Sparsh

Sarcasm Connoisseur

[Dr. SP @sphavisha]

Doglapan

[Sparsh @Sparshcastic]

Do you remember when you joined X? I do! #MyXAnniversary

[gus @gus17705902641]

@Sparshcastic Sparsh make a video on the recent or any scientific discoveries and their relation to Vedas that some guys calim that everything is present in Vedas

[Sparsh @Sparshcastic]

The meat industry is pushing for dangerous legislation that would legalize the factory farming of rabbits 💔😢 Will you join me in defending bunnies? https://t.co/DhLxoR3EMi

[Official PeeingHuman @thepeeinghuman]

@Sparshcastic and I visited the secret CASTELESS society in New Delhi

[Sparsh @Sparshcastic]

@theliverdoc its been a week, how can we download?

[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

[TheLiverDoc™ @theliverdoc]

Good morning!
The government recommend that doctors prescribe generics because they are affordable.

We already know this.
But are they effective and safe?

There is literally ZERO transparent data on this.

This is why our citizen-led Citizens Generics vs. Branded Drugs Project is going to be the game changer.

Funding for this project is ongoing and people have been extremely helpful and supportive. We have now raised approximately INR 20,00,000 for this intense project.

You can contribute or ask your friends and family to help support this project that will give us a huge amount of information on quality of major branded and generic drugs in the Indian market.

To contribute any amount, please use this link: https://t.co/6YXy2Ko6hT

Here is a list of all the drugs we have purchased (40 numbers each) for the quality assessment! Thank you once again for keeping this fire alive and burning. Let us do it!

Key to abbreviations: JANAUSH = Jan Aushadi, DAVA = Dava India Generics, GENADH = Generics Aadhar, KMSCL = Kerala State Government Generic, BGENERIC = Branded Generics. Rest are local pharmacy available generics or proper (expensive) brands.

[BasharatMahdi Rizvi @rizvibash786]

https://t.co/kD8FnYr8X5 courtesy @kroordarshan feat. @Sparshcastic

Bhai, @SudhanshuTrived ya joker aadmi hai yaar..! 🤡

#Hindutva #Sarcasm #YouTube #FakingIt #Mythbusters #PseudoScience #Nationalism

[Voiceless Echoes @voicelessEchoes]

I Beat Sudhanshu Trivedi's Claims (with real science) ft.@sparshcastic https://t.co/BoRPJ0qwot via @YouTube

[Amzed @Amzed5]

I Debunked Genius MP of India (sarcasm) ft. @sparshcastic https://t.co/AYN5FCGYnP via @YouTube

[Saumya Raj @JournoSaumya]

This is an old report I did for @The_Mooknayak. But years later, the demands of Ladakh remain the same. The people of Ladakh are once again out on the streets, continuing their struggle for their demands.
@Wangchuk66

#LadakhProtests #LadakhStatehood

https://t.co/64eM9fr5uD

[Sparsh @Sparshcastic]

@0gkushhhh yes always there for you

[TheLiverDoc™ @theliverdoc]

The Ministry of Ayush, which is the short terminology for waste of space on Indian land and waste of tax payers money is considering starting post graduate courses in Homeopathy in India on specific subjects.

Homeopathy was invented by Samuel Hahneman to prevent people from undergoing surgery. He called it gentle healing (it's actually reckless fraud). And now Homoeopathy regulators in India want Homeopaths to do what kind of surgery?

I am not sure who will benefit from this. I am not even sure if the Ministry of Ayush has any idea what they are doing with the large amount of funds they receive every budget. If they have no idea, then why not siphon those funds towards actually worthwhile scientific projects and infrastructure?

Why is the public and healthcare community quiet on the huge money loss occurring because the government is feeding these garbage sectors in healthcare?

HomeoPathetic.

[Sparsh @Sparshcastic]

@aryanhainaa Please check your whatsapp DMs, thanks

[Roshan Rai @RoshanKrRaii]

$1 is now ₹87.77

Yet no celebrity has dared to open their mouths.

Here is how they reacted when Rupee fell during Manmohan Singh's Govt.

Read and share this epic 🧵 destroying their spinelessness and hypocrisy.

[Sparsh @Sparshcastic]

@mayur_nath42253 @TrayaHealth Please check DM

[Sparsh @Sparshcastic]

@JainZzz relax, schezophrenia is just a phase

[Sparsh @Sparshcastic]

@JainZzz not surprised