Priyan R

.NET Developer | .NET | C# | JS | HTML | React | Cloud | Kubernetes | Electronics & embedded systems Hobbyist

[Priyan R @priyanr]

@davepl1968 Checkout to run natively in modern windows https://t.co/kqJHSXsIy6 it's created for running games series of posts Abt the design https://t.co/UNwX5mbwgj with Tweeks it can run that app too

[TheLiverDoc™ @theliverdoc]

Dear friends, I have something important to tell you.

In December 2024, 'researchers' from multiple Indian Government Homeopathy institutions along with 'researchers' from Israeli Homeopathy institutes, published a randomized controlled trial that concluded that use of Homeopathic formulations in children during first 24 months of life reduced infections and antibiotics use compared to 'standard of care.' This was published in the prestigious European Journal of Pediatrics.

The study was viral. It was all over the media and news here in South India and also in some National media and was Whatsapp 'proof' of Homeopathy being better than modern medicine in infants. The study was used to promote anti-vaccine sentiments and Homeopathy products in South India. Homeopaths hailed the study as 'path breaking' - also because the Ayush Ministry and Government Homeopathy practitioners were study authors involved in it.

I read the study. I am trained in advanced statistics and research writing.

The study was utter nonsense. And fraud. It looked like the authors did not even actually perform the study. I really doubted whether any patients were involved at all.

I wrote a letter to the editor of the journal, asking him to kindly review the paper and investigate 'scientific integrity' and ethics.

And after nearly 10 months of investigations by the Journal, Publisher and Research Integrity Team, we were proven correct.

The paper was fraud and now it has been RETRACTED. @RetractionWatch

The lesson here is that, if people really did understand what Homeopathy is and what its practitioners are, it is easy to find that it is clearly fraud. There is nothing in Homeopathy that works. It is unscientific utter nonsense. Every positive study on Homeopathy is mostly published in 'Homeopathy' journals. Sometimes, it infiltrates a real, valid journal (like in this case) and then it gets retracted because the scientific community is always alert.
There are many such instances: See - https://t.co/JHC3anPss3 and https://t.co/iDRNha2Yw5 and https://t.co/84S02zuxv3

The worst part here is that all these Homeopathy practitioners who are authors of the study are working in Indian Govt. public health sector - meaning, their salary is paid from public funds and citizens taxes. These wastrels are eating away our hard earned money and using it to fund fraud. Who will stop these criminals?

Even worse, the fraud, now retracted study was published as 'open access' in the European Journal of Pediatrics - which means, the authors paid £3090.00 GBP or $4990 USD, or €3990 EUR equivalent in INR to publish fraud. Where did they get this money from? Yes. Indian public tax money.

Homeopathy needs to be booted out of this country. Parents, do not send your children to study Homeopathy even though India offers a 5 year course and gives them a "Dr." title at the end of it. They are not doctors. They are legitimized frauds and legalized quacks, as you can see from this retraction.

"Homeopathy is a lively relic of the prescientific era. Not healthcare."
@arifhussaintm

Link:
https://t.co/0CxLrVMHDj

[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

[ChessBase India @ChessbaseIndia]

Yesterday, we recorded one of our first in-person interviews with Garry @Kasparov63! Check out his tremendous calculation skills and assessment of the Chess960 positions in this video.

[Priyan R @priyanr]

@theliverdoc Dr what about ivy leaf syrups , prescribed by many doctors

[TheLiverDoc™ @theliverdoc]

Gentle reminder that the term “superfood” is not a scientific or medical classification. Its origins are not in a laboratory but in a boardroom.

The United Fruit Company, first popularized the term "superfood" in the early 20th century to market bananas as a cheap, nutritious, and easily digestible food source, leading to their inclusion in daily diets and endorsements from physicians.

Today, this marketing tactic has evolved into a billion-dollar industry that defrauds hundreds of thousands of consumers worldwide.

[Paul Bohm @paulbohm]

I tracked my stolen phone across Vienna for 24 hours, skipped my flight to New York, and hired a Serbian bodyguard named Milovan to help me confront the thief.

Here's how it went down: I went with friends to a public swimming pool in the mountains of one of Vienna's nicest districts, and after a fun day of swimming I went to the changing room to put clothes on.

While doing so I left my phone outside on a table for barely a minute, but when I returned, someone had taken my phone and disappeared. No one saw anything.

Not knowing what else to do, we rushed home with a taxi to get to my computer. And there we saw the thief moving my device through the city to EVERY part of town for many hours.

There was no way I could chase this car down.
I had a hard deadline: A flight the next morning.

Around 1am the phone finally came to rest at a residential address, but what was I going to do: Storm an apartment in the middle of the night?

At 7am I took my flight to New York via Berlin, but when I landed in Berlin at 8am I almost got a heart attack: My stolen phone had returned to the scene of the crime: Back at the public outdoor pool in Döbling in the idyllic mountains of Vienna.

That's when it hit me—my phone had been taken by an employee. There was no way I was letting this go: I skipped my flight to New York and instead took the first flight back to Vienna.

At the Airport I booked a taxi driver from Serbia named Milovan on an hourly rate to be my bodyguard, and called a friend who had been at the pool with me the day before to come as well.

When I got to the pool, my phone tracker showed me where my phone was: Big fat letters spelling "NOW" right next to a group of employees. We called the police!

One of the employees wanted to kick me out and ban me from this public pool ran by the city of Vienna for life for making accusations.

It later turned out that employee was the thief. But I persisted until the police showed up.

Apple's Find My network detects other devices by exchanging signals between all surrounding devices. The more devices there are nearby, the more accurate the location.

The pool was an outdoor open air area, but all I knew was that the phone was there NOW, but not exactly where. Extremely frustrating.

But I had one more ace up my sleeve: I told the police the address where the phone had gone to rest the night before.

It turned out one of the employees lived exactly where I knew my phone had stayed over night, and so now they had a suspect after interviewing the staff. The police followed him without tipping him off, and noticed he had behaved suspiciously.

After the suspicious employee went to the bathroom, they searched it and

THEY FOUND MY PHONE.

This was an intense 24 hours, and I've had no sleep yet, but I'm incredibly thankful to the extremely professional Viennese police who helped me get my phone back, and to the employees who were patient and helped even though I accused one of their colleagues.

Sometimes maintaining a high-trust society means actually chasing down the thieves who abuse it.

24 hours. No sleep. One recovered phone. Worth it.

[GitHub Projects Community @GithubProjects]

“Windows”, but in a docker container.

[SpaceX @SpaceX]

Watch Starship's tenth flight test → https://t.co/UIwbeGoo2B https://t.co/MQg9ZAjCip

[FFmpeg @FFmpeg]

It's important to remember that "technology influencers" can be bad role models. Many encourage people to be "fans of technology" instead of actual developers of technology.

Hot takes are easy, writing good code is not.

[Priyan R @priyanr]

@theliverdoc Dr what Abt ayurvedic massages & kizhi, one more I noticed ivy leaf extract cough syrups are given by all drs,pharmacies for kids saying it's safe and works better

[Priyan R @priyanr]

@theliverdoc Dr what Abt ivy leaf extract cough syrups

[Cloudflare Developers @CloudflareDev]

Engineers when they overhear the salesperson telling a customer the feature will be completed in 1 week

[SpaceX @SpaceX]

The Road to Making Life Multiplanetary: an update from @elonmusk on SpaceX's plan to reach Mars

[Marc Backes @marcba]

pride versioning > semantic versioning 😂

[Science girl @sciencegirl]

Evolution of the computer from 1940 to 2100

📹AI
https://t.co/6Wfv7AVQSO

[ET Money @ETMONEY]

We did more than 150 threads in 2024.

All of them were data-backed explainers.

Wondering which one you should start with?

Here’s a curated list of our 10 MOST-LOVED threads. 👇

Bookmark and retweet this🧵 to help more investors.

[Chris Bigelow @chbigelow]

Shane could get hired at any hardtech startup in an instant... his YT channel is hardcore competency porn.

Most creators in his vein outsource the actual engineering or hack together shit with epoxy and 3d printed parts

Shane is coding in his basement for 3 days straight with a $150K Haas 5-axis CNC humming in the background.

[Priyan R @priyanr]

@amuldotexe Glad that you are well now, but what @theliverdoc thinks abt cupping and needling