Yashvant Bodar

Learning everyday to save each possible life.

Medical graduate,
interested in research,volunteering and gaining experience of any possible pov of healthcare.

[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

[Yashvant Bodar @bodar_113]

@DoctorBhavsar 1) met. Acid. with concomitant resp. Acid. May be due to resp. Fatigue

2) met acid with compensatory resp alc. due to hyperventilation by ventilator

3) met acid with concomitant resp acidosis

[Yashvant Bodar @bodar_113]

#RGKAR
This #IndependenceDay2024 Color of flag is gone, it's darker today. No one can tolerate when one lifesaver gets tortured, murdered and rapped. Its none less than #Nirbhaya
Country needs #harJagahSuraksha not #HarGharTiranaga
Wish god give enough strength to her parents🙏🏻

[Yashvant Bodar @bodar_113]

@getbetterwithnb @gorangii09 It's not a great idea to crack your memes over this point. Once you get into system you will realize. Good for you that you're on another path.
If you still thinks same put your loved ones in that place and play movie again.

[Yashvant Bodar @bodar_113]

@bigdatasumit Interested

[Dr Ashwini Dalmiya @DalmiyaDr]

Lakhs of Quacks in Delhi alone playing with lives of citizens. Bonafide students studied after NMC permission. Now harassing them in the name of poor training . Shame @NMC_IND Revert ur decision @FordaIndia @official_afa_ @dentodontics @PMOIndia @DrDhruvchauhan @GirishTyagiDMC

[Yashvant Bodar @bodar_113]

@EM_RESUS Wht mass was preventing trachea from deviating ??

[Yashvant Bodar @bodar_113]

@EM_RESUS Your dish must include,
1/2 part of solid,1/4 part of liquid and another 1/4 part must be empty. 🍽️⚕️

[Yashvant Bodar @bodar_113]

@BrownJHM Shingles after herpes zoster

[Yashvant Bodar @bodar_113]

@BrownJHM @Radiopaedia This is pure pneumothorax 🩻

[Yashvant Bodar @bodar_113]

@DrSatyajeetsinh @sanghaviharsh @CMOGuj @GujaratPoliceGP @CollectorSRN @SPSurendranagar @DrMunjparaBJP @irushikeshpatel @GIDA_Official @PMOIndia @IMAIndiaOrg No news channel cover this more than a small preview of event like an advertisement, unless and untill you’re not a politician.
#Violenceinmedicine @mansukhmandviya

[Yashvant Bodar @bodar_113]

@drkeithsiau Beck’s triad, which is presents in case of cardiac tamponade.

[Yashvant Bodar @bodar_113]

@drkeithsiau SLE fav topic of examiner

[Yashvant Bodar @bodar_113]

@thevirdas That guy doin comedy with another comedian 😂’

[Yashvant Bodar @bodar_113]

@airindiain I have a flight on 10 july all flight are cancelled but they are telling that your flight is scheduled and before 2 days they are giving all refund back,i want all my refund back right now, so i can book another available flight.