(आर्षित धामणस्कर) Neurosurgeon | Writer | Poet | Wordsmith | Graphic Designer | Web Designer | Public Speaker Instagram: arshietdhamnaskar

India
Joined August 2009
For me, Twitter is a fun pastime! (or a fast Pun time 😛) But, occasionally, I do come up with Tweets that might be of help to people, or just entertain them... 🤔 Here is a Thread🧵to Tie them all up in one place! (Needle-less to say, the Tweets, not the people! 😂)
31
22
3
457
Great view of Dadar Station
I bet you can't guess the location....
2
124
We need the European laws here There are regulations in place to NOT overwork people A bus/truck driver has to compulsory take a break every 2 or 4 hours at a truckstop to refresh themselves They cannot drive more than a certain number of hours everyday
“Indians want to work hard. Nobody in India will tell you it’s five o’clock. And certainly no Indian will ever remind you it’s the weekend,” jokes Commerce Minister Goyal with Dutch business leaders
1
9
598
I might be wrong, but I think I have seen at least 1 barge in the sea here before... this was before coastal road though
🚨 Mumbai to get floating advertising barges and hoardings at waterfront sites across the city.
3
6
627
When was the last time you solved a crossword or Sudoku puzzle in a newspaper?
8
1
4
850
A few years ago, I was at a friend's house. His father suddenly got a Whatsapp message, then he sat on the floor and start scribbling all over a paper. My friend and I were bored. He asked this dad what was going on. He was solving a puzzle, which he shared with us. We also started scribbling. Soon their whole family and I were coming up with possible solutions. The fun activity lasted for a an hour and a half. What fun we had! Puzzles are fun. They engage your brain The winner was the friend's dad btw (he had a time advantage 😛)
1
1
11
972
On Sunday mornings, people grab the special edition of the newspaper, and read it from end to end. The process took 2 hours. People seldom got up. Imagine engaging your mind in exposure to various topics and be so focused. This was years ago, the habit is gone now.
6
470
Senior residents accompanying the junior resident/intern to the HoD's cabin
Nowadays, whenever I hear "we're having a tough time" during the monthly town hall
14
1,251
The comments on this engagement farming story 😂
A boy from my village named Vaibhav was working as a software engineer in Bengaluru. Vaibhav lived alone in a 3BHK flat that he had rented for ₹13,000 per month. In the same building, he met a married woman named Anushka. At first sight, they both started liking each other. One day, when the electricity was out, they were sitting on the rooftop and talking. During their conversation, Anushka asked, “Vaibhav, what is your monthly salary?” Anushka was astonished when she heard Vaibhav’s answer... 1/2
2
831
If you think there has been medical negligence, then file a complaint with the appropriate authorities What is this violent way of protesting, as if by doing so, the dead person will be brought back to life
How can we even think of treating this kind of public? Is violence the only justice against doctors? What's the use of having laws in our country when every person is ready to become the judge and the executioner When did medicine become a guaranteed outcome job? All these people should be thoroughly punished
1
2
30
1,145
Yay!
The news Mumbai has been waiting for 🌬️ Nights are set to get cooler from tonight onwards over many places in Mumbai. Daytime temperatures are also expected to drop around Wednesday (Oct 28) signalling the end of October heat this week itself.
9
547
I don't agree with this. (at least part of it) Measurement is essential. Number of steps you take, your weight, number of reps you do, the weights you lift (in kg), your pulse, your blood pressure. The more objective as it gets, the better it is. Without ameasurement, everything is estimated or approximated. And in my experience, everyone gets in a bias to the conservative side. "I must have walked at least 5km every day for the last week... so much I would sweat." when in reality, it might have not been so much. Many patients in OPD, "I drink a lot of water..! " So I asked them to track it down. Turns out they were erring. ahuge margin, would drink only 1 or 2 litres a day, but because they had so many small glasses of water, they did not realise it. Sweating, fatigue, breathlessness are not factors which correlate proportionately with amount of activity or the body's response to it Hot, humid day, and you sweat more Did not sleep well last night? You tire out earlier... Measurement is essential And you cannot decide health based just off 'feelings' (@aditya_gan3500 ) They are subjective, qualitative outputs, not objective ones. That being said, one must know what metrics to track and how frequently. Best is to consult a physician for the same. This Temple thing seems to be some idiotic wearable, which is overpriced, unreliable and unnecessary.
That temple device that sits on your head, to measure health metrics is for Rs 85000. It’s so funny. Measurement is not the solution. A whoop or an Apple watch can tell you whether your health is good or bad. They are at best indicators. The solution is old-school. Sweating everyday. At least for 30 mins. Lifting weights. Running. Play sports. That’s where one needs to spend. That amount of money for something that’s not Apple or Gucci is taking yourself too seriously.
3
701
Why '11'? Dozen't make sense
Pune traffic police are introducing new rules to prevent unnecessary vehicle stops and make traffic fines more transparent. Under the new system, each authorized officer will be assigned one e-challan machine and will be allowed to issue fines for only 11 specified traffic violations. The first phase will begin with 100 machines on a trial basis. Under the new guidelines, officers cannot stop drivers without a valid reason to check their licences or vehicle documents. Only violations observed on the spot and included in the approved list can be recorded. Additional Commissioner of Police Manoj Patil has issued the orders. Inspectors will also be responsible for taking action in serious traffic violation cases. The move aims to reduce arbitrary fines and ensure greater accountability in traffic enforcement. #EChallan #TrafficRules #Punetimesmirror
1
2
818
Found these people preparing and hoisting this flex banners near Shivaji Park, in the lane that leads up to the viewing deck I guess just weeding out the baners is not enough. There must be some deterrant penalty that keeps them from putting them up there in the first place. Shivaji Park, Dadar, Prabhadevi and Worli areas are riddled with these banners, especially in the bylanes where people figure no authorities will come for inspection @mumbaimatterz @mybmc @mybmcWardGS
3
2
12
913
Credit where due, @mybmc @mybmcWardGS did a quick job, and sent away those footpath dwellers They immediately registered an official complaint, did the work within 2 days of this post. Today, while walking through these same places, I realised how better it really feels.
Replying to @mybmc
@mybmc On your Footpath-clearing mission, you must consider this also: The Worli, Prabhadevi, Shivaji Park area is riddled with people inhabiting the footpaths. They make garlands in the day, probably to supply shops outside nearby temples Then sleep there on the footpath at night They hang their clothes out to dry on the railings there. The 3rd picture is kinda ironical that they have a baby cradle right under BMC board --> these things are happening right under your nose. Also, as a bonus, there are flex banners everywhere. Worli Seaface and Shivaji Park area popular jogging/walking areas, all footpaths leading to it from surrounding residential areas must be walk-able, no? Also, 2 wheeler running on footpaths will kill someone someday. Broken tiles, illegal street vendors, broken drain covers: citizens are really tired of this. @mybmcWardGS @AshwiniBhide @mumbaimatterz @RoadsOfMumbai
1
1
1
10
884
lol, what? Other than admiring someone really rich for being rich in general, at the most I don't know a single doctor who is in awe of another one just for their earnings, and not their skills.
The tragedy with the medical profession today is that doctors admire other doctors not for their medical skills but for how much they earn
1
9
802
Will be a great tourism opportunity, and will boost the city's economy with massive profits since Delhi already has plenty of hot air to use already /s
🚨 Delhi to launch hot air baloon rides for public from November 14.
3
8
682
In internship, nurses did not touch the ECG machine at all. One technician was there only for OPD purposes Getting an ECG done was the jobs of the interns and the residents. We learnt to get it done quickly and accurately
My govt hospital doesn't have a ECG technician , regular ecg cases are handled by LT staffs on duty But when I ask for a emergency ECG in ward for a critical illness patient or brought dead patient, LT staffs & nurses play twinkle twinkle little star with each other , you do , you do And in that loop , patient suffers... and doctor gets irritated...
1
2
1
61
2,671
Many specialties find it beneath them or alien to learn different things At the same time, those specialties who do those things frequently, often look down upon other people practising them Our ICU had a portable USG machine, which was available to all of us But no one except me used it. I learned stuff from our intensivist, radiologist and cardiologist., and by the end of it I was able to do a FAST, and check IVC and do USG guided aspirations/central line insertions, measure pre-void/post-void volumes Colleagues/juniors refused to touch the machine, and said, what will you do with learning all this? idk, it is fun to learn
Lets all shun egos & learn USG. Blinds & Fluoros are long dead.
3
1
1
35
2,041
Arshiet Dhamnaskar retweeted
Pune is literally not the Pune it was even a year ago. Air quality: Literally the worst. Even if you step out for an evening or night ride, you'll end up coughing because there's SO MUCH dust everywhere. Water supply: There's a water cut every Thursday. What are we even supposed to do? Store water in buckets every week? Neither good air nor good water. What is happening to Pune?
112
71
12
852
38,280
How to Choose a Doctor (from a Doctor POV) Short Answer: You cannot Long Answer: Often people ask me, who is the best doctor for so and so disease, or where will get a so and so specialist in this area... If I have a contact there, a doctor I know and trust, I direct them there. But, otherwise, I am clueless. A time-tested source of information is word-of-mouth. However, we all know how unreliable it can be. A person having a bad experience with a doctor will bad-mouth him aggressively, a person having a good experience might not be as vocal. Or, someone might get cured of their ailments based on the natural progression of disease, and might credit it to the doctor. This type of communication is also seen on Google Reviews. You'd see a lot of 1 star reviews, or 5 star reviews (the latter usually coerced by the hospital's HR department)... but the average population often just ignoring it (much like they do to restaurants, hotels, hair salons etc) Another way people choose is seeing the doctor's online presence, or when they appear on TV/newspapers (latter more often prevalent in earlier times, the former trending now) but being camera-friendly does not equal being competent. You could be swayed by popularity... longer lines outside the clinic could mean better doctors... maybe. But then, that could also mean the doctor is slow, or would want to 'finish' off the consultations in a hurry, as so many patients have lined up. ----------------------------- So, how to choose a doctor? Well, there are certain ways one could do that. One concept I would like to be reintroduced is that of a family doctor. Earlier, when people had minor ailments, they would consult a doctor practising in their locality, who would treat them, and if needed, refer them to a higher centre. This is still prevalent in many towns and villages. One need not go directly to a specialist always. I know it is a counterintuitive notion of having to visit multiple doctors rather than finding the specific one. But the second one is a gamble. What if you went to an ENT specialist, but you needed a neurologist? I would prefer that people have a family doctor they go to often. That brings me to my second point, which is Preventive medicine People often do not realise that Regular Health Checkups are important in picking up subtle clues that would lead to diagnosis of a disease quite early in its onset. Prevention is better than cure na? A 6-monthly, or at least an annual checkup from your family doctor is a must. And then there are various doctors you could visit. Paediatrician for your child, geriatricians for the seniors in your family, gynaecologists... Making yourself known to a doctor, makes it easy in emergencies. Especially one who have a work phone you can contact at any time. (Many specialists don't have this, as they are too busy with surgeries and hospitals full of patients) One does not have to run helter-skelter or frantically calling up many people at that hour. But while choosing a family doctor, don't just go on sweet talk or local reputation. See whether that person is a registered medical practitioner or a quack (doctors are legally required to display registration in their clinics, and soon, there is going to be a compulsory QR-based system to verify.) As far as degree is concerned, personally, I do not believe that alternative medicine in any form works. Look for MBBS or MD/MS degrees Some specialities have a Diploma/Fellowship after these degrees, which too are legitimate. Keep a watchout for fake degrees, which are manipulated to look like the original ones. Also, consider second opinion. Every doctor can get one-tracked on a diagnosis for legitimate reasons. A second pair of eyes might pick up what the first could not. Remember, this is not a sting operation. So just be frank with the second doctor that you just want an opinion, and will prefer the first's treatment.
How to choose a doctor (day to day sickness) 1. Ask neighbours, chemists. 2. Look at qualifications. An MD will probably be better than an MBBS. 3. Check the rates. Someone charging Rs.600 will probably be better than someone charging Rs.300. An MD charging Rs.1500 may not necessarily be more effective than the one charging Rs.600. 4. Look at the clinic. A better, well organized, efficient (staff) clinic has more chances of being good or better. 5. Try it out.
2
1
16
1,385
To conclude, there is no sureshot formula to 'choose' a good doctor. Some times, it is often left to chance. But yes, there are some methods one can employ to smartly get it done. I prefer a well-informed patient over a poorly informed one (more on this later. Be smart, stay healthy.
3
70