Praneeth Polamuri MD,DM,FSCAI

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@EurekaForbes
Can you help me understand what is the use of taking AMC when I don't get service when needed. Please give an option to escalate when the standard system is not working. I have already rescheduled twice and still waiting for someone to respond.

[Dr. Anoop Agrawal, MD, FACC @Anoop_Agr]

#AePS
If you don't know what this is, read below
https://t.co/tHQ5KIfNyq

[TheLiverDoc™ @theliverdoc]

This is long, but worth your time. Please read and share widely.

I just came to know about this.

A well meaning Endocrinologist and Diabetes specialist @PremNarayanan9 has been sued and dragged to Court by an Ayurvedic company (IndusViva) that makes a quack product called iCoffee for control of diabetes and weight reduction.

The defamation suit is for $60,000 (50,00,000 INR).

The good doctor had made a one-minute reel on the product, discussing the factual lack of efficacy and safety studies of iCoffee, in good quality human trials.

He was sent a legal notice to take down the video, which he did. The video (with English subs) is linked in the next post (tweet).

But thereafter, a defamation suit was filed at the Bangalore Civil Court against him, by the company, demanding payment for "monetary loss."

In the defamation suit (which I have read through), the manufacturer (IndusViva) mentions that they are a multi-level marketing company and their product is "well tested."

The first part of the statement is true, but the second part, not so.
iCoffee contains:
Salcital (extract from Salacia reticulata herb)
Premium Coorg Coffee (in decaffeinated form)
Velvet Bean (Mucuna pruriens) extract
and an iCoffee Creamer which has 22% Salcitol

The price for 50 sachets is 3000INR ($36)
This is very expensive for an untested product advertised through extraordinary claims and sold through a pyramid scheme.

Extract of Salacia is not standardized in the product. The extract dose is not mentioned. Salacia extract is supposedly beneficial at minimum 1000mg where it acts on glucose absorption in intestines, which still remains to be proven in large quality Phase II and Phase III trials. How much of Salacia does this product contain? No idea.

The effectiveness of Salacia in diabetes is questionable since the quality of evidence is very poor and only based on small human studies.
https://t.co/FwJxmQbZh0

There is literally ZERO studies peer-reviewed and published on iCoffee in medical literature. ZERO.
https://t.co/QbBWT3fOIs

The only study that the manufacturer IndusViva cites showcasing "effectivness" of its quack coffee product, in the defamation suit, is actually a substandard study published in a garbage, third-rate, predatory journal called Indian Journal of Medical and Allied Research, the website of which clearly says they will accept papers "within 24 hours." Clownery from IndusViva company at its peak. And I could not even find that study.
https://t.co/68dfIKhGIx

iCoffee also contains Mucuna puriens or Velvet Bean extract which is a high source of L-Dopamine which carries the risk of the side-effects of L-DOPA, which include several gastrointestinal and neurological symptoms. Like other herbs, it always carries a risk of negative interactions with various medications - meaning it can interact with your real diabetes medications.
https://t.co/hgsXX4KXoS

iCoffee is a quack product and its marketing is based on flimsy evidence. There is no data of iCoffee improving diabetes or reducing weight. There is no data on its safety and side-effects in the short and long term. Please be aware of such products.

I love coffee. Standard black coffee.
But this iCoffee, I would not touch with a 10 ft pole.

And please support doctors like @PremNarayanan9 who bring evidence-based medicine to the people at great personal cost. I hope he wins in Court.

[Karthik Balachandran @karthik2k2]

If you are the kind of patient who asks a doctor for his/her personal phone number remember these things

1. You are not entitled to your doctor’s personal number. Be prepared to take no for an answer

2. In case the doctor gives you their number, it implies a gentleman’s agreement - that you don’t share it with someone else without their express permission

3. Adding a doctor your family/friends WhatsApp group is utterly unacceptable. Your doctor is not your family

4. Sending silly Goodmorning messages is counterproductive

5. Do not, under any circumstance, call at odd hours. “I thought it is an emergency” is a poor excuse - no emergency can be handled on phone. Go to the nearest hospital.

[Dr. Anoop Agrawal, MD, FACC @Anoop_Agr]

A misguided article in @the_hindu newspaper today; potential to spread health-damaging misinformation.
Clinical case in spotlight: a 60 M, who is on hydrochlorothiazide (HCTZ) for hypertension, is admitted for #hyponatremia (low sodium). He was taking a reduced salt diet.

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@konstantin1000 @PCRonline Nicely done. Congratulations. I like the idea of using a guide extension catheter to protect the SB wire.

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

8.6cm Aortic aneurysm!!
How large did you encounter?
#CardioTwitter #echofirst #aorticaneurysm

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@evandrofilhobr Amazing result.
I'm glad the patient well tolerated the long procedure

[Dr. Anoop Agrawal, MD, FACC @Anoop_Agr]

Medical paradox: "People who get a heart attack or a stroke while surrounded by close friends or relatives take longer time to seek medical care"
Why? Share your hypothesis
#StrengthOfWeakTies
#TheRulesOfContagion
#MedTwitter

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@SystemSunday I like my phone a lot with the grayscale. I hope it improves productivity as well.

[Adam Grant @AdamMGrant]

Kids these days aren't as bad as we think.

We make the mistakes of comparing kids to our current traits—forgetting what we were like at their age—and comparing their limitations to our strengths.

Before we vilify younger generations, we should remember our own shortcomings.

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

Yeah!!! Now kids will be getting financial education. Glad to see the change.

[Dr. Anoop Agrawal, MD, FACC @Anoop_Agr]

India's fascination with phone number

https://t.co/42KQlh13Wv

[Rajat Soni, CFA @Rajatsoni]

The easiest way to invest:

Buy Exchange Traded Funds for the long term.

ETFs are baskets of assets that you can buy and sell on the stock market.

Ask yourself these questions when picking ETFs:

[Ashwin Rajenesh MD @ashwinrajenesh]

With videos like this in circulation, we are going to have an epidemic of random uncles suddenly jumping on another's chests for no reason.
CPR isn't to be performed on a responsive person who is breathing. Improper technique may be harmful (1/2)

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@Obisht I know what I'm doing. You know what my experience is

[Giuseppe Biondi-Zoccai @gbiondizoccai]

'Formal, presentation-based conferences may no longer be needed, as attendees appear to be overly preoccupied with snoozing, schmoozing, perusing, and boozing'
https://t.co/Mx9JhOZrvw

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@nntaleb 🤚

[Praneeth Polamuri MD,DM,FSCAI @praneethpolamu1]

@sudarshanballa @WvuCvFellows @CvWvu @cardiooncCMB @kesavan_ps @BritoCardio @HamiraniYasmin @CASivaram1 @mandeep_mayo Give Heparin

[Adam Grant @AdamMGrant]

Wisdom doesn’t come from experience. It comes from reflecting on experience.

Between ages 25 and 75, the correlation between age and wisdom is zero.

Gaining insight and perspective is not about the number of years you've lived. It's about the number of lessons you've learned.