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Dr. Subhasree Ray Profile picture
@DrSubhasree
Sep 14, 2020 • 15 tweets • 7 min read • Read on X
.@ICMRDELHI study on #plasmatherapy in #COVID19 pts initiated a debate. This thread collates experiences across India on the therapy starting with #Delhi Health Minister,@SatyendarJain. CM @ArvindKejriwal mentioned 1965 patients got befitted already. (1/n)
google.com/amp/s/www.ndtv…
Mr. Jain clarified that the @ICMRDELHI study doesn't say there are no benefits of plasma therapy, it says CPT may not be effective for a patient on ventilation. He said plasma therapy does not benefit those at stage 3 of the disease. But it helps those in stages 1 and 2. (2/n)
Doctors across Delhi shared their experiences in treating patients with plasma and commented that the therapy is bringing promising results in absence of a vaccine or other mode of treatment. (3/n)
timesofindia.indiatimes.com/india/despite-…
PGIMER will continue to administer plasma therapy to Covid-19 patients. Professor Pankaj Malhotra mentioned, "Rather than doing nothing, we can actually do something and try this therapy". (4/n)
hindustantimes.com/chandigarh/des…
According to the state administration, Odisha has established 6 plasma banks w/in a short span of 45 days and treated 692 patients. Official mentioned plasma therapy & dedicated COVID-19 care systems help Odisha cross the 1-lakh recoveries milestone. (5/n)
timesnownews.com/india/article/…
Plasma therapy has started in Jawahar Lal Medical College, Bhagalpur. Institute's principal pointed out that the therapy could save critically ill patients and those who have autoimmune disorders. (6/n)
timesofindia.indiatimes.com/city/patna/pla…
A case study from Nellore, #AndhraPradesh: 73 out of 82 critical Covid-19 patients underwent plasma therapy and recovered in Nellore district since August 5. One pt was a 55-year-old woman w/diabetes, high blood pressure, & kidney-related issues. (7/n)
newindianexpress.com/states/andhra-… Image
A nurse from Surat got recovered by plasma therapy along with standard treatment. She was ventilated for 3 days after her oxygen level fell drastically. (8/n)
timesofindia.indiatimes.com/city/surat/nur…
Speaking about the importance of plasma therapy in treating critically ill COVID-19 patients, the Health Minister, Assam stated that timely intervention with plasma therapy had shown good recovery among 368 such patients in Assam. (9/n)
sentinelassam.com/north-east-ind…
A 2-month old critically ill baby got recovered from plasma therapy in Nasik, Maharashtra. Nearly 70% of his lungs got infected during the time of admission. (10/n)
timesofindia.indiatimes.com/city/nashik/pl…
Global Literature in supporting the therapy:
The results from 10 severe adult cases showed that one dose (200 mL) of CP was well tolerated and could significantly increase or maintain the neutralizing antibodies at a high level. (11/n)
pnas.org/content/117/17…
Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma revealed administration of convalescent plasma containing neutralizing antibody was followed by an improvement in clinical status. (12/n)
jamanetwork.com/journals/jama/…
A review of 5 studies reported (a) Convalescent plasma may reduce mortality in critically ill patients, (b) An increase in neutralizing antibody titers and disappearance of SARS‐CoV‐2 RNA was observed in almost all the patients after CPT therapy. (13/n)
ncbi.nlm.nih.gov/pmc/articles/P…
... and (c) Beneficial effect on clinical symptoms after administration of convalescent plasma. Based on the limited scientific data, CPT therapy in COVID‐19 patients appears safe, clinically effective, and reduces mortality. This review contains details of all 5 studies. (14/n)
The way forward: Like all other experimental therapies in treating #COVID19, convalescent plasma therapy also deserves to have experimented as positive outcomes also reported from several case studies. In this regard, the supervising doctors to take a call on case to case basis.

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More from @DrSubhasree

Dr. Subhasree Ray Profile picture
Oct 10, 2021
White sugar, honey, and jaggery, 3 different names of the same thing, 'sugar'. The later 2 have some micronutrients but there is a BIG 'but' to consider these 'healthy'. Thread #nutrition
Jaggery is considered a better choice as compare to white/brown sugar because, it contains a small amount of B vitamins & minerals, including calcium, Iron, magnesium, phosphorus, potassium & sodium. 10 gm Jaggery provides 36 KCAL (minimal protein, no fat, and 8.5g carbs).
Jaggery has a glycemic index (GI) of 84, which makes it a poor dietary choice. Also need to eat a lot of jaggery to get a meaningful amount of these nutrients, which you can get in much greater amounts from other sources.
Read 8 tweets
Dr. Subhasree Ray Profile picture
Apr 29, 2021
📌The #COVID19 Vaccine: Myths & Facts

1. COVID-19 vaccines are unsafe because it was developed quickly.

Fact: The authorized vaccines are proven safe & effective. Although they were developed in record time, they have gone through the same rigorous approval process as others.
2. I have already had COVID once; why vaccinate now?

Fact: Those who have had COVID-19 in the past have no method to tell if reinfection of the COVID-19 virus will happen or not even if they have developed some natural immunity. So, it's important to take the vaccine.
3. I will get COVID-19 if I take a vaccine.

Fact: None of the COVID-19 vaccines can give you the COVID-19 infection that you dread. None of these vaccines uses the live virus that causes COVID-19.
Read 11 tweets
Dr. Subhasree Ray Profile picture
Apr 18, 2021
Please follow the thread to get nutrition guidance during this tough time. (1/n)
Read 5 tweets
Dr. Subhasree Ray Profile picture
Jan 2, 2021
✅Health Benefits of Yogurt: Yogurt, made by the bacterial fermentation of milk & a powerhouse of nutrients.

1 cup of yogurt provides:
49% of daily calcium need
38% of phosphorus
12% of magnesium etc.

Thread Explaining health benefits backed by science.
yogurtinnutrition.com/the-benefits-o…
1. Some types of probiotics found in yogurt, such as Bifidobacteria and Lactobacillus, have been shown to lessen the uncomfortable symptoms of irritable bowel syndrome (IBS), which is a common disorder that affects the colon.
ncbi.nlm.nih.gov/pmc/articles/P…
2. Probiotics may protect against antibiotic-associated diarrhea, as well as constipation.
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
Read 10 tweets
Dr. Subhasree Ray Profile picture
Nov 15, 2020
#WorldDiabetesDay 2020: Information on Diabetes & management by making suitable lifestyle changes.

1. Understanding Diabetes - types, risk factors & how it occurs
2. Diagnosis of Diabetes Type 2 & Prediabetes - HbA1C, Fasting & post-meal
3. Effects of Diabetes on the body. (1/4)
4. How to prevent diabetes type 2?
5. Diet for Diabetes type 2: This is individualized. A low carb, moderate-protein diet plan is recommended for the Indian population. However, intermittent fasting & the Ketogenic diet are showing promising results in managing diabetes. (2/4)
6. Glycemic Index (GI): Understanding the GI of foods is crucial in managing diabetes.

A. What is GI?
B. GI of some common foods. Chose foods that are low in GI. Moderate GI foods can be taken sometimes. Avoid high GI foods. High GI foods also lead to weight gain. (3/4)
Read 6 tweets
Dr. Subhasree Ray Profile picture
Nov 15, 2020
15 Nutrition Reminders: via @Healthline

1. You don't need to eat every 2-3 hours
2. Meat doesn't rot in your colon
3. Eggs are one of the healthy foods you can eat
4. Surgery drinks are the most fattening product in the modern diet.
5. Low fat doesn't mean healthy
6. Fruit juices aren't that different from soft drinks
7. Feeding your gut bacteria is critical
8. Cholesterol isn't the enemy
9. Weight loss supplements rarely work
10. Neither carbs nor fats make you fat.
11. Junk foods are addictive
12. Omega 6 containing vegetable oils such as sunflower, soybean & corn oils contribute to oxidative stress
13. Organic or gluten free doesn't mean healthy
14. Your weight is not correlated to your health status
15. There's no perfect diet.
Read 4 tweets

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