Rajath Profile picture
Mar 12, 2020 8 tweets 8 min read Read on X
#COVID19 will this be an inflection point with #WHO declaring this a #pandemic? This calls for extraordinary measures
1. Prepare and be ready
2. Detect protect and treat
3. Reduce transmission
4. Innovate and learn
WHO declares COVID19 Pandemic and says:
1. Prepare and be ready
2. Detect protect and treat
3. Reduce transmission
4. Innovate and learn

We are certainly in uncharted waters.
who.int/dg/speeches/de…
#COVID19 #pandemic #COVID19india response. Major but decisive step, will be noted for what impact it has m.timesofindia.com/india/india-qu…..
#Coronavid19 #COVID19india #pandemic #TravelBan maybe a huge step, but (almost) removes one uncertain variable in this equation, that of importing new cases. Those incubating and secondary cases thence will declare themselves in days to come. Prepare-Detect-Contain-Improvise
#COVID19 #COVID19india
Hope there is a directive against TV channels using absurd adjectives, playing irrelevant graphics/ visuals of ICU and most importantly stop playing scary background score! news anchors to sober down too. Why let this raving madness into our living rooms?
#COVID19 #COVID19india

Right now two major concerns
1. Community spread
2. Infected young people coming into contact with the elderly
@AnantBhan @MoHFW_INDIA @the_hindu
#COVID #COVID19india
In a populous and heterogenous country where cleaning hands and social distancing may not be possible for a large section : containment becomes difficult
@AnantBhan @the_hindu @MoHFW_INDIA
#COVID #COVID19india
Loss of income / decreased mobility from restrictions and potential of hospitals going out of capacity : will make situation worse
@the_hindu @MoHFW_INDIA @AnantBhan @epigiri @thePHFI @DeccanHerald

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Rajath

Rajath Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @FoolzWizdom

Mar 8, 2023
#Adenovirus in Children: Recent surge
 
Adenovirus causes mild infections mostly in children
Outbreaks of ‘Madras eye/pink eye’, clusters of seasonal respiratory illness are not unusual
Severe illness with adenovirus has been rare

After a build up over 3mo we now see a surge
Parents should look out for:
Sudden onset high fever with chills
Headache and throat pain
Nausea and vomiting
Red eyes and red throat
Poor response to fever medications
Excessive tiredness
Burning sensation during urination
This infection is more of an inconvenience than a cause of concern
As a rule, kids get better in 5-6 days, very few need short hospitalisation to stay hydrated
Severe and unusual presentations needing ICU care (pneumonia or multi-organ involvement) are exceptionally rare
Read 6 tweets
Jul 12, 2022
#CSection conundrum 1/n

As a neonatologist I shall delve into short & long term effects on the child a bit later on.
For today, the question I am looking into is ‘will > C section = < maternal and neonatal mortality’ adjusted and not adjusted to Human developmental Index (HDI)
#Csection and #MMR and #NMR 2/n
WHO recommends an ideal rate of 15% at a population level. Less than this, mums and babies are at risk, more it will veer towards unnecessary sections.
Does this hold good when we look into pooled country wise data?
When adjusted to HDI, especially amongst developing countries there is ⬆️ risk of maternal deaths when C section rates are below 10%. But the correlation (higher C section - lower mortality) irons out pretty rapidly beyond 10% for MMR and 20% for NMR 3/n
Read 8 tweets
Aug 13, 2021
I am further convinced that Twitter at least is not the place where we can further the cause of general welfare. Some of us will note the blind spot we have to numerous privileges we have. But, we still have to give the best for ourselves and our kids. We have no choice.
So we make points that clearly lay out - we can’t escape the race, we work hard. We find lateral entry points for others a great disadvantage.The label of our own privileges: class, caste, IQ, merit is a burden if anything.I don’t see why anyone should have a problem with that.
The other side is now cogently arguing need for equitable opportunities and representation in the society. This would be for the common good, but at individual cost. There may be a point in that merit alone will not bring social justice. Do we have the right means to that end?
Read 7 tweets
Aug 12, 2021
Finally read Prashanth’s editorial. Not easy or comfortable read. Not easy also because we all have inherent biases. The flow of thoughts are complex and the sentences are long. One drifts to one’s own life events rather than read author’s reflections, hence maybe a bit lost 1/n
Basic premise is to question the merit of meritocracy. But meritocracy exists very patchily in our society. The ladder to climb to a better social standing, affluence, influence if only was professional college, degrees, high paying jobs the equation would have been simpler.
Most ‘merit student’ doctors, academically excel, train well and work for 💰 but have a smaller sphere of influence in my opinion. We end up securing our place that’s mentally challenging plus financially rewarding.
Read 7 tweets
Jun 4, 2021
#violenceagainstdoctors
Doesn't make sense at all, but somehow feel compelled to.
What could it be due to?
1. It is Ok to hit someone:
Physical retribution for perceived wrong has been acceptable in our society (thrashing in schools/police with lathi/spanking kids for eg)
1/n
2. Bipolar perception of the profession:
Noble profession - not a job that should pay the bills (expecting anything in return for job well done makes it less noble)
Doctors deified (can perform miracles, bring back from dead) + vilified (fleece patients, take cuts, looters)
3. How dare they make money?
We celebrate young techies, IITians making big money: they are meant to.
Doctors - no!: It is ok if they make some, but we really don't like them making a lot
An entrepreneur hitting gold - must be a genius
A doctor well off - must be fleecing
Read 17 tweets
May 22, 2021
Assuming #Children will be affected more in #COVIDThirdWave. We need to prepare
Uniform Rx approach
Upskilling providers
Better networking of pediatric beds
Capacity building
Leveraging telemedicine
Prioritising more vulnerable
Registry of pediatric covid
Taskforce
Uniform treatment approach:
@iapindia and @nnfindia already have good protocols in place. We need all practicing pediatricians sign up to it. Any deviation has to be made consciously, discussed with family and peers. Exceptions should be the exception not the rule
Upskilling of GPs and Pediatricians
Triage, systematic approach, early pick up of danger signs, appropriate use of investigations, 1st responder management/stabilisation to ensure good outcome
Case scenario based &
Simulation based learning can be effectively put to use
Read 10 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(