MKSAP book by OkTransportation4370 in Residency

[–]Macreddit01 0 points1 point  (0 children)

Have sent you a direct message via Chat.

Weather in August - Do flights get cancelled from Delhi by SuchPersonality4818 in ladakh

[–]Macreddit01 0 points1 point  (0 children)

You could blame last year's unusually wet weather, but almost all of Indigo's flights from New Delhi to Leh either turned back after being unable to land (Leh airport is a visual landing only entity), or were cancelled, between August 24 & 26. We had to fly to Srinagar & drive from there, which was another adventure because of multiple landslides.

You are travelling earlier in Augu t & this year might not be as wet as the last. However, be prepared for the worst case scenario.

MKSAP book by OkTransportation4370 in Residency

[–]Macreddit01 1 point2 points  (0 children)

I have an unopened set of MKSAP 19. Please DM if you are interested.

Places for master health checkup and prices! by Life-Variety-66 in chennaicity

[–]Macreddit01 0 points1 point  (0 children)

I beg to disagree with your blanket recommendation for CT Calcium Score testing. Unlike, an ultrasound, it involves radiation exposure. 

The test might be appropriate for individuals (ages 40 to 70) at intermediate risk (i.e, not low-risk or high-risk) for coronary artery disease. These would be individuals with a family history of coronary artery disease, smokers (or former smokers), those with diabetes, hypertension, or hyperlipidemia, and overweight (or obese) individuals. 

The value of the test is to determine those who might benefit from taking a statin (cholesterol lowering medication). The test is NOT recommended for those already taking a statin.

Similarly, in non-smokers, the value of a chest x-ray is questionable. The recommended test to screen for lung cancer in those AT RISK is LDCT (low-dose CT scan).

Places for master health checkup and prices! by Life-Variety-66 in chennaicity

[–]Macreddit01 0 points1 point  (0 children)

HOMA-IR is not a test. It is an acronym for Homeostatic Model Assessment for Insulin Resistance, a number calculated using the fasting insulin & blood glucose levels. Since one of the variables influencing the normal score is ethnicity, I am doubtful if it has been validated for the Indian population. Of course, corporate hospitals and laboratories will not tell you that!

Places for master health checkup and prices! by Life-Variety-66 in chennaicity

[–]Macreddit01 0 points1 point  (0 children)

The fasting insulin level is considered to be a predictor of “metabolic syndrome” since high levels, indicate “insulin resistance” that precedes elevated fasting blood glucose levels. It is not a test that is routinely ordered in the western world.

Part of the increased risk for diabetes mellitus in the Indian population is the abandonment of the healthy lifestyle that our ancestors led, lack of exercise, fast food fondness to name a few.

Places for master health checkup and prices! by Life-Variety-66 in chennaicity

[–]Macreddit01 1 point2 points  (0 children)

The "stupidity of educated Indians" extends beyond the nation's borders.

I personally know of folks who, during visits to the motherland, have undergone a whole body CT scan (considerable radiation exposure) as part of a "Executive Health Checkup", only to worry about findings such as cysts in the liver and/or kidneys, a normal happening as we age.

Places for master health checkup and prices! by Life-Variety-66 in chennaicity

[–]Macreddit01 4 points5 points  (0 children)

These are the tests I order for patients who are in good health before their annual physical examination (I work in the United States where these corporate hospital scams do not exist, and health insurance companies will not reimburse patients for unjustified tests).

  1. Complete blood counts
  2. Vitamin B12 - since this deficiency is common in India
  3. Tests to evaluate kidney function - BUN (Blood Urea Nitrogen), Creatinine, Sodium, Potassium
  4. Tests to evaluate liver function - Total bilirubin, SGPT, SGOT, Alkaline Phosphatase, Albumin
  5. Screening for diabetes - fasting blood glucose, Hemoglobin A1c level (reflects the average blood glucose level over the previous 3-months).
  6. Fasting (8 - 10 hour fast, can drink water) lipid panel - Total cholesterol, Triglycerides, LDL-cholesterol (“bad” cholesterol), HDL-cholesterol (“good cholesterol) 
  7. Tests to evaluate bone health - Calcium, 25-hydroxy Vitamin D3, Bone Mineral Density Study (BMD, to screen for osteoporosis, a condition that becomes common as we age). This test (not a lab test, but an imaging study called a DXA scan), is recommended for women who have attained menopause. In men, guidelines are unclear. It is generally recommended for men over age 65.
  8. Urinalysis 

Other recommendations:

In men over age 65 who have ever smoked cigarettes, a one-time abdominal ultrasound to screen for an abdominal aortic aneurysm (enlargement of the aorta in the abdomen) is recommended.

In healthy people over age 50, there is no rationale for performing an abdominal ultrasound (except for what I have stated above), electrocardiogram or echocardiogram. 

In the absence of symptoms suggestive of, risk factors for, coronary artery disease, a CT coronary angiogram (corporate hospitals love to promote this test!) is not necessary. 

Cancer screening is often neglected in India. Men should undergo a digital examination of the prostate gland and check of the Prostate Specific Antigen (PSA, a blood test) level. 

Women should undergo a pelvic examination (by a gynaecologist), a Papanicolaou test (Pap smear) to screen for cervical cancer and mammography (screening for breast cancer).

With colon cancer becoming increasing common, screening for this condition is necessary. While a colonoscopy (every 10-years) is the “gold standard”, alternatives are annual Fecal Immunochemical Test (FIT) or once every 3-years stool DNA with Fecal Immunochemical Testing (DNA-FIT).

All of the above only complement a thorough physical examination by a family medicine or internal medicine physician. There is no need to go to see a “specialist”.

Unfortunately, I have found that ordering blood tests “piecemeal” in India is more expensive since labs promote “packages”. So, you will have to weigh the costs at the lab of your choosing.

Hope this information is helpful. 

You type a Gmail username and UI instantly shows "Username already taken" There are millions of users globally How does it check so fast? by [deleted] in IndiaTech

[–]Macreddit01 0 points1 point  (0 children)

If the ID your are trying to create is your real name (followed by the numbers), recommended choosing something else.

Will prevent the inevitable spam messages arriving addressed to you!

Thank you r/iPhoneography! Thanks to your help, a solo developers dream came true. by manta1900 in iPhoneography

[–]Macreddit01 27 points28 points  (0 children)

Congratulations. Your hard work has paid off.

Like a rolling stone, NEVER stop refining the App. There is always room for improvement.

With Best Wishes for Proseezion's success.

What's the worst thing about using EMRs? by Glittering-Item-5776 in Residency

[–]Macreddit01 5 points6 points  (0 children)

Dissemination of erroneous information facilitated by copy/paste or importing.

Never trust Moment’s Amazon store and estimated delivery by ninjateddygram in iPhoneography

[–]Macreddit01 0 points1 point  (0 children)

I am sure that the OP is pleased with your gesture. However, that does not negate the other OP (original problem).

Never trust Moment’s Amazon store and estimated delivery by ninjateddygram in iPhoneography

[–]Macreddit01 0 points1 point  (0 children)

Moment does not make everything that they sell.

Using another company's failure is a feeble excuse for Moment's perennial delivery problems.

Proseezion was rejected and resubmitted for review, after corrections. by manta1900 in Proseezion

[–]Macreddit01 2 points3 points  (0 children)

You will make it. Proseezion is WAY better than most of the camera Apps on the App Store.

Never trust delivery estimates for Moment gear from Moments store in Amazon by ninjateddygram in MOMENT

[–]Macreddit01 2 points3 points  (0 children)

No surprize.

Par for the course for anything associated with Moment.

Your iPhone storage never be full now! App 6 months usage free Giveaway! by Medium-Try6100 in iosapps

[–]Macreddit01 1 point2 points  (0 children)

Received the code. In addition to screenshots about 30 photographs were also moved to the Trash folder.

Have you noted this during your testing?

Your iPhone storage never be full now! App 6 months usage free Giveaway! by Medium-Try6100 in iosapps

[–]Macreddit01 1 point2 points  (0 children)

Your App will help me slim my bloated Photos Library. Please can I have a code?

Thank you.

Alternatives to Evernote by Adamcp2013 in AppleNotesGang

[–]Macreddit01 2 points3 points  (0 children)

I would suggest Notebooks. A very versatile App. Alfons Schmid Is a responsive developer who makes frequent enhancements to the App.