1/A retired #oncology professor from a Govt. College. Now dabbles in #Ayurveda. Runs an 'ashram' in Kerala to 'treat' #cancer patients. He refers a patient with BCLC-C stage liver cancer 2me. A nice letter 4 further management. Patient has advanced cancer
Systemic therapy option+
Systemic therapy option+
2/ I spent 50 mins with patient/family - discuss prognosis, comfort care - the works. Once patient left 4som blood tests, I tell family, separately, regarding end of life care, once the time comes. They wer sad but contend. Very crunched 4money. So best option - they cudnt afford
3/ Best approved option for advanced liver cancer is Atezo+Bevaci - too expensive. So they tuk next good option - Lenvatinib - affordable for them. I sent a detailed letter with plans, along with patient son, to the evidence-based turned #ayurveda oncology professor.
#MedTwitter
#MedTwitter
4/ 5-days later, the son comes back to return all medicines including Lenvatinib - purchased from the pharmacy. He wanted me to sign on the bills for return. I did. I asked him Y? Was he going for ONLY supportive care? He said, no, oncology #herbalist said these meds wont work.
5/ And he wanted to try naturopathy with safe herbals on him for a month. Then if THAT did not work out, he can go ahead with what #evidence-based medicine (me). I was shocked. More than insulting me, it was more of immorality towards the patient/family. I knew it.
#livertwitter
#livertwitter
6/ The retired blood-sucker was in it for the money.
I hav seen his prescriptions before
Eg:
Where he nearly killed a breast cancer patient in remission with 10K INR / mo worth medicines.
I speak my mind to the son - he may take it well, he may not.
I hav seen his prescriptions before
Eg:
https://twitter.com/drabbyphilips/status/1365271415109287936?s=20
Where he nearly killed a breast cancer patient in remission with 10K INR / mo worth medicines.
I speak my mind to the son - he may take it well, he may not.
7/ He may think yes, I am talking sense.
Or He may think, I am out 4 money becoz all these expensive medicines are being returned.
I am a salaried man. I see 25 patients, 1 see 100 patients, I get my fixed salary every month. It wont change until the last patient I see in my life
Or He may think, I am out 4 money becoz all these expensive medicines are being returned.
I am a salaried man. I see 25 patients, 1 see 100 patients, I get my fixed salary every month. It wont change until the last patient I see in my life
8/
Y this behaviour frm #evidence-trained, retired professor of major medical college #Kerala? Simple. It is wer money is. It is nw ONLY business - #pseudoscience #quackery
Be nice to patients and loot them. But, people always speak frm the other side.
Modern medicine is looting.
Y this behaviour frm #evidence-trained, retired professor of major medical college #Kerala? Simple. It is wer money is. It is nw ONLY business - #pseudoscience #quackery
Be nice to patients and loot them. But, people always speak frm the other side.
Modern medicine is looting.
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