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Showing posts from 2020

LET CHRIST BE BORN IN OUR HEARTS AND LIVES!!

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  Birth of  a child brings joy, happiness and hope in the lives of a couple and to the family!   How   much more hope and joy should the   birth of Christ, the Savior,   bring into our lives. On this very day, as we submerge in the depths of   X-mas celebration, its wise we ponder in our hearts on the amazing and uncontainable   love of Christ,   who humbled himself   as a human being for the redemption of our sins and save us to the eternity!   Circumstances of our life might have made you assume different meanings for the birth of Jesus Christ .   But   the good news that brings   great joy to all people, irrespective of your caste and creed wants us to realize what bible conveys about His birth.   To  give us eternal life -     whoever believes  in Jesus Christ shall not perish but have eternal life. (John 3:16) . its an assurance our Lord Jesus Christ have given to anyone who believes in Him.  We are to believe that His Birth, life on earth, crucifixion and Resurrection was for

A rare cause of Hypoglycemia

https://www.sciencedirect.com/science/article/pii/S2214624515300058 IAS  / Hirata disease Should also read about ;- Idiopathic Postprandial Hypoglycemia Other causes of hypoglycemia are Addison's Insulinoma Factisious Sepsis

Unintentional Losses in our Life!

Unintentional Losses in our Life! 1 Samuel 9:3 – “ now the donkeys of Kish, Saul’s father were lost.   So kish told Saul his son, “ take one of the young men with you, arise and go and look for the donkey” Sometimes, we might be so heartbroken by the losses of our lives. The hardships we would have been through, when gets shattered in a day or less, our mind may even question the creator. In all these situations, we might blame ourselves or our friends or kins. We fail to recognize the plan, Lord has for this very loss / failure that we are in. This entire chapter 9 and 10 reveals us the hard ways   laid forward by our   creator to bring his plans in our life.    This is the first verses in the   bible about king Saul’s life.   It starts from a loss in   his   life. Yes. They lost their donkey and Saul is supposed to get it back for his father. When we read   1 Samuel 9:16- we realize that on the day before this incident, Lord had already instructed Prophet Samuel

Investigations for cushing's syndrome- A systematic approach

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Investigations for cushings syndrome Dr. Sanoop Kumar Sherin Sabu In the background of clinical feature of cushings, after ruling out exogenous intake of steroids,   we have the following important investigations to be done systematically to reach to the correct cause for features of cushings. ·          24 hour urine free corrtisol excretion ·          Midnight corrtisol ·          8 am corrtisol ·          1mg Dexa suppression test ·          Low dose dexa suppression test ·          High dose dexa suppression test ·          CRH responsiveness ·          Inferior petrosal sinsus sampling ·          Chest xray ·          MRI brain ·          Plain/ CECT abdomen   To understand the above investigations we should know:- ·          Why is the test done for ·          What is the physio-anatomical basis Causes of cushings syndrome –   Exogenous steroid intake>> ACTH dependant> ACTH independent ACTH dependant ACTH independant