Pramesh CS Profile picture
Apr 14 8 tweets 3 min read
#SriLanka is going through one of their worst economic crises ever. The acute shortage of medical supplies will be catastrophic for the country if help doesn’t come fast. They may lose more lives during this crisis than during the #COVID_19 pandemic. How can you help? Thread
The Ministry of Health in Sri Lanka, with whom we are in touch with regularly, have shared a list of essential drugs and consumables that they are running out of critically.
Out of 1,325 drugs that the government provides to state-run hospitals, three life-saving medicines have completely run out and another 140 essential ones are in short supplyci
Several facilities have already suspended routine surgeries since the past month because they were dangerously low on anaesthetics, but the SLMA said that even emergency procedures may not be possible very soon.
@TataMemorial and @CancerGridIndia is working to support them for medical supplies including lifesaving medications, cancer drugs, antibiotics, anesthetic agents, cardiac drugs, immunosuppressants, anti-epileptics, and catheters
Chilling to know, they even need endotracheal tubes, needles & syringes, antisera, inotropes, and other life-saving supplies. What it means is that if we don’t send them these relatively basic supplies, people will simply die.
We have a choice. We could sit back in our comfortable homes and go on with life as usual, or we could take some simple steps to help out a friendly neighbour in their time of need. Random acts of kindness are what we need to heal the world now
Please open up your hearts (and wallets) to support us. Donations can be made at tmc.gov.in under “Patient care”; please send an email with the reference to fundraising@tmc.gov.in with cc to ncg@tmc.gov.in mentioning that the donation is for #SriLanka welfare

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More from @cspramesh

Dec 25, 2021
#MerryChristmas2021! If I had one wish from #SantaClaus, what would it be?
With the #OmicronVariant, there’s a lot of chat on what countries should do with #COVID_19 vaccinations – start boosters or complete the first round of the recommended two doses for everyone? If boosters, should it be for all, or select populations? My take.
As a global community, there is no question what we should do – work towards #VaccineEquity, and make sure that every eligible human gets their two doses. Remember, none of us are safe, unless all of us are safe. Cliched, but true.
Read 17 tweets
Oct 9, 2021
A couple of days back saw the inauguration ceremony of "Asha Nivas" at @ACTREC_TMC by Hon'ble CM of Maharashtra @OfficeofUT @CMOMaharashtra and @sudhamurty in the presence of Shri K N Vyas @DAEIndia and Prof R A Badwe, Director, Tata Memorial Centre. Why is this such a big deal?
Let me explain-Asha Nivas is a place where patients treated at @TataMemorial and @ACTREC_TMC can stay during their cancer treatment. Consider that 86% of patients being treated by us come from outside Mumbai, 60% from outside Maharashtra, 65% hailing from low socioeconomic strata
Costs of living in a city like Mumbai can often be a bigger deterrent than costs of cancer treatment, with the result that many patients even with curable cancers abandon their treatment. Providing them with a convenient, hygienic and safe place to stay is important
Read 6 tweets
Jul 24, 2021
This is such an important concept to understand. Very often, the public & even a lot of physicians equate the success of a screening test to detecting cancers early when patients are asymptomatic / improved survival amongst those detected to have cancer. This is inherently flawed
Why are early detection & improved survival not sufficient to proclaim success of a screening test?
While it seems intuitive, these two do not actually translate into lives saved
This doesn't seem logical, but it's true
This is because all cancers are not lethal, and merely detecting a cancer earlier than it would otherwise have been detected does not necessarily mean improved outcomes. To understand this, we need to understand three important biases inherent to screening studies
Read 14 tweets
Jul 11, 2021
A group led by @drsabita & @docpriyar set out to look at the impact of COVID_19 on physicians in India from a gender perspective, our hypothesis being that a greater burden of familial/domestic responsibilities fell on women. Full paper: ascopubs.org/doi/pdf/10.120… 1/n
The #COVID_19 pandemic had realigned our lives, and for many, especially in healthcare, increased their work considerably. Healthcare workers globally found themselves working overtime to handle the pandemic, while their domestic work increased thanks to the lockdown 2/n
This survey of over a 1000 Indian physicians confirmed our fears that the burden of running the family and domestic chores were indeed disproportionately handled by women. While this was not completely unexpected, the magnitude of the inequity was striking 3/n
Read 9 tweets
Jul 3, 2021
#SARSCov_2 viral variants / mutants and vaccination seem to be consuming most discussions on #COVID_19 these days. We’ve let incomplete data and general knowledge create misinformation and confusion amongst us all. An explanatory thread...
We’ve heard of the #Delta, the #DeltaPlus & unknown future variants which may be either more transmissible or more lethal than previous ones. This has either created panic, or worse, a sense of futility about both vaccines and precautionary measures to avoid the infection
The chatter about variants and mutants is fascinating, but linking them to the futility of getting over this pandemic is dangerous. An unfortunate line of thought seems to be that if these viruses mutate and vaccines are ineffective against them, why bother getting vaccinated?
Read 12 tweets
Jun 26, 2021
The worst of the second wave of #COVID_19 seems to be behind us in India. Here are some random thoughts…
Let’s face it – the second wave caught all of us by surprise by the sheer ferocity with which it unleashed itself. The inadequacies and frailties of our healthcare systems lay exposed. After nearly three months of helplessness, we are limping back to some semblance of control.
The key for our immediate future and that of our children is how we handle the next few months. For starters, we are not yet out of the woods with the second wave
Read 12 tweets

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