26 | Neuro ICU Fellow | alumni @kingsmedicine 🩺 | @rcpsych Foundation Fellow 23/25 🧠 | tweets on Dharma, film and food | RT/L≠E
भोपाल; बुन्देलखण्ड; यू. के.
Joined April 2020
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Dr Samyak Pandey MBBS (Hons.) MSc
What a journey it has been. So grateful to my family, friend and mentors who have guided me along this way 🙏
May we work to strive for excellence in the care we give to our patients.
ॐ नमः शिवाय
Samyak Pandey 🦢 retweeted
No one can take this milestone awy from us.
Now, lets never slip into this ever.
Samyak Pandey 🦢 retweeted
Back in 2010, the minimum wage was £12,064 and the 'higher earner' band started at £43,875.
You only paid 40% tax once you were earning 3.6x the minimum wage.
There was clear incentive to progress, learn and aspire for more.
As things stand, you now start paying 40% tax once you earn £50,270 which is just 1.83x the minimum wage.
If it was the same multiple as 2010, the 'higher earning' band would be £98,841 and everyone below this amount would be paying 20%.
Someone on £98,841 is effectively losing out on £9714.20 net per year if the bandings had simply moved in line with previous multiples relative to minimum wage.
This is one of the reasons why the middle class is being eroded and why there's a cost of living crisis in the UK.
An increase to £13.20p/h equates to a minimum wage of £27,456, based on a 40 hour week.
Once you factor in employers NI and basic pension contributions, the MINIMUM cost to hire a 21 year old for a company would be £31,461.
This is before you factor in any overarching business costs like office space, laptops, phone, software, training, support staff, vehicles etc.
This is going to be devastating to SME's who cant put together a simple 12 month budget without the goalposts being moved & their margins squeezed.
It'll also be catastrophic to youngsters opportunities because businesses will simply not be able to afford to hire them.
What's also incredible is that anything above £50,270 is seen as 'high earnings' in the UK and is taxed at 40%!
We are governed by financially and economically illiterate morons.
This will not end well.
Samyak Pandey 🦢 retweeted
Enlightenment, liberation, realization; these words have been burdened with centuries of mystification.
It is far simpler: the cessation of minds incessant fluctuations.
Not end of laughter.
Not rejection of joy.
Not becoming a lifeless statue of perpetual seriousness.
When mind is still, life does not stop dancing.
You can laugh, play, love and rejoice; without being psychologically entangled in every movement of existence.
Freedom is not the absence of lifes movements, but absence of minds compulsive bondage to them.
Samyak Pandey 🦢 retweeted
Why do South Asians get type 2 diabetes at much lower body weights? The answer is in their fat cells.
These are fat cells from two young men with the same BMI. The South Asian man's are on the left. The white man's are on the right.
At the same BMI as white Europeans, South Asians carry more body fat, bigger fat cells, more liver fat, and higher insulin. Here is what the studies show.
1. Same BMI, much bigger fat cells.
In 29 South Asian and 18 white men, average age 27, BMI was 24 vs 23. Body fat was 22% vs 15%. The average belly fat cell was 3,491 vs 1,648 µm² in cross section. Treating the cells as spheres, that is about 3 times the volume of fat per cell on average. The samples in the image show an even larger difference. The larger the fat cells, the worse the insulin resistance. Visceral fat was the same in both groups.
2. Matched for age and BMI, still more insulin.
Asian Indians matched to white adults had similar fasting glucose but higher fasting insulin, and they cleared glucose about 40% less well on a clamp test (4.7 vs 7.5 mg/kg/min).
3. Fat cell size explains much of the insulin gap.
After adjusting for age, sex and BMI, South Asians had larger fat cells, liver fat of 9.9% vs 2.5%, and higher fasting insulin. Adjusting for fat cell size cut the insulin difference in half.
4. Lean and young.
Among 482 lean young adults, insulin resistance was 2 to 3 times more common in Asian Indians than in any other group. The men had about twice the liver fat of white men.
5. It starts in childhood.
South Asian children aged 8 to 11 in Britain were not heavier than white children, but their fasting insulin was 53% higher, with similar blood glucose.
My view: fat cells can only store so much. When they are full, they become insulin resistant and release more fat into the blood, and that fat ends up in the liver and muscle. Insulin rises to compensate. South Asians appear to reach that limit at a lower body weight.
For a South Asian person, a normal BMI does not mean normal metabolism. Fasting insulin, waist size and liver fat say more than weight.
Samyak Pandey 🦢 retweeted
A happy, functional and loving family is the most efficient antidote you can have against the uncertainties, difficulties and challenges of life.
Samyak Pandey 🦢 retweeted
i regret to inform you that personal growth rarely comes from acquiring new knowledge and almost always from:
-getting humiliated
-showing up terrified and doing it anyway
-admitting you might be the problem
Samyak Pandey 🦢 retweeted
Thank you to the two @Cambridge_Uni medical students who saved my step-brother's life. He was running with girlfriend on Midsummer Common and his heart stopped for 14 minutes. They didn't give up on him, kept him alive til paramedics arrived. He is on the mend and should make a full recovery
Samyak Pandey 🦢 retweeted
A very emotional Rep @CongressmanRaja leads a presser condemning the foiled terror attack outside an Aurora Hindu temple. "I don't know how my and my family's life was spared that day," he says, but adds that one of the reasons is to lead the charge against hate
Samyak Pandey 🦢 retweeted
My family and I were worshipping at our Hindu temple in Aurora on Sunday when a white supremacist attempted a mass shooting targeting Indian Americans. I'm grateful to those who helped prevent a tragedy, but we must come together to confront the hatred that put so many innocent lives at risk.
Samyak Pandey 🦢 retweeted
There’s no question that some of the nasty, vitriolic anti-Hindu and anti-Indian hate we see on platforms like @X is driven by foreign bots.
There’s also no question that the hate has gone from inchoate to a very coherent anti-Hindu animus that is now radicalizing white supremacists online.
The risk of online hate spilling into real world violence has never been higher.
Thank you @FBIChicago @PalatinePolice for taking tips seriously and averting what could have been a horrific terror attack in the midst of the Navaratri festival.
#BREAKING: Potential Mass Shooting Plot Thwarted in Aurora, Illinois.
Authorities say a 19-year-old allegedly plotted a mass shooting targeting a Hindu place of worship. Police reportedly recovered a rifle, hundreds of rounds of ammunition, body armor and a manifesto expressing white supremacist extremism and hostility toward people of Indian descent.
This comes during Navaratri when thousands of Hindus gather for Garba and also just two weeks after a Hindu temple in Ohio was attacked.
We commend law enforcement for swift action. We also urge the community to stay vigilant and Report any potential threat. Every community deserves to worship without fear.
chicago.suntimes.com/crime/2…
Samyak Pandey 🦢 retweeted
"Stop searching for a choice you won't regret, it doesn't exist. choose your life, accept what it costs, and live with the consequences".
One of the ugliest truths about life is, every choice we make kills another version of ourselves. Get married, and you'll eventually miss the freedom you had alone. Stay single, and there will be nights when you wonder what it would've been like to build a life with someone. Have children, and you'll miss parts of the life you never had before them. Don't have children, and you may spend years wondering about the family you never created.
There is no perfect path and there is no decision that leaves you with everything.
The life you didn't choose will always look better from a distance because you never had to pay its price.
Stop searching for a choice you won't regret, it doesn't exist. choose your life, accept what it costs, and live with the consequences.
Samyak Pandey 🦢 retweeted
HAF strongly opposes the death sentence imposed on Anojan Sivarasa, a 24-year-old Hindu and Sri Lankan national facing execution in Saudi Arabia over a social media comment deemed blasphemous.
As HAF has long emphasized in its advocacy, blasphemy laws threaten religious freedom and have been used to justify unjust imprisonment and extrajudicial violence. No one should face execution for an expression of opinion, particularly in a case where the reported comment was deleted and an apology was issued.
Protecting religious freedom means safeguarding the right of people of all faiths—and those of no faith—to express themselves without fear of state-sanctioned or extrajudicial violence. Blasphemy laws undermine these fundamental freedoms and deepen divisions between communities rather than foster mutual respect.
HAF calls on Saudi authorities to overturn Sivarasa’s death sentence and ensure that his fundamental rights are protected. We urge the international community to continue pressing for the global repeal of blasphemy laws and for the protection of freedom of expression and conscience for all
Respect for religious beliefs cannot be secured through fear, coercion, or the threat of death.
amnesty.org/en/latest/news/2…
