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Aju Mathew
Cancer doctor, global health researcher, teacher. Director, Kerala Cancer Care. Part-time faculty @ Univ of Kentucky. Adjunct faculty @ Manipal University
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Aju Mathew 8h
Yikes. Platin/5FU/IO doesn't seem to go like each other. ~ identical to EXTREME regimen.
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Aju Mathew 8h
Replying to @ajumathew_
From Ribas and Wolchok Science 2018
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Aju Mathew 8h
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Aju Mathew 10h
You’ve got to be kidding me. Now this will become an FAQ in cancer awareness events.
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Aju Mathew 10h
Well done, Dario. Proud of you, friend. Would love to see your talk.
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Aju Mathew 11h
That's great to hear. JIPMER is a uniquely funded/created institution right? Why am I skeptical? How many nephrologists work in District hospitals/Taluk hospitals in the North? Shortage of healthcare workers, esp in sub-specialties, in govt sector will be acutely rate-limiting.
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Aju Mathew 11h
Let's all hope for the best. At least for the sake of our nation. This can either break or make our public health.
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Aju Mathew 11h
Replying to @SreejithDr @porinju
:) Worked in one myself - Coimbatore Govt Med College. TN data is not anecdotal. I gave you the 40-50% govt hosp utilizn data from the CM CHIS website. Current PMJAY data is anecdotal (hence, too soon to call it a 'gamechanger').
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Aju Mathew 11h
That's actually good. Problm: can't compare govt hosp in TN, Kerala to that in North. As said, keeping close monitoring for fraud would be absolutely integral. Plan B of PMJAY (setting up of wellness centers/strengthening pub health facilities) should've got more funds
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Aju Mathew 12h
Nice to see this. I was an intern in Trivandrum during that time.
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Aju Mathew 12h
Early on more empaneled govt hospitals vs private. Let’s wait for more data. I like the idea, but just wonder how it’ll affect pub health.
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Aju Mathew 12h
Replying to @SreejithDr @porinju
Will wait for full data before I call it a gamechanger. Especially, proportion of funds used in govt hospitals.
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Aju Mathew 12h
Replying to @SreejithDr @porinju
You’d see data coming in that says people who previously couldn’t access care gets it, like how you mentioned (anecdotal).
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Aju Mathew 12h
Replying to @SreejithDr @porinju
Kerala with 3% people claimed 40% of funds. Setting up strong public health is imp to replicate success off TN’s CHIS.
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Aju Mathew 12h
Replying to @SreejithDr @porinju
~40-50% of claims r from govt hospitals. Why did I say what I said? It’s too early to call it ‘gamechanger’. RSBY existed nationwide.
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Aju Mathew 12h
Replying to @SreejithDr @porinju
I didn’t say the scheme was bad. I just critiqued one part of scheme. What’s diff bet TN scheme & this? Strong public health system exists.
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Aju Mathew 13h
Meanwhile, the 'pharmacy of the World' is sleeping. Or is it? Know if any Indian companies are innovating in field of immunotherapy? , let's please repeat the HIV-meds success in cancer rx as well.
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Aju Mathew 14h
Several patients now under my care in 🇺🇸 are homeless - & it does affect their cancer care; LMIC-like challenges in HIC setting. & - each region has its own unique challenges.
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Aju Mathew 15h
Hahaha. You’ve just won yourselves a follower
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Aju Mathew 15h
Well summarized. And is a quick learner. Probably, the quickest med student learner I've known. :)
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