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Lancelot Pinto

31 May, 8 tweets, 5 min read

Nicotine is a highly addictive substance, and on “World No Tobacco Day”, a few links to help understand why giving up tobacco is so difficult, and why we need to have a scientific, evidence-based approach 1/n

This is an easy-to-understand dartboard we created to elucidate the difficulty in giving up nicotine, and how rational pharmacotherapy can improve the odds onlinelibrary.wiley.com/doi/epdf/10.11… 2/n

@mid_day

Consuming tobacco isn’t a “habit” or a “vice”. It is an addiction that needs to be treated as any other addiction. I spoke with Nascimento Pinto @mid_day mid-day.com/lifestyle/heal… 3/n

@HospitalHinduja

This was created to help individuals understand how smoking creation therapy works @HospitalHinduja facebook.com/watch/live/?v=… 4/n

@PatientsEngage

A couple of inspiring stories! patientsengage.com/personal-voice… @PatientsEngage 5/n

dnaindia.com/mumbai/report-… 6/n

Most individuals who consume tobacco know it is harmful, but continue to do so because of the highly addictive nature of nicotine. What we need to do is not offer such individuals a sermon, but a science-based way to overcome the addiction 7/n

@cspramesh

@cspramesh @spkalantri @paimadhu @DrNikitaMehra @FaheemYounus @vishalgondal @AskDrShashank @pash22 @netshrink @DoctorNene @pseudo_sapiens @VincentRK

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More from @lancelot_pinto

Lancelot Pinto

@lancelot_pinto

5 May

@SachinKalbag

Thank you, @SachinKalbag @RupsaChak @htTweets for helping spread awareness, it is truly the need of the hour! Here’s a thread for those who want a deeper dive 1/n

https://twitter.com/lancelot_pinto/status/1387864333477056513

Inhaled steroids (not oral or intravenous) may have a role in the first week of the disease, especially in high-risk individuals, and those who have a cough. See thread for details 2/n

https://twitter.com/lancelot_pinto/status/1387864333477056513

https://twitter.com/lancelot_pinto/status/1286001518814978049

What about Favipiravir? These were my thoughts when the trial results were announced last year 3/n

https://twitter.com/lancelot_pinto/status/1286001518814978049

Read 10 tweets

Lancelot Pinto

@lancelot_pinto

1 May

I’ve often been asked about whether/when one should take the second dose of the vaccine when one gets infected after the first dose. Here is my understanding of the literature 1/n

A second dose is advisable even after infection because the immune boost provided by natural infection is variable, while that provided with vaccination is robust. Also, the proof of 2-dose vaccination might become an important document to have. 2/n

Some individuals have an asymptomatic infection when they get vaccinated and some will choose to receive the vaccine despite being mildly symptomatic.There do not appear to be any safety concerns yet, and “taking the second dose too soon after infection” may not be problematic3/n

Read 7 tweets

Lancelot Pinto

@lancelot_pinto

6 Jun 20

1/4 Saw this at Bandstand today. As a chest physician, this made me very happy! Pigeons are responsible for an interstitial lung disease (ILD) called hypersensitivity pneumonitis or extrinsic allergic alveolitis.

2/4 Most chest physicians and radiologists in the city will tell you how the number of patients with the disease has consistently increased over the years, paralleling the increase in the pigeon population of the city.