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Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
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28 Dec, 4 tweets, 3 min read
The trouble with social media is that you can’t pick up fake accounts from serious accounts.
NEETPG got postponed multiple times and we are in this mess now playing with the future of not only the students but also the patients they will manage in their career. 1/n
In April the #postponeneetpg was trending with @ShashiTharoor too supporting it.
Feel free to use the above hashtag and go though how many are not bothered about what is happening now. Most are not even doctors. So likely paid accounts. 2/n
Here is one account.
Then it was “we are worried”
Now it is adverts and YT accounts. Total only 66 tweets. 3/n
Another account only 38 tweets and right now not bothered about the postponed counseling.
It would also be interesting to see what actual accounts are now saying because they achieved postponement and led to this mess. 4/n and End

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More from @ProfSomashekhar

Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
28 Dec
The Indian #COVID19 response lacks many things. Among them,
1-Twitter is full of people posting lateral flow tests where they found relatives positive at home. Don’t see that happening in India.
Interpretation: either the tests are not available (freely and low cost) OR 1/n
Equally likely - most Indians think the responsibility of their health is of the government aka health system. Like most things we outsource things we should be doing.
2-Lack of transparent funding and/or approval of research. The Covaxin trial is a prime example. 2/n
Check the sites that did the trial and you find very few sites that are known for high quality research. How the sites were selected isn’t known. In fact many in the area of some sites didn’t know such a hospital did research. Our proposal for community based early detection 3/n
Read 10 tweets
Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
23 May
In 🇮🇳 we have had the benefit of research conducted in the west. Masking, Dexamethasone, Lockdowns, Toci, etc have helped us manage the #COVID19 pandemic. But we like to do jugaad so we added to the mix Steam inhalation’s, multiple antibiotics, zinc, Vit C 1/n
Then there are kadhas, 💧 neeti, IVM, HCQ and so on and so forth. We have a high diabetic population which means we have a even higher prediabetic one which when sick with COVID19 can fiddle with our glucose homeostasis. This has probably resulted in a heady mix. 2/n
The west has given us #COVID19Vaccine to protect against #COVID19 We don’t yet have phase 3 data for the really 🇮🇳 one. Whether we like it or not our medical care depends on research done in the west - at least most of it. Now we have the #BlackFungus problem that no one has 3/n
Read 6 tweets
Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
19 May
The budget director Ayush in 2021 is roughly 2300 crore rupees as compared to Health Research which is 1900 crore (2020). How has that worked out in pandemic times. Why am I doing this thread on Ayush and COVID19?
Last year when the pandemic began govt distributed 1/n
The GUJ govt distributed preventive Ayush meds across #Covid19 hospitals and healthcare workers as well as contacts were encouraged to utilize it. Mild cases also got it and the Principal Secretary Health actively promoted it as @narendramodi had endorsed it. 2/n
Initially it was fun for me as I saw colleagues take it and the sceptic in me could not be more sarcastic. As we hit the first wave and people began dying I almost forgot about this till April 2021 when my kids tested positive. I was shaken when the local PHC 🚐 pulled 🆙 3/n
Read 20 tweets
Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
16 May
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
Read 4 tweets
Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
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
Prof. Dr. Somashekhar Nimbalkar, MD, PGDPH, FNNF Profile picture
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

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