People seem to have this vague notion of special scientific knowledge that's somehow a monopoly of a certain class/group of people. I suspect this comes from our centuries of religion centric outlook. We're so used to those structures, that we bring them to scientific inquiry. 1/
What is "scientific knowledge" is just what is independently verifiable knowledge based on current data. It can change. It can be partially or totally wrong. It presumes falsifiability -- it's a requirement. Anyone can add to it by following the rigorous methodology. 2/
And that is why I hate the word "allopathy". It seems like a closed system created by some guardians of the galaxy, but it's just meant to be "evidence-based medicine". If your magic-pathy medicine can pass through the process, it's "evidence-based" medicine.

3/
But if your claim starts with "I believe", "I've seen", "I've heard", you're pushing for possible quackery to be taken as seriously as evidence-based medicine. This has costs. Especially when it comes as an "alternative" to evidence-based medicine.

/4
And worse is when govt, with its deep reach, starts pushing untested, unproven, anecdotal medicines, in the name of "local/ancient/traditional" etc. It has the potential to do serious damage. Even blanket statement like xyz-pathy has no side-effects is unscientific ... 5/
in the absence of scientific trials' data. A lot of "alternate" medicine does not have the stringent go to the market requirement as the much-maligned "allopathy". So many of the claims are just that: claims. Science considers them hypothesis.

6/
This does not mean that doctors do not make mistakes, or that recommendations from WHO or local bodies are always right. But they have a self-correcting mechanism based on constantly changing data, which the "alternative medicine" practitioners don't have an equivalent of.

7/
What the "alternative medicine" practitioners have, instead, is a quasi-religious system we're all very much used to -- arguments from authority, proselytization, demonizing of the other, tall claims made without proofs, insistence on belief or anecdotal evidence)

8/
"There is no harm in trying xyz" is a dangerous argument in the absence of real data. How do you *know*? Because you tried or someone else you know tried? But your data is limited/biased by the very process of choosing it.

9/
In non-threatening/lifestyle diseases, chronic illnesses, etc. that sort of reasoning may be harmless, but with a raging pandemic that's killing people at alarming rates, "there is no harm" claim needs to pass the "extraordinary claims require extraordinary evidence" test.

10/
In summary: this is not the time to dabble with anything that does not pass the stringent requirements of evidence-based medicine. Rooting for anything else right now has the potential to break the basic tenet of medicine: first, do no harm. Please be responsible.

END/

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More from @asuph

24 Apr
A thread about #Grief.

Disclaimer: I've no formal training in psychology/psychiatry. This is my very personal take. So feel free to take whatever you want, and leave whatever you don't want. 1/2
Earlier this month I faced grief for the first time in a very personal sense when I lost my father to #COVID19. I was close to my grandparents, but it was different with them. And all other deaths I've had to mourn were not as directly impacting as my father's. 2/
I had read some of Chimamanda Ngozi Adichie's Notes on Grief, last year when it came out in The Newyorker. Would highly recommend reading it (although I've not finished it, but plan to)
newyorker.com/culture/person… 3/
Read 23 tweets
23 Apr
A younger colleague's husband (38yo, healthy, active, with no medical history, non-smoker/non-drinker) passed away of COVID. She had called up yesterday to check with doctors in my circle about his prognosis. In the morning, he had a cardiac arrest after his BP went down. 1/
I feel helpless, sad, and insanely angry -- not even sure at who anymore. Does it even matter? We're failing as a society because we, as a group, don't care enough. When this ends, and those of us who make it through, would we even change? Would we start caring? 2/
I don't have high hopes. It's each on their own. Countries, states, cities, families, down to you and I. We can't wear masks for other people's safety. We can't defer marriages, can't refuse to celebrate religious festivals at scale, can't stop election rallies. 3/
Read 9 tweets
9 Apr
Sad Update: After fighting COVID and other complications, my dad passed away peacefully yesterday afternoon. A man who loved people had to die with strangers, away from his loved ones. The last we talked to him was when he was taken to COVID ward.
#COVID19 #pune

1/
He had never stayed in the hospital and never been alone his whole life. And we were worried how he will feel. But his condition was such that he didn't really understand it (and I hope he never did). The last time we "saw" him alive was when he was sleeping in the ICU ...

2/
and a kind soul who was there to take test samples called us on video. He was sleeping and did not respond when we called his name. This is the worst part of this pandemic -- it denies you closure. I got a glimpse of him as he was loaded into the hearse.

3/
Read 11 tweets
30 Mar
This is an intentionally scary thread about #COVID19. I don't want to start it with "I don't mean to scare you". Because, frankly, I do. We ALL need to be scared. Especially in Pune. We've gone immune to the numbers, but maybe this personal anecdotal thread will help 1/
My father had some non-typical symptoms and suspecting other conditions, we took him to Deenanath Mangeshkar Hospital ER and they administered a RAT (rapid test) which came positive. While we were waiting for investigations in the ER, we kept hearing of other positive cases. 2/
DMS had already told us that if it was non-COVID case, he'd get a shared room (no private rooms were available even for non-COVID patients), but otherwise we may have to look for COVID bed somewhere else. When the test came positive, they said they'll try to find bed for him 3/
Read 11 tweets
15 Feb 20
Any #recipe for the beginners should, for completeness, also talk about the "cleaning" as well. "While the sauce/gravy is simmering, maybe it's a good time to wash the cutting board, and throw away the discards into wet-bin". "Rinse and dry the knife with a cloth" ... 1/n
"Add some (preferably warm/hot) water to the mixing bowl, so that it will be easier to scrub off the sticky contents" ...

etc. etc.

The thing is, experienced cooks (and specifically women who have learned from their moms) already know all this, but novices don't. 2/n
And that adds to the stress of #cooking. There is also the added dimension: many married men who want to try cooking (and I'm speaking in the Indian context right now) are discouraged by their wives as they "make a mess of the kitchen". Men find it daunting -- the cleanup. 3/n
Read 8 tweets
24 Jun 19
#MiniBlogAsTweetStormAlert.

Sometimes I wonder if Twitter gets the worst out of us, or does it just provide an x-ray vision to our deep-rooted bigotry/hate? The 280 character limit leaves no place to hide our bigotry. With longer pieces, one gets ample opportunity for that 1/n
But in one or more tweets, one has no real protection. Plus, while it was a virtue to be "middle-of-the-road" person with earlier mediums, the nature of social media has taken away that advantage. Now, the more you cling to the edges, the better the response - RTs and likes. 2/n
So there is no tax for being openly extreme, but there could be a windfall -- sometimes even those who totally hate your point of view (the "other" extreme) will RT your tweets, with an outrage, but RT is RT. The counts go up. You're suddenly "viral". 3/n
Read 16 tweets

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