Dr. Rahul Mishra

19/10/2025

Happy Chhoti Diwali 🪔🎇

18/10/2025

With gold prices on the rise, marrying a nurse may be a good idea — since nurses are not allowed to wear jewelry 🙂

স্বর্ণের দাম যে হারে বাড়তেছে, বিয়ে করলে নার্সকেই করুন। কারণ নার্সদের গহনা পড়া নিষেধ 🙂

18/10/2025

Happy Diwali 🎇🪔

✨❤️

17/10/2025

Despite multiple recruitment drives, Govt is not able to fill reserve category seats due to non-availability/uninterested category candidates. As a result the posts in the government hospitals remain vacant. It directly compromises the service delivery due to inadequate manpower.

General category be like 'Hum kya samadhi le liye hain?"

17/10/2025

Despite multiple recruitment drives, Govt is not able to fill reserve category seats due to non-availability/uninterested category candidates. As a result the posts in the government hospitals remain vacant. It directly compromises the service delivery due to inadequate manpower.

17/10/2025

16/10/2025

Lesson of the day - "to have most recent investigations before putting the patient on the OT table"

USG and subsequent MRCP were suggestive of Chronic Cholelithiasis and choledocholithiasis without obstructive biliopathy (solitary stone size 13mm) in a 65 years male patient attending our OPD. We suggested him all relevant preoperative investigations and advised with prophylactic antibiotics (gave history of fever) and antispasmodics. We scheduled cholecystectomy and CBD exploration as per our OT availability (approx 4 weeks later).
Patient got admitted yesterday and posted for OT today. My intuition propelled me to do a HPB screening before putting him on OT table. Surprisingly, there was no stone in the CBD, no dilatation but one linear immobile structure of size approx 17mm x 4mm in the CBD without any calcification, likely a dead Ascaris.
We postponed the surgery and advised to have antihelmenthics before rescheduling the surgery at a later date.
The image is attached below 👇

15/10/2025

15/10/2025

dreadful combination liked by most of the educated class.

Combining tea with cigarette smoking is very harmful to health, significantly increasing the risk of various serious conditions like cancers, heart disease, and lung problems. This combination can cause immediate issues like dizziness, heart palpitations, and acidity, while long-term, repeated use can lead to life-threatening diseases. Health experts strongly advise against this practice and recommend quitting.

Immediate effects
Heart palpitations and jitteriness: The combined effects of caffeine from tea and ni****ne from ci******es can stimulate the cardiovascular system.

Acidity: Excessive caffeine can worsen acid reflux, especially when combined with smoking.

Headache and dizziness: Smoking on an empty stomach with tea can lead to these symptoms.

Long-term risks
Cancer: The risk of esophageal cancer is significantly increased because hot tea can damage cells in the alimentary canal, and smoking acts as a potent carcinogen that intensifies this damage.

Heart disease: Smoking constricts blood vessels, and the combination with tea can increase heart attack and stroke risk.

Lung disease: Smoking is a major cause of chronic lung disease, and this combination can worsen lung damage.

Other issues: Other potential long-term problems include stomach ulcers, memory loss, and infertility.

Why it's so dangerous
Synergistic effect: The two substances don't just add their individual harms; they create a more dangerous combination. The heat from the tea and the carcinogens from the smoke create a deadly synergy.

Addiction: The combination can be more addictive, as it provides a greater dopamine-based "reward" than either substance alone.
Empty stomach issues: Drinking this combination on an empty stomach can exacerbate negative effects like headaches and dizziness.

(Text from Gemini AI)

14/10/2025

In my 2.5 years of providing administrative services, I have upheld the highest standards of integrity and refused to accept bribes. I have been thoroughly committed to my duties and responsibilities. However, this unwavering commitment to honesty has entailed considerable difficulties. The circumstances would have been more favorable had I resorted to dishonest means and ingratiated myself with seniors and subordinates.

13/10/2025

Thrombolysis within golden hours has proved to reduce morbidity.

ACT to BE FAST

F: ace: Check for drooping or numbness on one side of the face.
A: rms: See if one arm drifts downward when raised.
S: peech: Listen for slurred or strange speech.
T: ime: If any of these signs appear, call 9-1-1 (or your local emergency number) immediately.

12/10/2025