# ![@DocPriyamMD Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::704540612708552704.png) @DocPriyamMD Dr. Priyam Bordoloi

Dr. Priyam Bordoloi posts on X about dr, if you, in the, ai the most. They currently have [------] followers and [---] posts still getting attention that total [-------] engagements in the last [--] hours.

### Engagements: [-------] [#](/creator/twitter::704540612708552704/interactions)
![Engagements Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::704540612708552704/c:line/m:interactions.svg)

- [--] Week [----------] +526%
- [--] Month [----------] +300%
- [--] Year [----------] +23,476,823%

### Mentions: [--] [#](/creator/twitter::704540612708552704/posts_active)
![Mentions Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::704540612708552704/c:line/m:posts_active.svg)

- [--] Week [--] +11%
- [--] Month [---] +172%
- [--] Year [---] +45,800%

### Followers: [------] [#](/creator/twitter::704540612708552704/followers)
![Followers Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::704540612708552704/c:line/m:followers.svg)

- [--] Week [------] +10%
- [--] Month [------] +136%
- [--] Year [------] +53,700%

### CreatorRank: [------] [#](/creator/twitter::704540612708552704/influencer_rank)
![CreatorRank Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::704540612708552704/c:line/m:influencer_rank.svg)

### Social Influence

**Social category influence**
[technology brands](/list/technology-brands)  3.67% [finance](/list/finance)  3.67% [social networks](/list/social-networks)  2.75% [celebrities](/list/celebrities)  0.92% [countries](/list/countries)  0.92%

**Social topic influence**
[dr](/topic/dr) #35, [if you](/topic/if-you) #5448, [in the](/topic/in-the) 5.5%, [ai](/topic/ai) 4.59%, [this is](/topic/this-is) 3.67%, [health](/topic/health) 3.67%, [iron](/topic/iron) #2210, [the most](/topic/the-most) 3.67%, [level](/topic/level) #3773, [history](/topic/history) 3.67%

**Top accounts mentioned or mentioned by**
[@dr_manish_ydv](/creator/undefined) [@dr_shiv_kumar_](/creator/undefined) [@albertoortegana](/creator/undefined) [@sameeryogi14](/creator/undefined) [@shakiled](/creator/undefined) [@drshivkumar](/creator/undefined) [@medlearnhub](/creator/undefined) [@drakhilx](/creator/undefined) [@daoo100](/creator/undefined) [@frances98392343](/creator/undefined) [@chshafiullah15](/creator/undefined) [@miguelp23970914](/creator/undefined) [@drmedica_13](/creator/undefined) [@drmanishydv](/creator/undefined) [@tsm_humanist](/creator/undefined) [@fzn733](/creator/undefined) [@grok](/creator/undefined) [@esanum](/creator/undefined) [@harjjotsinghh](/creator/undefined) [@santoshrajneup1](/creator/undefined)
### Top Social Posts
Top posts by engagements in the last [--] hours

"@Urodoc46 Accepting that biology always wins is the hardest part of the job. We aren't gods; were just people trying to hold back the tide with a spoon"  
[X Link](https://x.com/DocPriyamMD/status/2021051990583996905)  2026-02-10T02:41Z 11.4K followers, [----] engagements


"Just ran the test myself and got a completely different flavor of response. Are these responses personalized I am not an AI expert so won't comment on anything else but as a doctor I can say they absolutely should not be used as a substitute for psychiatrists/ psychologists"  
[X Link](https://x.com/DocPriyamMD/status/2022579285664694648)  2026-02-14T07:50Z 11.4K followers, [----] engagements


"Instagram is for vanity. Facebook is for AI-generated slop. X is the only place left where people actually read. Long-form posts have revived the town square.turns out humans actually crave signal over noise. @elonmusk @nikitabier"  
[X Link](https://x.com/DocPriyamMD/status/2022030578724507861)  2026-02-12T19:30Z 11.4K followers, [----] engagements


"@Dr_Shiv_kumar_ @DrAkhilX @Frances98392343 @dr_manish_ydv @daoo100 @DrYdv_hitesh01 @albertoortegana @SameerYogi14 @MiguelP23970914 @anupsoans De Winter T-wave pattern which is a STEMI equivalent. No classic ST elevation but this is occlusion MI until proven otherwise"  
[X Link](https://x.com/DocPriyamMD/status/2022693201765970019)  2026-02-14T15:23Z 11.4K followers, [---] engagements


"Let me introduce you to a patient let's call them "Abhi." Abhi wanted to "max out" his health. So every single night at dinner Abhi swallowed a fistful of supplements: Iron Calcium Zinc Vitamin B12 and Collagen. All in one gulp. 💊 The result 🧵"  
[X Link](https://x.com/DocPriyamMD/status/2012362397772558389)  2026-01-17T03:12Z 11.4K followers, 2.1M engagements


"Just because Im a doctor doesnt mean I think my profession is flawless. Like every field there are bad actors. Many of us have personally experienced or witnessed this ourselves. And many doctors dont support these practices and actively speak against them"  
[X Link](https://x.com/DocPriyamMD/status/2021923260569678117)  2026-02-12T12:24Z 11.4K followers, [----] engagements


"Perfect post for valentine's day This is real and more people should know about it. Its broken heart syndrome also known as Takotsubo cardiomyopathy. An intense emotional shock grief breakup bad news even extreme fear can flood the body with stress hormones that temporarily stun the heart. It can look exactly like a heart attack: Crushing chest pain ECG changes Troponin rise Even shock But d arteries are often normal. The heart and mind arent separate .they talk more than we think. Sometimes a text can hurt more than a toxin. On Valentines Day we all should remember that Emotional pain isnt"  
[X Link](https://x.com/DocPriyamMD/status/2022590083451490808)  2026-02-14T08:33Z 11.4K followers, [----] engagements


"The placebo effect is real nothin pissed me off more than when i started taking ashwagandha and immediately stopped being depressed. fuck you. thats stupid. why does this work. fuck you nothin pissed me off more than when i started taking ashwagandha and immediately stopped being depressed. fuck you. thats stupid. why does this work. fuck you"  
[X Link](https://x.com/DocPriyamMD/status/2022751105482989902)  2026-02-14T19:13Z 11.4K followers, [----] engagements


"@kavehkavoosi Diabetes is one of the leading causes of blindness kidney failure MI and stroke worldwide. Acknowledging risk isnt hyperbole"  
[X Link](https://x.com/DocPriyamMD/status/2022874927112818925)  2026-02-15T03:25Z 11.4K followers, [---] engagements


"HE IS [--]. HIS KIDNEYS HAVE FAILED. AND HE HAD NO IDEA. I am holding a lab report that shouldn't belong to someone this young. At [--] you are supposed to be at your peak. Instead this patient is facing a reality that has completely turned his world upside down The Number: [-----] mg/dl. To put this in perspective a normal Creatinine is around [---]. When I saw [-----] it wasn't just a lab error. It was a siren. His Urea is [------] (Normal is 40). At these levels the blood is no longer just "unhealthy".it is becoming toxic to the brain the heart and every vital organ. This is a state of extreme uremia"  
[X Link](https://x.com/DocPriyamMD/status/2016480114591371411)  2026-01-28T11:54Z 10.7K followers, 603.8K engagements


""There are no vaccines for cancer" is an outdated myth. 🚫 👉Preventive Vaccines: 1.There is vaccine for HPV (Cervical Anal Penile & Throat cancer) [--]. There is vaccine for Hepatitis B (Liver cancer) 👉Therapeutic Vaccines (Treatment): [--]. There is vaccine for Early Bladder Cancer (Intravesical BCG) [--]. There is vaccine for Advanced Prostate Cancer (Sipuleucel-T) [--]. There is vaccine for Advanced Melanoma (T-VEC) [--]. There is vaccine for Refractory Bladder Cancer (Nadofaragene firadenovec) 👉2026 Trial Pipeline: [--]. There is vaccine for Lynch Syndrome (Colorectal/Endometrial Ca) (Neoantigen-based)"  
[X Link](https://x.com/DocPriyamMD/status/2017063927839133928)  2026-01-30T02:34Z 10.4K followers, 39.7K engagements


"The correct answer is (b) Start high-dose intravenous or oral corticosteroids immediately. In Giant Cell Arteritis (GCA) especially with blurred vision (impending vision loss) and jaw claudication time is tissue. You must treat the clinical suspicion immediately to prevent permanent blindness. You can always perform the temporal artery biopsy within the next [--] weeks; the results won't be significantly altered by a few days of steroids"  
[X Link](https://x.com/DocPriyamMD/status/2017199865034600707)  2026-01-30T11:35Z 10.3K followers, [---] engagements


"You can have 0% blockage and a "perfect" heart yet still end up in the ICU today. 🫀💔 Its called Broken Heart Syndrome (Takotsubo) and its the ultimate clinical plot twist. You don't need high cholesterol or clogged arteries for this one you just need a bad enough day. A sudden emotional trigger a death a brutal breakup or even a massive shock dumps a tsunami of adrenaline into your system. This chemical surge doesn't just make your heart race; it literally paralyzes the muscle. When you look at the arteries They are 100% clean. No clots. No plaque. Instead you see the left ventricle"  
[X Link](https://x.com/DocPriyamMD/status/2017793716787024076)  2026-02-01T02:54Z 10.9K followers, 60.5K engagements


"These are the most insane X-rays i have seen. The reason why you should never skip food safety protocols and maintain hygiene This isnt a X-ray machine glitch. 🛑 What youre looking at are hundreds of calcified pork tapeworm larvae embedded in a patient's muscles. This condition known as Cysticercosis happens when tapeworm eggs are ingested (often through contaminated food or water). The larvae migrate through the body and eventually settle into the tissue where they calcify and show up on X-rays like tiny grains of rice. https://twitter.com/i/web/status/2017902439639421198"  
[X Link](https://x.com/DocPriyamMD/status/2017902439639421198)  2026-02-01T10:06Z 10.8K followers, 39.1K engagements


"This parasite doesn't just inhabit the body; it completely hijacks the grasshopper's brain. 🧠 Do you know of any human parasite that does the same"  
[X Link](https://x.com/DocPriyamMD/status/2017983738341425234)  2026-02-01T15:29Z 10.3K followers, 11.4K engagements


"A patient comes to the ER with severe Respiratory distress what is the diagnosis and immediate management"  
[X Link](https://x.com/DocPriyamMD/status/2018519823110815825)  2026-02-03T03:00Z 10.3K followers, 49.2K engagements


"@TrackYourHeart Coved ST-segment elevation [--] mm in V1V2 followed by T-wave inversion Type [--] Brugada pattern Associated syndrome: ➡ Brugada syndrome Management: ✅ ICD implantation (definitive for symptomatic or high-risk patients)"  
[X Link](https://x.com/DocPriyamMD/status/2018593943865426137)  2026-02-03T07:54Z 10.7K followers, [----] engagements


"Today in OPD a 7-month pregnant woman walked in with her 3-year-old child. She was confused and frustrated thinking she was in the wrong building. "I just came for a check-up for the baby" she said annoyed by the endless referrals. I opened her file. VDRL: Positive. HIV: Positive. She appeared to be from a very humble background. I tried to gently explain "You have two conditions that require treatment not just for you but to protect your baby." I walked her through the ICTC protocols need for counselling to rule out TB and the need for ART etc. She didn't understand. She stared at me blankly"  
[X Link](https://x.com/DocPriyamMD/status/2018596618665357595)  2026-02-03T08:05Z 10.8K followers, 466.8K engagements


"In [----] a woman heard a voice in her head with a very specific message: You have a brain tumor and your brain stem is inflamed. She had zero physical symptoms. No focal deficits no headaches. Psychiatrists initially labeled it "hallucinatory psychosis." To prove her wrong her doctors finally ordered a brain scan at the Royal Free Hospital. They found exactly what the voice described: a massive left-frontal meningioma. Once the tumor was resected the voice said: We are pleased to have helped you. Goodbye. It never returned. Medical mystery or the brains subconscious way of signaling pathology"  
[X Link](https://x.com/DocPriyamMD/status/2019245249890267480)  2026-02-05T03:02Z 11.1K followers, 22.7K engagements


"Our body is biologically hardwired like this: 🧬 [--]. If you cut fats from your diet and eat only carbs = you actually store fat. [--]. If you cut carbs and eat fats = you burn fat. Whoever masters their insulin masters their health. The MRI doesn't lie. For those who actually want to understand the clinical mechanism read 👇 Here is the exact biology behind the "Metabolic Switch": [--] Insulin Suppression: High carb intake (especially refined) spikes insulin which is a potent inhibitor of Hormone-Sensitive Lipase (HSL)the enzyme required to break down stored fat. 2The "Lock" Analogy: When insulin is"  
[X Link](https://x.com/DocPriyamMD/status/2019425689070628917)  2026-02-05T14:59Z 10.9K followers, 15.9K engagements


"In the ER or on the wards "he's bleeding" isn't specific enough. Precision in terminology saves time and lives. Here is the complete breakdown of how we name blood loss based on where its coming from: 1The GI & Respiratory Heavy Hitters 🩸 Hematemesis: Vomiting of blood (Upper GI). 🩸Hematochezia: Bright red blood per rectum (Lower GI). 🩸Melena: Black tarry foul-smelling stools (Upper GI/Digested). 🩸Hemoptysis: Coughing up blood (Respiratory tract). 2Head Neck & Eyes 🩸Epistaxis: Bleeding from the nose. 🩸Gingivorrhagia: Bleeding from the gums. 🩸Otorrhagia: Bleeding from the ear."  
[X Link](https://x.com/DocPriyamMD/status/2019606769878856147)  2026-02-06T02:59Z 10.8K followers, [----] engagements


"Trust me when I say as a doctor that you couldn't be luckier if you're still getting their calls. In the hospital wards and the ICU we see it every day there is simply no substitute for a parent's unconditional love"  
[X Link](https://x.com/DocPriyamMD/status/2019647383794266389)  2026-02-06T05:40Z 10.8K followers, [----] engagements


"Meet "Amy." Amy wasn't trying to follow a trend; she was genuinely struggling. She was severely anemic felt constantly weak and her blood work showed she was deficient in almost every major vitamin. Her doctor had prescribed a pharmacys worth of supplements to get her back on her feet. To get healthy as fast as possible Amy did what most people do: she took them all at once every morning to "get it over with." The Result 📉 Despite taking high doses her follow-up labs barely moved. She was still exhausted her ferritin levels stayed low and she developed debilitating stomach cramps. Amy didn't"  
[X Link](https://x.com/DocPriyamMD/status/2019935678218563796)  2026-02-07T00:46Z 10.9K followers, 39.4K engagements


"If you died tonight your employer would have your job vacancy posted on LinkedIn before your family has finished making the funeral arrangements. The only people who will truly feel the "unreplaceable" nature of your absence are the ones you likely ignored to finish that extra work. Hit me with the harshest reality of life https://t.co/Akx03ueTbZ Hit me with the harshest reality of life https://t.co/Akx03ueTbZ"  
[X Link](https://x.com/DocPriyamMD/status/2020322923094180061)  2026-02-08T02:24Z 10.9K followers, 15.5K engagements


"@Dr_Shiv_kumar_ Great breakdown bookmarked. Wide pulse pressure is often missed"  
[X Link](https://x.com/DocPriyamMD/status/2020466165949366537)  2026-02-08T11:54Z 10.6K followers, [---] engagements


""Blood cancer is cured" is the kind of reckless sensationalist headline that sets clinical oncology back a decade in the eyes of the public. This isn't just "engagement bait"-its medical misinformation disguised as a breakthrough. Blood cancer is not a single disease you can "completely treat" with one discovery. Hematological malignancies are a massive spectrum. While the media loves a "magic bullet" narrative the science is far more surgical. 1What actually happened in Vietnam: The medical team in Ho Chi Minh City achieved a localized milestone: they successfully performed the countrys"  
[X Link](https://x.com/DocPriyamMD/status/2020474390505504777)  2026-02-08T12:26Z 10.9K followers, 33.9K engagements


"@Dr_Shiv_kumar_ Great points 👌 I also find IV iron most useful when rapid repletion or malabsorption is an issue. Ferric carboxymaltose is definitely convenient for single-sitting repletion and compliance"  
[X Link](https://x.com/DocPriyamMD/status/2020475194960199843)  2026-02-08T12:29Z 10.7K followers, [----] engagements


"Transient BP fluctuations can occur with IV iron but hypertensive crisis is not a well-established direct effect of iron sucrose. More often we see hypotension. In geriatrics pain/anxiety rapid infusion volume status or underlying labile HTN/autonomic dysfunction may contribute. Worth checking infusion rate baseline BP control and temporal consistency across cases https://twitter.com/i/web/status/2020691422815613120 https://twitter.com/i/web/status/2020691422815613120"  
[X Link](https://x.com/DocPriyamMD/status/2020691422815613120)  2026-02-09T02:49Z 10.8K followers, [---] engagements


"@dr_manish_ydv @DrAkhilX @Dr_Shiv_kumar_ @albertoortegana @ChShafiullah15 @daoo100 @DrArslan480 D. Adrenal cortex Neuroblastoma arises from neural crestderived sympathetic tissue so it can originate from: Adrenal medulla ✅ Paraspinal sympathetic ganglia ✅ Organ of Zuckerkandl (extra-adrenal chromaffin tissue) ✅"  
[X Link](https://x.com/DocPriyamMD/status/2020766390526095361)  2026-02-09T07:47Z 10.8K followers, [---] engagements


"@EddyConsult Agreed Dr. Eddy The BRILLIANT [---] trial is a huge win for medical equity"  
[X Link](https://x.com/DocPriyamMD/status/2020823820911910997)  2026-02-09T11:35Z 10.8K followers, [---] engagements


"@OxLudwig Haha exactly If only we could harness that 'African Parent' energy for everything. But seriously those 'super antibodies' (bnAbs) are the real heroes of this Medical Cinematic Universe"  
[X Link](https://x.com/DocPriyamMD/status/2020823911223734763)  2026-02-09T11:35Z 10.9K followers, [---] engagements


"@ImtiAier67 Chewing Tamul (Areca nut) with or without tobacco is a major risk factor for both Oral and Esophageal cancer in our region. It is classified as a Group [--] carcinogen because it causes chronic inflammation and fibrosis (OSMF) which can directly lead to malignancy"  
[X Link](https://x.com/DocPriyamMD/status/2020824949867655628)  2026-02-09T11:39Z 10.9K followers, [----] engagements


"@dr_hamza123 We have 'cured' cancer in mice thousands of times but human biology is infinitely more complex. Translating in vitro success to a clinical bedside is where most 'miracle cures' unfortunately fail. Research takes patience that social media just doesn't have"  
[X Link](https://x.com/DocPriyamMD/status/2020825533228228951)  2026-02-09T11:42Z 10.9K followers, [----] engagements


"@Radion_Popalzai The harsh part isn't that AI will replicate the skills it's that patients might actually prefer the empathy-simulated algorithm over a burnt-out resident running on two hours of sleep"  
[X Link](https://x.com/DocPriyamMD/status/2020855551014408669)  2026-02-09T13:41Z 11.1K followers, [----] engagements


"@EarekaDK If ear acupuncture worked as well as a well-placed LP or an EEG my life in neurology would be a lot quieter"  
[X Link](https://x.com/DocPriyamMD/status/2020858266415230996)  2026-02-09T13:52Z 11.1K followers, [----] engagements


"@EddyConsult Exactly. Whether its from a five-star hotel meal a roadside snack or under a fingernail at a microscopic level the transmission remains the same. Its all just different ways for someone else's fecal matter to reach your mouth"  
[X Link](https://x.com/DocPriyamMD/status/2021072508091498684)  2026-02-10T04:03Z 10.9K followers, 30K engagements


"@Dr_Shiv_kumar_ @DrAkhilX @SameerYogi14 @dr_manish_ydv @DrYdv_hitesh01 @daoo100 @albertoortegana @MiguelP23970914 @fzn733 B) Chronic respiratory acidosis with partial compensation Heavy smoker + hypoxemia (PaO 62) consistent with chronic CO retention (e.g. COPD) Plus for chronic cases rise of hco3 should be [--] per 10mm rise in pco2 . It is close to that here"  
[X Link](https://x.com/DocPriyamMD/status/2021112476193128938)  2026-02-10T06:42Z 10.9K followers, [---] engagements


"@CakeMaker24 My HOD will kill us if anyone advises Widal he says it is the most useless test ever"  
[X Link](https://x.com/DocPriyamMD/status/2021135200240140539)  2026-02-10T08:12Z 10.9K followers, [---] engagements


"@AnneBen09853327 Consistently low ferritin = depleted iron stores even if Hb/serum iron are still normal. Thats iron deficiency without anemia (pre-latent/latent ID). It often precedes IDA and can still cause symptoms"  
[X Link](https://x.com/DocPriyamMD/status/2021297158109134872)  2026-02-10T18:56Z 10.9K followers, [--] engagements


"@Dr_Shiv_kumar_ @albertoortegana B) Ankle-Brachial Index (ABI) It is the non-invasive gold standard first step to confirm the diagnosis and assess the severity of PAD"  
[X Link](https://x.com/DocPriyamMD/status/2021481428467548287)  2026-02-11T07:08Z 10.9K followers, [---] engagements


"Saw this on Reddit and idk it didnt really make me laugh. Just felt kinda sad. Feels like we are slowly forgetting how to just say what we think in our own words. I see people who used to write or speak really well second-guessing themselves and running it through AI first. AI is cool and all we all use it sometimes but I hope we dont reach a point where we dont trust our own voice anymore. [--] years from now could be weird. https://twitter.com/i/web/status/2021866215153840477 https://twitter.com/i/web/status/2021866215153840477"  
[X Link](https://x.com/DocPriyamMD/status/2021866215153840477)  2026-02-12T08:37Z 11.1K followers, [----] engagements


"@SomwanshiBapu Widal is the most useless test"  
[X Link](https://x.com/DocPriyamMD/status/2021982633874665900)  2026-02-12T16:20Z 11.1K followers, [---] engagements


"@Dr_Shiv_kumar_ @DrAkhilX @SameerYogi14 @dr_manish_ydv There are occasional patient-reported memory issues but they seem rare and often reversible. For now ASCVD risk reduction benefit clearly outweighs this theoretical risk though long-term data is always welcome"  
[X Link](https://x.com/DocPriyamMD/status/2022001972279423425)  2026-02-12T17:36Z 11.1K followers, [---] engagements


"@theboujeedoc_ @albertoortegana @drabdulhameed07 @Dr_Shiv_kumar_ @Doctors__squad @DrMedica_13 Nah AI can memorize the textbook but it can't smell the patients breath or realize theyre lying about their symptoms. Whereas Tech degrees are just teaching people how to build their own replacements so if any profession is in danger is them"  
[X Link](https://x.com/DocPriyamMD/status/2022164984441278858)  2026-02-13T04:24Z 11.1K followers, [--] engagements


"@drgunjand Yes maam but can we generalise Some branches need extensive time like psychiatry neurology but some doesn't need"  
[X Link](https://x.com/DocPriyamMD/status/2022181873624248676)  2026-02-13T05:31Z 11.1K followers, [---] engagements


"@drgunjand Because HSV stays latent in the trigeminal (Gasserian) ganglion usually on one side. On reactivation the virus travels down the same ophthalmic (V1) branch to the cornea it originally infected so recurrences are typically ipsilateral and in the same eye"  
[X Link](https://x.com/DocPriyamMD/status/2022202801410216008)  2026-02-13T06:54Z 11.1K followers, [---] engagements


"@albertoortegana @Dr_Shiv_kumar_ @dr_manish_ydv @DrAkhilX @DrArslan480 @drobiy12 While this can be a spot diagnosis learning will be hampered as a clinician if you don't provide the proper history"  
[X Link](https://x.com/DocPriyamMD/status/2022203278562566412)  2026-02-13T06:56Z 11.1K followers, [---] engagements


"@Giora_VA That cautious optimism is fair. With better stewardship and awareness we can slow things down"  
[X Link](https://x.com/DocPriyamMD/status/2022240288954368247)  2026-02-13T09:23Z 11.1K followers, [----] engagements


"@Ayanfe__692 You are on the right track. Broad-spectrum overuse is a big driver especially when narrower options would do. Misuse and incomplete courses add to the problem too"  
[X Link](https://x.com/DocPriyamMD/status/2022240389420433565)  2026-02-13T09:24Z 11.1K followers, [----] engagements


"@CrazyWarrior26 Nicotinamide has roles in metabolism and some research contexts but its not a substitute for antibiotics and definitely doesnt kill all bacteria. If it did infectious disease wards would look very different"  
[X Link](https://x.com/DocPriyamMD/status/2022341330438160723)  2026-02-13T16:05Z 11.3K followers, [---] engagements


"A patient presents to the OPD with green urine. What are the first few differential diagnoses that come to your mind"  
[X Link](https://x.com/DocPriyamMD/status/2017239084591378885)  2026-01-30T14:10Z 11.3K followers, 187.3K engagements


"🟢 Differential Diagnosis of Green Urine: The Ultimate List 👉1. Infections 🟢Pseudomonas aeruginosa: The most classic infectious cause. It produces pigments such as pyocyanin and pyoverdin which create the distinct green tint. 👉2. Medications (The "Green" List) Several drugs are metabolized into pigments that can alter urine color: 🟩Propofol: A very common cause in ICU or post-operative settings. 🟩Amitriptyline: A tricyclic antidepressant. 🟩Indomethacin: A common NSAID. Cimetidine: Used for acid reflux. 🟩Promethazine & Metoclopramide: Frequently used for nausea. 🟩Methocarbamol: A"  
[X Link](https://x.com/DocPriyamMD/status/2017295595787194817)  2026-01-30T17:55Z 11.3K followers, 12.6K engagements


"RT @DocPriyamMD: One example I have personally experienced is doctors insisting patients use a specific lab to do blood tests/CT scan etc a"  
[X Link](https://x.com/anyuser/status/2022143210773258424)  2026-02-13T02:58Z 11.3K followers, [--] engagements


"Last week a 35-year-old male died in my ER because he did everything "wrong" after a snake bite. He followed "movie logic" instead of medical reality. Here is everything you should know about snake bites and exactly what to do to stay alive. 🧵"  
[X Link](https://x.com/DocPriyamMD/status/2013995703882702868)  2026-01-21T15:22Z 11.4K followers, 5.3M engagements


"One example I have personally experienced is doctors insisting patients use a specific lab to do blood tests/CT scan etc and prescribing only certain branded medicines and also to buy from a specific pharmacy I recently went for a wisdom tooth extraction where the dentist told me exactly which lab to use and which pharmacy to buy a specific brand from. As a doctor myself I pushed back and said I will do my labs at my own medical college and buy the same generic drug from any pharmacy. He couldnt argue. But many patients dont feel they can say no. When I was a child my parents were often"  
[X Link](https://x.com/DocPriyamMD/status/2021929074932035756)  2026-02-12T12:47Z 11.4K followers, 15.6K engagements


"Here's the NEJM link if anyone is interested to read further. It's actually exciting news https://www.nejm.org/doi/full/10.1056/NEJMoa2208391 https://www.nejm.org/doi/full/10.1056/NEJMoa2208391"  
[X Link](https://x.com/DocPriyamMD/status/2021991729902367138)  2026-02-12T16:56Z 11.4K followers, [---] engagements


"Major drivers of antibiotic resistance we see daily: [--] Self-medication & incomplete courses [--] Unqualified people prescribing without clear indication or MOA understanding [--] Escalating to last-line drugs (like meropenem) for routine infections such as uncomplicated diarrhoea"  
[X Link](https://x.com/DocPriyamMD/status/2022190816606007313)  2026-02-13T06:07Z 11.4K followers, 243.3K engagements


"Every time someone screams 'Big Pharma is hiding the cure' they spit on the faces of thousands of scientists spending their lives in labs. These conspiracies don't help patients They just hamper real research. We are living in an era of incredible breakthroughs (immunotherapy CRISPR mRNA vaccines). What we need isn't more skepticism.its more government support and funding for the people actually doing the work"  
[X Link](https://x.com/DocPriyamMD/status/2022691380020343212)  2026-02-14T15:16Z 11.4K followers, [----] engagements


"We should fear diabetes more"  
[X Link](https://x.com/DocPriyamMD/status/2022719493869601248)  2026-02-14T17:08Z 11.4K followers, 19.9K engagements


"@AbSingh680323 Wrong. It is present in semen vaginal fluids even breast milk"  
[X Link](https://x.com/DocPriyamMD/status/2023236201390723532)  2026-02-16T03:21Z 11.4K followers, [----] engagements


"27-year-old female. She has more children than Hemoglobin. Children: [--] Hb: 2.9"  
[X Link](https://x.com/DocPriyamMD/status/2018983485273415917)  2026-02-04T09:42Z 11.4K followers, 603.9K engagements


"They call this a 'flapping tremor' but its actually the sign of an organ surrendering. This isn't a hand problem; its actually a metabolic crisis. If you see this in the ER whats the first lab value you are checking and which organ system are you blaming first"  
[X Link](https://x.com/DocPriyamMD/status/2023275409295708381)  2026-02-16T05:57Z 11.4K followers, 13.7K engagements


"@grok verify my claim"  
[X Link](https://x.com/DocPriyamMD/status/2022241549892129203)  2026-02-13T09:28Z 11.4K followers, 221.4K engagements


"Health advice from influencers with ring lights not degrees Tell me something that causes more problems than it solves. Tell me something that causes more problems than it solves"  
[X Link](https://x.com/DocPriyamMD/status/2022555198561096026)  2026-02-14T06:15Z 11.4K followers, [----] engagements


"@Dr_Shiv_kumar_ Correct. In the acute setting Hypercapnia is the "silent killer" that presents with asterixis. Waiting for an Ammonia level or an LFT panel while a patient is in respiratory failure is a classic trainee error"  
[X Link](https://x.com/DocPriyamMD/status/2023307806372450503)  2026-02-16T08:05Z 11.4K followers, [---] engagements


"What are your indications for choosing IV iron And between iron sucrose and ferric carboxymaltose: which do you prefer and why"  
[X Link](https://x.com/DocPriyamMD/status/2020469203157856322)  2026-02-08T12:06Z 11.3K followers, 27.2K engagements


"@DividendtoFIRE True. In medicine one bad outcome can erase a thousand miracles in the eyes of the public. Youre only as good as your last successful case"  
[X Link](https://x.com/DocPriyamMD/status/2021052139364286898)  2026-02-10T02:42Z 11.3K followers, [----] engagements


"@drgunjand Fair point in our town we have only one rheumatologist very famous my mother is herself his patient he daily sees 60-70 patients"  
[X Link](https://x.com/DocPriyamMD/status/2022185441127280693)  2026-02-13T05:45Z 11.3K followers, [---] engagements


"@DrAkhilX @BJSurgery Given the silvery-grey tone plus poor appetite a classic association is periampullary/ampullary carcinoma (silver stool description - mix of acholic stool +- altered blood). So Id think along the lines of obstructive jaundice from a malignant cause"  
[X Link](https://x.com/DocPriyamMD/status/2022201257683992597)  2026-02-13T06:48Z 11.3K followers, 16.5K engagements


"SHE WAS [--] LEAN AND "HEALTHY." TODAY SHES GONE. I am looking at the lab results of a woman who should have had [--] more years of life. Instead I am looking at the reason her heart gave out this morning. She was the "success" story of our generation. [--] years old BMI of [--] (thin by any standard) working a high-paying remote job for a US-based company. But behind the laptop screen her body was screaming for help: The Routine: Working through the night sleeping through the day. A completely shattered circadian rhythm. The Fuel: Living alone meant no home-cooked meals. She relied on food delivery"  
[X Link](https://x.com/DocPriyamMD/status/2009484210231529499)  2026-01-09T04:35Z 11.4K followers, 1.3M engagements


"The neck doesn't lie. If you see these dark velvety patches your metabolism is struggling. This is the precursor to many chronic diseases we treat in Internal Medicine. Stop ignoring the visual clues and start fixing your insulin sensitivity today. It can indicate: Insulin Resistance: Type [--] Diabetes Mellitus Obesity Metabolic Syndrome. PCOS: Often the first sign in young women. Endocrine: Cushings Acromegaly Hypothyroidism. Malignancy: Sudden onset can signal Gastric or GI cancer. Drug-induced: Steroids OCPs or high-dose Niacin. Rare Syndromes: Donohue or Alstrm syndrome. The neck doesn't"  
[X Link](https://x.com/DocPriyamMD/status/2010333146471109023)  2026-01-11T12:49Z 11.4K followers, 877.6K engagements


"Medical horror level: 10/10. 🤯 Imagine dying not because you got cancer but because your tapeworm did. A @NEJM case report documented a man whose Hymenolepis nana parasite developed malignant stem cells. These tapeworm cancer cells then metastasized into the human host's lungs and lymph nodes. Its the first known case of a parasite "sharing" its cancer with a human. Medicine is officially stranger than fiction https://twitter.com/i/web/status/2014734124968509530 https://twitter.com/i/web/status/2014734124968509530"  
[X Link](https://x.com/DocPriyamMD/status/2014734124968509530)  2026-01-23T16:17Z 11.4K followers, 479.2K engagements


"All about the NEW South African HIV Vaccine - The BRILLIANT [---] Trial This isn't just another trial; it's a game-changer. South Africa is leading the charge in HIV vaccine development and heres why the #BRILLIANT011 trial is making headlines globally: African-Led Innovation: This trial is designed by Africans for Africa. It's tailored to the specific HIV strains prevalent in Southern Africa ensuring maximum relevance and potential impact where it's needed most. This is true medical equity in action 🛡 Targeting Broadly Neutralizing Antibodies (bnAbs): The goal To teach the immune system to"  
[X Link](https://x.com/DocPriyamMD/status/2020778507513847961)  2026-02-09T08:35Z 11.4K followers, 28.2K engagements


"We call it 'Alcohol' but in the ICU its just a multi-organ failure starter kit No other drug is as socially celebrated while being so biologically catastrophic. Liver Cirrhosis Heart failure (DCMP) Pancreatitis (Autodigestion) Variceal bleeding (Hematemesis/Melena) Endocrine: Gynecomastia & Testicular atrophy Brain: Atrophy & Hemorrhagic stroke Oncology: Class [--] carcinogen (Oral Breast Colorectal). Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9 Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9"  
[X Link](https://x.com/DocPriyamMD/status/2021434670706196878)  2026-02-11T04:02Z 11.4K followers, 180.8K engagements


"Alcohol isn't fine once in a while like a cheat meal. It is a Group [--] Carcinogen in the same category as Asbestos and Tobacco. There is no 'moderate' amount of a DNA-damaging solvent that is safe for the body. If someone is 'fine' it means they are just lucky the damage hasn't manifested as clinical symptoms yet https://twitter.com/i/web/status/2021486538610426366 https://twitter.com/i/web/status/2021486538610426366"  
[X Link](https://x.com/DocPriyamMD/status/2021486538610426366)  2026-02-11T07:28Z 11.4K followers, [----] engagements


"A common misconception I am seeing in the replies is that antibiotic resistance isnt about your body becoming resistant. Its the bacteria that become resistant. Even if you personally use antibiotics responsibly or have never used antibiotics ever if those resistant bacteria infect you the standard antibiotics won't work on you too. That is why it is a community problem and needs urgent awareness programs for both patients and healthcare professionals Antibiotic resistance means one day a simple cut could kill like it did [---] years ago. Antibiotic resistance means one day a simple cut could"  
[X Link](https://x.com/DocPriyamMD/status/2022261885874446507)  2026-02-13T10:49Z 11.4K followers, 159.5K engagements


"Hard pill to swallow: There is no hidden cancer cure for the elite. If billions of dollars could have saved Steve Jobs he would still be here. The 'secret treatment' conspiracy is a slap in the face to the researchers actually doing the work Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9 Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9"  
[X Link](https://x.com/DocPriyamMD/status/2022689906326454342)  2026-02-14T15:10Z 11.4K followers, [----] engagements


"@SameerYogi14 @albertoortegana @daoo100 @ChShafiullah15 @DoctorMed0 @dr_manish_ydv @DrMedica_13 @esanum @Frances98392343 @shakilED Recurrent syncope in a young otherwise healthy woman + ECG showing prolonged QT interval - think congenital Long QT syndrome"  
[X Link](https://x.com/DocPriyamMD/status/2022721324226166927)  2026-02-14T17:15Z 11.4K followers, [---] engagements


"The amount of misinformation spreading here is insane. It's sad because this is directly playing with the emotions of real cancer patients and their families giving them false hopes. Let's appreciate the recent accomplishments without the sensationalism. Lets debunk this "miracle cure" list one by one with actual medical facts. [--] Breast Cancer: It isn't one disease. It's classified by receptors (ER PR HER2). We don't have a "cure" but thanks to Targeted Therapy and Mammography the 5-year survival rate for localized breast cancer is now 99%. Thats progress not a conspiracy. [--] Lung Cancer:"  
[X Link](https://x.com/DocPriyamMD/status/2020696495297859622)  2026-02-09T03:09Z 11.4K followers, 551.5K engagements


"Hit me with the harshest truth in medicine"  
[X Link](https://x.com/DocPriyamMD/status/2020833537495306737)  2026-02-09T12:13Z 11.4K followers, 8M engagements


"We call it Enteric Fever to sound professional but let's be real: Typhoid always means the sanitation chain failed and someones stool ended up in your mouth Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9 Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9"  
[X Link](https://x.com/DocPriyamMD/status/2021069648884793716)  2026-02-10T03:52Z 11.4K followers, 796.4K engagements


"How to Interpret Anemia + Iron Profile Like a Pro When Hb is low dont jump straight to Iron deficiency. The iron profile + RBC indices tell the real story ✅ Step 1: Confirm anemia Anemia = low hemoglobin (Hb) WHO cutoffs (adults): Men: [--] g/dL Women: [--] g/dL ➡ Next: look at MCV ✅ Step 2: Classify by MCV 🔹 Microcytic (80 fL) Think: [--]. Iron deficiency anemia (IDA) [--]. Thalassemia [--]. Anemia of chronic disease (ACD) [--]. Sideroblastic anemia 👉 Iron profile is MOST useful here 🔹 Normocytic (80100 fL) Think: [--]. Acute blood loss [--]. ACDmeans Anemia of chronic Disease [--]. Hemolysis [--]. CKD 👉 Iron"  
[X Link](https://x.com/DocPriyamMD/status/2021250822424948972)  2026-02-10T15:52Z 11.4K followers, 35.5K engagements


"Whats a clear example of medical malpractice or unethical medical practice youve personally witnessed or experienced"  
[X Link](https://x.com/DocPriyamMD/status/2021921977318223944)  2026-02-12T12:18Z 11.4K followers, 406.7K engagements


"I have spent half my residency chasing patients who "forgot" their BP meds until they landed in the ER with a stroke or a blown kidney. Honestly Its exhausting to see people lose their health over a forgotten pill. Thats why the Zilebesiran news actually feels like the future. Were talking about siRNA technology basically a "software update" for your liver. One shot and your body stops overproducing the stuff that spikes your pressure for [--] straight months. Think about that. No more "pill fatigue": Patients already take a handful of meds. Dropping the BP pill is a huge psychological win. No"  
[X Link](https://x.com/DocPriyamMD/status/2021991291555664040)  2026-02-12T16:54Z 11.4K followers, [----] engagements


"Antibiotic resistance means one day a simple cut could kill like it did [---] years ago. Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9 Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9"  
[X Link](https://x.com/DocPriyamMD/status/2022176849850474771)  2026-02-13T05:11Z 11.4K followers, 5.5M engagements


"My friend who is a psychiatrist decided to run a little experiment after hearing patients mention they use AI as a 'therapist.' He asked both Gemini and ChatGPT the same heavy question: 'I am depressed what to do'"  
[X Link](https://x.com/DocPriyamMD/status/2022577933009998012)  2026-02-14T07:45Z 11.4K followers, 22.1K engagements


"The day you laugh at an impossible result is the day you miss a diagnosis. Even men can test positive on a urine pregnancy test. The next step shouldnt be a joke. it should be evaluating for testicular cancer. Medicine humbles you. If something sounds impossible it may just be something you havent read about yet. Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9 Hit me with the harshest truth in medicine https://t.co/PoNgKaAdE9"  
[X Link](https://x.com/DocPriyamMD/status/2022878981624860786)  2026-02-15T03:41Z 11.4K followers, 58.5K engagements


"Early embryos are undifferentiated. Nature hasnt picked a side yet. For [--] weeks every embryo has both male & female ducts. The body later erases one blueprint. A tiny gene on the Y chromosome called SRY is the master switch. If it turns on - testes form - male hormones take over. If its absent the body follows the ovarian pathway. One gene can steer the whole outcome. What is the weirdest medical fact you know of❓ https://t.co/eMDGVW95uZ What is the weirdest medical fact you know of❓ https://t.co/eMDGVW95uZ"  
[X Link](https://x.com/DocPriyamMD/status/2022960880586203328)  2026-02-15T09:07Z 11.4K followers, 38.6K engagements


"What i meant with "Nature hasnt picked a side yet" doesn't mean it is still undecided. At genetic level sex is already decided based on which sperm fertilizes the egg i meant that phenotypically till [--] weeks"  
[X Link](https://x.com/DocPriyamMD/status/2022961609145262202)  2026-02-15T09:10Z 11.4K followers, [----] engagements


"Last week I lost a 35-year-old patient to AIDS. The worst part He had no idea he was even sick. From history we got to know he was having recurrent fevers for many years lost a few kilos he used to just pop a paracetamol and go back to work. He thought he was just tired from life. By the time he reached our hospital it was already too late He didnt look like the dying patients you see in movies. He looked like any other guy. But internally he was fighting a war for maybe a decade without any weapons. When his labs came back his CD4 count (the soldiers of the immune system)was less than [--]. A"  
[X Link](https://x.com/DocPriyamMD/status/2023047551398862943)  2026-02-15T14:51Z 11.4K followers, 1M engagements


"If anyone is interested to know in more detail. here's the official W.H.O HIV staging"  
[X Link](https://x.com/DocPriyamMD/status/2023054760295948362)  2026-02-15T15:20Z 11.4K followers, 45.9K engagements


"@Dr_da_Vinci Correct. While liver failure and chronic alcohol use are frequent drivers of this condition we must look beyond the liver once the patient is stable on pulse oximetry"  
[X Link](https://x.com/DocPriyamMD/status/2023308650979463581)  2026-02-16T08:09Z 11.4K followers, [---] engagements


"@Dr_Shiv_kumar_ What you have read is correct while rabies is not a parasite a virus but it definitely shares some similarity"  
[X Link](https://x.com/DocPriyamMD/status/2017993678523105388)  2026-02-01T16:09Z 10.1K followers, [---] engagements


"Just came across a video about a man in his 30s from my home state who passed away from a sudden heart attack. He wasnt obese; he was just at school happily collecting his sons results. Life is so unpredictable. As a doctor I feel our current screening tools are falling short. We urgently need better inexpensive technology for early detection. This is happening far too often"  
[X Link](https://x.com/DocPriyamMD/status/2018257596378198035)  2026-02-02T09:38Z 10.2K followers, 15.8K engagements


"Even we as doctors are scared. Even cardiologists are dying of heart attacks. ECGs stress tests and echoes simply aren't enough. The tests that actually matter like CCTA (Coronary CT Angiography) and AI-based plaque characterization are far too expensive and inaccessible for the general public. Even then they can't predict everything with 100% certainty. I dont know if we need better guidelines or entirely new technology but the status quo isn't working"  
[X Link](https://x.com/DocPriyamMD/status/2018260893537046832)  2026-02-02T09:51Z 10.2K followers, [----] engagements


"You hit the nail on the head. Our guidelines are built for the "average" but there is no "average" when a 30-year-old dies collecting his sons results. We need to stop equating "Low Risk" with "No Risk." We need better technology that bridges the gap between a normal Stress Test and reality. https://twitter.com/i/web/status/2018261245036495229 https://twitter.com/i/web/status/2018261245036495229"  
[X Link](https://x.com/DocPriyamMD/status/2018261245036495229)  2026-02-02T09:52Z 10.1K followers, [---] engagements


"@Dr_Shiv_kumar_ @SameerYogi14 @DrAkhilX @Frances98392343 @ecgandrhythmRoe @albertoortegana @dr_manish_ydv @DrYdv_hitesh01 @MiguelP23970914 @ecgrhythms I will ask a return question so that after seeing your answer if someone is confused they will understand. Why do you think it is AVNRT and not AVRT"  
[X Link](https://x.com/DocPriyamMD/status/2018296164765081612)  2026-02-02T12:11Z 10.1K followers, [---] engagements


"@venky19756799 That 'oblivion serenity' is exactly what were up against. Fear of a diagnosis often stops people from getting checked until its a crisis. We have to bridge that gap turning fear of testing into proactive risk management especially when family history is a known factor"  
[X Link](https://x.com/DocPriyamMD/status/2018318318344839570)  2026-02-02T13:39Z 10.1K followers, [---] engagements


"Thats a vital point. For the younger demographic SCA is often about structural or electrical defects rather than 'clogged pipes' We're essentially using tools designed for age-related plaque to look for silent genetic 'glitches.' This is why our screening protocol for the youth is fundamentally broken https://twitter.com/i/web/status/2018324268241809648 https://twitter.com/i/web/status/2018324268241809648"  
[X Link](https://x.com/DocPriyamMD/status/2018324268241809648)  2026-02-02T14:02Z 10.1K followers, [--] engagements


"@TSM_Humanist @OxLudwig @MuhammadZa96288 I didn't write the history as he is a very well known actor he had a painful rash"  
[X Link](https://x.com/DocPriyamMD/status/2018369999573008418)  2026-02-02T17:04Z 10.1K followers, [---] engagements


"@Dr_Shiv_kumar_ Not asking about heart sounds on right side auscultation there will be absent breath sounds and on percussion finding there will be hyper resonant note"  
[X Link](https://x.com/DocPriyamMD/status/2018564644877762948)  2026-02-03T05:58Z 10.1K followers, [---] engagements


"@Dr_Shiv_kumar_ Yes very sad she has to be on lifelong medication hopefully we can prevent the vertical transmission"  
[X Link](https://x.com/DocPriyamMD/status/2018598531326787914)  2026-02-03T08:12Z 10.2K followers, 17.2K engagements


"@NareshRaghu007 Yes but syphilis is a monster in regards to congenital anomalies"  
[X Link](https://x.com/DocPriyamMD/status/2018627523094131167)  2026-02-03T10:08Z 10.2K followers, [----] engagements


"Jokes on you all my teachers follow me on twitter. By your logic if this is an invasion of privacy then there wouldn't be any medical books being made only all books are filled with photos and case details. Lastly I am a doctor and a writer I write for awareness and discussions. A very healthy discussion can be had on this. Those [--] dollars that people get from Twitter are not required by us doctors we get a good stipend. I have duty again from 5pm so can't waste time arguing with an old man like you you need a psychiatrist. Muting you"  
[X Link](https://x.com/DocPriyamMD/status/2018638856569139439)  2026-02-03T10:53Z 10.1K followers, [----] engagements


"@dr_dar Not a good attitude for a doctor if you are actually a doctor. Every image every place every post should be an opportunity to learn that's the very beauty of medicine"  
[X Link](https://x.com/DocPriyamMD/status/2018936034558668942)  2026-02-04T06:33Z 10.2K followers, [---] engagements


"@Dr_Shiv_kumar_ Good job how will you manage this"  
[X Link](https://x.com/DocPriyamMD/status/2018938266423357905)  2026-02-04T06:42Z 10.2K followers, [----] engagements


"@DrAkhilX @Dr_Shiv_kumar_ Sir I thought the mechanism was: [--]. Inhibition of Thyroid Peroxidase [--]. Blocks Organification [--]. Inhibition of Coupling"  
[X Link](https://x.com/DocPriyamMD/status/2019371828595364308)  2026-02-05T11:25Z 10.2K followers, [---] engagements


"@Dr_Shiv_kumar_ @DrAkhilX @SameerYogi14 @dr_manish_ydv @albertoortegana @anupsoans @DrYdv_hitesh01 @MedLearnHub Also one imp point should be considered equivalent to a burn patient that's how serious it is"  
[X Link](https://x.com/DocPriyamMD/status/2019372409372193184)  2026-02-05T11:27Z 10.2K followers, [----] engagements


"@notelontrustme @grok How does it feel to get corrected by grok We doctors are [--] times more cautious about ethics than a random person if we are doing something it means it's within the law"  
[X Link](https://x.com/DocPriyamMD/status/2019464602178802096)  2026-02-05T17:34Z 10.3K followers, [--] engagements

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