SP Kalantri

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Doctors Sevagram

Ulhas, the writer

Some physicians are known to write creatively, taking up pen alongside their stethoscopes. Ulhas Jajoo belongs to that creed. A Writer-physician or a physician-writer. This week, Ulhas had his four Hindi books published. He writes about the people he admired, and those who shaped his life and times. He also picks up thoughts and narrations …

Covid

Covid: Evidence, Ethics and Economics

This afternoon I spoke on several issues that influence our thought processes when we see patients with Covid19- in the community, in the hospital OPD, wards or ICUs. How should we design our therapy? Should we allow ourselves to prescribe untested and unproven therapies because the atmosphere is filled with fear, desperation and panic? What …

Covid

Clinical Trials in Covid: Ethics and Practice

Fear. Panic. Desperation.  Came Covid and most doctors began to prescribe anti-Covid drugs based not on scientific research, but based on anecdotes, media stories, newspapers, TV channels and promotion of drugs by the drug industry. The virus pushed the Evidence-based medicine to the back seat. Physicians were either reluctant to— or didn’t know how to— …

Covid

COVID-19: The need for evidence-based medicine

A number of old drugs approved for other diseases are being “repurposed” and tested for their safety and efficacy in COVID-19, in systematic clinical trials. They have emergency approval for use in COVID-19, but most are not yet proven for this use. Some drugs have received approval without adequate testing. Other drugs are being used …

Covid

Covid and Ayurveda

I criticised Patanjali Ayurveda’s claimed cure for COVID-19 for making unsubstantiated claims of efficacy. The drugs it is offering are untested and unproven. They haven’t proven their mettle in a well-conducted adequately sized randomized controlled trial. The proponents of Ayurveda, however, ask – can Ayurveda, or alternative medicine in general, be evaluated in the same …

Drug Industry

Medical Conferences sans Drug Industry Sponsorship

Medical conferences are fast degenerating into melas that educate, entertain, amuse and irritate and deceive—not necessarily in that order. One can smell, see and feel the drug industry everywhere, advertising on the walls, shaping the contents and style of educational programmes, tempting with gifts and free meals, travel and other amenities. In 2003, MGIMS became …