A Year of Milestones, Goodbyes, and Proud Family Moments.

 

As I look back at 2025, I see a year defined by transformation. It was a year of immense professional satisfaction, deep emotional pivots, and family pride.

The year began with significant milestones at Aster MIMS. We successfully conducted the EmergenZ 3 International Emergency Medicine series in Wayanad and achieved International Accreditation for STEMI and Stroke from the AHA. One of my long-standing dreams—the establishment of the Aster Medical Simulation Center and the Aster ATLS Training Center—also became a reality.

I am also humbled to have received the Asianet Lifetime Achievement Special Jury Award and the AHA Special Appreciation Award this past year.

On a personal note, 2025 brought a huge success for my family. My daughter, Dr. Neethu, and son-in-law, Dr. Kamel Dev, who are currently working at Hillingdon NHS Trust, successfully completed their FRCEM exams under the Royal College of Emergency Medicine, UK. Seeing the next generation excel in Emergency Medicine is a joy beyond words.

However, the year also marked the end of an era. After nearly 25 years with the Aster Group, I voluntarily resigned. It was a difficult decision to say goodbye to an organization that has been my home, and even harder to bid farewell to my mentor, Dr. Azad Moopen, who molded me into the professional I am today.

But every end is a new beginning. I am thrilled to have taken charge as Chair of Emergency Medicine at Meitra Hospital and joined as Guest Faculty at Malabar Medical College. My focus is now on empowering Rural Emergency Systems in Kerala, with 6 projects already completed and more in the pipeline.

Here is to 2026—to saving lives, building legacies, and strengthening our communities.

#EmergencyMedicine #FRCEM #FamilyPride #NewBeginnings #MeitraHospital #RuralHealthcare #Kerala

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33 Years on Insulin, Gone in a Week: My Health Revolution of 2025

33 Years on Insulin, Gone in a Week: My Health Revolution of 2025 

Category: Personal Journey / Health Technology 

Date: December 31, 2025

Disclosure: I have no financial interest, affiliation, or commercial relationship with Tracky, Eli Lilly (manufacturer of Mounjaro), Apple, or any other companies mentioned in this article. All products and medications discussed were purchased by me for personal use. I am sharing this story purely out of excitement for the results I have experienced and to share knowledge with the medical community and patients.D

Introduction: The Long Road

If you had told me in 1992 that I would one day live without my daily insulin injections, I would have told you it was medically impossible.

I was diagnosed with diabetes at the age of 29. I am now 62. For over three decades—more than half my life—my daily routine has been dictated by blood sugar levels, needles, and the constant fear of hypoglycemia.

But the second half of 2025 brought a convergence of technology and pharmacology that didn't just improve my condition—it completely rewrote my medical history. Here is the story of how three specific innovations gave me my life back.

The Struggle: From Porcine to Human Insulin

My journey began in an era that young doctors today might find archaic. In 1992, the only formulation available was Porcine (pig) insulin. My body rejected it; I developed severe allergies. We switched to Bovine (cow) insulin, but my body fought that too, developing severe insulin resistance.

It wasn't until 2000 that Human insulin became available, offering me some stability. I did everything "right." I practiced yoga, modified my lifestyle, and exercised religiously. Yet, maintaining control was a battle.(Human Insulin - helped me overcome allergy and insulin resistance )

From 2010 onwards, I checked my blood glucose (GRBS) twice a day to titrate my insulin. Despite this, my HbA1c hovered stubbornly between 8.5and 10.5%. I was taking massive doses—escalating to 40-50 units in the morning and evening, plus oral medications. I lived with the constant seesaw of post-prandial (after eating) spikes and dangerous nocturnal hypoglycemia.

I was managing the disease, but I wasn't winning. Until August 2025. (In my experience, the finger prick -glucose strip method of glucose monitoring was reasonably accurate while the finger flip method, similar to SpO2 monitoring, was erroneous and unreliable.)

1. The Eye-Opener: Continuous Glucose Monitoring (CGM)

In August 2025, I decided to purchase a CGM from Tracky. That small sensor made a massive difference.

For years, we doctors have relied on Fasting Blood Sugar (FBS) and Post-Prandial Blood Sugar (PPBS) as the "gold standards." My experience with CGM taught me that relying on these spot checks is, frankly, foolish. They miss the movie because they are only looking at two snapshots.

Reading on 31-12.2025 at 1.20pm 
HbA1C-4.59%

The real-time data from the CGM gave me actionable insights. I saw exactly which foods caused rapid spikes. I understood the precise timing of my insulin requirements. By following the data, I reduced my insulin and brought my HbA1c below 6.5 for the first time in my life 

Tracky receiver on my arm 

2. The Miracle: Tirzepatide (Mounjaro)

While the CGM gave me control, a new molecule gave me freedom.

Late this year, I began researching Tirzepatide (Mounjaro). While it has become famous globally for weight loss, its primary indication is Type 2 Diabetes. I consulted with Dr. Vimal, an expert in endocrinology, and cross-checked with trusted colleagues. The reviews were overwhelmingly positive.

I took my first weekly injection in the first week of December. The results were immediate and startling.

Before I could even take my second dose, I stopped my insulin.

Read that again. The insulin I had relied on for over 30 years was no longer necessary. My CGM currently projects my HbA1c to be below 5, a non-diabetic range. My weight has optimized to 70 kg (down from 75kg earlier this year). It feels like a biological reset.

The Tracky health app generated a comprehensive glucose profile for me. This is the first time in my life, after turning 29, that my blood sugar levels are 100% within the target range (TIR). I’m off insulin and the dual impact of Maunjaro and CGM is working. 

3. The Companion: iPhone 17 Pro Max & AI

To navigate this new chapter of health, I needed technology that could keep up. I have been an Apple user since the iPhone 6 era, moving from the 13 Pro to the newly released iPhone 17 Pro Max.

With the integration of AI, this phone has become my dedicated health companion. It is no longer just about communication; it is about bio-feedback. The synergy between the Health app, Sleep app, ECG, and the Snore detection features gives me a holistic view of my recovery. It monitors the quality of the sleep I am finally getting now that I don't fear nocturnal hypoglycemia.

Conclusion: A New Lease on Life

As I step into 2026, I am not just a doctor treating patients; I am a testament to the speed of medical advancement.

It took a combination of Data (CGM), Pharmacology (Tirzepatide), and AI (iPhone 17) to undo 33 years of chronic illness. To my patients and colleagues: never stop looking for better solutions. The tools to reclaim our health are finally here.

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Dr. Venugopalan P.P Emergency Medicine |  www.docvenu.com

A new space for the next chapter

​This new space is more than just four walls and a desk; it is a curation of my life’s journey. Surround me here are the echoes of the last 25 years—tangible memories, lessons learned, and the milestones that have defined my path.

But this room isn't a museum; it is a workshop for the mind. It is a dedicated sanctuary of silence where I can sit peacefully, away from the noise of the world. Here, amidst the comfort of the past, I find the focus to read deeply, write with clarity, and prepare for what lies ahead. It is the grounding point where the wisdom of yesterday meets the potential of tomorrow.

https://www.docvenu.com/gallery/#newoffice

​Empowering the Frontlines: Reflections on the "Compassion in Crisis" Trauma Workshop

​Empowering the Frontlines: Reflections on the "Compassion in Crisis" Trauma Workshop

I had the privilege of serving as the designer and faculty for a high-intensity, one-day Trauma Emergency Workshop at Malabar Medical College (MMC), Ulliyeri.

Simulation-based training is the heartbeat of modern trauma care. We hosted 44 enthusiastic RNs and paramedics from across Kerala (Calicut, Vatakara, Palakkad, Malappuram) and Coimbatore for a deep dive into 10 life-saving skills—ranging from Tube Thoracostomy and Hemorrhage Control to SBAR Communication.

Highlights of the Day:

• Hands-on Mastery: Intensive stations in the MMC Simulation Lab.

• Expert Mentorship: Collaborating with a veteran faculty team (10+ years exp) including Dr. Sudha Anil, Dr. Sajith Kumar, Dr. Firoz, and Dr. Shafin , Soumya , Bibin , Soniya , Varun and other nursing educators. 

• Quality Assurance: Validated through 360-degree feedback and pre/post-testing.

A special thanks to the MMC Chairman Mr. Anil Kumar and Principal Dr. P.V. Narayanan for their leadership. This program was a testament to the synergy between the MMC Nursing College and Nursing Department, led by coordinators Ms. Leelamma, Jorly,Soniya, and Varun.

A heartfelt shoutout to Dr. Sudha Anil (MD, MMC)—the true "live wire" whose unwavering support made this vision a reality.

#TraumaCare #MedicalEducation #NursingSimulation #EmergencyMedicine #CompassionInCrisis #MMC #HealthcareTraining

ATLS course reflections

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📝 ATLS Course Faculty Reflection

This reflection note summarizes my experience as a guest attendee/faculty member at the ATLS (Advanced Trauma Life Support) Course held at the Aster Simulation Center in Kozhikode, conducted under the auspices of ATLS India.

Course Experience and Structure

It was a pleasure to attend this ATLS course, resuming my association as faculty, a role I have held since 2009. The course continues to be a well-conducted, well-structured, and focused educational experience. It consistently provides an excellent opportunity for interaction for both students and faculty.

The two-and-a-half-day format is highly effective, ensuring that students receive ample opportunity to learn the essential principles of managing a polytrauma case, even in limited resource settings.

Faculty and Leadership

The course was expertly directed by Dr. Radesh Numbair in Kozhikode. He was supported by a highly capable team of faculty members, including Drs. Jinesh, Johnson, Nirmal Peter, and Kirishbakumar. Their combined expertise ensured a high-quality learning environment.

Nostalgia and Center Legacy

Attending this course was a deeply nostalgic experience. The Aster Simulation Center in Kozhikode is a facility that I had the privilege of establishing, and it stands as my last project with Aster before my departure. Seeing the center actively hosting such a critical course was immensely gratifying.

Delegate Participation

The course delegates were outstanding. Their participation, interactions, and performance were excellent, demonstrating a strong commitment to learning the vital skills necessary for trauma care.

This ATLS course at the Aster Simulation Center successfully upheld the high standards of the program, reflecting strong leadership and dedicated faculty, all while training a highly motivated cohort of future trauma care providers.

Reflections : World Resuscitation Congress (WRC) 2025 Date: December 6 & 7, 2025

Location: Courtyard by Marriott, Madurai

Organizers: Indian College of Emergency Medicine (ICEM) and Meenakshi Mission Hospital

1. Event Overview

The World Resuscitation Congress (WRC) 2025 was held successfully on December 6th and 7th in Madurai, preceded by a comprehensive series of pre-congress workshops on December 4th and 5th. Organized jointly by the Indian College of Emergency Medicine and Meenakshi Mission Hospital, the event served as a global convergence point for Emergency Medicine (EM) professionals.

The congress attracted significant global participation, with faculty and delegates arriving from various countries and prestigious national institutes, including strong representation from various AIIMS campuses.

2. Leadership and Organization

The success of this congress is a direct reflection of the commitment and tireless efforts of Dr. Narendra Jena. Truly the "live wire" of the event, Dr. Jena’s magnanimity and deep connection with both the medical fraternity and the government were evident throughout. As one of the most respected figures in Tamil Nadu, his ability to spread awareness regarding Emergency Medicine in Madurai is commendable.

Key organizational highlights included:

 * Inauguration: The event was inaugurated by the Honorable IT Minister of Tamil Nadu in a function that was crisp, impactful, and well-received.

 * Scientific Leadership: Dr. Yunus from AIIMS served as the Chair of the Scientific Session, ensuring high academic standards. The scientific sessions were split into two streams, meticulously coordinated by Dr. Nancy.

 * Event Management: Mr. Rajalingam expertly managed the logistics, ensuring a hassle-free experience for delegates despite the complexity of the event.

3. Academic and Clinical Highlights

The congress provided a rich academic feast, highlighted by:

 * Workshops: Intensive pre-congress workshops on Airway and Ventilation, POCUS,Emergency skills , ACLS updates ,Pediatric EM and many more

 

 * Convocation: A significant milestone was the convocation ceremony for fellowship students in Neuro Emergency and Clinical Toxicology, marking the next generation of specialists in these critical fields.

4. Personal Contributions and Acknowledgments

I leave Madurai with a heart full of happiness and gratitude for the opportunities entrusted to me by Dr. Jena and the committee. My personal milestones during the WRC included:

 * Leadership Roles: Serving as the Vice Chairman of the Organizing Committee and Director for the Airway and Ventilation workshops.

 * Speaking Engagements: I had the privilege of being the Opening Speaker in the main hall, delivering a talk on “Emergency Vehicle Involved Accidents and Consequences,” which was well-appreciated by the audience.

 * Ceremonial Duties: Facilitating the workshop inauguration session and the Convocation ceremony.

Awards and Recognition:

The highlight of my professional participation was being honored by the Indian College of Emergency Medicine with the prestigious Presidential Special Appreciation Award during the banquet. I am deeply humbled by this recognition.

5. Resilience in the Face of Challenges

The event was not without external challenges. The ongoing air travel disaster involving Indigo services resulted in many speakers and delegates being clogged up in various airports. However, the resilience of the organizing team shone through; they managed the schedule and logistics remarkably well, ensuring the congress proceeded smoothly despite these disruptions.

6. Hospitality

The hospitality provided by Dr. Jena and his team was unforgettable. The faculty dinners were memorable, and the colorful banquet served as a perfect social highlight, fostering camaraderie among the delegates.

Conclusion

The WRC 2025 was a triumph of organization, academic depth, and hospitality. It stands as a testament to Dr. Narendra Jena’s hard work and vision. I wish Dr. Jena continued happiness and health in his personal and professional life, and I pray he continues his invaluable service to the nation.

Unforgettable Memories from the AHA 2025 Rollout

​Unforgettable Memories from the AHA 2025 Rollout

Dear Team,

I wanted to take a moment to express my heartfelt gratitude for the incredible one-and-a-half days we spent together at the Park Inn for the AHA 2025 Guidelines Rollout on Dec 2nd and 3rd.

The event was truly outstanding—from the amazing hospitality to the well-contented scientific sessions and the thought-provoking discussions that followed. But beyond the academics, it was the "extra-curricular" moments that carved this meeting into my heart forever.

The pre-meet faculty gathering in Srimon’s room set the tone, followed by an unforgettable Day 1 "Funky Music Night"—transitioning from the soulful melodies of Rafi Sahib to ground-breaking fast rhythms, accompanied by great food and beverages.

A special mention to the homely evening party at Sachin’s home on the last day. Meeting Sachin’s father was a touching highlight that added such a sweet, personal layer to the trip.

A massive thank you to Marida, Sachin, Biswas, Srimon, Anoop, and our “shy” movie producer for making this happen.

I am leaving Trichur not just with a bag full of special keepsakes (the AHA pin, pen, diary, and even that lovely carry bag!), but with a heart full of memories and a mind full of new thoughts.

Thank you all for making this RF meeting outstanding.

Lovingly 

DrVenu