Some thought about DVT prophylaxis in ICU.
Part of my presentation on the same topic.

Question 1: What is the incidence of DVT and PE in current era of widespread thrombo-prophylaxis?
#FOAMed

Sri Devi Karumariamman mandir, Chennai, Tamilnadu

Sri Devi Karumariamman mandir is in Thiruverkadu, a suburb of Chennai. It is said that God Muruga came here and obtained the 'Vel' (spear) from His mother, Goddess Karumari (an avatar of Parvathi) 1/n

to fight the demon Suran and hence this place was called as 'Vel kadu' and became as Verkadu. As per legend Devi Karumariamman once disguised as a soothsayer visited Bhagwan Surya, the Sun God, to predict His future. 2/n

Not realising that the soothsayer is none other than Sakthi Matha, Surya ignored Her. Angered by his indifference, Devi Karumariamman immediately retreated. Bhagwan Surya lost His glory and the earth plunged into darkness. 3/n

Bhagwan Surya then realised His folly and pleaded forgiveness from Devi Karumariamman. In order to pacify mother Karumariamman, Suryadev said that His rays would fall on Her directly twice in a year and touch her feet. (in the month of Panguni (March- April) & during (Sep - Oct)

Mother Karumari Amman is worshipped here in two forms.A swayambu (self manifested) with only head visible above the ground and another one in a graceful sitting posture with all Parasakthi features,with four arms holding skull, sword, trishul, udukkai (damru). 5/n

Beautiful story of Shri Krishna, Mata Rukmini & Satyabhama which teaches the importance of Bhakthi.
Devotion is important than anything.
#bhakthi
🕉
Satyabhama, royal princess was very proud of herself. Rukmini was very humble, her devotion was pure to Shri Krishna.

One day, Rishi Narada( Kalahapriya) arrived in Dwaraka and met Sathyabhama. In between the conversation he hinted that Krishna exhibits affection more to Rukmini than her. Worried Sathyabhama asked what can should be done to gain Krishna's undivided attention.
@SriramKannan77

Narada asked Satyabhama to make a vow, that she will hand over Krishna to him as a slave, if she cannot trade wealth equivalent to Krishna's weight. Narada thus convinces Sathyabhama that Krishna will admire her for sacrificing all her wealth for him.

Sathyabhama was sure that she have enough wealth to balance Krishna.

She went to Krishna and told about her vow to Narada. Krishna patiently listened to her and accepted the challenge. Satyabhama arranged to bring large scales to weigh and brought all her precious jewels.

Krishna patiently sat on one plate of the Scales (tula). Sathyabhama started piling up the gold, jewels on the other plate. She kept adding more and more wealth, but the pan with Krishna did not even budge. Even after keeping all her jewels the scale did not move a little

The RV and the Redemption Funds.

ALL Exchanged Currencies as well as all Zim Redemption funds will be placed in the accounts they set up in the Quantum Financial System./1

Absolutely none of these funds will be placed in a Bank at the redemption appointment. Bank computers cannot be programmed to transfer Digital Gold Certificates./2

The QFS can and will transplant funds into a bank account as has been explained earlier,/3

so a person can transfer funds to their own bank account but the desirability will become less and less as the banks go into receivership and their customer’s deposits are confiscated to avoid the Bank’s demise./4

Which bank can compete with the QFS when the QFS is free, secure, private, and stable? One of the major problems in the transition will be the use of Debit Cards for merchant purchases. Will VISA or Mastercard be available?/5

1/ The first 18 months of starting a company is often life or death. I must've made 5 different companies that each failed within 9 mo. 😭 Each time the company failed I figured out what I could do better. Eventually startup #6 got to $40K/mo by month 18. Here’s what I learned...

2/ Stay focused! Ignore things that are a waste of time: meetups & conferences, meetings with no clear agenda, fundraising if you're not fundraising, reading lots of tech media articles, etc. Every week should feel like significant progress in the first year.

3/ Your first 5 hires will be the difference between life or death. Choose carefully. Be picky. Many of the things we do at the company still are a result of those early hires' legacy. Have fun as a tight knit team. It will change & evolve as you get bigger so enjoy this moment.

4/ Growth may be flat for the first 9 months. It's gonna be okay. Almost every company has experienced this: Airbnb had to sell cereal in-between, Slack failed as a gaming company first, Tesla sold only 147 cars after 6 years! You probably won't be an overnight success either.

5/ In the beginning, do customer support yourself. You will learn a lot about why your product sucks. I did 5,000+ support tickets when it was the two of us. Delight customers & fix things fast while you learn. It will help you build an amazing intuition about your customers.