Dr Deekshith

[19-06-2024 19:07]R: Hi G! I have been looking into the adult BCG vaccination recently, and here's what I have come across in the consent forms that feels more than mildly unethical: 1. The consent "form" is in the form of a book, ie, the patient information sheet is the first page, and the consent is basically taken as a list of signatures. 2. There is no pre-vaccine AFB smear/ follow up. If it is a trial, how do they intend to find efficacy?  3. There is no mention of AEFI monitoring. 4. The rates of AEFIs are mentioned, but a lot of literature shows that revaccination has increased risk of AEFIs, which is not conveyed to the participant/beneficiary. [19-06-2024 19:09]R: I am yet to read up the SOP on adult BCG vaccination, but all of this seems shady. And all of this is on paper. [19-06-2024 19:10]R: My centre has refused to start the trial, but I hear adult BCG is going on full swing all over Delhi.  Are your centres doing it @P ? [19-06-2024 19:19] P: My centers are ...

58M Hypertension, DM, post CABS Introduction 2011 He was asymptomatic 14 years ago. He was diagnosed with Malaria when he found out he was diabetic too. He is on medicine ever since till he met a ayurvedic practitioner and is eating a leaf (which promises to cure diabetes in 8 days forever). He was having pain in abdomen and chest. He was feeling uncomfortable and consulted a doctor. When they suggested to have an Angiogram, he refused to have one as he was not sure if it was safe. He consulted a homeopathy practitioner later. The symptoms were relieved and he continued to take them for 8 years. He was having a usual lifestyle of a middle aged man(he used to drink alcohol, smoke cigarette and eat meat and junk food). 2021 He then suddenly stopped taking homeopathy medication  as they were not relieving the symptoms anymore . 2 moths later he experienced pain in abdomen and gripping pain chest region along with episodes of vomiting. He had episodes of Vomiting. He consulted a ...

 Take Away experiences: First of all understand the needs of the client. don't make stuff blindly. If you are not sure about the style of graphics the client would like, ask them to share reference posts or images. Now you have an idea of how they want their work done. Don't let your taste in art influence your work as there is no rule that people would like what you like.(differences in tastes is a thing) Find out if there is any gold standard work instructions before you dive into the work. Planning is necessary! don't rush into the work. It might take some time but you will never end up in chaos. Don't rush. Take your time. Work diligently.

70M with multiple myeloma remission looking for alternative/unconventional therapy/dietary Ketosis Inputs Keywords-Multiple myeloma, stress pulse therapy, nutritional ketosis, dexamethasone. Review around effects of dexamethasone(steroid) and the patient's apprehension on achieving ketosis. Is it a scientific apprehension or apprehension due to informational poverty and lack of continuity of care? adopting a "low carb" diet that will better manages my BGLs on non-dex days (I definitely want to get my BGLs to lower levels without insulin, they're too high at the moment) modifying the diet to better manage my BGLs during my dex days and when the time is right going into full ketosis History 2005- T2 diabetes 2016- Clear cell Renal cell carcinoma (RCC) followed by radical nephrectomy 2017- Multiple Myeloma (MM) followed by stem cell transplant Remission till 2022 June 2022 – Covid – usage of dexamethasone- increased blood glucose level (BGL) – Insulin therapy March 2023 ...