**Know your local vegetable : Ridge gourd**

This is must vegetables for people with

- pre diabetes and diabetes
- cholesterol
- strained liver and gland functions
- Improves eye vision

Thorpikaranam : A simple but powerful yogic practice for physical and mental wellbeing

Do this daily if you want to

- Sharpen your mind ,
attentiveness & decisiveness
-Reduce weight and belly fat
- Strengthen your vision
- Overall flexibility of your joints and muscles

Most often given as punishment for mischievous kids at school and done as prayer before Bhagwan Ganesha It's actually a superb physical exercise which benefits both physical and cognitive functions of your body

Per astrology, Ganesha is ruling diety for planet Ketu (Gnanakaraka) who is meant for blessings with wisdom (Gnana) /intelligence Per psychology,it is given as cognitive therapy to minimize their sadistic thoughts ..no wonder it's help to discipline mischievous kids at school

Another name for Ganapathi is Vigneshwara / Vinayagar he is considered to remove the vignam / obstacle by bestowing intelligence To be successful in your personal & professional life you need to tide over many obstacles in your path only through your intelligence & hardwork

Looking scientifically, We hold earlobes between thumb and forefinger with hands crossed in front of chest and perform repetitive squats. This is done 18 or 108 times as prarthana mostly for success in anything It's a kind of auricular vagus nerve stimulation

Why should we refrain from refined edible oils:

- Major factor of cardiovascular risk is caused by refined oils
- Study found,Even rats which were constantly fed food made out of refined oils have shown symptoms of hypertension & ischemic heart causing cardiovascular disability

Traditional Indian consumed oils made from locally available seeds like sesame, gingelly, groundnut and coconut oil

The dynamics of edible oil industry got disrupted after we adopted mass production / import of refined oils at lower cost to our wallet( costing our heart health)

Oils are essential dietary fat which were implicitly included In our food culture

Age old days,Oils were extracted at home and given the complexity of extraction it was used mindfully

Oils are excellent supplement if we know how much is too much

Refined oils are trade ploy to make you sick or reduce your life span early due to high chemical treatment and food processing

Refined oils are gateway for

- Obesity
- Hypertension
- Abnormal cholesterol/ Lipid profile
-Ischemic heart disease
-Cardio vascular risk / disability

Refined oil mafia are quite influential to fund a favourable study that refined oils aka healthy oils were meant to do good to your than trad cold pressed oils

As health is subjective to individual so does oils were subjective to region person lived (Tropical bio diversity)

My ninety year old client called me for a clarification.. He is a upsaka of Shri Karthikeya ..

Sharing his prayer advice to me if you believe in divine intervention / support - Small thread

Subramanya bhujangam :

Set of Sanskrit Shlokas resembling serpent shape was written and composed by Shri adhi Shankara acharya by praying to Bhagavan Karthikeya at a place called tiruchendur in tamilnadu

- Shri Adi Sankara composed this hymn of 33 verses, in the peculiar Bhujanga metre, noted for its sinuous movement like that of a serpent.

-The Shloka is full of piety, spiritual exaltation and sung when Shri adishankara himself was undergoing life threatening illness

Shloka verses include the disease name itself in it

"When all my senses have calmed down, When I have lost my intelligence,
When I am not capable of any movement, When my throat is full of phlegm..."

"When my body is shivering due to fear, And when my soul is preparing to depart,
Without any one to help me, Oh Lord of mercy, please come fast,
For I want to be in thine presence, Lord Guha"

Mosquito Coils & Vapouriser : Passive poison

- Monsoon season do remind about mosquito menace an awful biting army

- Most sought method to repell them are mosquito Coils, Vapouriser and areosol based spray

- These are nothing but scented slow poison !

- Most of chemical based mosquito repellent are loosely regulated and classified as household insecticide

- The major chemical ingredient is allethrin a harmful type of pyrethroid and it's present inalmost all brands

-Inhaling one mosquito Coil = smoking one cigarette

Manufacturers trick the government regulations by enhancing the percentage of composition of it's derivatives as law has loop hole for
composition of allethrin only Not it's derivatives

So called extra strong, plus, jumbo etc should be read as more harmful than normal

Another way to trick the regulation is classifying the not permitted additives as other ingredients

Until there is a madrush for powerful insecticide these folks would keep surviving with innovative jargons

Repellent are heavily scented to obfuscate the excessive amount of additive in place plus tricking the users mind using soothing aroma

Is it that harmful to ingest , Yes studies says so

Rats exposed to 12-15 hours of insecticide exhibited symptoms similar to TB

Why we should avoid eating Morris /G9 banana :

Ever thought hought the following while buying bananas ?
☑️Banana in markets are so shining and evenly shaped
☑️ No mosquito or flies bothering fresh bananas
☑️ No ripened fragrance emanating from these banana

☑️ Tasting raw than it appears outside
☑️ No dots ever appeared on the banana
☑️ Neck of banana is so stiff so that banana pulp never withered off from the neck

☑️Neck of banana is never black or ripened

☑️Honest answer for above is these are genetically engineered banana features

☑️These are bananas grown from tissue culture saplings and does involve special engineering for texture, yield and even ripening time

☑️These are farmers friendly as these high yield

☑️ In my opinion these are just bananas by appearance and taste never in terms of nutrition as these are genetically engineered right from growing to ripening

☑️Cytogenetically engineered for high yield, short-term, disease resistance

☑️ These bananas can never match nutrients

My major concerns are below

☑️These banana trees can't bear offshoot by themselves would require tissue culture processed saplings from banana seeds (Monsanto greed)
☑️Pesticide are mostly injected on the plant
☑️Yield is thrice of normal and in half of time

While #Tulane school of medicine is rightfully being exposed for its contemporary racism towards faculty, staff, students (and patients) due to the racist firing of Dr. Princess Dennar, it’s important to call out the deeply anti-Black history of this school, specifically... 1/

The way #Tulane became a private institution (originally was a public university) at the end of Reconstruction to avoid having to desegregate. The school charter says it was founded for “white men” only... but there’s more (much more) to this story... 2/

cw: medical racism

Tulane’s school of medicine rose to national prominence for its collection of human “specimens” in their anatomy museum “rivaled only by Harvard”. How did it acquire these “specimens” you might ask?

The collection was “curated” by a Dr. Edward Souchon... 3/

Dr. Souchon was mentored by the late James Marion Sims, the “father of modern gynecology”, who himself had started collecting body parts, organs, and skeletal remains from enslaved Black people during slavery. Souchon continued “curating” his own collection in horrific ways. 4/

The Souchon Collection grew over several decades, eventually touring the state as a traveling “public health” exhibit- nearly all of the body parts stolen, harvested and illicitly acquired from formerly enslaved and poor Black people via Charity Hospital. 5/

“Should I give them more fluid?”

Extremely common question during AKI referrals from junior docs.

⛔️ Fluid management is tricky, often misunderstood, & can cause huge iatrogenic harm ⛔️

We try to convey important principles in THREAD 👇

#tipsfornewdocs #medtwitter #tweetorial

Currently too often patients with high creatinine are given too much IV fluid, driven by an AKI ➡️ fluid reflex

We’ve seen 7 litres be given in one shift.

Medics & surgeons, juniors & seniors, it seems everyone loves to reach for extra IV fluid (especially if urine output poor)

Why does huge volume IV fluid ‘resuscitation’ consistently occur?

Lots of reasons, including FALSE beliefs:
🛑 IV fluid always “treats AKI”
🛑 Hypotension = hypovolaemia
🛑 Lactate >2 means fluid deficiency
🛑 Septic patients are very hypovolaemic

The rule with IV fluids and AKI is to remember this 5 word phrase:

💥 💥 Aim for euvolaemia, then stop💥 💥

Fluid status is like Goldilocks - hypovolaemia is bad for the kidneys BUT excess volume is also harmful for renal function and will cause other complications too.

It is easy to say “target euvolaemia” - but we agree it is more difficult to do!

Fluid status assessment is certainly made harder by a belief that we must only rely on a snapshot assessment of examination features which are NOT specific / sensitive / reliable to elicit like.…

Ashtangha Yoga or the eight limbs of Yoga-

Many people think Yoga is just an Indian physical exercise but that's wrong. Yoga is a way to connect with the Supreme in Hinduism and attain Moksha(liberation).
The proper yoga as described in Hindu scriptures consists of 8 limbs:

1) Yamas- They are the 5 ethical rules of Hinduism. The 5 Yamas are:
i) Ahimsa: Nonviolence (this also includes not eating meat)
ii) Satya: truthfulness
iii) Asteya: non-stealing
iv) Brahmacharya: chastity, sexual restraint
v) Aparigraha: non-avarice, non-possessiveness

2) Niyamas- They are the 5 "do's". The five Niyamas are:
i) Shaucha: purity of mind, speech and body
ii) Santosha: contentment
iii) Tapas: austerity, self-discipline
iv) Svadhyaya: study of Vedas(Holy books of Hindus)
v) Ishvarapranidhana: contemplation of the Ishvara (God)

3) Aasana or the physical yoga-
Asana is a posture that one can hold for a period of time, staying relaxed, steady, comfortable and motionless. The aasana postures are believed to have been given by Mahadeva (Hindu God) himself. Hatha Yoga Pradipika mentions 84 aasanas.

Pathways to Public Policy Careers for those interested and looking for global opportunities

Public policy is made when a governing body attempts to address an issue of widespread public concern, such as health care. The process often runs in cycles and can take years.

■After new laws are created, Policy Implementation occurs, often involving federal agencies, state and local governments, bureaucratic entities, and NGOs. Courts get involved as laws and policies are challenged on a variety of fronts.

■Analysis and Evaluation occurs throughout the cycle and involves many players. Policies may be changed — and the cycle begins again.

What is the best advice for someone pursuing a career in public policy?

People often find their way to public policy careers because of an

interest in a particular substantive area. Public policy work can be found in virtually any subject area.

Your ears should perk up when you hear the words “Center for,” “Institute,” “Association,” and “Foundation” because they represent potential employers.

Public policy majors work in the public, private, and nonprofit sectors, such as a government agency or advocacy group.

Continuing education, such as a certification or fellowship, can also advance your career as someone interested in public policy and politics.

1/23 We haven't had a lot to celebrate during this pandemic. But achieving the milestone of offering vaccine to the over 70s, health and care workers and the most clinically vulnerable just before target date is a huge cause for celebration, given the scale of the achievement.

2/23 When Margaret Keenan got her first jab in Coventry on December 8th last year, who’d have thought that, by Valentine’s Day, we’d have vaccinated over fourteen million people across the UK in just ten short weeks? Amazing, extraordinary and truly, really, world class!

3/23 I’ve been struck by how much joy and relief has been brought to those doing the vaccinations and those receiving them. A GP told me yesterday that nothing had given him greater pleasure in his long career. And that the patient's relief was sometimes overwhelming.

4/23 It's vital to recognise the extraordinary contribution of the staff and volunteers who have made this happen. One of my close family had their jab yesterday and was in awe of the volunteer standing outside in the freezing cold for a four hour shift meeting and greeting.

5/23 What I wanted to share in this thread was the slightly untold story of some of the extraordinary challenges the NHS has had to overcome to deliver this target. Requiring superhuman effort from NHS leaders and staff, way beyond the call of duty. Five challenges set out below.