The cost of non Evidence-Based treatment is phenomenal. When you add one extra drug in the ICU that has no value, it means preparing the drug, injecting it, thrombophlebitis, etc. Now multiply that by 500 patients and fewer doctors and nurses. This is one hospital. 1/n
Now make that drug expensive (Remdesivir), difficult to get (plasma) and imagine the energy that goes into procuring it and failing which guilt that might accompany it. Not everyone can afford these and many are selling their livelihoods to obtain it. 2/n
There are families with two individuals in the ICUs and another two infected at home. Those are home are also receiving drugs which are useless and might put them into hospital. Such as steroids at high doses when not required (in viral replication phase). 3/n
It has taken a pandemic to expose the general non evidence based management that occurs across the board in the allopathic branches. Not even touching the alternative medicine as most of it does not evidence. Will discuss that later.
The health system was never good. 4/n End

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More from @ProfSomashekhar

11 May
Thank you @DrBinoyVShah for the post. We are all thankful to many for guiding us in our career. These relationships are wonderful and develop over time. I have had the benefit of many and everyone guides you in different ways.1/n
We all remember our school teachers. Many who took time out to teach from regular schedules. I remember visiting Prof Ganihar many Sunday for class at his house (not paid tuitions) - used to have 🥗. Then we had many mentors in med school including seniors. 2/n
Some mentors have connected throughout and i still keep in touch with them. Academically and Professionally I have done much better than my mentors and many of my mentees have already done better than me. As my mentors are proud of me, so am i proud of my mentees. 3/n
Read 11 tweets
10 May
Story from 2014 I think.
Was in a neonatal conference in Ahemdabad when a consultant from Canada was delivering a lecture on neonatal therapeutic hypothermia. In response to some question he gave an answer that was not consistent with available evidence at that time. 1/n
I was shocked and was not sure whether I should counter since he was an invited speaker. As I was debating with myself one young pediatrician (post DCh - vadodara and neo fellowship) got up and quoted figures from studies and told him point blank that he was wrong. 2/n
Eerie silence ensued and the chairperson tided over it saying (we can discuss in break) and that was it. Felt quite proud that a young student was able to say something which many would hesitate to do (I would hesitate even today). 3/n
Read 4 tweets
10 May
The three prime blunders of managing #COVID19India in 2021 (many others too)
We would recognize two now because they contribute to our surge now. The third one is not yet known to the health system and the powers that run it.
1/n
The first one - the premature declaration of victory over #COVID19 in initial months despite UK & other countries still under a strict lockdown. This percolated down and many stopped taking precautions and worse - made fun of those who were careful. ✌️ was declared at the 🔝 2/n
Second one - mismanagement of #COVID19Vaccination - no orders in Jan, complicated approval, online registration & deliberate slow vaccination (words of task force member) - result is poor rates, unnecessary vaccine hesitancy, why vaccinate when we achieved ✌️ over COVID19 3/n
Read 6 tweets
25 Apr
When we talk of Immunity we mean that our body has the resistance to fight or is impervious to a external threat. In the biological context it means we can fight of an organism.1/n
@docphiloshoper @HaryaxPathak @pankti4299 @rud_ras @sarkarrahul
@naveenthacker
@harish_a12
The organism that we currently are interested in is the #SARS_CoV_2 virus 🦠 and it’s variants. Anything that helps us boost our immune system for that is a #ImmunityBooster 2/n
@happygoel4 @imacuriosguy @ChaitanyaD2020 @Apoxipril @docyrh @dr_syedfurqan @Mohan02523702 @meetKool
It means when #SARSCoV2 virus 🦠 enters our body we have a immune system that is prepared to take on the virus and reduce its effect over us. Remember the virus is getting into our body and is in our system. Our #Immunity needs a #ImmunityBooster to fight back. 3/n
@drsunita02
Read 21 tweets
9 Dec 20
From Dr Nitin Shah, former president of @iapindia
Obtained from WA group.
“Someone asked me 15 questions. My honest answers are as follows.
My answers
1)Would Corona vaccine be available in short future?
Yes in a months time
2) Do u need to take it?
Yes all should take it. 1/n
3)Who shall get it?
It will be prioritised. First frontline workers. Then older and those with cormorbidies. And them healthy people.
4)How will it be given?
Through public and private partnership.
#COVID19 #COVID19Vaccine #VaccinesWork 2/n
5)Who will give it?
All those who can be trained including doctors, nurses, para medics.
6) where would it be given?
Public as well as private set ups.
#VaccinesWork #COVID19 #COVID19Vaccine 3/n
Read 9 tweets
9 Dec 20
@FoolzWizdom I believe that this is because medical leadership has been poor at various levels.
One saw it first hand in the #Covid_19 crises with no medical leader of repute speaking about underreporting of deaths! I have approached faculty and they have simply 1/n
wimped out of participating in collection of data. One should remember that #Covid_19 affects leaders personally and yet they have been reluctant. The brazen way with vaccine release on Aug 15 was announced or the how drugs like favipiravir or tolicizumab were allowed 2/n
To be used despite there being barely any evidence shows that academic and professional leadership isn’t upto scratch either in publishing these issue or taking it up with the regulators. Consider the uproar in US when HCQ and Plasma approval was met with uproar by academia 3/n
Read 15 tweets

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