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Dr. Kyaw Thet Soe General Practitioner [email protected]

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Dr. Kyaw Thet SoeGeneral Practitioner

[email protected]

History of I.V Injection

Prime Minister U Nu EraAround 1950

Myers’ Cocktail

Dr. John MyersDuring 1960Use Cocktail for 25 yearsJohns Hopkins Hospital inBaltimoreDied in 1984

Dr. Alan GabyDidn’t know original M CocktailContinue to use up to nowadays

Myers’ Cocktail Ingredients

NO PROVEN EVIDENCE

Global Issue

The Drip Bar / Room

Is it time to solve the issue?

• Yes.

• It’s Time to START.

What the world see us

“... The doctors know it’s unethical, but they do it anyway. They do not have time to talk to their patients and really explain. They just want the patients to keep coming back because they need the money...”

Why GPs inject Multivitamin?

FATIGUE

The Reason what GPs give for Multivitamin Injection is

PLACEBOEFFECT

D.Dx of Fatigue

Symptom to DiagnosisAn Evidence Based Guide1st Edition (2006)

Scott D. C. SternAdam S. CifuDiane Altkorn

Do the GPs Waste the Resources?

Burden of Extra

Health Expense

Colours Can’t Cure the Country

Burden of Extra Health Expendicture

Assume that – 40,000 +++ Doctors in the Country.20,000 +++ Doctors working in action.At least 10 patients come to a Doctorfor MV Inj: /day.1 patient cost at least 2,500 Kyats per visit.

Expense

1 x 10 x 20,000 x 2,500 = 500,000,000 Kyats/day

Equivalent = USD 400,000/day at least

Exchange rate – 1 USD = 1250 Kyats

What they decided .....

UK Parliamentary Committee on Science & Technology stated that

“...prescribing pure placebos is bad medicine. Their effects is unreliable & unpredictable...”

Report on Evidence Check 2 :Homeopathy22nd February, 2010

T H A N K Y O U