I had a heart attack at 52. My cardiologist put me on 80mg of Lipitor. Within months I started losing my memory. He switched me to Crestor. Then Repatha. Nobody asked why a cholesterol drug was affecting my brain. I fired my cardiologist. I healed myself. This is the thread about what I found. 🧵

This is it. Everything learned spending millions on longevity. From: Your Immortal Unc and Auntie. To: Our Immortal nieces and nephews. 0. Sleep is the world's most powerful drug. 1. Be in your bed for 8 hours 2. Same bedtime every night, any time before midnight 3. Don’t eat right before bed 4. Calm foods for dinner 5. No screens 1 hour before bed 6. Avoid added sugar (be aware it’s in everything) 7. Avoid all things in an American convenience store 8. Avoid fried foods 9. Shoes off at the door 10. Eat whole foods, particularly veggies fruits nuts legumes berries 11. Walk a little after meals or air squats 12. Get your heart rate high routinely 13. Lift heavy things 14. Stretch daily 15. Water pik, floss, brush, tongue scrape, morning and night 16. Make an effort to drink water 17. Get sunlight when you wake up (UV is low) 18. Protect skin in midday sun 19. Stand up straight 20. See at least one friend once a week 21. Avoid plastic where you can (in all things) 22. Circulate air in rooms 23. When stressed, breathe, learn to calm your body 24. Go to the dentist 25. Avoid sitting for long times 26. Protect your hearing, the world is too loud 27. Alcohol is bad for you 28. Finish coffee before noon 29. Avoid bright lights after sunset 30. If obese, look into a GLP 31. Sleep in a cold room 32. Texting while driving is dangerous 33. Turn off all notifications 34. Limit social media use 35. Don’t smoke anything 36. If you struggle to sleep, read a physical book before bed 37. 1 hour before bed have a calm wind down routine: bath, read, light walk, listen to music 38. The body is a clock and loves routine. Have a daily morning and evening schedule. 39. Avoid long distance travel where you can 40. Baby steps first: incorporate new things slowly 41. Do less… most things don’t work. Bonus points if you get your blood checked. Start here, it will change your life.

We, Indian Drs work hard to ensure Public Health & Welfare. There r several great Specialists in India, who hv contributed to Indian Society, some of whom I personally know. We brave assaults, molestations, stay back in India. Yet, Padma Award hs been given to an Indian Dr working in the US. Did he contribute to India? Indian Society? Who saved India during Pandemics, Epidemics & Monsoons? In rain & unsparing heat? Why can't one of the Titans in Indian Medicine serving here be honoured?

Try it!

My daughter wanted to have lunch with me today. On weekdays, that is almost never possible. But today was the first of January, and I promised her I would come. Sharp at 2.00 pm. At 1.30, just as I was about to leave, a 30 year old man, Mr. Mahesh (name changed), was rushed in with severe chest pain. He was having a massive heart attack. There was no choice. An emergency angioplasty followed. Over the next ninety minutes, he was given a new lease of life. His angio pics are posted below. My daughter missed her lunch with her dad on the first day of the new year. But Anya (name changed), the kindergarten going daughter of Mr. Mahesh, will now have her father with her on her birthdays, school days, and all the important moments of her life. Not all doctors are saints. But the wives and children of doctors who work in emergencies, they are the true angels. Happy new year 🎉🎉🎉

I fell ill twice in last few months! How it’s so easy to consult a Doctor through Blinkit! Just order few medicines and they will ask you to upload a prescription and if you don’t have that then they’ll connect you to a General Physician and within a minute a Doctor will call you! You tell your problem and He/She’ll suggest you the medicines and send you a prescription on the app! No extra consultation charges! How fast than going to a Doctor and wait there! It’s so wholesome! Kudos to @blinkit @deepigoyal @albinder

To understand why medicine is so complex, let's make a crude simplifying assumption that there are only 100 biomarkers that are important (in reality there are vastly more). Let's also crudely assume each market is allowed only two values. That gives us 2^100 possibilities, which is about 10^30. That is vastly more than humans that ever lived. And this is with the extremely over-simplified model. We face a practical infinity of possibilities. In reality, no two patients are ever really alike. No statistical model can give you very high confidence on how to treat. That is why AI can never treat patients, because human doctors exercise something called "clinical judgment". That judgment is what enables a doctor to tell us "this is not a serious issue, get good sleep" vs "this definitely needs deeper investigation". That judgment is hard. Often they cannot even explain why they arrived at this but great doctors have that intuition. The entire Big Medicine is about systematically dismantling clinical judgment and convert doctors to mere "protocol pushers". Great doctors resist this. Now on top of the measurable biomarkers, there is the unmeasurable factor called "mental state". Every good doctor knows a positive mental state in a patient leads to far better clinical outcomes. That is why good doctors practise compassionate medicine, not just numbers based medicine. I know an outstanding skin doctor in Chennai who prescribed me medicine for my very-itchy Eczema that I had endured for months, and he also told me "try to avoid stress and it may go away, and you may not even need the medicines I prescribed". I consciously reduced my stress level and the problem went away without medicine. That is a truly great doctor. What does it have to do with autism-vaccine connection? As my crude numerical analysis showed, we have the problem of N=1 way too often in medicine and that is even more true for autism where each kid is truly unique, and that is why statistics are mostly useless and clinical judgment is mostly all we have. We cannot have broad sweeping mandates, definitely not broad vaccine mandates. Each doctor has to exercise their judgment with their patient. And they have to listen to the patient concerns first. What Big Medicine is about is to try to reduce medicine to be a pure statistical science and it is not. Conditions like autism do not fit that paradigm at all. That is the battle here. At its core it is not just an autism battle, it is a philosophy of medicine battle. I pledge to keep fighting this fight because I nearly wanted to commit suicide at one one point in my life. Just this morning, a depressed parent approached me for advice and that started my X thread today. I urge intelligent doctors to debate this philosophy of medicine issue. I will not respond to the arrogant "stay in your lane" types.