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Aju Mathew Profile picture
Aju Mathew
@ajumathew_
Cancer doctor, global health researcher, teacher, epidemiologist @ Kochi, Kerala (Ekm Med Ctr & Kolenchery Medical College)
May 28, 2021 • 15 tweets • 4 min read
Thwart Cytokine Storm in #Covid19:
Guidelines for resource-poor settings

(Thread) 1/ Rural India is facing an unprecedented crisis due to lack of healthcare facilities like O2 beds, ICUs. Most guidelines, if not all, are best used in settings where this isn't the case. 2/
May 16, 2021 • 19 tweets • 5 min read
Steroids in #COVID19 (thread) Steroid therapy is one of the cheapest and most effective therapy for COVID pneumonia. But, confusions abound. Stay with me. It's a little complicated.
May 14, 2021 • 5 tweets • 3 min read
Agree and disagree with @VincentRK statements

Agree - harmful if given early or given too long

Disagree - only useful after they become hypoxic (SpO2 <92)

If we wait for patient to become hypoxic, there's no easy availability of oxygen beds.

See my viewpoint below. Timely start is key
Empowering patients to recognize warning signs is key
Access to an informed doctor is key

Considerable anecdotal reports of benefit with above strategy from peripheral centresc
Feb 20, 2018 • 13 tweets • 3 min read
An RCT published in @bmj_latest with two authors from rural India and NO FUNDING. :) Quite impressive. bmj.com/content/342/bm… My new heroes in medicine - That's the two-people trial team. One day I hope to visit their hospital in rural Maharashtra. For more: ncbi.nlm.nih.gov/pmc/articles/P…