SP Kalantri @spkalantri
Physician, Teacher, Researcher, and a Cyclist. At the drop of a hat. Sevagram, Maharashtra, India Joined June 2009-
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My residents asked today who to consult as the patient's blood sugar crossed the 200 mark. Should they turn to the senior resident, the physician, the endocrinologist, or a panel of experts from AIIMS? #MedicalConsultation #DiabetesManagement
Seems like health is the star of this Lok Sabha election show! With all the chatter about blood sugar levels and insulin (or rather, the lack of it), one wonders if health has finally managed to capture the attention of politicians, journalists, & the judiciary! #HealthcareFocus
India's healthcare crisis runs deep, with stark disparities between private and public sectors, compounded by inadequate government funding. @sanjaynagral wonders if the Supreme Court can provide a balanced solution as the matter awaits its judgment. #HealthcareInIndia
India's healthcare crisis runs deep, with stark disparities between private and public sectors, compounded by inadequate government funding. @sanjaynagral wonders if the Supreme Court can provide a balanced solution as the matter awaits its judgment. #HealthcareInIndia
What's important to older patients with incurable #Cancer nearing the end of life? Is it chemotherapy, which might extend life but could lower its quality? Or is it a shorter life with better quality and more freedom? We should ask patients what they prefer.
What's important to older patients with incurable #Cancer nearing the end of life? Is it chemotherapy, which might extend life but could lower its quality? Or is it a shorter life with better quality and more freedom? We should ask patients what they prefer.
Who would have thought that sugar could stir up such bitter exchanges among politicians and media? With sweeteners replacing sugar in tea, could this just be a storm in the tea cup? #diabetes
Kudos to Rajnish Joshi for sharing this captivating journey of the modern stethoscope through those intriguing postal stamps! However, post-Covid, the stethoscope seems to have lost some of its charm. Doctors now use it selectively, sparingly, or even as a mere ritual.
Kudos to Rajnish Joshi for sharing this captivating journey of the modern stethoscope through those intriguing postal stamps! However, post-Covid, the stethoscope seems to have lost some of its charm. Doctors now use it selectively, sparingly, or even as a mere ritual.
Food for bail is indeed food for thought. Never thought there's more to the sugar than meets the eye. #AAP #DelhiCM #DiabetesDrama
In a leading teaching hospital, nearly every backache is treated with painkillers, Vit D, B Complex, Calcium, Pantoprazole & Pregabalin. Most aching backs require none of these drugs. #Overdiagnosis + overprescription are the elephants in the room, even within medical colleges.
It appears that this summer Congress is contesting fewer seats than ever before. Could it be that the adage 'Less Is More'—a principle adhered to by doctors who order fewer tests and prescribe fewer drugs—has spilled over into Indian politics as well? #Elections2024 #LessIsMore
National papers must stop ads promising guaranteed success, cures for incurable diseases, and anti-aging recipes. They shouldn't be complicit in promoting such deceptive practices. Is there a code of conduct for screening such ads? #TruthInAdvertising #DeceptiveAds
In 1971, Bangladesh gained independence from Pakistan after a violent conflict. What is not known widely is how a team of doctors from Calcutta fought off an epidemic in the midst of this savage war, popularising something we often drink today. 1/19
Remember when Kapil @therealkapildev and Sachin @sachin_rt swore by Boost as their secret of energy? And the iconic 'I am a Bournvita boy/girl' ads in the '80s? Yesterday, these once-labeled 'health drinks' lost their status! #Boost #Bournvita #HealthDrinksNoMore
The 85-year-old frail patient in the ICU had no interest in medical interventions- angioplasty or bypass surgery. All he yearned for was to see his son, his tear-filled eyes searching desperately. #FamilyFirst #CompassionateCare
Even if a trial in a wealthy country benefited stomach cancer patients, extending their progression-free survival by weeks, it doesn't justify subjecting poor patients with limited healthcare access to these therapies, potentially impoverishing their families. #Pembrolizumab
Agreed, modern therapy often falls short in incurable diseases. However, offering futile or even toxic alternatives isn't the answer. Let's spare these patients from financial toxicity and provide compassionate palliative care instead. #EndOfLifeCare #PalliativeCare
Saw an 80-year-old villager today, unable to read, burdened with a prescription of 13 medications. Trimmed it down to just 4. Less is often more, especially in old age. #DePrescription #Healthcare #LessIsMore
Meropenem API price slashed by 40% to ₹45,000/kg from ₹75,000. Will this translate to a proportional decrease in the antibiotic's cost and lower hospital expenses? Will the drug industry pass on the benefits to the patients? #Meropenem #HealthcareCosts
Let's reminisce together and celebrate the bond that ties us all as a #MGIMSfamily. Don't forget to use #MGIMSMemories to connect with fellow alumni and current students as we embark on this nostalgic journey through the halls of our beloved MGIMS!
If Patanjali Ayurveda @PypAyurved truly cures cancer and diabetes, it merits a Nobel Prize, not a contempt notice for misleading ads. Where is the scientific evidence for such tall claims?
The issue lies in drug companies' eagerness to tout lofty claims without first publishing their study results in peer-reviewed medical journals. The Covid drug , promising 100% cure, followed suit. #Patanjali
The issue lies in drug companies' eagerness to tout lofty claims without first publishing their study results in peer-reviewed medical journals. The Covid drug , promising 100% cure, followed suit. #Patanjali
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In countries with practically no access to newer myeloma therapies, ASCT for multiple myeloma is alive and kicking. Long-term safety and efficacy of ASCT has been clearly demonstrated. I am reminded of a @BloodJournal study by Mehmet Samur, @NikhilMunshiMD et al where despite a…
Autologous transplant has been in the ICU for a while... thelancet.com/journals/lanha…
डोमाराजू गुकेश मात्र 17 साल में करिश्माई रूप से शतरंज का कैंडिडेट्स टूर्नामेंट जीत इतिहास बना दिया है। विश्व शतरंज चैंपियनशिप के इतिहास में सबसे कम उम्र के चैलेंजर हैं अब वे। आख़िर ऐसा क्यों है कि शतरंज की बात आती है तो तमिलनाडु का ही नाम आता है? वजह यह है कि वहाँ ज़िले.. Thread
Just received this message. Is Bedaquiline being sold at pharmacies?Given the track-record of antibiotic abuse and irrational prescriptions for TB,this has the potential for making us lose a precious drug for MDR TB. @ChapalMehra @MalathyIyerTOI @nandita_venky @doctorsoumya
@spkalantri We can add lawyers and media to the list too !!!
Wow! The government states that that kids less <12 years of age need to be given seats with adults on the same PNR! May I claim a bit of the credit here pls! I hope the govt now works to make seat allotment transparent too-see the photo @virsanghvi @BDUTT timesofindia.indiatimes.com/business/india…
My post on @IndiGo6E s policy of separating kids on the same PNR went viral recently. A thread of solutions follows.
For those with memory-loss about what happened during Covid years and how poorly it was managed @Banjotkaur has done a round up of all the ways in which Covid response was mismanaged by central govt thewire.in/health/covid-s…
@spkalantri Golden rule: Look at the patient. Who your residents consult depends on "WHO" that patient is 😬
The busiest part of the hospital at midnight? See between W and T of your keyboard.
As the Patanjali case came up for hearing in the Supreme Court again today, @parth_0013 and I write in @TheQuint on "Patanjali & a ‘Pandemic of Misinformation’: Why Health Is a Core Political Issue" thequint.com/fit/patanjali-…
@spkalantri Real health isn’t about talking about symptoms but devoid of it, no? Where’s primary health care - infrastructure, health coverage, portability, referral systems? It would mean a lot if ‘the #politicians’ bring in public healthcare systems and #preventive aspects of health.
Lastly, keep demanding ⬆️%of GDP for healthcare, it will not come until collective GDP increases. Vaccinations in childhood & adolescence should be priority for healthcare expenditure in all times. Prevention must be major plank for health development. Healthcare can wait.
Most European countries have this kind of funding. One financier (government) & many different providers. For long European countries have reached the GDP which can afford 10-15% of GDP spent on healthcare. USA it is 22%. But health outcomes in Europe is better than USA.
To reduce out of pocket expenses, government with tax should fund healthcare. But that doesn’t mean government to be sole provider of healthcare. If government funds in way present AyushmanBharat type of insurance, it can control both quality & quantity of care.
Two things are important for health & healthcare. For health market can produce positive results (there are negative also). For healthcare market must be controlled. This can only be achieved by who funds it & how it is funded.
It is right that healthcare is not perfect market because there are gatekeepers like doctors, nurses & other healthcare workers. They create asymmetry in knowledge between customers & providers (shop keepers). Not many people including judges understand this.
As economy grows & at 10 trillion, there will be better access for individuals & government to invest more in health development & healthcare. That is still 10 years away.
When India’s economy was 400$ per capita, it was not adequate for neither prevention or treatment. Now with 3000$ it can afford to an extent for both. That is why AyushmanBharat type of insurance, building toilets, houses, 5 kilo food per person.