4/12
Be4 this saga, #patient tuk #sudarshan tabs, 3 months - gav him 'wellness, improved sleep'. But Sudarshan tabs for fever, CAN also be #quackery used for liver disease bit.ly/33s2NtF. He tuk tabs 4 fever be4 fever hit, but then fever hit him anyway. So all good😖
5/12
So how did #authors finally #diagnose#covid19? That's the best part -symptoms (ok,cool😎),season (wow🧐)&"VAST LITERATURE AVAILABLE ON PUBLIC DOMAIN" (mindblown🤯).VR wasting time, resources on #RTPCR, #antigen#tests, wen all we need was not so common, common sense, right?
6/12
How is this #COVID19 witout confirmation! No real #evidence hungry journal wud allow! SO, they did confirm. Or did they? Like a @Chris_Nolann movie. Table1, authors say patient confirmed it becoz his doc said so. But patient nevr says it. Readers, this is wer U hav 2 imagine
7/12
But V wont leave the #diagnosis! We have to diagnose, becoz that is what #alternative#medicine strives for! So they send another swab 4 #SARS_CoV_2 - 16th day frm fever start. Bummer! Insufficient material. Finally,day 33,antibody test +ve. Yeah! We diagnosed #covid.🤯🤯
8/12
What was this #life saving #phone#treatment?
▶️Mix of #herbal#drugs witout clinical evidence, no data on #safety,#efficacy
▶️Rice porridge(reality, unbalanced/malnutrition)
▶️Avoid sleeping during day, avoid waking at night😭
1 drug has semen of civet cat,elephant excreta.
9/12
There is a limitation section! Yaay!
1of the limitations was that the phone doctors could not prescribe more #medicines &they had to make do with what patient had with him.
Moral: If I wanted to have fried fish, & I did not have oil, I just ate it anyway and called it sushi.
10/12
So conclusion, after the roller-coaster ride?
Authors keep mentioning this part in the abstract & conclusions "first case, treated entirely with Ayurveda...Modern Medicine, no cure has been found" - there can only be 1conclusion made from this - INSECURITY of #pseudoscience
11/12
Real limitations - no confirmed diagnosis, irrational use of invalidated #drugs 4 #covid. Supreme eg of anecdote. @TDUFRLHT - plz improve UR journal #peerreview. @ElsevierConnect plz remove this article from UR 'Public Health Emergency Collection', its misleading& #quackery
A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.
He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.
Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.
But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.
He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.
I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.
It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.
This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.
Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11
With your help, we analyzed 131 different medicine samples from pharmacies - ranging from expensive top brands to "free" government generics.
This included the highest prescribed and selling (most expensive) branded drugs, generics marketed by the same big brands (branded and local pharma generics), government supplied generics [Central Govt. - Jan Aushadi and State Government - Kerala Medical Services Corporation Limited (KMSCL)], and trade generics [sold at hospital pharmacies and special generic pharmacies - Dava India, Generic Aadhar)
The question: Is the expensive stuff actually better?
2/11
The Test
We took 22 types of common (essential) medicines (for heart, pain, antibiotics, liver, sugar) from these 7 different sources, and sent them to an accredited lab - Eureka Analytical Services Pvt. Ltd. in Kundli, Sonipat, an FSSAI-notified and US-FDA and NABL/ISO 17025 accredited laboratory providing comprehensive pharmaceutical, API, and drug testing services.
We tested 5 quality parameters according to standards of Indian Pharmacopeia:
✅ Drug content or assay
✅ Dissolution
✅ Uniformity
✅ Impurities
✅ Physical appearance
3/11
1/15
Our important work, The Citizens Protein Project 2 that analysed "hospital/doctor" prescribed whey protein vs. nutraceutical/fitness industry marketed whey protein is now peer-reviewed and published. Please share with your doctor!
We recently published our independent analysis of Homeopathic practitioner commonly prescribed and popular over-the-counter 134 Homeopathy products marketed and sold as "medicine."
The Placebo Project: An observational study and comprehensive analysis of 134 commonly prescribed homeopathic remedies in India uncovers potential for hepatotoxicity: journals.lww.com/md-journal/ful…
Here is our plain language and visual abstract summary of what these Homeopathy products are and what we found in them.