๐ฆ๐ฐ๐ฟ๐๐ฏ ๐๐๐ฝ๐ต๐๐ is a devastating disease. At Sevagram, our healthcare providers regularly care for hundreds of patients with severe scrub typhus in the ICU. Unfortunately, around 15% of these patients do not survive. A study from India published a day before in the ๐ก๐ฒ๐ ๐๐ป๐ด๐น๐ฎ๐ป๐ฑ ๐ ๐ ๐ฒ๐ฑ๐ถ๐ฐ๐ถ๐ป๐ฒ caught my attention. CMC Vellore, PGI Chandigarh and …
Evidence-based Medicine
Simple, Inexpensive, Effective, Implementable. What more can a Surgeon ask for?
Some research studies make you sit up and take notice when you eye their titles and read the findings. The Lancet study published on 31 October 2022 is one such. A study everyone entering an OT must read. Why did I like this study? Because, hundreds of thousands of studies are published every year. But …
Hydroxychloroquine and Covid: More Questions than Answers
WHO had resumed trials of the drug hydroxychloroquine as a part of the Solidarity Trial to find a cure for the novel coronavirus, COVID-19. The trial had been stopped because a study published in The Lancet said the drug wasn’t as effective as touted. This study is now under the scanner after investigation by the …
Low Bach Ache
The Lancet (http://www.thelancet.com/series/low-back-pain) this week has published three papers on low back pain, which should be read by everyone with a back. Authored by an international group of authors, who examine the current evidence and offer recommendations that are based on solid science, these papers make one sit up and take notice. The Lancet says …
More is not always better
Atul Gawande, the surgeon-researcher-public health activist in his recent essay describes the current medical practice so succinctly : “Millions of people are receiving drugs that arenโt helping them, operations that arenโt going to make them better, and scans and tests that do nothing beneficial for them, and often cause harm.” Once a test or a …
Surgical Pathology in the Kalyug
Dr. Anita Borges at her best! I was glued to her hour-long talkโand could hardly take my eyes off her histopathology and IHC slidesโas she explained in her inimitable style how pathology is rapidly evolving. For over 150 years, histopathologyโfocused on organs, tissues, and cells held sway in pathology. But over the last two decades, …
Angioplasty
One way to see the chorus of emergency angioplasty treatment of acute heart attack is with awe. Another is with utter frustrationโbecause in most cases it is unnecessary- John Mandrola recently summed up beautifully. A 2014 population based study from Sweden (J Am Coll Cardiol 2014; 64:1299-1306) shows that if people eat less, walk more, …
Statistics in Biomedical Research
How to use statistics and report..
How to Write a Paper?
Fun? Exciting? far from it! Here is a link to my PowerPoint presentation on YouTube:
Ignorance or Ineptitude
Every Wednesday morning, physicians and medical residents in my department gather in the seminar room to discuss morbidity and mortality data of the previous week. Our residents tell us how many patients were admitted to our wards, how long did they stay, how many went home and how many couldnโt. A resident tells a story …