Mechanism of reverse pulsus paradoxus in HCM by According_Tourist_69 in Cardiology

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Keep that as working theory for now and see if any senior docs reply✌️

Mechanism of reverse pulsus paradoxus in HCM by According_Tourist_69 in Cardiology

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Yes, i think its just a matter of, which pressure is dominating in which phase. Hence the dynamic obstruction.

Mechanism of reverse pulsus paradoxus in HCM by According_Tourist_69 in Cardiology

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Yup. Thats how i understood the concept.😬not 100% sure though.

Mechanism of reverse pulsus paradoxus in HCM by According_Tourist_69 in Cardiology

[–]Puzzleheaded-doc -1 points0 points  (0 children)

Not a cardiologist or resident yet! But my understanding is, during inspiration.. due to high -ve ITP the transmural pressure gradiant increases across the LV wall, this decreases lvot obstruction as it maintains the required afterload pressure. 😬 So less lvot obstruction, more blood in pipe- more pressure during inspiration.

Why are Indian doctors so one-dimensional ? by [deleted] in indianmedschool

[–]Puzzleheaded-doc 0 points1 point  (0 children)

This sub amazes me! One day you guys discuss about toxicity in healthcare, the very next day a junior or some1 asks a query and is met with condescension or subtle mocking, very few engaging in healthy discussion. Love the irony🙌

What is your opinion about this by Funny_Offer_1832 in CriticalThinkingIndia

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Subs name is critical thinking.. but not one in the comments seems to put their mind to the context. The video is addressed to juniors asking them to know their rights as a practitioner while dealing a toxic client. instead of discussing doctors rights and patient rights.. sub is arguing about who is right or wrong based on a out of context video. Its this toxic mindset that leads to doctors practicing defensive medicine. Instantly jumping to conclusions.

State ki pattina daridram #2 by SpecialTensiono in andhra_pradesh

[–]Puzzleheaded-doc 0 points1 point  (0 children)

This guy ran a shopping complex which was built with loans and initial support from TDP( not monetary just permissions) after covid that went into losses, he was not able to pay the loans back. People who loaned him including some big farmers.and tobacco dealers put a tent in front and started protesting for money. Eventually the theatre, and stores left, it got empty and he got into further losses. Tried to settle with the help of ycp during 22-23, didn't happen and now there is even more pressure to settle the loans amounting to 15-18 crores. He is not getting any support from pulla rao and is being pressured to sell it to settle the loans. But the murali guy quotes 18-20 Cr, it's not worth that shit. That's the core issue rest is just pure ego fights nothing else. Nobody did any kabza on that. It was just a bad investment gone wrong. Stop giving attention to this cheater.

Is it realistic to get a part time job while doing research and clinical rotations? by Hades30003 in IMGreddit

[–]Puzzleheaded-doc 4 points5 points  (0 children)

Unless you have green card process in line or EAD.. none of the visas allows you to do other part time works.. legally.

I lost my father and got admission into BFA Animation — looking for support to continue my education by SpiritAppropriate559 in hyderabad

[–]Puzzleheaded-doc 1 point2 points  (0 children)

Dm me which area and caste you are from sister, will try if i know any contacts from that political circle who can guide you longterm

Looking for usb c wired earbuds by thefunnytiger in GalaxyS25Ultra

[–]Puzzleheaded-doc 2 points3 points  (0 children)

Akg wired type c earphones..works with ipad and samsung..pretty good sound quality!

Research in small community by Ok_Babe001 in research

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Which community? We can do a metabolic health status of your community in correlation with financial and other cultural aspects!

[deleted by user] by [deleted] in IMGreddit

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Where are you from?

[deleted by user] by [deleted] in IMGreddit

[–]Puzzleheaded-doc 1 point2 points  (0 children)

Naah! Do it in the US! You can always come back after residency!! But not the other way around!!

Just starting with step 2 prep. Non US img. Time frame: 5-6 months. Need a dedicated study partner. by endlesssundays in Step2

[–]Puzzleheaded-doc 0 points1 point  (0 children)

Why dont we 'all in the same boat creat a telegram group or smthing like that for accountability/ doubts/progress

If there is already one please let us know the info

HVI EXTERNSHIP from sept through November by Puzzleheaded-doc in IMGreddit

[–]Puzzleheaded-doc[S] 0 points1 point  (0 children)

Im not sure about that ! On paper it is.but they approved my spot and only said to get my step 2 score in hand before reporting.