3/ The professor mite B right in his own terms, but not scientifically
A student must B able to rise to the occasion & correct/question his/her teacher if need B - this is truly success of practical education
Neither the professor, nor the patient, knws abt effect of herbals
4/ In fact advising to opt for alternate therapies such as #Ayurveda#Siddha#Unani#Homeopathy etc along with an effective treatment for cancers is very dangerous.
These interact with #cancer therapy leading 2 ineffectiveness
5/ In fact Cancer #Research Groups like @CR_UK, @CancerVic warn abt potential harms of herbal drugs in #cancer#patients AND advises tat burden of patient care HAS 2B BORNE by treating doctor - is it harmful, effective, safe or useless
This is an important duty - not a job
6/ So being diplomatic is a nice - you get to plant your feet on two boats.
But real #science and its reasoning is not diplomacy.
It is aggressive and evidence-driven.
One must be curious and informed
Bcoz ultimately a doctor's ONLY focus is the patient
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He goes 2 a GP. Clinical examination and blood tests done. Says some chest infection. Puts him on antibiotics for a week. Asks for review. 1wk later some change in symptoms, but not fully ok. GP extends antibiotic course 7 more days. C, no fever and no signs of infection yet.
3
After 14d course, no change. Patient chucks the GP. Goes for a senior GP. Senior GP does clinical exam,blood tests AND chest X ray. X ray comes back as "not looking normal" 🙄 But no diagnosis. So he says. Let's try a short course of #antibiotics AND antifungal. Again 14 days
24 yr male - overweight by 11kg. Routine check up - fatty liver/advised by GP 2 stop eating - yes he said stop eating, eat when hungry or he'll develop cirrhosis + #MedTwitter#livertwitter
2/ So the guy gets food phobia - loses 2 much weight in 2 months - close to 12 kg - rechecks liver test - AST and ALT enzymes are higher than before - fellow is sure its 2 late and he is going to develop cirrhosis - so he goes 2 a Gastroenterologist at a suburban clinic + #ethics
3/ Gastro doc does his ultrasound liver - sees grade 3 fatty liver frm prev Grade 1 - says its bad (on radiological assessment). Liver tests show AST 200 ALT 102. Patient repeatedly asks if he had developed cirrhosis
No answer (a silent doctor is either a fool or thinking one) +
1/ My comments: #quackery is diff frm #pseudoscience
Former may hav secular/political or religious attributes while the latter does hav regional differencs wit respect 2 political/religious practices
Some eg, discuss:
Traditional Chinese Med
Japanese Kampo
Homeopathy
Ayurveda
2/ "A quack is a "fraudulent or ignorant pretender to medical skill" or "a person who pretends, professionally or publicly, to have skill, knowledge, qualification or credentials they do not possess; a charlatan or snake oil salesman".
3/ "Pseudoscience consists of statements, beliefs, or practices that claim to be both scientific and factual but are incompatible with the scientific method". #pseudoscience may or may not lead to quackery
Eg i-red.in zyropathy.com
1/ Y promoting, supporting, advertising, sympathizing or simply ignoring, being neutral abt #Ayurveda, #Siddha or #Unani is dangerous 2 #publichealth. #MedTwitter#livertwitter
Middle aged man with BCLC-B liver #cancer (survival >30 mo) was advised a chemoembolization procedure
2/ Chemoembolization or TACE is relatively safe and adverse event free option in selected patients
It also improves survival
But
This patient luked 4 othr options. He was scared of TACE. Physician failed to gain his confidence bcoz he was busy moving 2 seeing many othr patients
3/ Physician gave the patient an appointment 4 procedure and left it at that. The patient, relatively stable man, went around asking for other options. Landed in arms of a traditional #ayurvedic healer, who advised him a cocktail of herbs and cow urine which he tuk for 3-4 mo
1/
You said, " no #ayurvedic#drug has any adverse effects". This is classical “Like a frog in a well” phenomenon.
Let me clear ur doubts. But Im sure u wil choose 2 remain in the well. Ur wish, but don't drag others into ur well of ignorance #MedTwitter#livertwitter
2/
Clinical outcomes, histopathological patterns, and chemical analysis of Ayurveda and herbal medicine associated with severe liver injury-A single-center experience from southern India
1/ Cirrhosis patient with new onset fluid in abdomen (ascites) due to excessive salt use in daily foods. Moderate ascites, was advised needle drainage of fluid 4 relief. Heard frm neighbor that once removal starts, then it's transplant. So didnt agree to it. Went 4 #homeopathy 👇
2/
Few wks of #homeopathy, patient very lethargic. No advise 2restrict salt. On the other hand, patient told 2 consume water, #homeo every 2 hours. Came back in few wks in brain failure bcoz sodium level was 114. Admitted. Na corrected.Fluid removed. Stabilizing. #MedTwitter
3/ #Homeopathy mayb subtle 2 cos any effect, adverse event/ this is what proponents wud say, that its mayb no effect, no side effect, but simple fact is that, it deters patients frm real treatment, that's the real danger. #worldhomeopathyday,10th April say no to #Homeopathy