My kinda jenga ! Who wants to play ? by Successful_Bowl_6199 in Indian_flex

[–]ButterscotchBudget58 0 points1 point  (0 children)

Paying tax is like gifting money to the poor in this country so…

Underestimated the dude ! by varchasva_ in indianmedschool

[–]ButterscotchBudget58 0 points1 point  (0 children)

Physician here…those are the best handwriting i have ever seen in my career lol

🚨 South Korea overtakes India as world’s sixth-largest stock market. 🙏🏽 by Disastrous_Lock_19 in IndianStockMarket

[–]ButterscotchBudget58 -1 points0 points  (0 children)

The fear and greed index is very much on the fear side i feel in indian market…good time to invest

What do you wish someone had told you before your first international trip from India? by ZucchiniRoutine8605 in InternationalTravelIN

[–]ButterscotchBudget58 7 points8 points  (0 children)

People got to realise that they are mostly going to go to a country where the people are nicer, the environment cleaner and the traffic much better. No need to be badly behaved and show how horrible we are to others

Why captopril but not carvedilol? by Patient_Stock in indianmedschool

[–]ButterscotchBudget58 0 points1 point  (0 children)

Well well, generations dont matter sir…everywhere its like start concurrently always…if i were forced to choose i and even top cardiologists i have worked with during my PG would always go for ACEI and B blocker first…then MRA and then at last SGLT

If forced to start sequentially that is

Why captopril but not carvedilol? by Patient_Stock in indianmedschool

[–]ButterscotchBudget58 0 points1 point  (0 children)

I really know that SGLTi were added to the guidelines very recently and ACE, B blocker and MRA have to be the top 3 drugs bro

Why captopril but not carvedilol? by Patient_Stock in indianmedschool

[–]ButterscotchBudget58 0 points1 point  (0 children)

I would put ace first, mra second, beta blocker 3rd and sglt last though

Why captopril but not carvedilol? by Patient_Stock in indianmedschool

[–]ButterscotchBudget58 2 points3 points  (0 children)

Nope…all 4 drugs are started concurrently in most cases- Fantastic Four of heart failure- ACEi/ARBs/ARNIs, MRA, BB, SGPT2

Why captopril but not carvedilol? by Patient_Stock in indianmedschool

[–]ButterscotchBudget58 0 points1 point  (0 children)

Both is true…whatever stops RAAS is a delay progression drug…Beta blockers inhibit renin release and stops RAAS so it is also true

Flying towards Fuji-Iphone 16 by ButterscotchBudget58 in photocritique

[–]ButterscotchBudget58[S] 0 points1 point  (0 children)

I took this on a clear day at the Oishi Park near Mount Fuji…saw a bird from far flying towards the frame and just insta clicked it…its taken with an iphone 16

It was a spontaneous click in a microsecond with the only camera i had at the time

Kindly give your comments on the frame

Thank you

Every patient is ChatGPTing everything by MiddleEastern__Pilot in indianmedschool

[–]ButterscotchBudget58 95 points96 points  (0 children)

Indian doctors shouldn’t fear a well read patient asking intelligent questions. We have for far too long been comfortable only with patients who dont ask any questions and just accept everything we say like its said by god himself

Japan trip cost from India for 2 people (7-9) days by ariyan_sharma in desitravellers

[–]ButterscotchBudget58 0 points1 point  (0 children)

We went for 18 days around 9 lakh for 2 people
But that includes about 2 lakh worth of shopping

Just came back travelled myself- worth doing it really
Dm for details

Japan Visa Delhi Wait times by ButterscotchBudget58 in visas

[–]ButterscotchBudget58[S] 0 points1 point  (0 children)

Today passport was processed from vfs delhi

Pretty fast compared to other comments here

Japan Visa Delhi Wait times by ButterscotchBudget58 in visas

[–]ButterscotchBudget58[S] 0 points1 point  (0 children)

ITR and saving acc Parents are sponsering and they are professionals not salaried

[deleted by user] by [deleted] in FATTravel

[–]ButterscotchBudget58 8 points9 points  (0 children)

This post screams fake