Pikagi
Dr_Sona Abraham Profile Banner
Dr_Sona Abraham Profile
Dr_Sona Abraham

@Sona_unplugged

2,191
Followers
945
Following
17,128
Media
57,345
Statuses

Sugar and Hormone doc. Observer, learner, thinker, amateur poet. Intuitive empath, passionate, sentimental & philosophical.

India
https://t.co/8NMIFGCQzu
Joined February 2018
Don't wanna be here? Send us removal request.
Pinned Tweet
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 years
The beauty of life lies in not just stopping at seeing what people do, but in feeling what they feel, making sense of what makes them do the things they do, what makes them tick, what makes them them. Strangely when we make an effort to understand others, we understand ourselves.
Tweet media one
15
40
184
Last Seen Profiles
Kenneth Söderling

@SoderlingK

Urban Summit

@kc_urban

RamDev

@football26freak

内山靖二郎

@yasujiro

Alastor

@AlastorEvergren

Frankie

@Fr4nkie_Spence

Goddess_VivianW

@Goddess_VivianW

Prashant Mali

@prashantgmali

Jorge Valerio

@JorgeValer007

Paul Prudence

@MrPrudence

🌻 Sunflower

@Emily9281213297

sangxx

@lagi_sangxx

Rona Wielgasz

@RWielgasz73305

dsand00

@Dsand000

Shuji 🍉!!

@shuji24hr

Amber

@AmberRouse01

Sam Cooper

@scooperhoops

𝕹𝖔𝕻𝖆𝖗𝖆𝖘𝖎𝖙𝖊. 🆖

@NoParasite_

Alfie

@Alfie110075043

anne

@mynameisirma

Queen

@Queen29354104

AndaLookkaew_CN🇨🇳

@AndaLookkaew_CN

Tarie_ Eva

@eva_tarie

não sei

@Evandro29013002

JAMES BROWN

@jbrowngoblue

Crazyfrog Gaming

@Crazyfrog4Games

SharkyBlue Bunz

@Sharkyblue72087

TomaEfremova

@TomaEfremova

Cobh Museum

@cobhmuseum

Susan naylor

@sue11937

Little_Slut🏳️‍⚧️✨❤️

@Littleslutrigh1

BlackGenet | Gineta🐾

@BlackGenet

Bob Huggins

@CoachHuggs

Kenneth Söderling

@SoderlingK

Edy S.

@EdyS70492274

Billy Penis 🚜

@tractor_owner

@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
An elderly gentleman who told me his cost of medical care is as too expensive. We made a deal. 😊
Tweet media one
34
40
558
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
Saw a 19 yr old girl with hyperthyroidism. She's had it for over 2 years now. Asked them what was done. Told me they tried acupuncture for over a year. Asked them what was involved🤔 Was pricked weekly. Cost? 50 K😬 Then tried homeo x 1.5 yrs. Finally homeo doc said to see endo!
34
46
457
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Seeing 4 patients per day At 1000 Rs per consultation Working around 6 days a week That's 24 days a month. Translates to 96K per month revenue generated in simple math. 80% of that translates into roughly 77k per month. Enough to break even with my expenses to not use savings
32
23
405
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
Lady in her 50s. Was seeing a diabetologist. Was on glibenclamide 10 mg/metformin 1 gm, sitagliptin 100 mg and dapagliflozin 100 mg daily RBS few months ago was 198. To save cost went to govt hospital. Seen in a busy OPD by someone. Put on metformin 500 mg once daily. Now👇
Tweet media one
54
25
265
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
2008 vs 2023 15 years in Endocrinology! #TimeLapse :)
Tweet media one
Tweet media two
4
6
257
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Uncontrolled blood sugars in 200-300s will cause gradual worsening of creatinine. Certain BP medications can cause slight elevation of creatinine. Those on SGLT2 I may have transient bump in creatinine but gets better over time. Good in long term. Metformin needs renal dosing.
Tweet media one
19
15
212
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Are we only looking at the tip of the iceberg?? Maybe what also applies to our emotional well-being too? Another big driver of noncommunicable disease we do not see on the surface? 🤔
Tweet media one
18
27
200
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
3 years
@AdamMGrant @kshockles @ProfASGabriel @nitya_chawla @BroadPathHCS Think having the autonomy to decide when to turn the camera on and off may make a huge difference to the degree of fatigue one experiences. It would have been interesting to see a third group which had that autonomy and the effect on fatigue/ engagement 🤔
4
8
183
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
1996!!! Hostel life...Masti life...😁❤️❤️❤️
Tweet media one
10
0
171
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
Waiting for my buddy endocrinologist to head out for a meeting together. Aunty in the apartment saw me waiting downstairs :) Told me “Sona, please dye ur hair. It’s terrible to see u hair more grey hair than me & I’m a grandmother!” Told her none believe my age otherwise 🤣
Tweet media one
31
0
159
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
80 yr old man brought to casualty with severe hypoglycemia despite IV dextrose. Not a known diabetic. RBS 45. Insulin and C-peptide sent during episode of hypoglycemia. Cortisol level sent at the time 19 Thoughts?
Tweet media one
41
25
154
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Receiving awards For Clinical Excellence in Medicine, and for Professionalism and Humanitarianism in Healthcare. 17 years ago. What seemed important then, doesn't feel as important now. Priorities have become so different. Shared by my residency classmate this morning :)
Tweet media one
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
So important to pause and understand what success means to us. On a personal level. Or else we’d keep running after stuff which feel irrelevant the moment u achieve it. Sometimes it’s hard to get that when we are younger but if we never pause we’d never take stock.. 🤔
3
1
11
2
2
128
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
My nurses who keep me sane❤️🫂
Tweet media one
6
1
127
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
Metformin does not 'CAUSE' renal damage. Insulin does not 'CAUSE' renal damage. That's all I wanted to say.
16
8
123
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Back in the US, was used to changing my own flat tyre, fueling my own car. Painting my own walls. Filing my taxes on their own, renting my own place and buying my own car when I was 25 :) And now at 47, it seems like having moved to Kerala, an overprotective society cut my wings
Tweet media one
21
8
121
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Being raised as polite, obedient boys and girls who struggle to speak up for themselves can be injurious to health when they grow up. They will suffer in silence. End up in depression or burnt out... I'd rather savour what's left of my life. Enjoy each moment to the fullest.. ❤️
12
15
119
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Unfortunately diabetes in India is NOT a problem of the elite alone. The increasing rates of DM, cirrhosis, PCOD, infertility, HTN, depression, anxiety, stress, in non-smoking non-alcoholic women who work hard is concerning. Just supplementing micronutrients solves the issues?
11
15
112
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
I am an endocrinologist but I wear scrubs😂
Tweet media one
9
1
114
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Food for thought ❤️
Tweet media one
3
14
111
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
@drmathewjohn I think u raise another important issue Dr. Mathew. We often think it's them and not the oppressor. To acknowledge they can't take it anymore takes incredible personal strength. It's so unfortunate that we celebrate this culture of toxicity in India.
Tweet media one
1
10
107
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
The amount of time we spend in med school on learning stuff we’ve no practical relevance for, in clinical practice, which majority will eventually take up🙄. Far smaller proportion become academics & researchers. We pride in retaining information and don’t value sense making🤦🏻‍♂️😒
Tweet media one
19
6
104
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
In Blue for World Diabetes Day😜 Everyday 😂🤣❤️🫂
Tweet media one
6
2
94
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
The lack of emotional intimacy that ends up leading to the lack of physical intimacy, a feeling of deep loneliness within a marriage, which no one can express outside or share with anyone, including friends, family or children is causing a deep grief that manifests different. ❤️
13
3
94
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
A TSH of 6.5 in an obese patient may be a thought of as a part of metabolic dysfunction. There is a possibility of it normalising when the person looses weight. A TSH of 150 in any patient is NOT a lifestyle disorder and no diet of any nature will reverse this. Needs thyroxine!
3
7
92
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
A fasting blood sugar and a fasting insulin level might be cheaper and lot less riskier than getting an angiogram:) Checking ur waist circumference maybe the cheapest!!! #JustSaying !!!!!
9
6
93
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Catching up with my med School buddy One of my first roommates (5 of us in a room for 3). Now Prof of Pediatrics & Assc Dean, Univ of Kentucky. Headstrong, heart of gold, grounded, idealist, passionate, fiery, die hard friend... Some no bakwaas unfiltered conversation... ❤️🫂
Tweet media one
5
0
90
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
For those worried about eating ‘too much protein’.. Trust me.. It’s pretttty hard to eat just ‘enough’ protein :) #JustSaying
8
5
75
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
Asked her how come she didn’t see her diabetologist? Said she was scared to go see him as she was sure he’d yell at her. Asked her, u do realize that when u are so many medications to keep sugars 180, cutting that down would raise sugars unless u cut down what u ate too 🤔
5
4
74
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
To be fair to most doctors they don't realise how powerful an intervention nutrition can be. If we looked at just diet interventions in a drug naive patient in say 2 weeks, it would beat most drugs we have today by a very wide margin. Add to that the benefit on BP, fatty liver!
7
6
69
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
5 months
Gender pronouns: He/Him @bitingbangus ❤️ @askdheeraj 🫂
Tweet media one
11
2
69
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Junior asked me to sign his exam marks. Not that great, but what caught my attention was this beautiful sketch he'd copied. Told him I was so damn jealous of how easily he sketched. And I could see the smile break out on the tough exterior :)❤️.
Tweet media one
6
2
65
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
A carb heavy, protein poor diet lacking in B12 in mothers a generation ago may have sowed the seeds of IR, metabolic disease, visceral obesity and cardiac generation for the present generation in our clinics. Hope we can do better with the next generation of mothers. 😏❤️
Tweet media one
7
10
67
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
All my friends be it at the hospital or at my apartment keep asking me why do I post so much Stuff. No one reads all the things u post. U are simply wasting ur time. People will misunderstand u and u will hurt. So hard to explain why I do what I do. Changing culture is hard. ❤️
20
1
65
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
The unfortunate misconception most parents have in India is that too much of non veg is bad. Even eating > 1 egg a day is scary. I don't blame them. That's what they've been traditionally led to believe. Sad they believing having a large plate of rice at all meals is benign. 🤔
2
5
66
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
A case story from the clinic IT professional Mostly working from home. Largely sedentary but nothing much changed except diet. Now complains of weakness and tingling sensation in feet. Brother of a doc I know. And it's not been lack of advice or access to knowledge. Ordered HbA1c
Tweet media one
15
2
63
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
My kids are sometimes the parents I never had. They love me unconditionally. They help me understand myself. They check on me. Fill my tank with love & calm when I need it. They believe in me on days I don't belive in myself. Isn't that friendship? #RandomRealizations ❤️🫂
Tweet media one
6
2
63
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Sent by my senior hospital neurosurgeon :) Someone I deeply admire and respect :)❤️🫂
6
7
64
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
@DrP_Principal To be able to connect to kids who are misunderstood & unheard takes someone who feels them deep. Really gets them. To win their trust. Relationships are the real behavior modification tool. And having that one adult in ur life u u trust and look up to can make all the difference!
0
5
63
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
First meal of the day :) 3 eggs and some palak..
Tweet media one
Tweet media two
7
1
61
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
Wish we treated each other with more respect on Twitter. Need to follow someone long enough to understand where they are coming from. It's unfortunate people see one random tweet and we jump the gun. As important as practicing evidence medicine is empathy & soft skills.
@hyderabaddoctor
Dr Sudhir Kumar MD DM
@hyderabaddoctor
1 year
Patients consult a doctor not just for undergoing an operation or to get a prescription of pills 1. Patients have varying needs and a doctor should respect a patient's wish. Many times, a patient visits a doc to get "heard" & to listen to a few positive words from the doctor.
Tweet media one
20
12
272
3
1
58
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
@theliverdr Full marks for catchy headlines :) Since I don't have breakfast in the morning, guessing my days are now numbered :)
2
3
58
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Thought of u this morning @DrAmbrishMithal ❤️
Tweet media one
4
7
59
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
Something a divorce lawyer once told me. People stay for years on end in unhealthy marriages 'for the kids'. Little do they realise that a divorce maybe the healthiest decision 'for the kids'. Reflecting on her wisdom today as I was having a heart to heart with senior.....
7
5
60
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Telling someone who's struggling, that they need to be more positive and pray to God and that God will take care of everything is the most gaslighting experience ever. 🤷🏻‍♂️🤷🏻‍♂️🤷🏻‍♂️🤷🏻‍♂️ #JustSaying ....
11
4
57
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
In the past 2 months since I became joint secretary of my apartment association, I’ve noticed -Increased Hair loss -Reduced sleep -Rise in my HbA1c from 5.7% in July to 6.0% despite eating a lot lesser and working out a lot more. -My SGOT and SGPT SGOT up to the 60s.
19
1
59
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Got my copy of #BrainEnergy today :) Was telling senior what the book was about. Got pretty intrigued... :) Waiting for my turn... @ChrisPalmerMD
Tweet media one
Tweet media two
2
4
57
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Been told I look leaner all morning :) Maybe I’m getting leaner and meaner😂 First patient of the day, a Justice of the Kerala high court. We talked about sugar being tip of the iceberg, cardio metabolic fitness being less well understood. And he said his wife needs a class🤣
Tweet media one
3
0
59
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Believe in hug parenting 😂 #TimeFlies
Tweet media one
8
0
57
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
I've had people ask me why I post what I post, even if no one hits a like or comments... The reason I write? Is often for myself :) To breathe out.. To write to understand myself... My own thoughts/ experiences.. In a shared journal so to say... That's peer reviewed :) ❤️
15
1
58
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
@DrDeepakKrishn1 I can do relate Deepak. Even back in 11th grade my mom was working in Agra while Dad, brother and I managed house. She'd hand over the small budget to me, which they got in hand after all their multiple deductions to run the house. Part of my reason to go to the US. To help them
2
1
58
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Free advice is never valued :) Why I need to remind myself why I stopped responding to WhatsApp requests on health advice. #Boundaries .
5
4
55
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
If I hadn't connected the dots as to the worsening grades in senior being partly because he was hurting and that juniors rebellion and anger and defiance was because of the state of my marriage, I'd have corrupted their nervous systems for life. Need I say much about my own? ❤️
13
2
55
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
Menstrual cycles that happen like clockwork in women, with normal flow and no excessive pain, is a undervalued marker of metabolic health.🤔 Also an undervalued marker of mental & emotional health. Among the first things that get disrupted in women during stress #RandomMusings
4
2
55
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
Increased fat in the liver—-> Increased insulin resistance. Increased fat in the pancreas —-> Decreased insulin secretion. The double whammy of visceral obesity. 🤔 And unfortunately neither a BMI nor a WHR may reveal the problem. Don’t wait to get disease to live healthy.
4
4
54
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
So true :) ❤️🫂 The main reason I'm on social media is to learn from those I might not be able to learn from in real life. ❤️
Tweet media one
8
5
54
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Great reminder...
Tweet media one
4
6
54
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Dad handed mom a bag with a glass dishes. But in the process of transfer the bag fell & the glass dish broke. Mom was upset. Junior noticed and in an effort to save his grandfather from his grandmother's wrath, said, "Is the glass dish more important or the relationship?" :) :)
9
2
53
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Old poetry that I'd penned a couple of years ago :) #parenting ❤️
Tweet media one
6
6
53
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Japanese are sensible people. Wonder why they are so overworked though. They are super polite and robotic. But now struggle with the highest geriatric population and highest rates of loneliness and depression.
12
1
54
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
If I waited to celebrate my kids till they win a prize I might wait all my life. :) I'd rather celebrate them everyday. For the little things. Every opportunity I can. For things that's unique to them. For the things they struggled with once, they've now starting to overcome ❤️
7
1
53
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
2 months
To call this PR, is simply hurtful and the lows we have gotten to as society, where showing ur real grief and vulnerability in the darkness is also thought to be for ratings. How low can we get. Empathy as a parent, is it that hard? To feel for another.
@DoctorLFC
Zucker Doctor
@DoctorLFC
2 months
All the wealth and all the power in the world, but when it comes to one's child's health issues, a parent's emotions know no bounds.
Tweet media one
172
2K
32K
5
6
53
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
What is the real purpose of education, I wonder? -To get a degree to be employable? -To earn a living? -To become a better human being? All the above? None of the above? Something else? Headed to senior's school for his parent-teacher meeting before heading back to work :)
Tweet media one
24
2
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
What I’ve learnt in life is this. You don’t always have to be noisy and loud to make an impact. You can keep doing small things with great intention in a small corner and u will still make a difference in the hearts of those u come across. We often overlook the value of that❤️
3
11
51
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
@amitonline74 I am an endocrinologist but with a personal learning of nurition as Diabetes and Metabolism is an integral part of Endocrinology :). Can’t outsource everything as patients get such mixed and conflicting instructions. My patients are often lower middle class and cost matters :)
3
1
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
@karthik2k2 But paying a doctor right for their time and expertise, to be able to listen, teach, coach, guide and help prevent a disaster is often deemed as too expensive. Classic case of being penny wise and pound foolish. What's lost? Trust. The key ingredient in doctor pt relationship😏
1
3
51
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
The number of diabetic patients in Kerala who tell me that if they don't eat 3-4 bananas a day they struggle with severe constipation. 🤔🤔🤔🤔
14
2
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
Today it's been 9 yrs that I wheeled him out of the hospital after his cardiac bypass... It's his birthday today and this morning on my way to work I stopped by to wish him. All I could manage was a deep long hug. No words would come out. But guess the feelings understood ❤️
Tweet media one
14
1
49
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Been a long long day. But guess when ur crystal clear about what u want from life, every crossroad becomes so much easier to take. Grateful for the relationships that steady me when times feel really rocky because we can never see up ahead :)
Tweet media one
5
0
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
The brain fog starting to clear @Coffeehudigi and @DrJoyeeta ❤️ Now to start thinking about what I want to say :) No PowerPoint. Not in my comfort zone. But well. Want to talk about stuff that matters. To each one of our lives, everyday. ❤️
Tweet media one
6
1
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
A little clip😁
15
0
50
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Resting my badge :)
Tweet media one
8
0
47
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Known diabetic for 15 years. Largely well controlled. HbA1c in March 2023 6.2% Creatinine 1.2 Creatinine now 4.4! Point to be understood? Every high creatinine in a diabetic is not diabetic nephropathy. Usually retinopathy precedes nephropathy. Sudden creat ⬆️?
Tweet media one
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
The one thing I found the most useful in managing a difficult patient, something that I learnt during my residency days was to pick up the phone and talk to the specific consultants. It was a best learning experience. Something many may not feel comfortable in India, but so key!
3
0
17
8
4
48
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Explosive parent? Breeds either children who are just as explosive or ones who become people pleasers, the ones who are constantly walking on egg shells, or ones who are passive aggressive or manipulators. Dysregulated nervous systems that are corrupted are bloody hard to debug😞
Tweet media one
7
6
49
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Convenient having a son over 6 ft to help with dusting and cleaning😂😂 Saves me some time adding a foot more with a stool🤣😂 Also convenient to have someone who doesn't mind bending down to clean😁😁😁 #TomSawyerParenting 😜😜😜 So grateful for these 2..
Tweet media one
Tweet media two
10
1
49
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
5 months
People in Kerala for u :) Why I'm done doing charity service :)
Tweet media one
22
1
49
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
To all the amazing docs here on Twitter :) Seniors and Juniors. From whom I'm learning everyday.. in bits & pieces. Who are really making a difference, offline and online. In people's lives with their work and with who they are as people.. Keep rocking. Happy Doctor's Day❤️🫂
12
1
49
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
Would love to know what questions u would like to ask to the panelists.. Greatly appreciated❤️
Tweet media one
12
7
48
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
One very very very reluctant 'Mundu' wearer, heads to school for Onam celebrations 😂🤣🤣❤️❤️❤️ #OnamVibes
Tweet media one
5
0
48
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Eggs, cheese and ghee are not the problem :)
Tweet media one
6
2
48
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Junior asked me why I looked upset. Told him so much of our mental health struggles come from not being able to speak up and have uncomfortable conversations. We often would like to avoid them, or end up getting mad. He said, "Can u please teach me how to have them." Hugged him❤️
Tweet media one
7
0
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
The biggest misunderstanding about nutrition is that ‘fat’ makes u fat and ‘protein’ will wreck ur kidneys. Why? Because the first kind of sounds obvious. But as for the second, it’s the thought that if protein is in ur urine it must be from eating too much:) #Unlearning 🤔
8
5
47
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
When I see a 12th grader who’s over 130 kgs,referred to me by the psychiatrist, for a TSH of 6.3, I realize that something is majorly wrong with how we are going about addressing the obesity problem. As an endocrinologist, there is so many things that’s going through my mind😔
10
1
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
In any relationship, be it marriage or friendship, when one person starts to grow and the other doesn’t grow alongside and stays stuck, the emotional distance in the relationship will be very quick. And that will lead to either conflict or resentment depending on who’s affected.
8
3
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
@baxirahul Tell my patients that I am also sitting in my chair most of the day. Occupational hazard. :) Why I decided to move to 1-2 meals per day and no snacking. It will be impossible for me to outrun my mouth :). Also our personal fat thresholds are so unique. Then they start thinking :)
2
2
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
48 yr old lady with diabetes. Husband refuses to give her money to buy her medications for diabetes. Ended up with a UTI. Got son to secretly buy her medicines. HbA1c 7. Weight 5 kgs down on her effort. What makes some people this way. How do people survive such marriage? 😒😏
12
2
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Discussing the concept of why protein before carbs with senior. :) He told me if he ate the eggs first he’d feel full & wouldn’t be able to eat breakfast:) Told him that was the point! :) Also proteins kind of blunt the sugar spike from the carbs & so reduces insulin spike :)
Tweet media one
4
2
46
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
Topic Personal Fat Threshold. Higher fat in liver causes high fasting blood glucose. (Insulin resistance) Higher fat deposits in pancreas causes reduced insulin secretion after a meal (relative insulin deficiency) And reducing the extra Visceral fat can help Diabetes remission
Tweet media one
3
5
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
8 months
@abeejuice Unfortunately most pts feel afraid to discuss costs with the doctor. Personally it's the first thing that is on my mind. Cost of care.
3
3
45
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
1 year
No patient ever reversed diabetes eating the same amount of carbohydrates they did when they were a diabetic. That being said it cutting out carbohydrates completely may not reverse diabetes in ‘everyone’ either. No 2 patients are the same. #RandomMusings
4
3
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
My OPD staff. She looks out for me. So grateful. Quietly got me coffee from her own money. Asked her why? Told me because she didn’t see me leave the room to get one :) Little gestures of kindness❤️🫂 What more can I ask for❤️
Tweet media one
Tweet media two
4
0
45
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
11 months
Best way I can describe Type 2 DM is a process of slow burnout. Onset depends on the reserves of beta cells we have to start with. Genetic to some extent. Maybe made worse by fatty infiltration of the pancreas as we now understand. Burnout hastened by diet/stress,inactivity.
Tweet media one
2
5
45
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
😂😂😂🤣🤣🤣🤣🤣
@C90284166
The Cheshire Cat
@C90284166
10 months
Butter Chicken! 😂
12
35
144
5
2
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Asking inpatients simple questions like.. -Did u sleep okay last night? -Were u in pain of any sort? -Did u eat okay? How's the taste in ur mouth? Ur appetite? What did u eat? Seems to make many faces light up, and has been a deeply enlightening experience for me too :)
5
1
43
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
7 months
Key for mental and emotional health.. ❤️
Tweet media one
4
9
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
5 months
I didn’t get into MBBS in my first try. Well I did get engineering without trying for it but got the 2nd and at the Manipal entrance. The fees were too prohibitive though as my parents were living hand for mouth. Moreover all of 11th and 12 th grade I had all house chores too :)
Tweet media one
3
4
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
10 months
Just a regular day. Called to see a pt post surgery. RBS was 300 before emergency surgery. The now super proactive surgery team :) I'm so proud of :) sent the HbA1c. It's over 13%... #RealLife :)
10
0
41
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
9 months
Waiting for everyone else to get here :) The boys unpacking… Without even being told to.. Junior started and I guess senior then felt conscious :) Hmmm… Observing how influence can be positive too without having to say things out specifically… Not complaining😂
Tweet media one
Tweet media two
Tweet media three
9
0
43
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
5 months
The presence of someone who cares deeply is under appreciated in mental health struggles. Just someone, anyone. Who’s there to listen, to reach out to, and we are struggling, to help us hear ourselves is invaluable. I’ve learnt to be my own therapist. Listening to myself :)
Tweet media one
5
3
44
@Sona_unplugged
Dr_Sona Abraham
@Sona_unplugged
6 months
March 2020 When CoVid hit. And technology made huge strides . When I used the time to create a new telemedicine platform :) Was very different from the everyday grind but I absolutely enjoyed every moment spent creating the product and testing it :) #CloudClinic /Beato
Tweet media one
2
1
43