The 2nd wave of COVID-19 related Mucormycosis is already here while we have still not quite reached the peak.

This time patients are presenting earlier and some of them even while still being I'll with covid-19 (2nd week of illness)
This wave, I've already seen 5 in the last week. 4/5 were still positive for virus.
Patient profile:
Younger patients, more aggressive disease. I do think that covid itself is responsible for disease not just immuno-supression as a 2/5 patients were not even diabetic in 20s.
Mucor is not a novel fungus. It is all around us.

I do blame poly-pharmacy for some of this. Humans are destined to go extinct due to emergence of super-bacteria and super fungi

Mucormycosis is very tough disease to treat. I'm already feeling the dread for the coming months. This time it is going to be far worse than 1st wave.

I don't remember feeling so helpless in the face of clinical challenges. This is heartbreaking on so many levels.

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More from @raghurajs_hegde

1 May
I'm part of an NGO called The Vision Mission. We are mainly into eye care in remote areas. In this crisis we are trying to help one of our partner eye hospitals, Trilochan Nethralaya to run 2 covid care centres in Sambalpur Odisha. The cases are skyrocketing in Sambalpur area.
It's a tribal belt in western Odisha and very few resources are available. People there are dying for want of basic care. We urgently need funds.

Please try to share this thread in your networks and this is a personal appeal requesting donation.

Supporting Covid Care Centers, in Sambalpur, Odisha, INDIA
with Laboratory Services for Optimal Covid Patient Care

Please DONATE:

More Details:…
Read 5 tweets
19 Apr
A friend asked me why do you have such strong opinions about C-19 treatments & rampant poly-pharmacy being practiced while being an Ophthalmologist.

Why indeed?

Because "Science, data and critical analysis". I don't have to be treating C-19 to know what works and what does not.
Reading has been my coping mechanism to stay sane during this whole year since the pandemic started. Too much information can be paralyzing for many people. I would however prefer to sift through it all and process it. An alternative is not acceptable.
I would encourage my colleagues no matter which speciality they practice- to read more, understand more and keep looking at data about this virus and affects

It is when doctors critically analyse data and relay scientifically validated opinion-everyone in society is better off
Read 6 tweets
10 Mar
An infection and a silent epidemic few people are talking about!

Rhino-Orbito-cerebral Mucormycosis in the background of recovered Covid-19 patients.

#Thread #COVID19 #MucorMycosis #SinoOrbitalDisease

Read the thread and finally the article to know more about it. 1/ Image
As the peak of the Covid-19 pandemic was ebbing down slowly in Bangalore around Sept/Oct -ENT surgeons, CMF surgeons, Oculoplastic Surgeons & Neurosurgeons suddenly had a surge of cases diagnosed with Mucormycosis presenting a few weeks after recovering from covid-19 infection
Mucormycosis is a rare fungal infection affecting the nose, eye, eye socket and sometimes even the brain. It is a very aggressive angio-invasive infection starting in the sinuses and quickly eating up everything around it-bone, muscles, fat, skin and other soft tissues including
Read 10 tweets
22 Nov 20
Ayurveda is not science. It is a belief system like religion. People including doctors should stop calling it science because any traditional medicine which has been shown to be effective as per modern EBM standards becomes modern medicine. Ayurveda has no scientific rationale.
Same goes for Homeopathy/Unani/Siddha/_____any traditional medicine.

Qinghaosu became the antimalarial drug Artemisinin through evidence collected by YouYou Tu. It doesn't mean Chinese medicine is scientific.
Ayurveda should aim to nurture researchers like YouYou Tu and not try to co-opt modern medicine and try to encroach into it pretending to be science.

Be YouYou Tu not Baba Ramdev.
Read 11 tweets
27 Sep 20
Yesterday my patient on the operating table bled buckets. He wasn't on blood thinners-no explanations.🤷‍♂️

After surgery he told me he was taking a herbal concoction of Ginger, Garlic, Turmeric & Asafoetida thrice daily to prevent covid.

Need to change my Pre-op instructions. 🤦‍♂️
Since many are asking.

Pre op bloods were done 3 weeks back. BT, CT, PT, aPTT, INR were all within normal limits. Considering no co-morbidities the blood work wasn't repeated just before surgery. Hadn't considered this history.
Read 7 tweets
25 Sep 20
Quietly, NMC has replaced MCI. While I'm happy that a corrupt body like MCI is out, I'm not sure NMC is make it any better.

Several people have had concerns regarding the mandate, centralisation tendencies and scope of NMC and I have written about those concerns earlier. 1/n
Now that we have no choice but to accept the new reform I hope they progress upon the opportunities available. The above article raises several such issues and it is important to keep the eye on the target over a long period of time. 2/n
My article on the NMC when they first came up with the draft in 2017.…
Read 5 tweets

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