**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

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

How to identify pure ghee

According to ayurveda, ghee itself is a medicine and medicated ghee are widely used as medicine

Ghee is a essential good fat and helpful in
- Laser sharp cognition
- Good Bone health
- Proper Digestion

There is lots of adulteration happening with ghee due to increased demand for unpasteurised milk and reduced cow population

Cows were part of every Indian household now it's hardly a family member

Most of diary based ghee are buffalo ghee / imported oil fats or vegetable fats

*dairy

So how check it's purity

- Teaspoon test

Take a teaspoon of ghee heat the teaspoon on lowest flame like diya or birthday candle or burning cowdung dhoop top

Pure one will melt in two seconds and turns dark brown

Adulterated one will take more than a minute to melt and it will turn yellow instead of dark brown as butter and ghee contains artificial food colour for yellowish texture

Diet to reduce Anxiety :

-Prolonged Anxiety hinders your normal body and brain function - makes you more lethargic and reduces your reasoning capacity

Anxiety arises from depressive negative event, visuals / thoughts even news/ messages

It’s impact is silent but deep

- Drink enough water every two hours
- Avoid nerve stimulants like coffee, alcohol and tobacco
- Avoid refined sugar and Table salt (Alternate with Jaggery powder and non Iodized rock salt or Himalayan pink salt)

- Consume more gut friendly Pro biotic fermented foods like sour buttermilk, naturally fermented idli / dosa batter

- Include more green leafy vegetables as soup, Sabji and salad. Magnesium in these help greatly to manage the mood swings due to anxiety

-Reduce and limit your complex carbohydrates consumption like bread, polished rice, pasta

- Avoid spicy and deep fried fast food of any sort

- Lookout for a seed based or nut based healthy snacks like lotus seeds, peanuts, Kulith, local bean

- Include powdered omega 3 rich seeds as toppings or ingredients in your roti or salad

- Include all local vegetable on rotation basis in your diet

- Minimise your grain intake and maximise your vegetables intake

- Beet and carrot are great Anti depressant

Why you should avoid Packet Curd :
Curd is a vital ingredient of our daily diet and it is a essential fermented probiotic food to ensure proper digestion of the food we eat

Per Ayurveda , there are different type of curds

-Thick Semi Formed Curd
-Sweet Curd
-Sweet & Sour Curd

-Sour Curd
-Very Sour Curd

-This classification is purely based on the probiotic culture growth on the curd and the age of the curd

-Each curd has different benefits to your health and used for treating different ailments

- Very Sour Curd is the most beneficial curd to our body as it increases the digestive fire /biological fire /Agni that exists in your body

- Proper balance of the digestive fire is key for maintaining good gut health
-Healthy gut bacteria means healthy immune system

-Packet curd is not curd at first instance as it is formed by monoculture of single microbial culture rather varied microbial culture like how it is made at home
-This is done to ensure curd is not turning sour so fast and limits the culture growth & long shelf life

- Another method is coagulating the milk or cheese to curd using a enzyme called "Rennet "

-Rennet Coagulation is mostly widely followed diary practice as it is quick ,cheap and easy

- Vegetarians should avoid this as Rennet enzyme is derived from the stomach of young calf

Some preventive measures for Lumpy Virus affecting cattles

- Deworm using castor oil and turkeyberry / sundakka with jaggery

- Add neem powder, turmeric powder, shikakai powder in cows bathing water 1/2

- Make a paste using Turmeric powder, Neem powder ,coconut oil apply over feet ,face over stomach

- Put a dhoopa using dried neem leaves,loban and white mustard thrice daily

-Sanitize cowsheds using water diouted with rock salt and turmeric powder

- Soak fresh 2-3 handful tender neem leaves in 30 litre for 30 min mix with wheat husk/rice bran with handful jaggery to the cows

- Feed Agathi keerai sumptuously twice along with boiled or soaked channa dal to improve their immunity

- keep cowsheds floors near dry

- Watch the salivation of cows are usual and ensure they are hydrated thoroughly

- Wash green pastures using neem and turmeric water then feed

- Don't send out for grazing unknown areas

- Bath the cattle in brahmamuhurta do puja at sunrise

- Make cows to listen carnatic music

Its proven cows feel happier when they listen to music and appear less

Right, screw it. Here's a thread on *that* FBLive by Alex Cairnie about #Govanhill. Lets do a watch-through shall we? (Mind, I'm a resident of Govanhill, and a sociologist. I'm also 5'3, and a visibly queer woman so if half his claims are true I should be living in terror)

00:30: Welcomes viewers and uses points out that his videos are only getting attention b/c they're 'horrific'. Directs folk to his Youtube page. So already clout hunting.

1:08: "I've been warned to stay out of Govanhill. I'm a marked man" (proceeds to use a beanie as a disguise)

1:30 "Laughing and joking aside, here's somebodys front garden." Proceeds to show litter and claim its thrown from windows and this is 'common'. I know a handful of streets with litter issues like this, but its neither common nor unique to #govanhill and other deprived areas.

2:10 "Don't be under any illusion I'm only showing you the bad bits" - only shows you the bad bits.

3:45: He's had offers of help, but hes said no because hes not responsible for 'anybody elses safety' Good lord.

5:01: "Its not that bad. But its not all good either" -Correct

6:00: TW: child abuse - He starts claiming to have been contacted by a health professional and told about child abuse 'in the area'. Huge ethical issues here as the 'professional' who has 'been in the game a long time' is reporting to Facebook Dude and not authorities.

“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.…

On December 29 we were dillucidating here if the drops meant "surprise, relatively neutral expression" or "a negative expression, horror" (Remember: https://t.co/J2gjQjAENw ). Well, December 22 drops seem to clarify it. First, the December 29 drop that generated the confusion 1/*

didn't appear in today drops, while several old ones have been posted again. I would say that all December 22 drops regarding facial expression mean and clarify "surprise". 2/*

More 3/*

And more. So, they didn't point to a negative event, just to one that generates surprise. 4/*

All these drops were completed with a Christmas gift one, confirming the surprise neutral meaning and adding a related positive one connected to the surprise. 5/*

ICYMI, public health officials fear community transmission of B.1.1.7 (the "UK variant") is underway in Ontario.

I'll dissect each piece of worrying news from this story.

1. Simcoe Muskoka has so far reported 3 positive tests in individuals *with no known links* to the massive B.1.1.7 outbreak at Roberta Place LTC.

Two of those are linked to separate outbreaks of their own (a different LTC and a mental health hospital). Testing underway.

2. Of the 225 cases at Roberta Place, 100+ are confirmed or preliminary + for B.1.1.7.

42 household contacts of ppl linked to the outbreak are also COVID+. Public health unit is worried about keeping cases (which are all likely B.1.1.7) from rippling further into the community.

3. A case in Kingston area who tested positive for COVID "several weeks ago" was just discovered to be B.1.1.7. That person travelled to Simcoe Muskoka, but had not travelled internationally, according to the local health unit.

4. Overall, Public Health Ontario counts 47 B.1.1.7 cases as of yesterday -- these are only the ones confirmed thru full genome sequencing. Preliminary screening tests not included (yesterday's 99 in Simcoe Muskoka, for example).

Here's a breakdown by health unit courtesy PHO: