The Neural Maverick @mpuneite9

@theprayagtiwari Justifying illegal immigration by dumping the blame on the consumers !

Delhi: At the Marshal of the Indian Air Force Arjan Singh Memorial Lecture, former Air Chief Marshal Vivek Ram Chaudhari says, "It is said that when he was the Chief, he used to visit many squadrons and fly sorties. He would remove his rank insignia before donning his flying suit. When asked why, he simply said, 'In the air, I am just another pilot. My rank means nothing. We are all flying for the same cause.' After retirement, he was entrusted with three or four other appointments to serve the nation—initially as the High Commissioner to Switzerland, then as India's Ambassador to Kenya, Chairman of IIT Delhi, and Lieutenant Governor of Delhi..."

@LtGenDPPandey He should be charged with treason for his misdeeds! How come he remained untouched till date??

@frazzledmax @ankitbahuguna84 2 sides of the same coin. Each one is right in their own perspective. Sherpas carry buttloads of mountaineers hiking accessories. Strange what all extent can a person do for earning a living ! Huge respect 🌺

@witchdrkochi With conditions like NMDAR-E, Neuro-lupus, dementia, atypical PD; who may manifest typically with psychiatric features, it has become more challenging to differentiate the organic vs non organic ones, esp with normal imaging and CSF!!

If you see someone throwing trash on the road, dont confront him. If you do, then you may be assaulted or end up dead. Similarly, don't try to correct the political/ religious opinion of your cab driver or the salon executive. Because in both cases, you are in a vulnerable position. Only do the right thing when there is no danger to your physical safety and well-being. Teach your children to read the situation first. You don't be the saviour and let the police or whoever's duty is to fix the thing do it for you. Unsolicited bravery in India can lead to your untimely death. No one will remember what you did, but your family will suffer forever. Don't listen to social media BS about doing the 'right thing' always.

@Ramsaoffice Ppl have become insensitive

Pregnancy doesn't just increase stroke risk. It changes which stroke to suspect, when to suspect it, and how to treat it. I use a simple mental model in OPD and the emergency room: The Pregnancy Stroke Safety Board ① TIMING tells you the diagnosis. 🟢 Antepartum Think cardioembolism, dissection, thrombophilia. 🟡 Peripartum The highest-risk period. Hypertensive emergencies begin to dominate. 🔴 Postpartum (especially first 6 weeks) This is where many clinicians lower their guard. Instead, think: • Cerebral venous thrombosis (CVT) • RCVS • PRES • Intracerebral hemorrhage • Cervical artery dissection Remember: The baby may be home, but the mother's vascular risk isn't. ② MECHANISM guides treatment. Pregnancy stroke is rarely just another ischemic stroke. Ask yourself: ✔ Is this hypertension? → Preeclampsia/Eclampsia → PRES → ICH ✔ Is this hypercoagulability? → CVT → Anticoagulation, even if venous hemorrhage is present. ✔ Is this vascular injury? → Cervical artery dissection. ✔ Is this cardioembolism? → PFO → Peripartum cardiomyopathy → Intracardiac thrombus. Finding the mechanism changes secondary prevention. ③ Don't let pregnancy delay diagnosis. A persistent myth is: She's pregnant... let's avoid CT. Wrong. A clinically indicated CT head or CTA should never be delayed if it changes acute management. Likewise, MRI without gadolinium is considered safe. The greatest fetal risk is often missing the mother's stroke. ④ Pregnancy is NOT an automatic contraindication to reperfusion. If she has a disabling ischemic stroke... • Assess exactly as you would any stroke patient. • Control BP appropriately. • Image rapidly. • Consider IV thrombolysis if eligible. • Proceed to thrombectomy for eligible LVOs. Treat the patient—not the pregnancy alone. ⑤ The biggest opportunity is prevention. Most maternal strokes are linked to hypertensive disorders of pregnancy. So every headache deserves two questions: What's the blood pressure? Is this really migraine... or something more dangerous? Early recognition of preeclampsia may prevent the stroke you never have to treat. One practical lesson from this excellent review: Pregnancy changes the differential diagnosis far more than it changes the principles of stroke care. Recognize early. Image early. Treat early. Protect the postpartum period. That is how maternal brains are saved. #Stroke #Pregnancy #MaternalStroke #Neurology #StrokeMedicine #NeuroTwitter #MedTwitter #OBGYN #NeuroCriticalCare #Preeclampsia #CVT #RCVS #PRES

#WATCH | Delhi | Padma Shri awardee, Haematologist Suresh Hanagavadi, says, "When I learned that I was being given this award, I couldn't believe it, because I work in the field of 'rare diseases.' I never imagined I would receive such recognition. I am truly very grateful to the Government of India and Prime Minister Narendra Modi for recognising my 40 years of commitment in this field. I am also suffering from haemophilia. That made me determined to become a doctor... I would like to dedicate this honour to all my blood brothers, my haemophilia family... and to each and everyone who supported my initiatives and efforts." (22.06)

@ndtv @dpradhanbjp @akhileshsharma1 Jimmedar hu!! Bas yeh bolke sympathy gain Kar lo!! Where is the action taken ?? Declaring yourself responsible without action is a joke in itself!

@iamdatemike Don’t you think hype around delay in reaching exam centre is unnecessary? This is not the 1st or the last time an exam is being conducted. There should be no compassion for being late for an exam. It’s unfortunate who couldn’t make it. But there can be no excuses!

@A_K_Mandhan @grok Your last line !! 😝

One of the most thought-provoking takeaways from the amazing lecture on APS by Illiasul Ibad: 🧐 When should we NOT trust a lupus anticoagulant report?

@PJaseja Yes, floor of IV ventricle, dorsally

@IlliasulK I find FABER and SLRT very useful adjunct in OPD to differentiate between PIVD and AxSpa especially in young. H/o enthesitis/uveitis will be an add on

@PJaseja It’s area postrema region

@iamrakeshbansal What if the outsourced person also happens to be a woman ???