May 26B12 deficiency and DiabetesB12 deficiency and diabetes — should all patients with diabetes be given multivitamin tablets ? If not, who should get Vitamin B12 ? A 🧵 Vitamin B12 is a water soluble vitamin and its deficiency is pretty common in diabetes. How common ? …Ditabetes2 min readDitabetes2 min read
Sep 15, 2022Am I responsible ?When things go wrong, we make sense of them with 3 possible explanations * I am responsible * Someone else is responsible * No one is responsible I have been brought up to believe that if something goes wrong with my life, then I am responsible — and I should…Medicalruminations2 min readMedicalruminations2 min read
Aug 31, 2022The Noodles consultation & the ‘Google’ PatientsOne of the common complaints among Indian patients is “the Doctor doesn’t spend much time with me”. An article published in BMJ claimed that the average time per patient was around 2 minutes ! Our consultations are like instant noodles , but a lot less enjoyable This is particularly hard…Doctors4 min readDoctors4 min read
Jul 18, 2022Fragmentation of care: could Concierge medicine help?Recently I read an article by senior endocrinologist,Dr Mathew John about the fragmentation of care in medicine and endocrinology ,its causative factors and possible solutions. You can read the article here. After reading the article, I had a few thoughts — the foremost of which centered on the idea of…Medical Care4 min readMedical Care4 min read
Jul 3, 2022Politics based medicineThe recent judgement by the US Supreme Court that overturned Roe vs Wade, has been called an abortion ban — by the main stream media, while the truth is a little more nuanced. …Healthcare2 min readHealthcare2 min read
Jul 2, 2022Mirror, miror on the wall, who’s the fairest of them all ?The other day, I was reading the story of Snow White and the Seven Dwarfs for my daughter.In case you have forgotten, Snow White’s step mother — the evil queen asks the mirror, “Mirror mirror on the wall, who’s the fairest of them all ? “. The mirror replies “Snow…Fairy Tale2 min readFairy Tale2 min read
Jun 30, 2022Radius of compassionA few days back, I met a young man in his late twenties. He used to accompany an elderly couple — both of whom had multiple health problems. He would patiently take them to OPDs , never once attempting to jump the queue. …Medicalruminations2 min readMedicalruminations2 min read
Jun 26, 2022Roe vs Wade — What I learnt as an outsider“Tout homme a deux pays, le sien et puis la France!” said Henri de Bornier in his play, more than 100 years back. It means, every man has two countries, his own and France. In our time though, it’s safe to say, that every man has two countries — his…Dobbs3 min readDobbs3 min read
Jun 17, 2022Diagnosis — A work in progressDuring MD days, I had seen some patients from Immunology / Rheumatology whose case sheets read, “undifferentiated arthritis”. It was an interesting term, which I learnt means an arthritis which can’t be classified as anything more specific. I wondered if there is a difference between undifferentiated and idiopathic. In medical…Medicalruminations1 min readMedicalruminations1 min read
Jun 14, 2022GLP1 agonists : Private truths, public liesGLP1 agonists — the glutides are antidiabetes drugs that also have protective effects on the heart. In the initial few days, the drug is known to cause vomiting, fullness or even diarrhea. Most people grow out of it. Some people however seem to complain for a long time and refuse…Diabetes2 min readDiabetes2 min read
