Parimal retweeted
Very happy and proud to manage this case perioperatively.
World’s Largest rare brain tumour (malignant peripheral nerve sheath tumour) of 2.9 kilos was removed by the Department of Neurosurgery with excellent support from the Department of Anesthesiology and Department of Transfusion Medicine . This 26 years old patient was deferred from several tertiary care centres accross India and was finally treated at AIIMS Kalyani. Intraoperatively patient was transfused a total of 18 PRBC (Ultra massive transfusion) and 8 PRBC perioperatively with other blood products showing exemplary support by the Department of Transfusion Medicine for setting the benchmark level. Kudos and top notch proficiency by the department of Anaesthesiology which ultimately lead to a successful conclusion. Heartfelt Thanks to our Executive Director sir for his encouragement, visionary leadership under whom AIIMS Kalyani has taken new dimensions of patient care.
Parimal retweeted
ANATOMY PEARL: HOW TO REMEMBER BRONCHOPULMONARY SEGMENTS
Struggling to memorize the bronchopulmonary segments? These two mnemonics make it easier.
1. RIGHT LUNG: A PALM Seed Makes Another Little Palm
🟪 Right upper lobe: Apical, Posterior, Anterior (S1-S3)
🟩 Middle lobe: Lateral, Medial (S4-S5)
🟨 Lower lobe: Superior, Medial basal, Anterior basal, Lateral basal, Posterior basal (S6-S10)
2. LEFT LUNG: ASIA ALPS
⭕ Left upper lobe: Apicoposterior, Superior lingular, Inferior lingular, Anterior (S1+2, S3, S4, S5)
⭕ Lower lobe: Anteromedial basal, Lateral basal, Posterior basal, Superior (S7+8, S9, S10, S6)
Clinical relevance
Bronchopulmonary segments are anatomically and surgically important because each segment has its own segmental bronchus and pulmonary arterial supply.
Knowing their locations helps with:
- Localizing disease on chest imaging.
- Bronchoscopy and segmental navigation.
- Planning anatomical segmentectomy.
Remember: Right lung = 10 segments. Left lung is commonly described as 8-10, depending on whether combined segments are counted separately.
Source: Radiopaedia – Bronchopulmonary segments (mnemonic).
Ever wondered if your hospital bill is too high?
Check out overcharged.in/
A free tool to compare hospital charges against official CGHS rates for 2,584 procedures across 80 Indian cities.
💡 Know the benchmark before you pay.
Parimal retweeted
My daughter turned 18. We wanted to get her PAN card issued. Simple enough? Not in India!
Her date of birth was incorrect on Aadhaar. To correct it, we were asked to get a birth certificate in the new format introduced after 2019.
At the birth certificate office, they didn't even have application forms! Instead, a picture of the form was pasted on the wall. We were told to photograph it, find a stationery shop, print it and fill it out.
No stationery shop nearby. Spent 20 minutes finding one.
Then another problem: the registration number on her old birth certificate was illegible because of an overlapping stamp.
Officials were reluctant to help and asked us to return after a few days. After much insistence, one helpful young man finally traced the number.
Application submitted. Relief? Not quite.
"It will take 2–3 months, sir."
Apparently, the application must travel through multiple government departments before a new birth certificate can be issued.
All this just to correct a date of birth, so that an 18-year-old can get her PAN card!
We talk about Digital India, but basic government services still require citizens to run from pillar to post.
Why must something so simple be so complicated?
Parimal retweeted
Supreme Court slams hospitals, government for 1,000% mark-up on cancer drugs; reserves verdict in a plea to cap essential drug prices
Read here: barandbench.com/news/can-you…
Parimal retweeted
STT - Hazam
GST - Hazam
LTCG - Hazam
STCG - Hazam
Toll Tax - Hazam
Road Tax - Hazam
Excise Tax - Hazam
Income Tax - Hazam
Surcharges - Hazam
Property Tax - Hazam
Education Cess - Hazam
Professional Tax - Hazam
'Aise nai chalta hai, Jo mila sab Hazam'
Parimal retweeted
At a wedding, and every direction I look in, many women above 40/50 have a penguin walk, knee issues and lack of muscles
Almost all men have a big belly, no muscles
Sarcopenia is the biggest cause of worry in our population
Parimal retweeted
Ever wondered why a coronary occlusion gives the ECG it does?
Block any part of the coronary circulation on a 3D heart and watch the 12-lead (and the echo!) evolve.
Free for learning and teaching. Have fun!
cliffreid.com/culprit
#FOAMed #ECG #OMI #MedEd #Cardiology
Parimal retweeted
MATTER OF GREAT PRIDE FOR INDIAN SCIENCE!
Ashoke Sen becomes the first Indian to win the prestigious Oskar Klein Medal (2026), jointly awarded by Stockholm University and the Nobel Committee for Physics of the Royal Swedish Academy of Sciences for his pioneering work in String theory.
deccanherald.com/science/ben…
String theory gives a unified description of all matter and the forces between them based on the postulate that the elementary constituents of matter are tiny one dimensional (string-like) objects instead of point particles. Sen’s breakthrough work has shown that multiple string theories are all different versions of a single underlying theory.
Incidentally, I met Ashok Sen for the first time, when both of us were elected as FRS (Fellows of Royal Society) in 1998. Ashoke ( nominated by Stephen Hawking himself) was young 42 yrs and
I was an oldie - 55 yrs though!
What struck me was Ashoke’s incredible simplicity. His wife Sumathi Rao has reportedly said that Ashoke bought his first suit and needed some assistance to wear his first tie for that prestigious 1998 FRS ceremony in London, when one signs in the same book that Sir Isaac Newton has signed.
A film made on the life and work of Ashoke Sen, when we at the
H K Firodia Award in Science & Technology honoured him in 2005 in Pune, will inspire all our budding scientists - showing how science & simplicity goes together.
youtu.be/CoVc5cM5XlU?si=vQNQ…
We all feel so so proud Ashoke!
@PMOIndia @NITIAayog @PrinSciAdvOff @IndiaDST @CSIR_IND @ictstifr @PuneIntCentre @kvijayraghavan
Parimal retweeted
I’m in love with this sentence:
“The strongest version of you is buried under the habits you’re afraid to break.”
Parimal retweeted
When performing complex lung operations a plan for PA control is critical
These bulldog clamps by @ScanlanInc (I have no COI) are a must have available for every robotic lung case.
Extrapericardial proximal PA control on the left & distal PA control at interlobar PA:
Parimal retweeted
1/Do radiologists sound like they are speaking a different language when they talk about MRI?
T1 shortening what? T2 prolongation who?
Here’s a translation w/an introductory thread to MRI.
Parimal retweeted
" Indian Reserves are not a war chest. They're a powder keg"
" Equity Markets don't owe you anything: a profit; a return of your capital. And definitely not a Return on your capital. They don't you a living. But they have made excellent livings for all the folks involved in selling equity products to small investors. "
" Equities aren't for the masses. Returns are sparse for years, volatile , sudden and sporadic, little predictability. Hence, they are meant ONLY for the Classy".
" I have always believed and said that stock market isn't for general janata/ awaam. It's a game for pros, and should remain with pros or with people already wealthy through other means"
" It's time the Govt. belled the MF equity cat: Govt is disincentivising Gold because it's a drain on FX.
Well, we import around $60 billion of gold pa.
And through SIPs, we have allowed knife through butter exits to Foreign Capital of around $50 billion last 12 months, around $80 billion last 24 months. Both gold and SIPs are resulting in massive similar dollar outflows so penalise ONLY gold?"
" In my recent article in Business Standard, I analysed that in 35 years since 1991, our external resilience percentile rank has moved from 42 to 45. It's a tragedy that we still exhibit every characteristic of a classic Emerging Market: extreme dollar shortage, crashing currency, rising rates, firefighting at any global crisis "
My interview to Mint today.
Parimal retweeted
New on pulmonarypocus.com:
🔊 Doppler Lab: pulmonarypocus.com/new-page-…
🫀 Echo Sim (TTE & TEE): pulmonarypocus.com/tte-tee-s…
📈 Hemodynamic Lab: pulmonarypocus.com/hemodynam…
Free to use. Feedback welcome reply here otr email [email protected]
#POCUS #MedEd #FOAMed @NephroP @PulmCrit
A peripheral IV cannula. Hemorrhagic shock. An unexpected diagnosis!
An 84-year-old patient presented to our ICU in hemorrhagic shock following peripheral IV cannulation.
🔬 Initial clue: Isolated aPTT prolongation (89.7 sec).
Further workup revealed:
- FVIII activity: 0.6%
Clinical pearl: Severe bleeding with isolated prolonged aPTT should raise suspicion for an acquired coagulation factor inhibitor.
#CriticalCare #Hematology #AcquiredHemophilia #MedTwitter
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