I have no words to describe your knowledge and experience sir. You are the greatest asset in surgical fraternity please sir come to Srinagar for the challenging surgery like this . Also sir please teach here local surgeons also through various seminars and conferences ❤
Sir any plans for Srinagar surgical appointments in future? You might have come to know a few medical negligence of surgical procedure in SKIMS and govt medical College and associated hospital Srinagar which led to patient death in both the cases It will be a relief for patients struggling to find a surgeon of this calibar in various hospitals in Srinagar . I think the only solution J and K govt should appoint you in recruitment boards or board of directors of GMC and it's associated hospital than only people of J and K will stop suffering of these daily medical negligences
Dear sir Steroids like cortisol are more of a immunosuppressant, hence your logic of body’s immunity going down because steroids are also down in the period of 2-4 am is bit contradictory and infact regarding immunity if anything it should Increase because of your same logic . As an endocrinologist i can tell You that lowest cortisol levels are at around 11 pm as the published data suggests.
Steroids that are inherently produced in the body,is what one is referring to here, not the ones that are provided & substituted from outside. This doesn’t need understanding of the endocrine system alone , but is a part of body’s response to injury. Without cortisol we would die. Everyone knows about addisonian crisis. The low levels of cortisols are indeed associated with the incidence of these surgical complications. Everything cannot be written down or explained here though.You may be right about prolonged use of steroids which may compromise the inherent & natural production of these hormones in the body to bring down the immunity. There’s a phenomenon one has written about regarding sudden collapse of a patient on the table the moment one makes an incision , observed in patients on long term steroids due to no cortisol being produced instress like surgery. We all know these are hormones of proverbial “ fight or flight “ scenario You’re welcome to join our next webinar & would be delighted to clarify what is mentioned. Yes the levels drop significantly around 2am & one has observed most of these surgical emergencies landing up around this time. God bless you
Thanks a lot sir for a very lucid explanation!! I will still do the literature review for exploring relationship between surgical events and cortisol levels late night and will let u know if i found a definite relationship ,🙏🙏
Excellent revision as always. My opinion ,the trainees need to stop Saying 'sir' in each part of the sentence. This is our typical Subcontinent style. Not prevalent in Europe,UK.
Sir i wanna ask you a question Why govt not banning ototoxic medication like aminoglycosides and platinum therapy I know they are life savers but Pura jindagi kanno me siren k saath jina v marne k sath same he h Aaplog kyu krte h aisa
31.10 at what time steroid level low in body , dr shubham 6 am savage reply by sir abe tu api kyu baat kar raha heee😂😂😂 Reminds of my situation in rounds.
Iam from somalia first round and thiz one Iam online sir Dr chintamani your excellent knowledge be happy sir
Waa ku salaamay dr lol
😊😊
Great Professor and Surgeon Dr Chintamani Sir ❤❤
Sir the last 7 min were treasure!!!🙌🙌 How beautifully you explained...
Huge respect sir 🙏🙏
I have no words to describe your knowledge and experience sir. You are the greatest asset in surgical fraternity please sir come to Srinagar for the challenging surgery like this . Also sir please teach here local surgeons also through various seminars and conferences ❤
Visiting Srinagar in May for skill sessions and talks . Do join, it is always a pleasure to visit Kashmir
@@MrChintamani7 that's some great great news please sir confirm venue and date .
Sir any plans for Srinagar surgical appointments in future?
You might have come to know a few medical negligence of surgical procedure in SKIMS and govt medical College and associated hospital Srinagar which led to patient death in both the cases
It will be a relief for patients struggling to find a surgeon of this calibar in various hospitals in Srinagar . I think the only solution J and K govt should appoint you in recruitment boards or board of directors of GMC and it's associated hospital than only people of J and K will stop suffering of these daily medical negligences
The man...the myth....the LEGEND
Long live chintamani! best mentor in the world
love from Iraq
Always welcome ward rounds
As a Turkish surgeon i really appreciate his passion to teaching. Respect!
Sir kindly upload a video on right and left colectomy
Sir g please add the title of the case on thumbnail
What happened no more videos...? Its been 3 months
Arre, Wah Rohan sir aap waha kaise sir k sir? Dr. Jiten this side
Dear sir
Steroids like cortisol are more of a immunosuppressant, hence your logic of body’s immunity going down because steroids are also down in the period of 2-4 am is bit contradictory and infact regarding immunity if anything it should
Increase because of your same logic .
As an endocrinologist i can tell
You that lowest cortisol levels are at around 11 pm as the published data suggests.
Steroids that are inherently produced in the body,is what one is referring to here, not the ones that are provided & substituted from outside. This doesn’t need understanding of the endocrine system alone , but is a part of body’s response to injury. Without cortisol we would die. Everyone knows about addisonian crisis. The low levels of cortisols are indeed associated with the incidence of these surgical complications. Everything cannot be written down or explained here though.You may be right about prolonged use of steroids which may compromise the inherent & natural production of these hormones in the body to bring down the immunity. There’s a phenomenon one has written about regarding sudden collapse of a patient on the table the moment one makes an incision , observed in patients on long term steroids due to no cortisol being produced instress like surgery. We all know these are hormones of proverbial “ fight or flight “ scenario You’re welcome to join our next webinar & would be delighted to clarify what is mentioned. Yes the levels drop significantly around 2am & one has observed most of these surgical emergencies landing up around this time.
God bless you
11pm- 2 am generally around midnight roughly. Please understand the message rather than the terms & values
@@MrChintamani7 right sr
Thanks a lot sir for a very lucid explanation!! I will still do the literature review for exploring relationship between surgical events and cortisol levels late night and will let u know if i found a definite relationship ,🙏🙏
Thank you very much
Thankyou sir and team🙌
Doesn’t foregut ends at d2 sir??
Dr.chinthamani are you from karnataka?
Excellent revision as always. My opinion ,the trainees need to stop Saying 'sir' in each part of the sentence. This is our typical Subcontinent style. Not prevalent in Europe,UK.
Thanks for kind words
Sir i wanna ask you a question
Why govt not banning ototoxic medication like aminoglycosides and platinum therapy
I know they are life savers but
Pura jindagi kanno me siren k saath jina v marne k sath same he h
Aaplog kyu krte h aisa
Hospital address please
VMMC Safdarjung Hospital
Bmc bangalore
31.10 at what time steroid level low in body , dr shubham 6 am savage reply by sir abe tu api kyu baat kar raha heee😂😂😂
Reminds of my situation in rounds.
Are you also an surger y resident in vmmc sjh
@@DAKU00123 nai bhai pg aspirant
Thankyou sir and team🙌