Director, Internal Medicine & Infectious Diseases, Max Super Speciality Hospital, Saket
License VerifiedActive & In Good Standing
ID: DMC-12876
Delhi Medical Council (DMC) & Medical Council of India (MCI)
Professional Background & Bio
Dr. Rommel Tickoo is the Director of Internal Medicine at Max Super Speciality Hospital, Saket, New Delhi. With over 24 years of experience in adult primary care, infectious disease management, routine screenings, and fever diagnostics, he reviews mediguide4u preventive care and vaccination protocols.
Medical Specialization
Internal Medicine, Infectious Diseases, Preventive Health Screenings, Adult Vaccines
Clinical Experience
24+ Years Clinical Practice & Inpatient Hospital Care
Hospital / Clinical Affiliation
Director, Department of Internal Medicine, Max Super Speciality Hospital, Saket, New Delhi
Education & Medical Training
MD in Internal Medicine - Kasturba Medical College (KMC), Manipal
MBBS - University of Delhi / Maulana Azad Medical College (MAMC)
60+ Clinical Research Papers & Hospital Consensus Guidelines
Postgraduate Thesis / Dissertation Title:
“Clinical Spectrum, Antimicrobial Resistance Patterns, and Procalcitonin Kinetics in Adult Sepsis and Fever of Unknown Origin”
Institution: Maulana Azad Medical College (MAMC), University of Delhi
Postgraduate medical dissertation evaluating comparative diagnostic accuracy of serum procalcitonin versus C-reactive protein in guiding early antimicrobial stewardship and preventing multidrug-resistant bacteremia.
Key Investigative & Clinical Research Domains:
• Antimicrobial Stewardship & Rational Antibiotic Protocols• Adult Immunization & Post-Vaccination Immunity Kinetics• Metabolic Screening Algorithms in Preventative Primary Care• Early Diagnostic Workup for Prolonged Pyrexia
Iron deficiency anaemia is caused by a lack of iron stores within the body causing a decrease in haemoglobin production. This results in reduced delivery of oxygen to cells. Learn why serum ferritin is the most accurate test to diagnose, how to overcome any adverse effects that can occur when taking iron supplements and when IV iron should be used.
Vitamin D is a steroid hormone involved in regulating calcium, bone remodelling and immune gene expression. Know the difference between D2 and D3, target serum levels of 30-50ng/ml, which foods contain it and how to optimally replete it.
Hypertension (BP ≥ 130/80 mmHg) is the single most modifiable risk factor for stroke, myocardial infarction and chronic kidney disease. Understand the physiological processes that result in lowering blood pressure without medication, including the DASH diet, salt/potassium balance, isometric training and autonomic modulation of stress.
Time-Restricted Eating (TRE) and intermittent fasting shift the body from constant nutrient assimilation (mTOR activation) to evolutionary cellular maintenance and repair (AMPK activation and autophagy). Understand the physiological transition from glucose to ketone utilization, insulin receptor resensitization, autophagy mechanics, and evidence-based 16/8 scheduling.
Coronary Artery Disease (CAD) is the leading cause of mortality worldwide, resulting from atherosclerotic plaque accumulation within the epicardial coronary vessels. Explore modern diagnostic algorithms (Coronary Artery Calcium scoring, CT Coronary Angiography), medical management (high-intensity statins, beta-blockers, ACE inhibitors), and revascularization indications.
Peripheral artery disease (PAD) is caused by atherosclerotic narrowing in the lower extremity arteries, leading to exertional leg cramping (claudication), cold extremities, and slow-healing sores. Review diagnostic ABI thresholds, antiplatelet therapy, and supervised walking protocols.
Atrial Fibrillation (AFib) is the most common sustained cardiac arrhythmia, characterized by chaotic, disorganized electrical impulses firing in the atria at 300–600 bpm. Explore clinical stroke risk stratification using the CHA2DS2-VASc score, modern Direct Oral Anticoagulants (DOACs), rate vs. rhythm control strategies, and catheter pulmonary vein isolation.
Heart failure with preserved ejection fraction (HFpEF) occurs when the left ventricle becomes thick or stiff, preventing normal diastolic filling despite normal pumping capacity. Understand diagnostic markers like NT-proBNP, echocardiogram E/e' ratios, and evidence-based treatments including SGLT2 inhibitors and blood pressure control.
Gastroesophageal Reflux Disease (GERD) is a chronic digestive disorder occurring when acidic gastric contents retrograde into the esophagus, causing mucosal inflammation and distressing symptoms. Explore the biomechanics of Lower Esophageal Sphincter (LES) incompetence, step-up vs. step-down medical therapies (PPIs, H2 blockers), endoscopic screening for Barrett's esophagus, and clinical dietary strategies.
Polycystic Ovary Syndrome (PCOS) is the most prevalent endocrine and metabolic disorder in reproductive-aged women, affecting 8–13% globally. Explore the standardized Rotterdam diagnostic criteria, the pathophysiology of hyperandrogenism and hyperinsulinemia, evidence-based nutritional protocols (Myo-Inositol, low-glycemic diets), and ovulation induction.
Endometriosis is a chronic, estrogen-dependent inflammatory disease characterized by the presence of endometrial-like glands and stroma outside the uterine cavity. Explore the pathophysiology of retrograde menstruation and coelomic metaplasia, diagnostic modalities (expert ultrasound, MRI, and laparoscopic excision with histopathology), hormonal suppression, and surgical excision.
The menopausal transition is a profound neuroendocrine transformation characterized by fluctuating ovarian follicle reserve, declining estradiol production, and compensatory elevations in pituitary gonadotropins (FSH). Explore the clinical trajectory from perimenopause to surgical/natural menopause, vasomotor thermo-neutral zone narrowing, modern transdermal Menopausal Hormone Therapy (MHT/HRT), and non-hormonal alternatives.
Cutaneous eruptions (rashes) are among the most frequent clinical presentations in pediatric primary care. Explore the morphological identification, clinical course, and evidence-based management of Atopic Dermatitis (eczema), Hand-Foot-and-Mouth Disease (Coxsackievirus), Roseola infantum, Erythema Infectiosum (Fifth Disease), and life-threatening non-blanching petechiae/purpura.
Colorectal Cancer (CRC) is the second leading cause of cancer-related mortality in adults, yet it is one of the most preventable malignancies. Explore current USPSTF guidelines recommending screening start at age 45, the adenoma-to-carcinoma progression sequence, comparative accuracy of optical Colonoscopy vs. non-invasive Stool DNA (FIT-DNA / Cologuard), and bowel prep protocols.
Herpes Zoster (Shingles) is an excruciating, dermatomal viral reactivation disease that affects 1 in 3 adults during their lifetime. Explore the molecular immunology of the recombinant adjuvanted zoster vaccine (Shingrix), the CDC 2-dose intramuscular schedule for adults aged ≥50, clinical prevention of postherpetic neuralgia (PHN), and anticipated reactogenicity.
Cardiorespiratory fitness, quantified objectively as VO2 Max (maximal oxygen uptake in mL/kg/min), is the single most powerful modifiable biomarker predicting all-cause mortality and cardiovascular healthspan. Explore the cardiopulmonary Fick equation, the physiological boundaries of 5-tier Heart Rate Training Zones, mitochondrial Zone-2 base building, and the Norwegian 4x4 HIIT protocol.
Human sleep is orchestrated by two fundamental biological forces: the homeostatic sleep drive (Process S - adenosine accumulation) and the endogenous circadian clock (Process C - master suprachiasmatic nucleus pacemakers). Explore the cellular mechanics of sleep architecture, ultradian 90-minute cycling, the glymphatic waste clearance system, and circadian photobiology optimization protocols.
A detailed physician reviewed guide on how to diagnose, screen and treat vitamin B12 deficiency. Including neurological symptoms such as subacute combined degeneration of the spinal cord, intrinsic factor, serum B12 assay ranges, Homocysteine and MMA, and Oral vs injectable Cyanocobalamin and Methylcobalamin.
Age-related muscle wasting (sarcopenia) and osteopenia are not inevitable consequences of aging. Discover evidence-based clinical protocols for progressive resistance training, dietary leucine-rich protein distribution, balance vestibular training, and home fall-risk reduction.
Type 2 Diabetes is a progressive metabolic disorder characterized by peripheral insulin resistance and progressive pancreatic beta-cell dysfunction. Explore current American Diabetes Association (ADA) diagnostic standards, modern cardioprotective medications (GLP-1 RAs and SGLT2 inhibitors), continuous glucose monitoring (CGM), and clinical diabetes remission protocols.
Preventive screening protocols detect cardiovascular, oncological, and metabolic conditions long before symptoms appear. Review the official USPSTF and CDC clinical recommendations for blood pressure, lipid panels, cancer screenings, metabolic checks, and immunizations across every adult decade.
Benign prostatic hyperplasia (BPH) is the non-malignant adenomatous proliferation of the prostate transition zone, affecting over 70% of men over age 60. Review obstructive vs. irritative urinary symptoms, the International Prostate Symptom Score (IPSS), PSA evaluation, alpha-1 blockers, 5-alpha reductase inhibitors, and minimally invasive surgical therapies.
Chronic Kidney Disease (CKD) is characterized by progressive, irreversible loss of renal function lasting longer than 3 months, classified into 5 clinical stages based on estimated Glomerular Filtration Rate (eGFR) and albuminuria tiers. Review KDIGO staging heatmaps, metabolic complications (hyperkalemia, hyperphosphatemia, renal anemia), and specialized renal medical nutrition therapy.
Hashimoto's thyroiditis is the leading cause of primary hypothyroidism in women, driven by autoimmune destruction of thyroid follicular cells. Review diagnostic blood panels (TSH, Free T4, TPOAb), optimal levothyroxine dosing protocols, common absorption blockers, and dietary management.
High-sensitivity C-reactive protein (hs-CRP) is an acute-phase reactant synthesized by the liver in response to inflammatory cytokines (IL-6, TNF-alpha), serving as a powerful independent biomarker of vascular atherosclerosis and cardiovascular event risk. Understand clinical risk tiers (<1.0, 1.0–3.0, >3.0 mg/L), statin anti-inflammatory effects (JUPITER trial), and lifestyle interventions.
Headaches are among the most common neurological complaints, but treating a migraine as a tension headache frequently results in medication overuse and treatment failure. Review the pathophysiology of the trigeminovascular system, sensory auras, diagnostic criteria (ICHD-3), acute abortive treatments (triptans, gepants), and modern CGRP monoclonal antibodies.
Atherogenic dyslipidemia is a primary modifiable risk factor for atherosclerotic cardiovascular disease. Explore modern lipid science beyond basic total cholesterol—including Apolipoprotein B (ApoB), Non-HDL cholesterol, Lipoprotein(a), evidence-based statin dosing algorithms, and modern non-statin therapies (Ezetimibe, PCSK9 inhibitors).
Diabetic Peripheral Neuropathy (DPN) is the most common chronic microvascular complication of diabetes, affecting up to 50% of diabetic patients over their lifetime. Explore the biochemical mechanisms of neural glucotoxicity (polyol pathway sorbitol accumulation, microvascular vasa nervorum ischemia), clinical 10-g Semmes-Weinstein monofilament exams, and pharmacological pain management.
Hypoglycemia (blood glucose < 70 mg/dL) is an acute, potentially life-threatening endocrine emergency common in insulin- and sulfonylurea-treated diabetes. Explore the neuroendocrine response to falling glucose, autonomic vs. neuroglycopenic symptoms, the standardized clinical 'Rule of 15' treatment protocol, and emergency glucagon rescue.
Metabolic Syndrome is a complex cluster of interrelated physiological, biochemical, and metabolic abnormalities that dramatically accelerates the risk of cardiovascular disease, Type 2 diabetes, and all-cause mortality. Explore the standardized NCEP ATP III diagnostic criteria, the pathophysiology of visceral adiposity and lipotoxicity, and comprehensive clinical lifestyle reversal protocols.
Major Depressive Disorder (MDD) is a severe, debilitating neuropsychiatric condition characterized by persistent depressed mood, pervasive anhedonia, and cognitive-affective impairment. Explore modern neurobiological mechanisms beyond the simple monoamine hypothesis—including neuroinflammation, HPA axis dysregulation, BDNF-mediated synaptic atrophy, evidence-based psychotherapy, and modern pharmacotherapies.
Attention-Deficit/Hyperactivity Disorder (ADHD) in adults is a complex neurodevelopmental disorder of the brain's executive functioning system, affecting approximately 4–5% of the adult population. Explore the neurobiology of prefrontal dopamine and norepinephrine signaling, the manifestations of adult executive dysfunction, clinical diagnostic evaluations (ASRS v1.1), and multimodal medical and behavioral management.
While the terms 'panic attack' and 'anxiety attack' are frequently used interchangeably in everyday conversation, they represent distinct clinical phenomena with different physiological onsets, neurobiological triggers, and durations. Explore the autonomic fight-or-flight cascade, DSM-5 diagnostic criteria, hyperventilation hypocapnia biomechanics, and evidence-based grounding protocols.
Osteoporosis is a systemic skeletal disorder characterized by low bone mineral density (BMD) and microarchitectural deterioration of bone tissue, leading to bone fragility and heightened fracture risk. Explore the cellular biology of osteoclast/osteoblast remodeling, dual-energy X-ray absorptiometry (DEXA) T-score interpretation, FRAX fracture risk algorithms, anti-resorptive vs. anabolic bone medications, and progressive resistance loading.
Dementia is an umbrella clinical syndrome characterized by progressive cognitive decline severe enough to interfere with independent daily functioning. Explore the neuropathological hallmarks of Alzheimer's Disease (extracellular amyloid-beta plaques and intracellular hyperphosphorylated tau neurofibrillary tangles), cognitive screening instruments (MoCA, Mini-Cog), reversible pseudo-dementias, and disease-modifying monoclonal antibody therapies.
Routine diagnostic blood panels provide a vital biochemical window into hematological, renal, hepatic, and metabolic homeostasis. Explore the clinical interpretation of the Complete Blood Count (CBC with differential), Comprehensive Metabolic Panel (CMP 14), standard vs. functional reference ranges, and critical flag triggers.
In exercise science and metabolic health, the debate between aerobic endurance training (cardio) and progressive resistance training (strength) is often framed as an either/or dichotomy. In physiological reality, these two modalities stimulate complementary cellular signaling pathways (AMPK vs. mTORC1) that synergize to maximize metabolic flexibility, body composition, cardiorespiratory fitness, and all-cause longevity.
Heart & Cardiometabolic Health
