Dr Avinash Ignatius - Nephrologist and Transplant Physician

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Dr Avinash Ignatius - Nephrologist and Transplant Physician डॉ. अविनाश इग्नेशियस D.M. Like this Page, Invite your friends and get the latest updates on developments around the world in the field of kidney disease . . . .

Nephrology (AIIMS, Delhi)
A Senior Consultant Nephrologist and Kidney Transplant Physician, with more than 20 years of wide ranging experience in Nephrology from some of the best medical institutes. and more . . .

02/05/2026

The Technology Adoption Curve Of The Top 50 Emerging Digital Health Trends https://leanpub.com/techadoptioncurve-2025

Explore a future where healthcare becomes seamless, preventive, and fully centered on you.

In this concise analysis from The Medical Futurist, discover the digital technologies with real power to transform medicine, empower patients, and strengthen the patient-physician bond.

By mapping out trends and maturity levels, this e-book uncovers how data-driven insights and cultural shifts can create a proactive, hopeful vision for the future of healthcare.

27/04/2026

You can create fiber inside food that didn't have it before. The trigger is temperature.

When you cook starchy food, water enters the starch granules and the long amylose and amylopectin chains unfold. This is gelatinization, and it's why hot rice, hot pasta, and hot mashed potato are so easy for your body to digest. The chains are loose, exposed, and your digestive enzymes break them down within minutes. Your blood sugar rises fast.

When you cool that same cooked starch, the chains do something interesting. They realign and partially recrystallize into a tightly ordered structure called retrograded starch. Your digestive enzymes can't break the crystals as efficiently. The starch reaches your colon largely intact, where your gut bacteria ferment it into short-chain fatty acids including butyrate. Resistant starch is especially butyrogenic compared to other fibers. The FDA and AOAC classify retrograded starch (resistant starch type 3) as dietary fiber for nutrition labeling purposes. Same molecule. Different physical structure. Different physiology.

The numbers across foods:

White rice (Sonia et al., 2015, Asia Pacific Journal of Clinical Nutrition). Researchers measured resistant starch in three preparations: freshly cooked, cooked and cooled at room temperature for 10 hours, and cooked and refrigerated at 4°C for 24 hours then reheated. Resistant starch went from 0.64 g per 100 g (fresh) to 1.30 g (room temp cooled) to 1.65 g (refrigerated and reheated). The clinical follow-up was a randomized crossover in 15 healthy adults. The cooled-and-reheated rice produced a meaningfully lower glucose response than the freshly cooked rice. Same calories, same ingredients.

Potato (Larder et al., 2018, Food Research International). Boiled potatoes cooled for 24 hours at 4°C had up to 114% more resistant starch than potatoes cooled for one hour at room temperature. The exact magnitude varies by cultivar.

Pasta (Hodges et al., 2019, Foods). Randomized crossover comparing freshly cooked pasta, cold pasta, and reheated pasta. Reheated pasta produced a smaller and faster-resolving glucose curve than freshly cooked pasta. The mechanism is the same starch retrogradation that happens in rice and potato.

A few honest caveats. First, "your enzymes can't break the crystals" is a simplification. Pancreatic amylase has reduced activity against retrograded starch but isn't blocked entirely. Some still gets digested. The functional shift is meaningful, not absolute. Second, the magnitude of the cooling effect varies by food, by cultivar, by cooking method, and by cooling time and temperature. Longer cooling at lower temperatures (24 hours at 4°C beats 10 hours at room temperature) produces more retrogradation. Third, repeated extreme reheating can partially reverse retrogradation, but normal microwave or stovetop reheating does not.

Practical implication. If you eat rice, pasta, or potatoes regularly, cooking a batch and refrigerating overnight before reheating roughly doubles the resistant starch content of the same food. Your post-meal glucose response is lower. Your colon gets more butyrate. The fiber on the nutrition label is what was in the raw ingredients. The fiber you actually consume depends on how you cooked and stored the food before eating it.
Same food. Different temperature history. Different physiology.

Sonia et al., Asia Pacific Journal of Clinical Nutrition, 2015 Hodges et al., Foods, 2019
Larder et al., Food Research International, 2018

27/04/2026
22/04/2026
15/04/2026

It's quite surprising to see OpenAI, the maker of ChatGPT, in drug discovery deals with a pharma company! But it just happened!

"𝑇ℎ𝑟𝑜𝑢𝑔ℎ 𝑡ℎ𝑒 𝑝𝑎𝑟𝑡𝑛𝑒𝑟𝑠ℎ𝑖𝑝, 𝑂𝑝𝑒𝑛𝐴𝐼 𝑤𝑖𝑙𝑙 ℎ𝑒𝑙𝑝 "𝑢𝑝𝑠𝑘𝑖𝑙𝑙" 𝑡ℎ𝑒 𝑝ℎ𝑎𝑟𝑚𝑎 𝑐𝑜𝑚𝑝𝑎𝑛𝑦'𝑠 𝑔𝑙𝑜𝑏𝑎𝑙 𝑤𝑜𝑟𝑘𝑓𝑜𝑟𝑐𝑒 𝑡𝑜 𝑖𝑚𝑝𝑟𝑜𝑣𝑒 𝑖𝑡𝑠 𝑤𝑜𝑟𝑘𝑒𝑟𝑠' 𝐴𝐼 𝑙𝑖𝑡𝑒𝑟𝑎𝑐𝑦.

𝐼𝑛 𝑎𝑑𝑑𝑖𝑡𝑖𝑜𝑛, 𝑁𝑜𝑣𝑜 𝑁𝑜𝑟𝑑𝑖𝑠𝑘 𝑤𝑖𝑙𝑙 𝑢𝑠𝑒 𝑂𝑝𝑒𝑛𝐴𝐼'𝑠 𝑡𝑒𝑐ℎ𝑛𝑜𝑙𝑜𝑔𝑦 𝑡𝑜 𝑖𝑚𝑝𝑟𝑜𝑣𝑒 𝑚𝑎𝑛𝑢𝑓𝑎𝑐𝑡𝑢𝑟𝑖𝑛𝑔 𝑒𝑓𝑓𝑖𝑐𝑖𝑒𝑛𝑐𝑦, 𝑐𝑜𝑟𝑝𝑜𝑟𝑎𝑡𝑒 𝑜𝑝𝑒𝑟𝑎𝑡𝑖𝑜𝑛𝑠, 𝑎𝑛𝑑 𝑠𝑢𝑝𝑝𝑙𝑦 𝑐ℎ𝑎𝑖𝑛 𝑎𝑛𝑑 𝑑𝑖𝑠𝑡𝑟𝑖𝑏𝑢𝑡𝑖𝑜𝑛."

OpenAI has not published any studies showing how they can tackle drug discovery challenges; therefore, it feels like they will allow Novo Nordisk to use their top LLM within the company, which might lead to better drug discovery.

Source: https://www.mobihealthnews.com/news/openai-partners-novo-nordisk-ai-drug-discovery

14/04/2026

𝐀 𝐧𝐚𝐭𝐢𝐨𝐧 𝐛𝐮𝐢𝐥𝐭 𝐨𝐧 𝐞𝐪𝐮𝐚𝐥𝐢𝐭𝐲 𝐚𝐧𝐝 𝐚 𝐯𝐢𝐬𝐢𝐨𝐧 𝐫𝐨𝐨𝐭𝐞𝐝 𝐢𝐧 𝐣𝐮𝐬𝐭𝐢𝐜𝐞.

On this day, we pay tribute to B. R. Ambedkar - the architect of the Indian Constitution and a lifelong champion of equality, dignity and social justice.

His vision continues to inspire a more inclusive and progressive India, reminding us of the importance of compassion, fairness and equal opportunity for all.

At Noble Hospitals, Pune, we remain committed to upholding these principles every day through accessible, ethical and patient-centric healthcare.

Let us continue to walk the path of equality and humanity he envisioned.

10/04/2026

Studies keep coming out bout how much time AI scribes actually help save in clinical documentation.

This JAMA study found that

"AI scribe adoption was associated with modest decreases in total EHR time and documentation time and with a modest increase in weekly visit volume."

In detail, the modest decreases really mean:

1) 13.4 fewer minutes of EHR time per visit

2) 16.0 fewer minutes of documentation time

3) and 0.49 additional weekly visits delivered

4) EHR time outside work hours did not change significantly!

What are these if not great results?

The study: https://jamanetwork.com/journals/jama/article-abstract/2847319

08/04/2026
On world health Day, a reminder to take care of your kidneys…
07/04/2026

On world health Day, a reminder to take care of your kidneys…

24/03/2026

Why does a single patient complaint keep us awake at night while years of positive feedback fade away?

Pediatrician and coach Pause and Presence Coaching with Jessie Mahoney, MD unpacks the intense physiologic response physicians have to negative feedback. It is not just about having a thin skin. It goes back to our medical training, where being disliked felt like a threat to our entire career. Dr. Mahoney explains why good medicine actually results in disappointed patients sometimes, like when we say no to unnecessary antibiotics. Instead of spiraling into self doubt, we can learn to regulate our nervous system, pause, and tell a more generous story about the situation.

Episode is in the comments.

Address

Noble Hospital & Ruby Hall Clinic @Wanowarie, Kidney Wellness Clinic @Kharadi
Pune

Opening Hours

Monday 10:30am - 12pm
5pm - 6pm
Tuesday 10:30am - 12pm
5pm - 6pm
Wednesday 10:30am - 12pm
5pm - 6pm
Thursday 10:30am - 12pm
5pm - 6pm
Friday 10:30am - 12pm
5pm - 6pm
Saturday 10:30am - 1pm
5pm - 6pm

Telephone

+919823101982

Website

https://chatbot-kidneywellnessclinic.zapier.app/

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