TheLiverDoc Profile picture
Mar 25 16 tweets 7 min read
1/
Breaking: Our new peer-reviewed paper is out. It may anger you, make you sad or even numb you.

During the start of the pandemic, various governments published national guidelines on management of #COVID19

Guidelines from India was unique.
2/
Apart from featuring science-based data, it also featured prevention and treatment options for Covid from The Ministry of Ayush, the apex pseudoscience promoter in the country.

Ayush stands for Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homeopathy.
3/
None of these "guidelines" were based on empirical evidence, none based on clinical trials & efficacy/safety of traditional practices against a pandemic of extreme proportions remained unknown.

Because it was promoted by major authorities, people fell for it.
4/
People fell for the "natural & safe" ways to combat Covid-hook, line & sinker

But didnt realize is that unscientific ways of health-seeking behavior always come with a price

Which is what we show in our new paper, out in Medicine®, published by Lippincott Williams & Wilkins
5/
Ayush industry used the scientifically-sounding, but rationally deprived and illogical word "immune-boosting" to trick people into believing that herbal and dietary supplements could help people combat Covid.

Patients with chronic disease are always easily tricked into...
6/
...using short-cuts to "boost" their health, in the presence of growing science-denialism and anti vaccine movements across the country.

In our study, we looked at cirrhosis patients who availed "immune boosting" to prevent Covid and describe their outcomes.
7/
Close to 10% of STABLE cirrhosis patients who used immunity boosting developed severe and progressive liver failure and associated complications.

Most developed jaundice, fluid in abdomen and developed brain failure.

42% of these patients DIED without a liver transplant.
8/
The most common used immune-boosting was Ayurvedic, followed by Homeopathy.

Agents causing severe liver injury were:

Giloy
Ashwagandha
Turmeric
Neem
Indian goosberry (Amla)
Holy basil (Tulsi)
Arsenic trioxide

Both traditional and company (Patanjali) made preparations.
9/

We also analyzed products that we retrieved from some patients and found that they contained direct liver toxic plant chemicals such as glycosides, terpenes, coumarans and also insecticides, pesticides and industrial solvents.
10/

We also performed liver biopsies of patients who consented to the same and found that their already weakened liver had large areas damaged and devoid of liver cells due to severe inflammatory damage from multi-herbal insults on the liver.
11/
Our paper signifies the importance of scientific communications in public health.

All the patients who died in our study would have been alive if they did not opt for such unscientific practices which were promoted by supposed health regulators and also print & visual media.
12/
With the Indian Govt's plans to "integrate" pseudoscientific primal practices into modern medicine, we can only expect more of disease burden among the Indian patient and general community in coming years - most of them ending up as data on studies like this. Great tragedy.
13/
There is no role of unscientific promotion of healthcare among the public how much ever it has traditional, cultural or nationalistic values.

Medical science is the method closest to the truth and requires scientific temperament in its promotion, communication & acceptance.
14/

Many thanks to @arifhussaintm and Vaid. Resmi R for their uncompromising work on collating and collecting the data from a large database of patients.

You can read our full paper and all analytical data at this link.

journals.lww.com/md-journal/Ful…

#Medtwitter #LiverTwitter
Post script:

All the Ayurveda and Homeopathy sympathizers and pseudoscience apologists commenting on this thread twisting and misinterpreting facts about Covid vaccines, use of steroids and other scientifically proven methods that saved millions worldwide, including themselves… twitter.com/i/web/status/1…
This is what science-illiteracy and blind-faith nationalism on steroids look like.

Dont be like them.

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More from @theliverdr

Mar 22
Emergency services in Ayurveda Hospitals!

Just brilliant!
I loved the "ancient 🥕 torchlight!"

By: isachinawasti, Instagram instagram.com/isachinawasthi…
All the Ayush sympathizers and apologists crying on this thread, please note that the Indian alternative medicine system brought this joke onto themselves.

The pseudoscientific, nonsense and utterly absurd teaching in BAMS, BUMS, BHMS colleges, playing with the professional… twitter.com/i/web/status/1…
Read 4 tweets
Mar 20
Leaving it here without comments.

This time, from Solapur, Maharashtra.

Our ongoing large multi-center study on Herbal & Dietary Supplements related liver injury in India will give us information on this burden and it's outcomes.
Read 4 tweets
Mar 18
1/52
"There is a child being shifted from a hospital abroad," my ER doc tells me

With rapidly progressive hepatitis & signs of poor response

I keep my fingers crossed, palms sweat & heart races as I ready myself to enter Dante's innermost circle of Hell

Pediatric Hepatology. Image
2/52
A week back, this chirpy little girl, Jiya was the happiest. Being one of the twin girls whom her parents cherished, she was always in the company of her sister.

They were like a pair that could not be separated.

7 days back, Jiya started showing low interest in food.
3/52
She was not her bubbly self and she showed an even less interest in playing with her twin sister.

She wanted to lie down most of the time and sleep.

The next day, she developed high grade fever. It touched 101 and would only come down with medications and cold sponges
Read 52 tweets
Mar 17
Hello @AnujaJaiswalTOI you have stolen my words and my tweet on Green Juice detox without crediting me or my tweet and it's content for your story in @TOIIndiaNews

A bunch of other doctors who had nothing to do with the reported content beautifully feature in your report.

I'm a… twitter.com/i/web/status/1…
@IndianExpress has done it properly. They cited sources and interviewed other experts on the same.
indianexpress.com/article/lifest…
@TimesNow has done it correctly too. Here is the link with proper crediting of source and content.
timesnownews.com/health/beware-…
Read 4 tweets
Mar 14
Ok hear me out and please let me know whom I should tag or file a complaint with for this serious issue.

A Chivas Regal 12 year old blended whiskey containing 40% alcohol costs 3300 Indian rupees for 1000ml. That is 330 rupees for 100ml, expensive. It's available only in… twitter.com/i/web/status/1…
By the way, we have ALREADY analyzed potentized Homeopathy formulations and found that they DO CONTAIN purely and only ALCOHOL - some going up to 90%. Mother tinctures also contain herbal components and sometimes, insects, cockroaches etc.
All the happy people thinking this is a short cut to getting cheaper alcohol must realize that, thanks to utter nonsensicsl and complete absence in regulation of alternative medicine industry in India, Homeopathy products have led to severe liver injury, thenewsminute.com/article/study-…twitter.com/i/web/status/1…
Read 4 tweets
Mar 13
I don't know how to break this to you

But India's largest newspaper has reported that a couple of Homeopaths in Bhopal city has discovered that the reason why Homeopathy works is...

...because of electromagnetic waves.

First, Homeopaths said, Homeopathy works because of water… twitter.com/i/web/status/1…
1. You call yourself a "faculty" of IISER, IIT and UNC Charlotte, YET, you do not have the minimum required intelligence to understand that the paper is NOT published in The Lancet, but another non-medical Elsevier journal called Materials Science & Engineering

2. They have not… twitter.com/i/web/status/1…
Mr Harsh, ad hominem is the refuge of the scientifically illiterate & cowardice embracing irrational mind, which is expected of you, not surprising, Even with a blue tick or not, you'd still be the same pseudoscience embracing pre-scientific era artefact.
Read 4 tweets

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