Amit Thadhani (@amitsurg) header
Amit Thadhani (@amitsurg) profile picture

General surgeon, social activist, trekker, author, occasional guitarist, part time farmer. Views are personal. Abusers will be blocked or replied to in kind.

Mumbai , Bharat
Joined August 2009
Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)Photo by Amit Thadhani (@amitsurg)
Part time UBT MP and full time Rahul Gandhi chamcha has issued an unconditional apology to the SC. All his daily 10 am press conference journo fans will ignore it. वायरल करो 😂
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Amit Thadhani retweeted
India’s sports industry is estimated to be worth $19 billion and is projected to grow at a compound annual growth rate (CAGR) of 12-14% to reach $40 billion by 2030, and the sports goods, equipment and apparel manufacturing segment is valued at $6.7 billion and is expected to expand to $10 billion by the end of 2030, according to KPMG India. Read more: livemint.com/news/nike-asics…
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A major boost to India's maritime and logistics sector! The Cabinet has approved the Container Manufacturing Promotion Scheme. Key benefits include: 10-fold increase in domestic capacity to 7.5 lakh TEUs annually. Financial support for new and existing manufacturers. Globally competitive, quality-certified containers. Reduced import dependence and stronger supply chains. pib.gov.in/PressReleaseDetai…
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And none of the founding fathers had a sense of direction ..... they were under the impression that they had reached India
I don't mean offense to anybody, but none of our founding fathers were Hindu. None of our founding fathers were Muslim, and none of our founding fathers were Jewish. This was built on Christian principles, and we can never forget that.
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As a neurosurgeon, let me tell you how frightening this injury actually is - an occipital compound depressed skull fracture treated with a WIDE craniotomy (outer staple line). What's scary isn't the fracture; it's what's adjacent to the damaged skull. The axe blows (that tree-branch scar at the center) hit right over the posterior superior sagittal sinus, a large vein that runs lengthwise between the 2 cerebral hemispheres and carries blood from the brain to the heart. Penetrating injuries to the sinus can carry upwards of a 40% morbidity/mortality - partially because a transection of the sinus can be difficult to repair and can result in extreme blood loss, venous air embolism, or thrombosis - all of which can be fatal. There's scary, and then there's the "you go to elevate the fracture and risk unroofing the sinus, losing 2 liters of blood in a minute" scary. The surgeons likely had their hands full and did an amazing job. Divine providence called many heroes into service that day. Damn fine work. धन्यवाद
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𝗔𝗳𝘁𝗲𝗿 𝗟𝗼𝘀𝗶𝗻𝗴 𝗘𝗹𝗲𝗰𝘁𝗶𝗼𝗻𝘀 𝗘𝘃𝗲𝗻 𝗩𝗶𝗮 𝗕𝗮𝗹𝗹𝗼𝘁 𝗣𝗮𝗽𝗲𝗿 𝗦𝘆𝘀𝘁𝗲𝗺, 𝗥𝗮𝗵𝘂𝗹 𝗚𝗮𝗻𝗱𝗵𝗶 𝗗𝗲𝗺𝗮𝗻𝗱𝘀 𝗡𝗲𝘅𝘁 𝗘𝗹𝗲𝗰𝘁𝗶𝗼𝗻𝘀 𝗕𝗲 𝗗𝗲𝗰𝗶𝗱𝗲𝗱 𝗯𝘆 𝗥𝗼𝗰𝗸-𝗣𝗮𝗽𝗲𝗿-𝗦𝗰𝗶𝘀𝘀𝗼𝗿𝘀.
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Zero Check Karlo Bhai! 😂 #MLCElectionResults #BallotPaper
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BREAKING: Switzerland suspends funding to Doctors Without Borders after it failed to report that its staff exploited refugee women and girls for sex—in exchange for aid, jobs and money. Previously, 🇨🇭 called MSF “a source of best practice and inspiration.” swissinfo.ch/eng/internation…
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#BreakingNews | Wildlife tragedy in Madhya Pradesh: A cheetah cub dies, with five pellets reportedly recovered from its body. The discovery raises questions about the circumstances of the death and the safety of wildlife in the region.@Elizasherine @Srish__T with details
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Truth bombs 👇 Most patients don't mind paying for pharmacy and labs/imaging but are hesitant to pay for nursing and medical services which they feel is a "noble job" It's worse for physician branches("We have come just to show reports") compared to surgical ones.
1. There is really no justification for it. The huge margins offered by drug manufacturers are due to market distortion. Manufacturers view the purchasers and prescribers, ie hospital and doctor, as their clients, not the patient on whom the medicine is used. 2. Controlling the margins on these drugs won’t affect research as claimed by manufacturers, since they are still free to fix their sale price to distributors. Only the subsequent exorbitant margin gets capped. However, corporate hospitals will certainly take a big hit and by and large their overall profit margins are not good enough to fully absorb this impact. 3. Bed charges, even in highest category of rooms, are well below the infra and running cost per bed of the hospital. It is a fact that hospitals cover the cost of stay and treatment primarily from high margins on pharmacy. 4. If margins from pharmacy and consumables too are cut off, you may find that hospitals substantially increase other charges to offset this substantial loss of income. We have seen this happen in coronary angioplasty - when margins on stents was capped, the procedure charges were increased to keep package cost the same. 5. Unfortunately in India, as of now services are not valued as much as products. Most patients are willing to pay 1 lakh for an implant, stent or medicine a lot more readily than giving the treating doctor 50k for his expertise. Additionally in oncology, the fear of cancer is a big incentive for people to spend any amount for medicines in the hope of cure. It is a sad reality that manufacturers, hospitals and doctors do exploit this situation. It is not a grand conspiracy, each of them is in it for their own reasons. 6. Even though I’m not a fan of overarching govt controls, in some situations such as this, the govt does need to step in and correct market distortions. I reiterate that for antibiotics too, rampant misuse due to high margins is causing scarily high rates of antibiotic resistance. The margins on all antibiotics must be made so low that there should be no incentive at all for misuse. 7. My opinion is that it is better for medical professionals to charge directly for services rendered, than rely on such indirect and somewhat unsavoury sources of income. People too should also get used to paying their treating doctors well for good, clean and timely services and treatment.
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💯 take.
1. There is really no justification for it. The huge margins offered by drug manufacturers are due to market distortion. Manufacturers view the purchasers and prescribers, ie hospital and doctor, as their clients, not the patient on whom the medicine is used. 2. Controlling the margins on these drugs won’t affect research as claimed by manufacturers, since they are still free to fix their sale price to distributors. Only the subsequent exorbitant margin gets capped. However, corporate hospitals will certainly take a big hit and by and large their overall profit margins are not good enough to fully absorb this impact. 3. Bed charges, even in highest category of rooms, are well below the infra and running cost per bed of the hospital. It is a fact that hospitals cover the cost of stay and treatment primarily from high margins on pharmacy. 4. If margins from pharmacy and consumables too are cut off, you may find that hospitals substantially increase other charges to offset this substantial loss of income. We have seen this happen in coronary angioplasty - when margins on stents was capped, the procedure charges were increased to keep package cost the same. 5. Unfortunately in India, as of now services are not valued as much as products. Most patients are willing to pay 1 lakh for an implant, stent or medicine a lot more readily than giving the treating doctor 50k for his expertise. Additionally in oncology, the fear of cancer is a big incentive for people to spend any amount for medicines in the hope of cure. It is a sad reality that manufacturers, hospitals and doctors do exploit this situation. It is not a grand conspiracy, each of them is in it for their own reasons. 6. Even though I’m not a fan of overarching govt controls, in some situations such as this, the govt does need to step in and correct market distortions. I reiterate that for antibiotics too, rampant misuse due to high margins is causing scarily high rates of antibiotic resistance. The margins on all antibiotics must be made so low that there should be no incentive at all for misuse. 7. My opinion is that it is better for medical professionals to charge directly for services rendered, than rely on such indirect and somewhat unsavoury sources of income. People too should also get used to paying their treating doctors well for good, clean and timely services and treatment.
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Amit Thadhani retweeted
This❤️❤️
1. There is really no justification for it. The huge margins offered by drug manufacturers are due to market distortion. Manufacturers view the purchasers and prescribers, ie hospital and doctor, as their clients, not the patient on whom the medicine is used. 2. Controlling the margins on these drugs won’t affect research as claimed by manufacturers, since they are still free to fix their sale price to distributors. Only the subsequent exorbitant margin gets capped. However, corporate hospitals will certainly take a big hit and by and large their overall profit margins are not good enough to fully absorb this impact. 3. Bed charges, even in highest category of rooms, are well below the infra and running cost per bed of the hospital. It is a fact that hospitals cover the cost of stay and treatment primarily from high margins on pharmacy. 4. If margins from pharmacy and consumables too are cut off, you may find that hospitals substantially increase other charges to offset this substantial loss of income. We have seen this happen in coronary angioplasty - when margins on stents was capped, the procedure charges were increased to keep package cost the same. 5. Unfortunately in India, as of now services are not valued as much as products. Most patients are willing to pay 1 lakh for an implant, stent or medicine a lot more readily than giving the treating doctor 50k for his expertise. Additionally in oncology, the fear of cancer is a big incentive for people to spend any amount for medicines in the hope of cure. It is a sad reality that manufacturers, hospitals and doctors do exploit this situation. It is not a grand conspiracy, each of them is in it for their own reasons. 6. Even though I’m not a fan of overarching govt controls, in some situations such as this, the govt does need to step in and correct market distortions. I reiterate that for antibiotics too, rampant misuse due to high margins is causing scarily high rates of antibiotic resistance. The margins on all antibiotics must be made so low that there should be no incentive at all for misuse. 7. My opinion is that it is better for medical professionals to charge directly for services rendered, than rely on such indirect and somewhat unsavoury sources of income. People too should also get used to paying their treating doctors well for good, clean and timely services and treatment.
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Amit Thadhani retweeted
Yes ideal situation is patients paying 5-10x for a doc consultation / procedure. And minimise the conflicts of interests of docs by regulating other prices … Hard to achieve because people in general is reluctant to give money to service + current distortions is too deep …
1. There is really no justification for it. The huge margins offered by drug manufacturers are due to market distortion. Manufacturers view the purchasers and prescribers, ie hospital and doctor, as their clients, not the patient on whom the medicine is used. 2. Controlling the margins on these drugs won’t affect research as claimed by manufacturers, since they are still free to fix their sale price to distributors. Only the subsequent exorbitant margin gets capped. However, corporate hospitals will certainly take a big hit and by and large their overall profit margins are not good enough to fully absorb this impact. 3. Bed charges, even in highest category of rooms, are well below the infra and running cost per bed of the hospital. It is a fact that hospitals cover the cost of stay and treatment primarily from high margins on pharmacy. 4. If margins from pharmacy and consumables too are cut off, you may find that hospitals substantially increase other charges to offset this substantial loss of income. We have seen this happen in coronary angioplasty - when margins on stents was capped, the procedure charges were increased to keep package cost the same. 5. Unfortunately in India, as of now services are not valued as much as products. Most patients are willing to pay 1 lakh for an implant, stent or medicine a lot more readily than giving the treating doctor 50k for his expertise. Additionally in oncology, the fear of cancer is a big incentive for people to spend any amount for medicines in the hope of cure. It is a sad reality that manufacturers, hospitals and doctors do exploit this situation. It is not a grand conspiracy, each of them is in it for their own reasons. 6. Even though I’m not a fan of overarching govt controls, in some situations such as this, the govt does need to step in and correct market distortions. I reiterate that for antibiotics too, rampant misuse due to high margins is causing scarily high rates of antibiotic resistance. The margins on all antibiotics must be made so low that there should be no incentive at all for misuse. 7. My opinion is that it is better for medical professionals to charge directly for services rendered, than rely on such indirect and somewhat unsavoury sources of income. People too should also get used to paying their treating doctors well for good, clean and timely services and treatment.
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Amit Thadhani retweeted
Look what arrived today! Looking forward to reading in print of @ArunKrishnan_ 's retelling of key moments of the Mahabharat from the perspective of the key players, Mahakshana!
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Amit Thadhani retweeted
Cabinet Expansion or Cabinet of Exceptions? FROM TODAY, J&K CM OMAR ABDULLAH CABINET WILL HAVE NO REPRESENTATION FROM JAMMU. Four new ministers have been inducted, all from the Kashmir Valley. Meanwhile, Jammu-based minister Satish Sharma has been dropped. Voters of Jammu being punished for overwhelmingly voting for BJP? Doesn't the latest expansion deepen the regional imbalance?
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Amit Thadhani retweeted
Delhi: Sanjeev Mehra, President of the Khan Market Traders Association, reacting to the INDIA bloc’s proposed rally at Ramlila Maidan on November 1, says, “Our letters are having no impact on the Congress party or Rahul Gandhi, and I do not understand what their objective is. We had appealed to them not to hold protests during the festive season, as this causes significant losses to traders. It seems they are determined to keep the economy, which they once called ‘dead’, in that condition. If we cannot earn during the peak business season, our workers and their families will suffer. Then they will achieve their objective of claiming that unemployment has increased. My question is directed at every political party: are we traders the only ones who must keep suffering? We are always the ones bearing the brunt. Our appeal has been rejected. Yesterday, they posted on Twitter that we should approach the Prime Minister. If the Prime Minister is not listening to you despite all your efforts, why would he listen to traders? This is becoming a pattern. After demanding the resignation of the Chief Election Commissioner, they have now turned their attention to Gyanesh Kumar. Next, they will demand Amit Shah’s resignation, and after that, the Prime Minister’s.”
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Very valid point... "Go tell Modi" said the Pahalgam terrorists. Rahul Gandhi says "go tell Modi" to sack Gyanesh Kumar !
"Tell Modi to sack accused no. 4, Gyanesh Kumar and the protests will stop in 30 seconds." The typical language of a violent blackmailer. The crux is this: @RahulGandhi resents the Traders, the Middle Class, the Women the Youth and generally the Hindus for repeatedly voting for Modi. Especially in Delhi. Where the has been blanketed out 7-0, three consecutive times. Hence the demeaning, dismissive and threatening tone - YOU voted for Modi; now "tell" YOUR Modi to do this else I will destroy your business and livelihoods during your most sacred festival. Incidentally, the Pahalgam terrorists, while identifying Hindus and killing them, also used the same language - "tell Modi".
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Amit Thadhani retweeted
Police uses water cannons to disperse BJP workers in Chandigarh protesting against Mallikarjun Kharge’s offensive remarks on PM Narendra Modi. Tune in for the latest updates: youtube.com/live/ji5VjVAbgfY… #ChandigarhProtests #BJPProtest #MallikarjunKharge #Chandigarh #RepublicWorld
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Amit Thadhani retweeted
Modi Govt deals another lethal blow against drugs with Operation Trident. Our agencies launched a barrage of simultaneous crackdowns across 38 locations in Assam, Mizoram and Manipur on 23 October, smashing an international narco-cartel. The operation revealed ₹100 crore worth of hawala transactions, froze 1,424 bank accounts, attached properties worth ₹17.82 crore, seized 500 detonators and ₹12 lakh in cash, and led to the arrest of 18 people. The network trafficked narcotics across the borders of India, Myanmar and Bangladesh through the Death Triangle Corridor. The offensive attests to India’s Himalayan resolve to realise the mission of eradicating every drug network by 31 December 2029. India will hammer until the last nail is driven into the coffin of drug cartels. Heartiest congratulations to the anti-narcotics team comprising central agencies, and police forces of the three states.
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Amit Thadhani retweeted
Hyderabad: Eggs thrown at Durga Mata procession; Incident triggers protest in Madannapet @anjalipandey06 & @Journo_Abdul with details.
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