Daily Archives: 09/12/2025
Refeeding syndrome
Dr. Abhishek Shukla explained that refeeding syndrome is a serious metabolic disturbance that occurs when nutrition is suddenly reintroduced after prolonged starvation or severe malnutrition. During starvation, the body suppresses insulin, slows metabolism, and switches to fat and protein breakdown for survival. The moment carbohydrates are given suddenly, whether orally, enterally, or intravenously, basal insulin […]
Abstain/Epstein files –
As the patient sat down, I looked expectantly for the treatment file. But Gen Z Govind was carrying only his brand new mobile phone and the unreasonable expectation of an immediate cure for his chronic illness. I asked tentatively, “Are you carrying your previous records?” Govind seemed offended. “Apparently delulu is the only solulu that […]
๐๐ข๐๐ ๐ง๐จ๐ฌ๐ข๐ฌ ๐ฏ๐ฌ ๐๐จ๐ฎ๐๐ญ
A: Diagnosis A little girl comes into the emergency room.She has fever, rash, low platelets.The doctor thinks: Dengue? Sepsis? Something rarer? He orders tests.He starts fluids.He calculates doses in his head.Every decision is a balance โ between what is likely, what is possible, and what cannot be missed. This is diagnosis.It is not a crystal […]










