’t stop smiling. This almost took away all her worries about her thyroid nodule.. and then I couldn’t stop smiling too.
#thelittlejoysofbeingadoctor
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Saw a patient today in opd who was conscious, oriented AND had a Sodium of 163!
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My husband is driving and wants me to call and update the score every five minutes. What is this madness!🤷♀️
#IndiaVsPak
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Obesity is not always bcuz of unhealthy lifestyle choices.Sometimes it is bcuz of Cushings Syndrome.And when I get to diagnose and treat Cushings? It is magic,both for the patient n me⭐️One of the many reasons why I love endocrinology!
Pic on the right is 1 yr post treatment
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The waiting time to see a specialist in UK is in months and here we have patients cribbing about 30 min.The waiting time of 30 min is bcuz we are dealing with sick human beings.We cannot ring a bell at say 15 min and ask the patient to leave bcuz the next patient is in a hurry
Doctors in Mumbai.
Secretary: You have an appointment at 12:30pm tomm but you might have to wait 30-45mins
Me: so then give me a time where I won’t have to wait so we respect each other’s time.
Sec: That won’t be possible. 🤣🤣
Me: Cancel my appt. 🤷🏻♂️
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An ICU consult for “Hypoglycemia”. Glucometer reading repeatedly -“Low”. Patient in sepsis and on multiple ionotropes. Sent venous plasma glucose- it was 660. Moral of the story - don’t forget to cross check values from the lab especially in critically Ill patients in shock
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Mudde Oota at canteen! I love love love our hospital canteen ❤️
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Today I saw a patient with Graves’ disease in full blown thyrotoxicosis who was on Levothyroxine, thanks to a quack. What is the most bizarre quack prescription you have come across ?
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THE day has come. Referral from Orthopedics for osteoporosis evaluation in a patient with recent fracture!! 😬
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5/11 top rankers chose endocrinology in the NEET SS 2022 counselling.Just Saying 😬
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Saw this and was going to sit at another table 😂
2 years post DM and The “Consultant” tag is yet to sink in!!
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Me: please start treatment for diabetes. Your FBS is 400 for more than 3 months now !
Patient : let me try methi for 2 more weeks. What about TSH 4.8? Aren’t you going to give me tablets for that? My weight is increasing!!!
Me : 🤐😲🤧
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Lost in the charm of Bangalore airport, celebrating Kannada Rajyothsava with pride!
ಕನ್ನಡ ರಾಜ್ಯೋತ್ಸವದ ಶುಭಾಶಯಗಳು!
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Mehndi : The joyous celebration of love and tradition in Indian weddings 🎊
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Before you ask me.. No, I’m not bored of musambi Yet 😃
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Anybody who loses some weight these days is under the illusion that they have automatically qualified to be a dietician or a doctor. It takes years and years of training to be a doctor.There should be some way to sue the quacks!!
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I love love love our radiology department!!! Just look at the thyroid ultrasound reports. WOW
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Only doctors and qualified dieticians should be health influencers. It should not be legal to “influence” based on one’s whims and fancies
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I didn’t think I would have to clarify this but.. replacing sugar with honey in your coffee does not make it sugar free!!!🤷♀️
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Why are patients always worried about the side effects of anti diabetic medications and not about the consequences of uncontrolled diabetes itself!!!
#MedTwitter
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@theliverdr
I saw a 28 year old pregnant woman today on ayurvedic medications for diabetes and hypothyroidism. HbA1c of 13 and TSH of 60 at 7 weeks gestational age. This is Not right. Surely, somebody must be held accountable!!
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I recently flew economy from Brussels to Bangalore with
@etihad
and was amazed with the meals on air!
Look at this steaming hot rice and gajar halwa!
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He clearly hasn’t met Endocrinologists 😬
No doctor has all of them :
1. Work life balance
2. Proper sleep
3. Stress free life
4. Understanding Partner
5. Settle till their 30s .
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Some patients ask me.. you charged me “just to interpret a report”. Well, it has taken me 12 years to train to interpret that report. It will cost you, for sure!
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Lunch. Musambi is a clear favourite this season.
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A patient was just about to leave from the clinic and said “Ok doctor see you”
The next second, she corrected herself. “Ok doctor, hope I don’t have to see you again” 😂😅
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Overheard a patient’s conversation on phone outside my opd.
“I have come to see the Thyroid doctor.Not sure if she consults for diabetes too. Let me ask her during the consultation and let you know”
🤦🏻♀️🤦🏻♀️🤦🏻♀️
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Saw a 14 year old girl with Hashimoto’s thyroiditis in the thyrotoxic phase who was adviced thyroidectomy by a quack. Thankfully parents considered seeing a qualified doctor.
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Honoured and humbled to receive the ‘Young Endocrinologist Par Excellence’ award from the honourable governor of Madhya Pradesh, Shri Mangubhai Patel ji at the Annual Madhya Pradesh State RSSDI conference
It is a true blessing to have uplifting seniors who not only celebrate
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At a relative’s wedding 🤦🏻♀️
Random relative:I am taking the medicines you suggested.Sugars are a bit high.Can u suggest modifications?
Me:what medicines are you taking ?
Her: I don’t have the medicines with me now. Don’t you rem?
Me:when did I prescribe?
Her:Just 2 years back 🤷♀️
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Met a patient with hypothyroidism who was ready to pop half a dozen "nutritional supplements" all in the name of "curing" his hypothyroidism, but wouldn't take the one magic levothyroxine pill that actually works!
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Obesity, uncontrolled diabetes, HTN, depression- Always Always rule out Cushing’s syndrome. It is treatable.
#MedTwitter
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What my meals look like 10 percent of the time! Happy Onam Guys! ⭐️💫
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Sunday Binge 😬
The famous Davanagere benne dose
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This patient with HbA1C 12, opted against insulin for many years. But when I demonstrated how easy the technique is, she was more than happy to start on insulin. The first step in debunking myths about insulin is.. giving the first dose yourself!!
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It Happened AGAIN
Me trying to explain thyroid agenesis - The thyroid gland is absent. Child will need replacement
Parents : There is no thyroid?
Me: Yes
Parents : Then why medications when there is no “thyroid”
Me 😭😭😭: Thyroid - Gland.
Hypothyroidism - Disorder
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This was a patient with hypothyroidism who stopped thyroxine by self. TSH was 358 in the first antenatal visit. Thyroid hormones play an essential role in the fetal devt. I wonder why patients would want to stop a drug which has no or negligible side effects but is so essential!
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Recognition ignites inspiration. Humbled to receive this recognition and appreciation from my University!
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