Yeshwanth M S

Pediatrician.
MAMC '21

[Yeshwanth M S @ChettyYeshwanth]

@Sakshhi111 Which insurance company is this?

[Yeshwanth M S @ChettyYeshwanth]

@DrChandruCS Very well written... It's a career path which is yet to be fully explored.

[Yeshwanth M S @ChettyYeshwanth]

@volklub I want a car which is safe.
And do u suggest kia syros?

[Yeshwanth M S @ChettyYeshwanth]

@Lap_surgeon @docalok Couldn't agree more

[Yeshwanth M S @ChettyYeshwanth]

@DrAditya2935 Mine is from 2014 and it starts with 9

[Yeshwanth M S @ChettyYeshwanth]

@BajpayeeManoj @grok explain context

[UF @UtdFaithfuls]

Don't say anything. Just retweet. 😂😂😂

[Yeshwanth M S @ChettyYeshwanth]

@Sggenios7 @DrAditya2935 Common nahi hai toh kya hua bhai, 100% mortality toh hai na.

[Yeshwanth M S @ChettyYeshwanth]

@SirKazamJeevi Haan yeh bhi sahi hai😂

[Yeshwanth M S @ChettyYeshwanth]

@DrAditya2935 I couldn't agree more!
At this rate of objective exam we see cutoffs at -40, once the tadka of subjectiveness is added. It will be a chaos.

[Yeshwanth M S @ChettyYeshwanth]

@LegacySiu Angel di maria

[Roshan Rai @RoshanKrRaii]

This is Anand Malviya, Dewas SDM

He was suspended today by the MP BJP Gov.

His only crime was that he dared to mention the shameless ghanta remark made by Minister Kailash Vijayvargiya after the Indore water contamination deaths in the official press note.

He risked his life and career but exposed this shameless minister brutally.

Anand Malviya is a hero.

The irony is that Vijayvargiya should have been suspended but he continues to enjoy his life as if nothing happened.

[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

[Yeshwanth M S @ChettyYeshwanth]

@AskAnshul Isn't blue cylinder indicative of commerical cylinder?

[TheLiverDoc™ @theliverdoc]

A part of the Indian media and proportion of the public in general expect doctors to take harsh beatings and aggression, and swallow verbal abuses, since being a doctor in India means they are always taken for granted because they are going to be noble with everything including facing violence.

Because the decades long narrative in India is that doctors are looters, they are slaves to pharma and that they are always at your service. People call doctors business members, but expect a quick and free whatsapp consultation.

People are confused. But here is clarity.
The oath, "Do No Harm" is only for the treatments delivered, not to stay silent or play dead when rascals including violent patients attack intentionally and irrationally.

The uncles in regulatory and authority positions are incompetent to see both sides because they are boomers who have zero rational thoughts.

I am happy for the doctor who lost his job "illogically" after serving people for 8 long years. Gives him the freedom to choose something better. Go somewhere better. Do something better. Because do not expect anything from this pseudoscience loving hell hole of a country as a doctor, because you can never find gratitude here.

Times have changed.
Doctors are humans too.
Tread lightly.

[Yeshwanth M S @ChettyYeshwanth]

@ShivAroor Haan Bhai jab doctor pe assault hota hai doctor ki galti aur jab woh assault karta hai woh bhi usi ki galti. Apna double standards dekho lo.

[Yeshwanth M S @ChettyYeshwanth]

@theliverdoc Now I want to know what happens when there is pimple on my forehead?
Any ideas sir😂😂😂

[Yeshwanth M S @ChettyYeshwanth]

@docrohan Sir, the problem is the entire 19 subjects notes feels so overwhelming.
The revision notes itself feels like the main one.
I have seen my students use it.