Ashwin Rajenesh MD
@ashwinrajenesh
Consultant physician & Prof - Internal medicine | Chief of Emergency + Acute care medicine, NSMIMS | MD alumnus @offcmcvellore | Spurs #COYS
Shared with permission: This is the sort of abnormal postural variation of heart rate due to #Dysautonomia in #POTS. This previously athletic, fit and healthy young man has been suffering with these symptoms ever since his #LongCovid set in nearly 8 months ago, with no respite.
A civilized nation wouldn't even require cops patrolling the metro, but then again 🤷🏾♂️
I need to understand why is there hardly any police officer and/or flying squad in the pink line of Delhi metro? Men so frequently enter the ladies coach here and will act like they are deaf on being told that this is a ladies coach?
Nope. The hearts are giving way as well.
everyone born between 1990-2002 are still a kid at heart and a senior citizen at knees and back
Driving to work today with Ozzy Osborne and Black Sabbath on the playlist just hits different.

Compulsory attendance is the shittiest rule in Medical Colleges You are forcing students to sit in a class just so that an old disinterested professor will read out the slides from a presentation made by an already overworked resident Let us choose whose class we want to attend
Compulsory attendance is the shittiest rule in Medical Colleges You are forcing students to sit in a class just so that an old disinterested professor will read out the slides from a presentation made by an already overworked resident Let us choose whose class we want to attend
Fathers don't usually die during childbirth
It's funny how after the birth of a baby, announcers declare that "mother and baby are doing fine". What about the father??
Started loosing interest in cricket once the T20 format started becoming popular. Completely lost interest and became disgusted with the sport once the abomination that is the IPL came into existence. But test cricket still manages to remind me just how beautiful the game can be.
Perfectly alright with the diagnostic burden being "passed on" to medicine. Particularly in case of multi-system involvement. That being said, any surgeon worth their salt sould be more than capable of identifying a dire surgical emergency requiring urgent surgical intervention.
That's why many patients land up in medicine rather than in surgery just because surgery people refuse to take those patients despite of clinical findings and for what? they want imaging and then there are radio people refusing their work and sending back patients
Why would you order imaging (particularly an emergency study) without providing the required clinical details and specific indication to do the scan? They are well within their rights to do that, and I'd exactly do the same. I'd also call out my registrar / intern for doing so.
Our hospital has a terrible horrible Radio HOD who literally sends every patient back to casualty which is also 10 mins from radio department, and asks for indications every f*cking time. Are bhai agar emergency na hoti to bhejte hi kyu itni raat me
Having absolutely no class is modern India's remonstration to having been subjected to hundreds of years of class based societal stratification
I'm an Indian. I love my country, and I love to travel. But lately, I've started feeling a sense of dread and second-hand embarrassment when I see a large group of my countrymen at a tourist spot. And I'm sick of it. This isn't about culture. Spreading out a meal on an airport…
Patients aren't meant to be "brought" for an eFAST. The eFAST is meant to be brought to them.
Every time an intern brings a patient for eFAST, I ask them the full form. So far, only 1 could answer and that too, barely. #MedTwitter
Jaguar aircrafts from the 1970s are still deemed flight capable putting our IAF pilots at risk, while the government wants to ban 10 year old cars to further burden the common man. India is the only country to still have the aircraft in active service.

Atleast part of the label is correct. It caused "ACCUTE INFLAMMATION" and gave you a new HEADACHE as promised.
Sorry I missed your call. I watched it ring and everything.
"We are just a sad generation with happy pictures"
*opens instagram* yep, everyone's life is still better than mine *closes instagram* *opens twitter* haha yes. my fellow trash bretheren.
"We are just a sad generation with happy pictures"
*opens instagram* yep, everyone's life is still better than mine *closes instagram* *opens twitter* haha yes. my fellow trash bretheren.
Clubbing. Someone tell the bloke to get a chest X-ray
Mood. 🇸🇪👀