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 young man is referred for spiking fevers and abnormal liver tests going on since 2 weeks
He has no jaundice, but his liver tests are elevated
AST 338, ALT 946 and they don't seem to come down
Doctors elsewhere are baffled and parents are worried as is the young man bcoz...
he had just joined a new job at an illustrious company in Bangalore since 2 mo and he has been on medical leave since 3 weeks and his job is at stake
Whatever this was, we had to get it diagnosed and get it over with, quickly, so that this man could retain his job...
Everything was well until 3 weeks back when the young man started to feel lethargic, slowly but steadily, his appetite reduced, he started to lose weight and lose interest in his work
Office calls were a pain and all he wanted to do was sleep
I asked the son, who was flustered and trembling, looking at his father lying on the green sheet ER bed
"What happened?"
Trying to cover his shame, but not the disgust, he replies, "This has never happened before"
"What?" I ask him
"My father defecated on the dining table"...
..."in front of us, in front of my cousins"
"& then what did u do?", I ask him
"I tried to pull him down & then
...he called me son of a bitch"
"My dad's never been abusive, he's the sweetest person"
"What did the ER doc at the 1st hospital tell you?"
& he says, "Ammonia"...
The young man's father was at his nephew's celebrating a birthday party, had a hearty and meaty dinner and went to bed late
Early morning, he woke up groggy. He was muttering and murmuring. Even though he identified his wife, he could not name her and his speech was slurred...
28 y old young mother is referred for evaluation of progressive jaundice
Docs are mind-boggled
Patient is getting sicker - increasing jaundice/persistent itching 2 mo after delivering healthy baby girl
She's scared, of the possibility that she wont get to see her baby girl...
...bcoz her primary care GP, while referring to our tertiary center, also hinted at the possibility of liver failure and need for liver transplant
Their diagnosis - post delivery unknown cholestatic viral hepatitis, possibly hepatitis E infection
But it didnt seem right...
...cholestasis means stagnation of bile inside liver - due to issues within the liver (hepatitis, bile duct damage) or outside liver (block in bile ducts due to stone, tumor)
This young mother had no obstructive features to bile flow, but her liver tests had shown...
...Analysis was done by an independent lab approved by the central and state government for food analysis and NABL accredited for general testing in chemical and biological parameters
Gas Chromatography/Mass Spectrometry, method was used to identify different substances...
...rather than conclude based on analytical findings, I wud like to know whether these findings r NORMAL for a protein supplement?
Herbalife supplements unlike other pure proteins, use herbal components 2, mayb this would have led to complex results... @minicnair@PriyankaPulla