if i die play chaiyya chaiyya. if i don't get up to sing "gulposh kabhi itraaye kahin, mehke to nazar aa jaaye kahin, taaveez banaake pehnoon usse, aayat ki tarah mil jaaye kahin, woh yaar hai jo imaan ki tarah, mera nagma wohi, mera qalma wohi, mera nagma nagma, mera qalma qalma."
then i'm gone fr.
then i'm gone fr.
November 25, 2024 at 4:07 AM
if i die play chaiyya chaiyya. if i don't get up to sing "gulposh kabhi itraaye kahin, mehke to nazar aa jaaye kahin, taaveez banaake pehnoon usse, aayat ki tarah mil jaaye kahin, woh yaar hai jo imaan ki tarah, mera nagma wohi, mera qalma wohi, mera nagma nagma, mera qalma qalma."
then i'm gone fr.
then i'm gone fr.
Ppl got in the Silver Rank already 🥺 I'm so proud of you. We drew our first banner together.
You can join our PMD Guild in Magma here, and draw with ppl together in real time: magma.com/invite/AKZ4X...
------------
#pmd #pokemon #pokemonmysterydungeon #art #nagma #drawpile
You can join our PMD Guild in Magma here, and draw with ppl together in real time: magma.com/invite/AKZ4X...
------------
#pmd #pokemon #pokemonmysterydungeon #art #nagma #drawpile
August 27, 2026 at 8:11 AM
Ppl got in the Silver Rank already 🥺 I'm so proud of you. We drew our first banner together.
You can join our PMD Guild in Magma here, and draw with ppl together in real time: magma.com/invite/AKZ4X...
------------
#pmd #pokemon #pokemonmysterydungeon #art #nagma #drawpile
You can join our PMD Guild in Magma here, and draw with ppl together in real time: magma.com/invite/AKZ4X...
------------
#pmd #pokemon #pokemonmysterydungeon #art #nagma #drawpile
A little tabla solo with harmonium nagma (accompaniment) at the midweek music party in Milwaukee. I believe this is a kaida in teentaal
June 3, 2026 at 1:06 AM
A little tabla solo with harmonium nagma (accompaniment) at the midweek music party in Milwaukee. I believe this is a kaida in teentaal
Low bicarb, normal gap = NAGMA?
Not so fast, could be compensation, need a serum pH
Not so fast, could be compensation, need a serum pH
1) Compensation for a respiratory alkalosis. Patients with cirrhosis may have a chronic respiratory alkalosis. In this abstract from @juancarlosqvelez.bsky.social and others at ASN Kidney week, 60% of people with cirrhosis and a metabolic acidosis had a primary respiratory alkalosis (pH > 7.35).
American Society of Nephrology | Kidney Week - Abstract Details (2024)
Abstract details for Kidney Week 2024.
www.asn-online.org
December 17, 2024 at 6:26 PM
Low bicarb, normal gap = NAGMA?
Not so fast, could be compensation, need a serum pH
Not so fast, could be compensation, need a serum pH
💙💙💙 good morning Brenda good morning everyone happy Thursday
The location is beautiful. I’ll be walking to the beach. You’ll see my footprints.
The location is beautiful. I’ll be walking to the beach. You’ll see my footprints.
Nagma & Vishal's Footprint in Sand
ALT: Nagma & Vishal's Footprint in Sand
static.klipy.com
September 24, 2026 at 12:46 PM
💙💙💙 good morning Brenda good morning everyone happy Thursday
The location is beautiful. I’ll be walking to the beach. You’ll see my footprints.
The location is beautiful. I’ll be walking to the beach. You’ll see my footprints.
Let's help Nagma save her child!
This little warrior is fighting a battle no child should be unaware of Despite her illness, her courage shines brightly 💚 Every smile is strength, every breath is hope. Let's remember she is not alone. Your kindness prayers, and support can bring light back into her world
chuffed.org/project/1715...
chuffed.org/project/1715...
May 11, 2026 at 11:26 PM
Let's help Nagma save her child!
Mouthwashing kayo ng Mouthwashing nagma-mouthwash ba kayo 💀 /J
November 15, 2024 at 10:37 AM
Mouthwashing kayo ng Mouthwashing nagma-mouthwash ba kayo 💀 /J
🎵Mera nagma nagma
Mera kalma kalma🎶
Mera kalma kalma🎶
February 22, 2026 at 10:16 PM
🎵Mera nagma nagma
Mera kalma kalma🎶
Mera kalma kalma🎶
the guidelines also state that NAGMA isn't a big deal
but you're not supposed to stop the insulin drip until the bicarb is >18
if NAGMA prevents you from shutting off the insulin infusion, it will keep patients on the drip longer - which *absolutely* matters (time, $$$, bed utilization).
but you're not supposed to stop the insulin drip until the bicarb is >18
if NAGMA prevents you from shutting off the insulin infusion, it will keep patients on the drip longer - which *absolutely* matters (time, $$$, bed utilization).
September 28, 2025 at 9:37 PM
the guidelines also state that NAGMA isn't a big deal
but you're not supposed to stop the insulin drip until the bicarb is >18
if NAGMA prevents you from shutting off the insulin infusion, it will keep patients on the drip longer - which *absolutely* matters (time, $$$, bed utilization).
but you're not supposed to stop the insulin drip until the bicarb is >18
if NAGMA prevents you from shutting off the insulin infusion, it will keep patients on the drip longer - which *absolutely* matters (time, $$$, bed utilization).
glad to see validation for using balanced crystalloid in DKA >10 years after I started pushing this (emcrit.org/pulmcrit/fou...)
But balanced crystalloid in DKA is so passe now
The next frontier is using KAcetate & KCitrate to avoid NAGMA
c'mon... let's get that published by 2035 😁
#EMIMCC
But balanced crystalloid in DKA is so passe now
The next frontier is using KAcetate & KCitrate to avoid NAGMA
c'mon... let's get that published by 2035 😁
#EMIMCC
Are you using 0.9% NaCl or balanced salt solutions such as Lactated Ringer's or Plasmalyte to resuscitate your patients with DKA? This paper suggests that we should be using the latter. 🎩 tip to the authors.
eddyjoemd.com/foamed
eddyjoemd.com/foamed
August 21, 2025 at 11:10 AM
glad to see validation for using balanced crystalloid in DKA >10 years after I started pushing this (emcrit.org/pulmcrit/fou...)
But balanced crystalloid in DKA is so passe now
The next frontier is using KAcetate & KCitrate to avoid NAGMA
c'mon... let's get that published by 2035 😁
#EMIMCC
But balanced crystalloid in DKA is so passe now
The next frontier is using KAcetate & KCitrate to avoid NAGMA
c'mon... let's get that published by 2035 😁
#EMIMCC
Nagma hits back at Poonam Dhillon, Padmini Kolhapure over ‘puppet’ remark amid CINTAA row; says ‘this attitude won’t be tolerated’ #Nagma #PoonamDhillonPadminiKolhapure #CINTAA #socialnewsxyz
Nagma hits back at Poonam Dhillon, Padmini Kolhapure over ‘puppet’ remark amid CINTAA row; says ‘this attitude won’t be tolerated’
Mumbai, Oct 2 (SocialNews.XYZ) Actor and newly elected CINTAA executive committee member Nagma has spoken out about the ongoing internal dispute within the Cine and TV Artistes’ Association (CINTAA), strongly objecting to remarks slyly made by Poonam Dhillon, Padmini Kolhapure that she and other members were acting as “puppets” of a particular group. Nagma, who has worked with several of Bollywood’s biggest stars including Salman Khan, Shah Rukh Khan, Sanjay Dutt, Akshay Kumar and Jackie Shroff, stressed that she entered the association with her own understanding and views. Speaking about her decision to become involved in the current CINTAA situation, Nagma said she initially had reservations about entering the controversy but changed her mind after seeing what was happening within the organisation.
www.socialnews.xyz
October 2, 2026 at 7:10 AM
Nagma hits back at Poonam Dhillon, Padmini Kolhapure over ‘puppet’ remark amid CINTAA row; says ‘this attitude won’t be tolerated’ #Nagma #PoonamDhillonPadminiKolhapure #CINTAA #socialnewsxyz
SODa BIC ? I'm afraid this might be a negative. It doesn't target NAGMA. And this composite outcome isn't going to help the discussion.
June 8, 2026 at 12:51 PM
SODa BIC ? I'm afraid this might be a negative. It doesn't target NAGMA. And this composite outcome isn't going to help the discussion.
So let's summarize:
- Initially, pH is super low, ketoacidosis is the driver, insulin tx is key, bicarb probably doesn't help much (give some if you want)
- When the gap closes, a residual NAGMA may increase the risk of ICU bounceback. Use IV bicarb to treat NAGMA & reduce ICU length of stay.
- Initially, pH is super low, ketoacidosis is the driver, insulin tx is key, bicarb probably doesn't help much (give some if you want)
- When the gap closes, a residual NAGMA may increase the risk of ICU bounceback. Use IV bicarb to treat NAGMA & reduce ICU length of stay.
a man says let 's break it down in front of a sign that says swimming
ALT: a man says let 's break it down in front of a sign that says swimming
media.tenor.com
December 6, 2024 at 8:55 PM
So let's summarize:
- Initially, pH is super low, ketoacidosis is the driver, insulin tx is key, bicarb probably doesn't help much (give some if you want)
- When the gap closes, a residual NAGMA may increase the risk of ICU bounceback. Use IV bicarb to treat NAGMA & reduce ICU length of stay.
- Initially, pH is super low, ketoacidosis is the driver, insulin tx is key, bicarb probably doesn't help much (give some if you want)
- When the gap closes, a residual NAGMA may increase the risk of ICU bounceback. Use IV bicarb to treat NAGMA & reduce ICU length of stay.
Schon gewusst? Das Zitat "Rücksturz nach Gmana!" in Gallien in Gefahr, Seite 37 ist eine Hommage an die deutsche SF-Serie 'Die Raumpatrouille', die in den 1960er Jahren ausgestrahlt wurde. Dieses Abenteuer ist umstritten, der Übersetzer hat noch das Beste daraus gemacht: [1/2]
April 2, 2026 at 10:01 AM
Schon gewusst? Das Zitat "Rücksturz nach Gmana!" in Gallien in Gefahr, Seite 37 ist eine Hommage an die deutsche SF-Serie 'Die Raumpatrouille', die in den 1960er Jahren ausgestrahlt wurde. Dieses Abenteuer ist umstritten, der Übersetzer hat noch das Beste daraus gemacht: [1/2]
FLUID trial: hospital-wide open-label cluster cross-over pragmatic RCT comparing NS to RL
NS may cause NAGMA which may reduce renal blood flow.
RCT & meta-analyses suggests small benefit from balanced solutions.
-Drs McIntyre & Taljaard #CCR25
NS may cause NAGMA which may reduce renal blood flow.
RCT & meta-analyses suggests small benefit from balanced solutions.
-Drs McIntyre & Taljaard #CCR25
June 12, 2025 at 2:37 PM
FLUID trial: hospital-wide open-label cluster cross-over pragmatic RCT comparing NS to RL
NS may cause NAGMA which may reduce renal blood flow.
RCT & meta-analyses suggests small benefit from balanced solutions.
-Drs McIntyre & Taljaard #CCR25
NS may cause NAGMA which may reduce renal blood flow.
RCT & meta-analyses suggests small benefit from balanced solutions.
-Drs McIntyre & Taljaard #CCR25
PART 2: Towards the end of the DKA resuscitation when the gap is closing, a NAGMA often occurs.
This is a big problem because if you try to stop the insulin gtt while the patient's bicarb is <~18 mM that increases the risk of recurrent DKA.
Acidosis increases insulin resistance!
This is a big problem because if you try to stop the insulin gtt while the patient's bicarb is <~18 mM that increases the risk of recurrent DKA.
Acidosis increases insulin resistance!
December 6, 2024 at 8:55 PM
PART 2: Towards the end of the DKA resuscitation when the gap is closing, a NAGMA often occurs.
This is a big problem because if you try to stop the insulin gtt while the patient's bicarb is <~18 mM that increases the risk of recurrent DKA.
Acidosis increases insulin resistance!
This is a big problem because if you try to stop the insulin gtt while the patient's bicarb is <~18 mM that increases the risk of recurrent DKA.
Acidosis increases insulin resistance!
Upasana Singh and Nagma raise allegations over CINTAA funds amid an ongoing dispute over the association’s management and committee.
Read More: indiawest.com/upasana-nagm...
#CINTAA #Bollywood #EntertainmentNews
Read More: indiawest.com/upasana-nagm...
#CINTAA #Bollywood #EntertainmentNews
October 2, 2026 at 4:48 AM
Upasana Singh and Nagma raise allegations over CINTAA funds amid an ongoing dispute over the association’s management and committee.
Read More: indiawest.com/upasana-nagm...
#CINTAA #Bollywood #EntertainmentNews
Read More: indiawest.com/upasana-nagm...
#CINTAA #Bollywood #EntertainmentNews
Nothing worse than having a patient you "*can't*" downgrade because "the bicarb is still low"... Silly little saline NAGMA
September 3, 2026 at 1:33 AM
Nothing worse than having a patient you "*can't*" downgrade because "the bicarb is still low"... Silly little saline NAGMA
In Gulf Arabic, *ǧ > y is not pervasive:
ǧ > y
šyara ‘tree’
yibal ‘mountain’
iyī ‘he comes’
*ǧ > ǧ
ǧamal ‘camel’
ṯalǧ ‘ice’
naǧma ‘star’
****
But in Ruus Al Jibal Arabic:
*ǧ > y
šayara ‘tree’
yabal ‘mountain’
iyī ‘he comes’
yamal ‘camel’
nīma ‘star’
faliy ‘ice’
ǧ > y
šyara ‘tree’
yibal ‘mountain’
iyī ‘he comes’
*ǧ > ǧ
ǧamal ‘camel’
ṯalǧ ‘ice’
naǧma ‘star’
****
But in Ruus Al Jibal Arabic:
*ǧ > y
šayara ‘tree’
yabal ‘mountain’
iyī ‘he comes’
yamal ‘camel’
nīma ‘star’
faliy ‘ice’
March 17, 2025 at 6:13 PM
In Gulf Arabic, *ǧ > y is not pervasive:
ǧ > y
šyara ‘tree’
yibal ‘mountain’
iyī ‘he comes’
*ǧ > ǧ
ǧamal ‘camel’
ṯalǧ ‘ice’
naǧma ‘star’
****
But in Ruus Al Jibal Arabic:
*ǧ > y
šayara ‘tree’
yabal ‘mountain’
iyī ‘he comes’
yamal ‘camel’
nīma ‘star’
faliy ‘ice’
ǧ > y
šyara ‘tree’
yibal ‘mountain’
iyī ‘he comes’
*ǧ > ǧ
ǧamal ‘camel’
ṯalǧ ‘ice’
naǧma ‘star’
****
But in Ruus Al Jibal Arabic:
*ǧ > y
šayara ‘tree’
yabal ‘mountain’
iyī ‘he comes’
yamal ‘camel’
nīma ‘star’
faliy ‘ice’
🤔 What's the difference between #AGMA & #NAGMA?
https://youtu.be/-Ahjxv5FK0A
Unmeasured anions, #GOLDMARK & #HARDUP #mnemonics for metabolic acidosis.
🔥 ABC Kidney series www.abckidney.com a more immersive experience
👀
#Nephrology #FOAMed #AcidBase #ABG #MedEd #Physiology
https://youtu.be/-Ahjxv5FK0A
Unmeasured anions, #GOLDMARK & #HARDUP #mnemonics for metabolic acidosis.
🔥 ABC Kidney series www.abckidney.com a more immersive experience
👀
#Nephrology #FOAMed #AcidBase #ABG #MedEd #Physiology
February 24, 2026 at 6:05 PM
🤔 What's the difference between #AGMA & #NAGMA?
https://youtu.be/-Ahjxv5FK0A
Unmeasured anions, #GOLDMARK & #HARDUP #mnemonics for metabolic acidosis.
🔥 ABC Kidney series www.abckidney.com a more immersive experience
👀
#Nephrology #FOAMed #AcidBase #ABG #MedEd #Physiology
https://youtu.be/-Ahjxv5FK0A
Unmeasured anions, #GOLDMARK & #HARDUP #mnemonics for metabolic acidosis.
🔥 ABC Kidney series www.abckidney.com a more immersive experience
👀
#Nephrology #FOAMed #AcidBase #ABG #MedEd #Physiology
That time in 2005 when an Astérix book came out in which the Gauls help an alien character named Toon (totally not Mickey Mouse) and his Superclones (totally not Ahnold dressed as Superman) fight another alien named Nagma (totally not an offensive yellowface caricature) and his mecha army.
July 27, 2026 at 3:49 AM
That time in 2005 when an Astérix book came out in which the Gauls help an alien character named Toon (totally not Mickey Mouse) and his Superclones (totally not Ahnold dressed as Superman) fight another alien named Nagma (totally not an offensive yellowface caricature) and his mecha army.
Remember: tomorrow at 10 AM EST, the second Nagma Stream will commence
September 16, 2026 at 3:50 AM
Remember: tomorrow at 10 AM EST, the second Nagma Stream will commence
A VBG was ordered.
The pH was mid 7.3s, the CO2 was in the 20s.
The patient had a NAGMA, presumably due to their renal dysfunction.
The pH was mid 7.3s, the CO2 was in the 20s.
The patient had a NAGMA, presumably due to their renal dysfunction.
December 4, 2024 at 2:43 AM
A VBG was ordered.
The pH was mid 7.3s, the CO2 was in the 20s.
The patient had a NAGMA, presumably due to their renal dysfunction.
The pH was mid 7.3s, the CO2 was in the 20s.
The patient had a NAGMA, presumably due to their renal dysfunction.
The other way to prevent NAGMA is to replete potassium with K-Citrate (PO) or K-Acetate (IV).
KCl causes hyperchloremic acidosis (like normal saline!), so giving tons of KCl will drive down the pH 😟
citrate or acetate are metabolized into bicarb, so they're alkalinizing and will *improve* pH 😛
KCl causes hyperchloremic acidosis (like normal saline!), so giving tons of KCl will drive down the pH 😟
citrate or acetate are metabolized into bicarb, so they're alkalinizing and will *improve* pH 😛
a little girl in a red jacket is looking up at something in the sky .
ALT: a little girl in a red jacket is looking up at something in the sky .
media.tenor.com
December 6, 2024 at 8:55 PM
The other way to prevent NAGMA is to replete potassium with K-Citrate (PO) or K-Acetate (IV).
KCl causes hyperchloremic acidosis (like normal saline!), so giving tons of KCl will drive down the pH 😟
citrate or acetate are metabolized into bicarb, so they're alkalinizing and will *improve* pH 😛
KCl causes hyperchloremic acidosis (like normal saline!), so giving tons of KCl will drive down the pH 😟
citrate or acetate are metabolized into bicarb, so they're alkalinizing and will *improve* pH 😛
Iman and Nagma looks like the are sisters.. Mesmerizing 🫠❤️
February 9, 2024 at 5:28 PM
Iman and Nagma looks like the are sisters.. Mesmerizing 🫠❤️