Athul Parameswaran

An Avid Researcher. Studies EM Waves. loves test cricket. Philomath. #Stargazing #feminist and rare blogger. #Avalkoppam always.

[Athul Parameswaran @AthulKpp]

Pinned Tweets

[Athul Parameswaran @AthulKpp]

@Felix_Josemon Enough so they can do anything, but not so much that they can do nothing-Warren Buffett

[Athul Parameswaran @AthulKpp]

@theliverdoc @HarperCollinsIN @theliverdoc finally received the book, and will be sharing comments afterwards.

[Athul Parameswaran @AthulKpp]

@theliverdoc @HarperCollinsIN Pre-ordered. All the best❤️

[Athul Parameswaran @AthulKpp]

@theliverdoc https://t.co/SYGl9FnafM

[Athul Parameswaran @AthulKpp]

Hey @theliverdoc — #Vaazha2 might just make your day 😄
You’ll be happy and proud to see one of the plot points—genuinely caught me off guard in a good way. Seems like your message is getting through, keep at it 🙌

[Athul Parameswaran @AthulKpp]

Hey @theliverdoc — #Vaazha2 might just make your day 😄
You’ll be happy and proud to see one of the plot points—genuinely caught me off guard in a good way. Seems like your message is getting through, keep at it 🙌

[Laxman Sivaramakrishnan @LaxmanSivarama1]

If I have not been used for TOSSES and PRESENTATION for 23 years and new comers come in do pitch report Tosses Presentation even when Shastri was coaching, what do you think could be the reason

[Athul Parameswaran @AthulKpp]

VVS -Rahul❤️ 25 years ! The greatest ever.

[VVS Laxman @VVSLaxman281]

25 years ago at Eden Gardens Rahul and I shared a partnership that will forever remain special. In a moment when the game looked beyond us we chose belief, patience and resilience. That stand was not just about runs but was about trust, teamwork and fighting for every session. Grateful to have shared that journey with Rahul and to be part of a Test that reminded us all that in cricket comebacks are always possible👍 @BCCI #PowerOfPartnership #Believe #Resilience

[Athul Parameswaran @AthulKpp]

#happyWomensDay

[Athul Parameswaran @AthulKpp]

@UnamPillai Thank you for doing these shows. I always love hearing history from you! @UnamPillai

[Athul Parameswaran @AthulKpp]

During my college days in Irinjalakuda, our maths professor asked us to name great mathematicians. We spoke of many from textbooks. Then she reminded us that a true legend lived just a few kilometres away. That thought reshaped how I view history and greatness. thanks for this!

[Manu S Pillai @UnamPillai]

A 14th century Kerala mathematician and genius; his works left behind as Sanskrit literature; and a Malayalam teacher's 25 year quest to find his lost magnum opus. Episode 4 of the SAGA series with @Arpo_IN on Sangamagrama Madhava, ft @LittyChacko2
https://t.co/vB3aMZYNF5

[Athul Parameswaran @AthulKpp]

This kind of work is what keeps me motivated as a researcher. Massive respect to @theliverdoc and the team for this life-changing work—clear evidence, real impact, and science that truly puts people first. Thank you for doing work that matters.#ResearchMatters

[TheLiverDoc™ @theliverdoc]

STAY WITH ME.

A few years ago, a patient was referred to me because he was diagnosed with complicated cirrhosis. He had an infection which led to a condition called hepatic encephalopathy (brain failure due to high ammonia levels). The treatment largely involved ammonia reducing therapies. One drug was central to this - Rifaximin - a non-absorbable antibiotic that reduced ammonia in the body. I prescribed him Rifaximin for 6 weeks and advised him follow-up.

He came back to me, not after six weeks, but in 4 weeks, this time, in liver coma (worst stage of brain failure - due to very high ammonia). He spent two days in the ICU and six days in total in the hospital. His hospital bill was close to INR 80,000. He had no insurance and his wife borrowed the money from neighbors and friends to clear hospital dues.

Upon questioning, I found that he was not taking the Rifaximin drug I had prescribed. He was only on the other two drugs (one, a syrup called lactulose for improving ammonia clearance in gut). I was furious, because the patient spent a whole week unecessarily in the ICU and wasted so much money that he never had - just because he was "not compliant" to my orders. I decided it was time for me to school him a bit.

But I was wrong. He was compliant. He had purchased Rifaximin and was on it. For 15 days. Thereafter, he could not afford it. He was an autorickshaw driver who shuttled school children every morning and evening. He could hardly make ends meet. He had two children of his own. The Rifaximin brand I prescribed him was 42 rupees per tablet. He had to consume two a day - which would mean 2520 rupees a month. He just did not have that money - so he skipped it - to not compromise on other important matters - childrens education and food.

He was confused and scared about opting for a cheaper version of Rifaximin because one, he was unsure about the quality of Rifaximin that was not prescribed by me and two, he was "scared" that I would scold him for buying a cheaper Rifaximin and if that got him into trouble.

I was confused and scared about prescribing a cheaper version of Rifaximin because one, I was unsure about the quality of Rifaximin that was not "a good promoted brand" and two, I was "scared" that his family would scold me for prescribing a cheaper Rifaximin and if that got him into trouble.

It is heartbreaking that many doctors still simply don’t trust generic medicines. Too often, they worry that these cheaper options are lower quality or might cause more problems than the big, famous brands. This fear leads them to prescribe expensive drugs instead, and the real tragedy is that it pushes vital healthcare out of reach for the ordinary people who need it most - like my patient.

This narrative, that generic drugs 'are never good' and that only big pharmaceutical marketed drugs are what works has been deeply ingrained into doctors and patients alike - I do not know by whom and since when. Looking back, these strong emotions were based on either opinions, testimonials or second- and third-hand information. Not evidence.

Like I said. Stay with me. This is life changing and will disrupt the drug market in India. Here are the results of The Citizens Generic vs. Brand Drugs Quality Project.
1/11

[Athul Parameswaran @AthulKpp]

#Avalkoppam always.

[Athul Parameswaran @AthulKpp]

@theliverdoc Why are they applauding while treating someone? Is this a medical procedure or a circus act? And what are those chants — magic spells or something?

[Athul Parameswaran @AthulKpp]

@flipkartsupport my flipkart has been hacked, tried calling your customer care number no response, please help.

[Rana Ayyub @RanaAyyub]

Finally saw Empuraan at a theatre in Mumbai. An incredibly brave blockbuster. Kudos to the writer, Murali Gopy and director @PrithviOfficial . The kind of spine this country truly needs #Empuraan

[Athul Parameswaran @AthulKpp]

@AshwiniVaishnaw Sudden Rush? Which world are you living in?

[Athul Parameswaran @AthulKpp]

@arjukris Karun Nair would have reached great heights in any other country. It’s disappointing to see a player of his calibre disappear. liks before players unfit for the national team should play for first-class cricket instead of squandering opportunities for others.

[Athul Parameswaran @AthulKpp]

You are looking into the performance of a team that has a mighty king and a powerful hitman. Where's the hunger, the grit, the will to fight? Instead, we got a buffet of missed opportunities! It's time to show up or step aside! #INDvAUS #BGT2024 #ViratKohli #RohitSharma

[Athul Parameswaran @AthulKpp]

@Anand108_ I'm genuinely disappointed with every batter; they aren't even putting in the effort. After eight years, we've lost the trophy, and there’s something wrong. We need to focus on teamwork rather than individual marketing.

[Resh Susan @thebooksatchel]

If you’ve got a minute today, look for Oru Cheru Punchiri (Malayalam, 2001) by MT Vasudevan Nair. It’s what you’ve always wanted—a love like that, a smile like that, a companionship on the most ordinary days. One of my favorite films.