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Digoxin: ๐ŸŒ Ancient Remedy, Modern Evidence, Global Relevance show art Digoxin: ๐ŸŒ Ancient Remedy, Modern Evidence, Global Relevance

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿซ€ Old drug. New evidence. Renewed relevance. Two major JAMA studies published in 2026 revisit the role of digoxin/digitalis glycosides in modern cardiovascular care. ๐Ÿ“Š A meta-analysis of 9,013 patients with HFmrEF/HFrEF showed reduced worsening heart failure events without increased mortality. ๐ŸŒ The Dig-RHD randomized trial from India demonstrated that digoxin reduced death or worsening heart failure in symptomatic rheumatic heart disease with minimal toxicity. Key message: ๐Ÿ’Š Digoxin may still have an important role as affordable adjunctive therapyโ€”especially in resource-limited...

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Great Doctors Series: Aesculapius, Healing. Hope. Humanity. ๐Ÿบโœจ show art Great Doctors Series: Aesculapius, Healing. Hope. Humanity. ๐Ÿบโœจ

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿโš•๏ธ Before modern hospitals, there were the healing temples of Asclepius โ€” where medicine, ritual, dreams, and compassion converged.   Son of Apollo, trained by the wise centaur Chiron, Asclepius became the enduring symbol of healing in Greek civilization. His daughters โ€” Hygieia, Panacea, and Iaso โ€” represented health, cure, and recovery itself.   Even today, the Rod of Asclepius remains the universal emblem of medicine. ๐ŸŒฟ   A reminder that the art of healing has always been more than science alone โ€” it is wisdom, empathy, and hope.

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๐Ÿงช Beyond Genetics: The Nine-Protein Kidney Crystal Ball show art ๐Ÿงช Beyond Genetics: The Nine-Protein Kidney Crystal Ball

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿงฌ Predict. Prevent. Protect: The APOL1 Proteomic Revolution A fascinating new study in Nature Medicine describes a 9-protein APOL1 Proteomic Risk Score (APRS) capable of predicting kidney disease progression years before chronic kidney disease becomes clinically apparent. Among individuals of African ancestry with APOL1 high-risk genotypes and preserved kidney function, APRS achieved a remarkable time-dependent AUC of ~86%, substantially outperforming traditional clinical scores and polygenic risk tools. This work moves us closer to precision nephrology: identifying who is truly at risk,...

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โš–๏ธ Colonoscopy & Clinical Reality: Benefit, Burden & Balance show art โš–๏ธ Colonoscopy & Clinical Reality: Benefit, Burden & Balance

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿง ๐ŸŽ™๏ธ New infographic from Dr RR Baligaโ€™s Podkast for the Kurious Doc: โ€œColonoscopy, Cancer & Competing Risks.โ€   Two major 2026 studies from The Lancet and JAMA reshape how we think about colorectal cancer screening and surveillance.   ๐Ÿ”น The NordICC trial showed reduced colorectal cancer incidence with colonoscopy, but no significant mortality reduction after 13 years. ๐Ÿ”น In adults โ‰ฅ75 years with prior adenomas, non-colorectal cancer mortality far exceeded colorectal cancer risk, highlighting the importance of frailty and individualized decision-making.  ...

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๐ŸŒ Stroke Science Unlocked: Three Trials That May Shift Practice show art ๐ŸŒ Stroke Science Unlocked: Three Trials That May Shift Practice

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿง  Three major stroke trials published in JAMA this week may reshape adjunctive reperfusion strategies in acute ischemic stroke.   ๐Ÿ”น TNK-PLUS: Tenecteplase before thrombectomy in late-window stroke showed no added functional benefit. ๐Ÿ”น CHOICE-2: Intra-arterial alteplase after successful thrombectomy improved excellent neurological recovery, though mortality signals warrant caution. ๐Ÿ”น INSTANT: Early tirofiban after inadequate tenecteplase response significantly improved 90-day outcomes in non-large vessel occlusion stroke.   Together, these studies highlight a growing shift...

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The Tumour Microenvironment Revolution * ๐ŸŽฏ Spatial Ecotypes, Liquid Biopsies & Immunotherapy ๐Ÿš€ show art The Tumour Microenvironment Revolution * ๐ŸŽฏ Spatial Ecotypes, Liquid Biopsies & Immunotherapy ๐Ÿš€

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿงฌ Tumours are not just masses of cellsโ€”they are organized ecosystems.   A remarkable Nature study by Zhang et al. mapped >10 million spatial transcriptomes across cancers and identified 9 conserved โ€œspatial ecotypesโ€ within the tumour microenvironment. Even more striking: these ecotypes could be detected non-invasively from plasma cell-free DNA using deep learning.   Higher SE7/SE8 predicted better immunotherapy outcomes, while SE4 forecast resistance and poorer survival. A powerful step toward blood-based spatial oncology and precision immunotherapy. ๐Ÿš€๐Ÿฉธ๐Ÿ”ฌ  ...

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๐Ÿ˜ด๐Ÿ“š The Unconscious Brain Still Listens! show art ๐Ÿ˜ด๐Ÿ“š The Unconscious Brain Still Listens!

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

๐Ÿง ๐Ÿ’ค Can the unconscious brain still process meaning? A remarkable Nature study used Neuropixels recordings from the human hippocampus during general anesthesia and found preserved oddball detection, semantic encoding, syntactic processing, and even prediction of upcoming words. The anesthetized brain was not silentโ€”it adapted, learned, and contextualized language despite loss of consciousness. These findings challenge classical theories tightly linking higher cognition to conscious awareness.   Katlowitz KA et al. Nature. 2026. https://doi.org/10.1038/s41586-026-10448-0 ๐ŸŽ™๏ธ

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Sip Less. Weigh Less. Live Better. ๐Ÿทโฌ‡๏ธโš–๏ธโœจ show art Sip Less. Weigh Less. Live Better. ๐Ÿทโฌ‡๏ธโš–๏ธโœจ

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

A fascinating Lancet RCT shows once-weekly semaglutide may redefine alcohol use disorder treatment. ๐ŸŽฏ   In 108 adults with AUD and obesity, semaglutide reduced heavy drinking days by โ€“13.7 percentage points vs placebo (p=0.0015) and improved craving, consumption, and biomarkers. ๐Ÿ“‰   With an NNT of ~4.3 and a manageable safety profile, GLP-1 therapy signals a shift from abstinence to precision harm reduction. ๐Ÿ’ก   Efficacy. Safety. Meaningful impact.   Is this the beginning of a new era in addiction medicine? ๐Ÿง ๐Ÿ’‰

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Imohtep (Great Doctors Series): Architect, Priest, Healer, Genius show art Imohtep (Great Doctors Series): Architect, Priest, Healer, Genius

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

What does it take to be remembered for 3,000 years? ๐Ÿบ   Meet Imhotepโ€”chancellor, architect of the Step Pyramid, and later revered as a god of healing. From stone structures that defy time to ideas that shaped medicine and myth, his legacy is both historical and philosophical.   As highlighted in early narratives, he was not just a builder of monumentsโ€”but a builder of meaning.    A timeless reminder: true impact is not just what we createโ€”but what endures. โœจ   #GreatDoctors #HistoryOfMedicine #Innovation #AncientWisdom #Leadership

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Eat Smart. Live Long. โค๏ธ๐Ÿฅ—๐Ÿ“˜ show art Eat Smart. Live Long. โค๏ธ๐Ÿฅ—๐Ÿ“˜

Dr. RR Baliga's 'Podkast for the Kurious Doc'. Where Curiosity meets Clarity!

โค๏ธ New in Circulation: the 2026 AHA Dietary Guidance to Improve Cardiovascular Health distills prevention into 9 elegant featuresโ€”maintain healthy weight, emphasize vegetables/fruits, choose whole grains, favor healthier proteins and unsaturated fats, minimize ultraprocessed foods, added sugars, and sodium, and avoid starting alcohol for health. Food, here, is not garnish; it is strategy. ๐Ÿฅ—๐ŸŒพ๐Ÿฉบ #Cardiology #Prevention #Nutrition

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๐Ÿšจ New from #FLAVOURII: Angio-FFR vs IVUS to guide PCI ๐Ÿซ€

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Is flow-based guidance the future? ๐ŸŒ

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๐Ÿ“ฐ Lancet 2025 | ๐Ÿ“Š RCT | ๐Ÿ‡จ๐Ÿ‡ณ 1839 patients