Naresh bhat (@Nareshbhat14) profile picture

Dinosaur gastroenterologist

Joined October 2017
Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)Photo by Naresh bhat (@Nareshbhat14)
I am a member of the Norwegian Nobel Committee. There are five of us. Five people, appointed by a parliament most of the planet could not find on a map, who decide, once a year, which human being the world has agreed to call good. I know. I know. I think about it on the tram. We meet in a building on Henrik Ibsens gate, a street named after a man who wrote almost exclusively about people discovering they are frauds, which nobody on the committee finds funny except me. There is a room with a long table and the portraits of the dead laureates looking down, Mandela, the Dalai Lama, a great many earnest men in spectacles, and one portrait we do not discuss, which is Kissinger, 1973, awarded while the bombs were still falling, after which two of our predecessors resigned and the satirist Tom Lehrer said political satire was now obsolete. We keep him on the wall. A reminder. Every family has the uncle. It is October in Oslo, which means the sun gives up around four in the afternoon like a civil servant, and it rains the particular Norwegian rain that isn’t quite falling, just hanging there, judging you. I arrive with wet shoes. I always arrive with wet shoes. There is coffee, because this is Norway and there is always coffee, we drink more of it per person than almost anyone alive, and someone’s wife has sent kanelboller, the cinnamon buns, and we sit, five Norwegians, damp, caffeinated, sugared, and we decide the moral standing of the entire species. Let me tell you how it actually works, because the world imagines a cathedral and it is, I promise you, a book club with a mandate. 287 nominations this year. 208 people, 79 organizations. Anyone can nominate, that’s the secret nobody understands: a professor, a parliamentarian, a former laureate, so the ā€œnomineeā€ list is meaningless, it’s a suggestion box, and every autumn some congressman nominates his own golden retriever and the press writes ā€œSHORTLISTED.ā€ Nobody is shortlisted. There is no short list the public ever sees. There is us, and the coffee, and the rain, and the portraits, and a Norwegian stubbornness that is older than the prize itself. We read reports. The institute’s advisers write them, thick dull documents, and we argue. Our chairman told the BBC once that in the final meeting ā€œthere is a high temperature.ā€ High temperature, for a Norwegian, means someone slightly raised an eyebrow and then apologized for it. We don’t do high temperature. We do a long silence, and then Kristin says ā€œwell,ā€ and everyone knows exactly what ā€œwellā€ meant, and it’s settled. That’s our shouting. ā€œWell.ā€ You’d have to be raised here to hear the violence in it. Now. This year. I will not say the name, because we never say the name, but you know the name. A certain head of state wanted this prize the way a child wants a thing in a shop window, which is to say loudly, and in public, and with the full belief that wanting it was itself the argument. He said he deserved it. He said he’d ended eight wars, a number that grew most times he said it, like a fish. He had other heads of state phone us. Israel’s prime minister posted it on the internet, ā€œGive him the Nobel.ā€ The leaders of Cambodia and Pakistan announced they’d nominated him, as though announcing it were part of it, as though we tally mentions. A man flew around the globe collecting endorsements for a Norwegian committee the way you’d collect signatures for a petition to the council about a noisy dog. And here, uff da, is the detail I treasure, the one that makes me smile into my coffee. The nomination deadline is the 31st of January. He took office on the 20th. So for all the phone calls, all the posts, all the gilded lobbying, the only nominations that could possibly count for this year’s prize were filed in the first eleven days of his term, before he had, by his own arithmetic, ended a single one of the eight wars. He campaigned all year for a prize whose window had shut while he was still hanging up his coat. We didn’t have to reject him. The calendar did. We just watched. Norwegians are very good at watching. We have long winters. People think we sit there weighing his deeds. We don’t. That’s the thing I can’t make the world understand. We’re not grading his homework. We don’t owe anyone the prize for a ceasefire, however real, however loud the announcement. ā€œHe made peaceā€ is not a sentence that ends in a medal, the way he believes it does, the way he believes every good thing ends in his name on it. The will of a dead Swede says the prize goes to whoever did the most for fraternity between nations. A dead Swede, I should add, who made his entire fortune inventing dynamite and selling arms, and spent his last years horrified at his own obituary, which called him a merchant of death, and so bought his way to immortality as a man of peace. The whole prize is one guilty arms dealer’s attempt to launder his name. We are, all of us, administering a dead man’s public relations. I find this clarifying. It keeps me humble. It should keep everyone humble, and it keeps, by my count, no one humble at all. So who did we give it to? An eighty-five-year-old woman. A judge. Born in Durban, under apartheid, granddaughter of a Tamil man who came to South Africa as indentured labor, a bus driver’s daughter from the poor Indian quarter, who became the first non-white woman to run a law practice in her province, who defended Mandela’s people when defending them was dangerous, who sat on the Rwanda tribunal and the court at the Hague, and who, at eighty-five, is right now a judge weighing whether a genocide is a genocide. When we told the world, our chairman said the rule of law ā€œunderpins the system we have set up to ensure peace,ā€ and that ā€œpeace requires justice.ā€ She wasn’t even in Oslo. She was in Nuremberg. In courtroom 600. The actual room where they tried the Nazis. You cannot stage that. God staged that, and God, it turns out, is a better satirist than any of us. She did not phone us. She did not post. No prime minister demanded it for her on the internet. She had, as far as our deliberations are concerned, the one qualification the loud man could never manufacture, which is that she wanted the work and not the medal. The medal finds those people. It flees the ones who chase it. This is not a rule we wrote. It’s just the only pattern the hundred-odd years of our mistakes has ever shown. The reaction from across the ocean was immediate. His spokesman posted that we ā€œplace politics over peace.ā€ Ja. Perhaps. We’re five damp pensioners in a rainy city; of course it’s political, it was always political, it was political when we gave it to a sitting American president nine months into his first term for the promise of things he had not yet done, and we have been quietly embarrassed about that one for fifteen years, so believe me, we had a particular reason this year to prefer a woman with fifty years of verdicts behind her over a man with eight wars in front of him and a deadline already behind him. Here is what he will never understand, the thing I’d tell him on the tram if he ever took one. We are the one prize he cannot buy, cannot post his way to, cannot have a friendly dictator phone in for him. Not because we’re incorruptible, nei, we’re as vain and wrong and human as the portraits on our wall. But because the entire point of the thing, the only power a small cold country’s book club has ever held, is that it goes to the person not performing the wanting. The moment you demand it, you’ve proven you don’t understand what it’s for, and proving that is itself the disqualification. He ran the most expensive campaign in the history of the prize and the campaign was the reason. He was never losing to Navi Pillay. He was losing to the concept. It’s dark now. Four o’clock dark. The buns are gone. Kristin said ā€œwellā€ an hour ago and we all went home. I’m on the tram with my wet shoes, and somewhere across the water a very powerful man is explaining to a camera that the prize is rigged, that we’re corrupt, that he’ll win it next year, and he genuinely might, we’re only five idiots and we’ve been wrong before, Kissinger is still on the wall. But not this year. This year an old woman in Nuremberg, in the room where the law once stared down the exact kind of man who thinks wanting a thing loudly enough should make it his, got a phone call she didn’t ask for. That’s the job. We don’t reward the man who ends the war and announces it. We reward the woman who spent fifty years deciding what a war was. He’ll never see the difference. That’s rather the whole point of him. Takk for i dag. I have to change trams.
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Naresh bhat retweeted
What is the optimal duration of antibiotics after ERCP decompression for cholangitis? The #UEGWeek 2026 top abstract prize goes to Anouk Overdevest for her work on the COBRA trial, which shows that 1 day of antibiotic is non-inferior to 4-7 day courses šŸ‘šŸ†
šŸ¤– Made with AI
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Smriti Mandhana again got out with the leg side sweep ; got a four of a swivel to mid wicket . Her dismissals 2 years ago were often due to these shots on leg side which do not have power @mandhana_smriti @cricbuzz @BCCIWomen
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Listening to Nikhil Jain cribbing on NDTV giving a false narrative. I also needed to sort out some discrepancy Date given was after 5 days when I was travelling. Informed the BLO who accommodated me the same day, The were proactive and sent me WhatsApp message too.
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Naresh bhat retweeted
The Delhi šŸ‡®šŸ‡³ World Congress of Gastroenterology Congress #WCOG2026 was a huge success Incredible line up with world leaders in GI &Hepatology & Endoscopy . Congratulations to @WorldGastroOrg @IsgSecretariat led by Dr M Phillip , Dr Makharia , Dr Vineet and others Thank you for the invite - honoured The #IBD sessions organised by @CCF_IN was very well received with lot of audience and delegate interactions Great speakers @vipuljairath @Khanna_S @JuliaoFabi7818 @vandana_midha @dr_singh_gastro @Nareshbhat14 @Kayalvn @drvishal82 @DrRupaBanerjee1 @ibd_pal and many others not on twitter Learned a lot and humbled to meet those who have trained me @gi_pgi Dr Rakesh Kochhar , Prof Ajit Sood , Dr Vineet Ahuja #GlobalCollaborations #GlobalSolutions Icing on the cake was meeting 😊@barjammar #inspired
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#REFIT2 @LancetGastroHep @TheLancet : 450 patients, 3 randomised donors, autologous FMT as placebo. Response at 90 days: 40% donor #FMT vs 38% placebo. The donor microbiota engrafted. The symptoms didn't care. Placebo response ranged 25–55% across five sites - why this ??? doi.org/10.1016/S0140-6736(2… Non-specific stool transfer should now leave clinical practice and return to mechanistic research. #IBS #FMT #Microbiome #GITwitter #MedTwitter @AmCollegeGastro @BritSocGastro @doc_zubin @AniruddhaGI @krithivk @AIGHospitals @IsgSecretariat
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SIR criticism rampant. I found my name missing . I had changed my house and old house was sold and demolished. Filed an application online and was called and passport used as proof along with old election card . Extremely friendly efficient staff sorted it out. Thanks šŸ™
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Naresh bhat retweeted
Bilirubin not improving post technically successful ERCPā‰ļø read our shared experience šŸ‘‡ @EyadGadour @tberzin @NEndoscopy @SyedGerdezi @UmairKamran11 @Notts_DrSaqib @shanilkadir @eusdoctor @Marktheliverdoc @ShyamVedantam
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āš ļø 🚨 MUST READ āš ļø 🚨 Check out the new BSG/ JAG Delphi consensus on standardising UGIB haemostasis courses. Thanks @ThoufeeqMo @drgauravbnigam @drkeithsiau @PaulDunckley @swd1984 šŸ‘ šŸ™ Acute UGIB has an inpatient mortality of 8.8% ā€¼ļø This consensus covers: 1ļøāƒ£ Course content and faculty 2ļøāƒ£ Course structure and design 3ļøāƒ£ Practical and technical delivery 4ļøāƒ£ Educational content and approach fg.bmj.com/content/early/202… @PhilSmithIsBack @OTavabie @dr_aditi_kumar @TrevorTabone @eathar_s @IrenePerezMD @KGananandan @zare_benjamin @medicalreg @dtleiberman @BASLedu @BSGtrainees @WorldGastroOrg @ulstergastro @pancreatitis_nl @SEEDendoscopia @EASLedu @AmCollegeGastro @Aegastro @SAGES_updates @UHSEndoscopy @WAGE_media #GITwitter #livertwitter #gastroenterology #Endoscopy #MedEd
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Is it time that Harmanpreet Kaur calls it a day ? Consistently slow scoring , hardly any significant contribution in terms of runs . No power to score boundaries- creates run outs in her anxiety Groom another number 4 - high time . She played her role in the past - appreciate it
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Here is the text from Dr. Shubham Vatsya’s LinkedIn post: --- Corporate hospitals didn’t kill the independent doctor. Real estate did. Land got expensive. Medical risk got expensive. So capital moved in and started buying the one thing it can’t actually manufacture: a good pair of hands and a trusted name. Every brilliant surgeon I know has faced the same question. Build your own name, or rent it out to a corporate logo for a salary and a parking spot. Here is how you stay out of that trap. I learned most of this the hard way. 1. Go home before you get comfortable somewhere else. The day you finish your training, academically, procedurally, surgically, go back to your hometown or your spouse’s hometown. Somewhere your family already has a network. Somewhere people know your name before they know your degree. Trust built over decades by your parents is not something any hospital brand can hand you. Use it while it is still there. 2. Do not fall in love with a narrow skill. Ultra-specialisation feels prestigious. It is also a trap. If you chase the most tubular, hyper-niche branch of your field, say liver transplant, you might not peak until you’re fifty. That is a long runway to survive, and corporates love doctors who need that runway. Not knowing what to do is far less dangerous than not knowing what not to do. If you want to peak early and stay independent, you need broad competence, not a single narrow peak. 3. Build your own brand before someone else builds it for you. Invest in your own clinic. Teach. Run CMEs for young doctors. Go meet other doctors in their own clinics and let them see what you’re good at, in person, not on a slide. And here’s the part most people get backwards: the best way to sell is to not sell. Don’t ask people for patients. Ask them for blessings. Show up at CMEs, not just to collect credits, but to actually attend other doctors’ sessions. Pay respect to your seniors. Learn who really moves patient load in your area, the family physicians, the Ayurvedic and homeopathic practitioners, the local networks that corporates never bother to court. 4. Your patient is your marketing department. Act like it. In your first three to five years, take every call. Reply to every WhatsApp message. That inconvenience is the investment. It is also the only moat a corporate cannot buy from you. And do the unglamorous thing: build your own practice in the evenings, after your day job, for years, if that’s what it takes. The moment you have patients who are loyal to you and not to a hospital’s logo, the corporates will come looking for you. Not the other way around. A doctor touching 40 without his own patient base is not a senior consultant. He is just an employee. One who can be exploited on call schedules, on incentive structures, on targets, and who will never be in a position to dictate a single term to the management sitting above him. Build the base early. Or spend the rest of your career negotiating from zero. ---
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Our new publication in @FrontGastro_BMJ Predictors of response to Medical rescue therapy in ASUC: RESCUE-ASC STUDY - UCEIS < 6 - CRP on day 3 Post rescue <22mg/L Identifies patients who avoid colectomy doi: 10.1136/flgastro-2025-103253 #GITwitter #IBDTwitter #MedTwitter
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Was privileged to be part of ANBIIG workshop with lectures and hands on training in Kota Kinabalu,Malaysia and also spoke on Premalignant lesions at GE junction. Enthusiastic group with great camaraderie. Thanks Rajvinder and Uedo Sensei for the opportunity @drvishal82 @Kayalvn @
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Naresh bhat retweeted
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British cardiologist Kim Fox, former president of the European Society of Cardiology, influenced guidelines and promoted a poor heart drug while he and his wife earned hundreds of millions of pounds on clinical trials. bit.ly/46FqzSQ. Any scandal bigger than this one?
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Perfect quote!:-) @ShamikaRavi : Prof ;)
Dedicated to Raghuram Rajan
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For decades before 2014, the world practically mocked every Prime Minister's foreign trip as 'vanity' or 'photo-op'. But Look at the last 24 months and try, honestly, to call this theatre. In a world of tariffs, wars and broken supply chains, Prime Minister Narendra Modi is not collecting photographs. He is building leverage. Leverage over energy, minerals, missiles, markets, technology and of course free trade agreements. The record speaks for itself. May 2026, UAE: a brief stop, massive yield. Strategic petroleum collaboration with ADNOC, including potential storage of up to 30 million barrels in India. A long-term LPG track for homes and industry. A Strategic Defence Partnership framework covering manufacturing, training, maritime security and cyber. A ship-repair cluster at Vadinar. Around $5 billion in announced investment into Indian infrastructure and finance. That is energy security when West Asia is on fire and sea lanes can become pressure points overnight. February 2026, Israel: sixteen agreements. An agricultural research and innovation centre on Indian soil. Deeper defence and technology cooperation. Cyber. R&D. Cultural and digital ties. An FTA pushed onto a faster track. That meant technology and capability coming back to Indian farmers, Indian industry and Indian defence. June 2026, France: the Innovation Roadmap 2030. A series of agreements across innovation, defence, space and technology. An economic-security dialogue. A mechanism aimed at doubling trade. July 2026, Indonesia: fourteen agreements and new initiatives. BrahMos cooperation—a serious step forward for Indian defence exports. Critical minerals and rare earths. Maritime security. Space. Steel. Healthcare. And, crucially, an attempt to reduce Chinese dominance over the materials that will decide the future of batteries, electronics and weapons. Australia: civil nuclear arrangements opening the door to uranium supply, a Maritime Security Collaboration Roadmap, defence agreements and a growing trade relationship. New Zealand added another maritime track. These are not souvenirs from foreign visits. They are part of the road map for a more secure, more resilient and more self-reliant Viksit Bharat. Atmanirbhar Bharat. Today, The New York Times published an article headlined: ā€œModi Is Hedging Against Trump, One Deal at a Time.ā€ Its central point is simple: Modi has used each foreign visit to push India’s interests in security, trade and energy. The India-US trade talks launched in February 2025 under President Trump were expected to produce haste and concession. Duties piled up, at one point heading towards 50 percent, including a penalty linked to Russian oil. The expectation in some capitals was simple: India would fold. India did not FOLD. It refused a rushed, one-sided bargain. It held its ground on reciprocal access, domestic industry and agriculture. It bought time. And then used that time. While talks dragged on, Delhi built alternatives: Gulf energy security, Israeli defence technology and agricultural innovation, French industrial and technology partnerships, Indonesian minerals and missile exports, Australian uranium and maritime cooperation. That is how a continental economy stops negotiating from weakness. Even after the February 2026 interim move towards an 18 percent reciprocal rate, Indian negotiators continued to hold out for terms that did not sacrifice agriculture or leave India permanently worse off than its competitors. Even news media, whose first instinct is to criticise PM Modi, started to understand the value of his initiatives. Reuters described an increasingly confident India drawing strength from new partnerships. The Wall Street Journal wrote that New Delhi’s deal-making with middle powers had strengthened its hand with Washington. That is the point. You do not gain respect at a difficult negotiating table by talking about old friendships. You gain it by showing that you have choices. Beyond the international coverage of Modi and Trump, reporting on tariffs, tensions and the unfinished trade bargain, something else is happening: India is no longer waiting for others to solve its problems. It is securing supply chains, energy, minerals, defence partnerships and markets first and then negotiating. That is why India can deal with America without surrendering its interests and deal with China without being intimidated. The world does not hand out influence. You have to build it. And 2026 is a brutal year in which to do so. Energy routes are under threat. Great powers are openly transactional. China remains ambitious. America is demanding. In that environment, speeches do not keep the lights on. Statements do not fill strategic reserves. What does? A Prime Minister who treats every foreign visit as work. Modi’s personal standing with world leaders is not branding. It has strategic value for India. It gives India access, trust and room to manoeuvre. And the growing confidence in India abroad is not charity. It comes from agreements signed, supply chains opened, capabilities built, markets expanded and promises delivered. This is interest-first statecraft. Relentless. History will not remember who mocked whose boarding pass. It will ask a harder question: When the world became unstable, who came home with oil, minerals, missiles, technology, markets and greater bargaining power? That work is underway. It is unfinished. And it is exactly the work required to secure India’s interests and India’s rightful place in a world that respects countries which have options. nytimes.com/2026/08/29/world…
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Naresh bhat retweeted
A 2-day #ANBIIG endoscopy workshop in Manila šŸ‡µšŸ‡­ focusing on #IEE and #ESD. Impressed by the quality of trainees and the videos in ā€˜Polyp Cup’! šŸ†
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Happy that India beat Pakistan in WC hockey. But disappointed with the defenders and goal keeping. Left large gaps in defence with lethargic recovery. Only Abhishek was outstanding as a forward with both flanks poorly used. Aerial passes were the saviour
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Some of us have been fighting the online battle for a long time now. Just came across this email I had sent out in 2005.
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