Where is this nonsense going? Not until the first large Randomised double-blind controlled trial returns a NEGATIVE result - i.e. that the active treatment arm is no better than placebo - will these AYUSH guys have any credibility for their methodology.
The great strength of #ModernMedicine (MM) is not that every new drug with an unpronounceable name coming out of the laboratory works. The great strength of MM is that 99% of these molecules are junked.
The great strength of #MM (Modern Medicine) is not that there are NO charlatans and crooks who do dodgy trials, practice #BadScience, and prescribe inappropriately. The great strength of MM is that these crooks are called out and put right by other, upright, and ethical doctors.
#MM has a long history of many promising and clever treatment ideas proposed by enthusiastic and clever doctors that have been tested in the red hot crucible of the #RCT - and have been abandoned as another 'good idea' that did not work.
The great strength of the #RCT - randomised controlled trial - is not that it can establish the role of a new drug or treatment. Done well and rigorously, the true value of an RCT is in showing up a much-touted treatment or drug for the useless quackery that it is.
Just as success in life and business is built on failures, successful treatments that really work, in #ModernMedicine, is built on the many drugs that fail to live up their early promise. "Where?", I ask, is the #AYUSH treatment that has been discarded as ineffective?

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More from @GorwayGlobal

19 Nov
A shocking account of blunderbuss over-treatment in #India. First-hand report. Read full thread.
Case Report:
90 y old Female; Diabetes; early signs of dementia; non-ambulatory; incontinent; hypertension; Anemia (Hb 7.1) cared for by family; recent UTI.
BAMS Dr. Trtng
Recent crisis: rapid onset of vomiting, delirium, insomnia, agitation and hallucination. distressing for patient (pulling out IV cannula) and for family.
Here's the treatment: Plus 5 daily iron infusions for anaemia (IV Orofer)
1. Qutipin is Quetiapine. Atypical antipsychotics are useful in short bursts to control agitation and mania but Risperodone would have been a better choice.
2. IV Zofar is Ondansetron - that is a strong centrally acting anti-emetic usually used in chemotherapy
Read 6 tweets
18 Nov
103 years ago this day on 19 Nov 1917 (the same year in which John F Kennedy was born), in Allahabad, India (now known as Prayagraj), a daughter was born to the most illustrious political families of the time
#IndiraGandhi became India's First woman PM
#JFK became the 35th #POTUS
The #FarRight remember Indira Gandhi for the #Emergency she declared in 1975 - the suspension of Constitutionally guaranteed civil rights. But not because they are champions of citizens' rights and freedoms. On the contrary they are taking away our rights and freedoms silently
The liberal secular left remembers Indira Gandhi's Emergency because the experience taught them the value of Constitutionally-guaranteed #Rights and #Freedoms.
Read 5 tweets
18 Nov
Patients - ordinary people worried about having to be admitted and pay mega-bucks for treatment should they become really ill - are an important driver for #COVID19 #Overtreatment. They expect a treatment that will prevent deterioration, they want a pill - any pill.
In this situation if you say "no drug has been shown to delay deterioration, Steroids reduce the risk of death if given to those needing oxygen or on ventilators" the patient will think you are ignorant and look elsewhere. You're a Doctor! Do Something!! Prescribe something!!!
OTOH, If you say, "i've treated hundreds and most have never needed oxygen let alone admission to an ICU", then the patient will do what you ask. Get a CT scan? sure (a commission for you) do an MRI? (sure, this Dr is good, he can spell MRI in full; another kickback)
Read 6 tweets
21 Oct
A tweet thread:

The monthly @RBI Bulletin is a veritable treasure trove of economic data, albeit retrospective. The October Bulletin was released on 12 Oct: rbi.org.in/Scripts/BS_Vie…
I look at some economic data that shows how #Coronavirus has ravaged the economy.
The GVA decline in Q1 of 2020-21 (Apr to June 2020) was -22.8% overall but Agriculture actually showed a pos growth of +3.4% compared to the 3.0% a year ago in Q1 2019-20. Manufacturing in Q1 2020 declined -33.8% (a one third) reduction!!) and services fell by a Fifth (-19.2%)
A little known economic indicator is Gross fixed capital formation (GFCF). This declined in the April-Jun quarter, wait for it, by nearly HALF, - 47.1%. What is this GFCF? Think of it as investment in the future. Image
Read 10 tweets
13 Oct
A tweet thread on AYUSH.
I think these traditional medicine systems are here to stay. They are of course pure junk, totally unscientific, snake-oil, voodoo medicine.. call it whatever pejorative term you like.. but they are here to stay.
Why are they here to stay?
Well they are here to stay quite simply because many many people have faith in them. The source of this faith and whether it is faith backed by research is debatable but the fact is people have faith in them. Mainly upper caste Hindus when it comes to Ayurveda,
But homeopathy, Unani and Siddha have their own adherents.China is promoting its #TCM - traditional Chinese medicine and the English speaking world has its #AlternativeMedicine movement. On TCM see: economist.com/leaders/2017/0…
Read 11 tweets
28 Sep
A tweet thread.
It is a strange phenomenon. Not the way in which the judicial and criminal investigation processes have been subverted in India to arrest and oppress victims and punish civil rights campaigners. That is a travesty of justice and a denial of civil rights, alright
It is the brazenness with which such gross acts of egregious violation of constitutional principles and protections of civil liberties are carried out. It is the utter lack of regard for the niceties of due process. It is the widespread support for it among ordinary people.
So the mockery of justice of the #BhimaKoregaon activists's trial and incarceration, the arrest and false charges against #UmarKhalid and the many others falsely accused in the #DelhiRiots police investigation are not only tolerated but actually supported by many in #India
Read 15 tweets

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