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Dr. Abhishek Shukla (Geriatrician) explains ventilator removal A ventilator is started when a patient is unable to breathe adequately on their own or when oxygen supply to the body is critically low. In this case, the patient was brought unconscious, gasping for breath, with no pulse and no blood... pressure. He was immediately intubated, placed on a ventilator, and started on life-saving medicines, antibiotics, fluids, and nutrition support. Further evaluation showed aspiration pneumonia, which was treated aggressively. Over the next few days, the patient improved significantly—his lung infection settled, blood pressure stabilized, oxygenation improved, and medicines like dopamine and vasopressin were stopped. Gradually, ventilator support was reduced from controlled mode to SIMV and then to pressure support mode, where the patient started breathing largely on his own. Before removing the ventilator, we assess whether the patient is conscious, able to follow commands, maintaining oxygen saturation, and tolerating T-piece breathing trials. This patient successfully maintained 3–4 hours of spontaneous breathing, which confirmed readiness for extubation. The most important step before extubation is suctioning the tube and mouth to remove secretions and prevent aspiration. Once cleared, the cuff of the endotracheal tube is deflated, and the tube is gently removed. After extubation, oxygen support, nebulization, chest physiotherapy, and spirometry are started. Successful ventilator removal is not just taking out the tube—it is careful planning, monitoring, and ensuring the patient can sustain breathing independently.#VentWeaning#Extubation#MechanicalVentilation#CriticalCareNursing#RespiratoryTherapy#ICURecovery#BreathingOnHisOwn#BreathingOnHerOwn#OffTheVent#ICUSurvivor#MiracleRecovery#KeepFighting#RespiratoryHealth#LungHealth#IntensiveCareUnit#CriticalCare#MedicalMiracle#NursingLifeshow more

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VIDEO | Telangana: It's nearly 3,900 kilometres between Wuhan in China and Hyderabad in India. But this distance disappeared when a senior urologist performed a robotics-assisted tele-surgery from a hospital in Wuhan on a 57-year-old woman in Hyderabad. The procedure was led by Indian urologist Dr Syed Mohammad Ghouse from Hyderabad's Asian Institute of Nephrology and Urology, who was in Wuhan at that point in time. Dr Syed Md Ghouse, Director, Robotic and Minimal Access Urological Surgery, AINU, Hyderabad, said, "It was basically a ureteric reimplantation that was contemplated for a patient who got a ureteric obstruction. What is ureteric obstruction? It is a tube which connects kidney to the urinary bladder and this tube was blocked for this particular patient. This blocked tube was freshly attached to the bladder which is known as ureteric reimplantation. So, this we regularly do in our operation theatre with the robot and console by the side of the patient, but this was extended to Wuhan, because I was called for a conference there ,and there were 4-5 other surgeons, who had done tele-surgery from there to there own countries. I have done from there to this patient and it was done successfully. The patient went home." (Full video available on PTI Videos -

VIDEO | Telangana: It's nearly 3,900 kilometres between Wuhan in China and Hyderabad in India. But this distance disappeared when a senior urologist performed a robotics-assisted tele-surgery from a hospital in Wuhan on a 57-year-old woman in Hyderabad. The procedure was led by Indian urologist Dr Syed Mohammad Ghouse from Hyderabad's Asian Institute of Nephrology and Urology, who was in Wuhan at that point in time. Dr Syed Md Ghouse, Director, Robotic and Minimal Access Urological Surgery, AINU, Hyderabad, said, "It was basically a ureteric reimplantation that was contemplated for a patient who got a ureteric obstruction. What is ureteric obstruction? It is a tube which connects kidney to the urinary bladder and this tube was blocked for this particular patient. This blocked tube was freshly attached to the bladder which is known as ureteric reimplantation. So, this we regularly do in our operation theatre with the robot and console by the side of the patient, but this was extended to Wuhan, because I was called for a conference there ,and there were 4-5 other surgeons, who had done tele-surgery from there to there own countries. I have done from there to this patient and it was done successfully. The patient went home." (Full video available on PTI Videos -

Press Trust of India

57,863 Aufrufe • vor 4 Monaten

#WATCH | Ahmedabad, Gujarat: Dr Sandip Sonara, Advanced Gynec laparoscopic Surgeon and Endometriosis Specialist says, "Recently I have published a research paper in which I have diagnosed a rare presentation of endometriosis. The patient was suffering from symptoms like endometriosis or I can say pain and infertility for 14 years… This patient was suffering from pain during menstruation, back pain and infertility. She consulted orthopaedic surgeons, gynaecologists and pain specialists. No one was able to diagnose the disease. When the patient came to me and my team, we thoroughly examined the patient… We operated on the patient and we removed the cyst located at the bottom of the uterus. We removed it and it proved to be a mesonephric cyst endometrioma. Regarding the rarity of this case, it was diagnosed in humans for the first time in the world. Before this case, it was diagnosed only in dogs, only three times in the world. We were the first to diagnose and treat this disease in humans, and we operated and treated the patient."

#WATCH | Ahmedabad, Gujarat: Dr Sandip Sonara, Advanced Gynec laparoscopic Surgeon and Endometriosis Specialist says, "Recently I have published a research paper in which I have diagnosed a rare presentation of endometriosis. The patient was suffering from symptoms like endometriosis or I can say pain and infertility for 14 years… This patient was suffering from pain during menstruation, back pain and infertility. She consulted orthopaedic surgeons, gynaecologists and pain specialists. No one was able to diagnose the disease. When the patient came to me and my team, we thoroughly examined the patient… We operated on the patient and we removed the cyst located at the bottom of the uterus. We removed it and it proved to be a mesonephric cyst endometrioma. Regarding the rarity of this case, it was diagnosed in humans for the first time in the world. Before this case, it was diagnosed only in dogs, only three times in the world. We were the first to diagnose and treat this disease in humans, and we operated and treated the patient."

ANI

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Update on the kid who fell unconscious Yesterday during #Pushpa2 premiere release— From KIMS Hospitals, Secunderabad An 8-year-old child was brought to the ER in a semi-conscious state. Prior to arrival, CPR was administered by police personnel and bystanders. Upon presentation, the child exhibited low oxygen saturation and irregular breathing, necessitating immediate intubation and ventilation. A CT scan of the brain and spine was performed, revealing no significant abnormalities. Although lactic acidosis has improved, the child’s sensorium remains impaired. The condition is still critical, and the patient is currently under intensive care with continuous monitoring as the medical team works to stabilize him. The child’s critical condition is believed to be a result of prolonged unresponsiveness, likely causing severe hypoxia and potential lung injury from aspiration or contusions. Prompt CPR provided by bystanders and the police was instrumental in reviving the child, enabling further medical intervention.

Update on the kid who fell unconscious Yesterday during #Pushpa2 premiere release— From KIMS Hospitals, Secunderabad An 8-year-old child was brought to the ER in a semi-conscious state. Prior to arrival, CPR was administered by police personnel and bystanders. Upon presentation, the child exhibited low oxygen saturation and irregular breathing, necessitating immediate intubation and ventilation. A CT scan of the brain and spine was performed, revealing no significant abnormalities. Although lactic acidosis has improved, the child’s sensorium remains impaired. The condition is still critical, and the patient is currently under intensive care with continuous monitoring as the medical team works to stabilize him. The child’s critical condition is believed to be a result of prolonged unresponsiveness, likely causing severe hypoxia and potential lung injury from aspiration or contusions. Prompt CPR provided by bystanders and the police was instrumental in reviving the child, enabling further medical intervention.

@Coreena Enet Suares

77,296 Aufrufe • vor 1 Jahr

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”

Dr. Caleb Masterson say health insurance companies are openly breaking laws in Alabama He explains some of his patients situations with insurance companies - “I had an insurance company tell a patient that no authorization for the procedure was required, the procedure was performed, and then the patient was denied the care because the procedure was never authorized. So the patient got charged the entire cost of the procedure” - “I had another patient who is supposed to be due an answer to an insurance claim within 30 days of submission. If they do not reply within 30 days, that's breaking Alabama law. And that claim is currently at the 65th day, so its insurance can be breaking the law.” - “Then I had an insurance company deny care to a patient that they had previously approved. So a patient qualified for surgery based on medical necessity, they had met all the criteria for surgery, they underwent surgery, then the patient had that surgery denied. The patient submitted that information to the insurance company and said, Hey, look, this was already pre-approved. And they said, We reversed our decision and the patient had to pay.”

Wall Street Apes

46,070 Aufrufe • vor 8 Monaten

In an exclusive interaction with DD News Jammu, the lady doctor from GMC Jammu who was physically assaulted by the attendants of a patient said, “I was on emergency duty yesterday. I got a call that a patient is unstable and not able to breathe...I removed the tube but still the patient was not able to breathe…during these medical procedures, the attendants of the patient were getting aggressive…I tried to make them understand about all medical procedures but they became aggressive…We do not deserve this treatment because we give our hundred percent”. Manoj Sinha Syed Abid Rasheed Shah Sakina Itoo Omar Abdullah

In an exclusive interaction with DD News Jammu, the lady doctor from GMC Jammu who was physically assaulted by the attendants of a patient said, “I was on emergency duty yesterday. I got a call that a patient is unstable and not able to breathe...I removed the tube but still the patient was not able to breathe…during these medical procedures, the attendants of the patient were getting aggressive…I tried to make them understand about all medical procedures but they became aggressive…We do not deserve this treatment because we give our hundred percent”. Manoj Sinha Syed Abid Rasheed Shah Sakina Itoo Omar Abdullah

DD NEWS JAMMU | डीडी न्यूज़ जम्मू

18,584 Aufrufe • vor 1 Jahr

I joined Erin Burnett OutFront / Erin Burnett last night to discuss hantavirus and the cruise ship outbreak. Some thoughts: THE SITUATION ON THE SHIP IS SERIOUS My first thoughts were about the good doctor who was on-air right before me, and the rest of the people still on the ship. Hantavirus is serious with a long incubation period, several have died already, and this strain spreads human-human (not just rodents). The ship's doctor got sick, and this doc stepped up to treat people on the ship. He described protections he was taking (goggles, gown, hand-washing), but they were insufficient because there is evidence this virus spreads beyond "close contact", which means ventilation and filtration are important. THE RISK AND THREAT TO GENERAL PUBLIC IS LOW Despite the situation being serious on this ship, the system is working the way it should. Health officials are investigating and tracing, severely ill passengers are being treated, passengers who left the ship are notified and in quarantine. For the general public, the threat is low. THERE IS EVIDENCE OF HUMAN-HUMAN SPREAD AND TRANSMISSION BEYOND "CLOSE CONTACT" I've read a lot of people say this can only be spread via "close contact", but there is evidence that is not the case. The best information we have about hantavirus spreading human-human (Andes strain, same one as the cruise ship outbreak) comes from a meticulous study about a past outbreak that wasn't a cruise ship. I read the paper (and the supplement, which is where the good info always is...). There are many examples of transmission without "close contact": Patient 1 --> Patient 4 "did not have any physical contact and simply said “hello” to each other as they crossed paths" Patient 1 --> Patients 3 & 6 "seated at different tables and spatially separated by 1–2 m" Patient 2 --> Patient 11 "No direct or close contact between the two patients was reported." Patient 8 --> Patient 28 "Patient 8 shared a room with Patient 28 and her relative. Patient 28 and Patient 8 did were not in close contact." OTHER IMPORTANT DETAILS IN THAT PRIOR OUTBREAK -In that outbreak, one person infected 5 at a birthday party. One of those infected then infected his wife. He died, and his wife infected 10 more at her husband's funeral/wake. -They got the outbreak under control by strict isolation and quarantine, with people having to stay home for 40 days with no contact with others. CHALLENGES, AND WHAT I'M WATCHING -The long incubation period (several weeks) means it will take some time to know if others get sick, or if we have had any secondary transmission after the boat (29 people from the boat already returned home, but are still within the incubation period). -There is one report of a flight attendant hospitalized/ill, but it's not clear if they have hantavirus. Someone with hantavirus boarded a flight *but was removed from the plane before takeoff* because they were so sick. So, if transmission did happen, it happened in that one hour while the plane was on the ground.

I joined Erin Burnett OutFront / Erin Burnett last night to discuss hantavirus and the cruise ship outbreak. Some thoughts: THE SITUATION ON THE SHIP IS SERIOUS My first thoughts were about the good doctor who was on-air right before me, and the rest of the people still on the ship. Hantavirus is serious with a long incubation period, several have died already, and this strain spreads human-human (not just rodents). The ship's doctor got sick, and this doc stepped up to treat people on the ship. He described protections he was taking (goggles, gown, hand-washing), but they were insufficient because there is evidence this virus spreads beyond "close contact", which means ventilation and filtration are important. THE RISK AND THREAT TO GENERAL PUBLIC IS LOW Despite the situation being serious on this ship, the system is working the way it should. Health officials are investigating and tracing, severely ill passengers are being treated, passengers who left the ship are notified and in quarantine. For the general public, the threat is low. THERE IS EVIDENCE OF HUMAN-HUMAN SPREAD AND TRANSMISSION BEYOND "CLOSE CONTACT" I've read a lot of people say this can only be spread via "close contact", but there is evidence that is not the case. The best information we have about hantavirus spreading human-human (Andes strain, same one as the cruise ship outbreak) comes from a meticulous study about a past outbreak that wasn't a cruise ship. I read the paper (and the supplement, which is where the good info always is...). There are many examples of transmission without "close contact": Patient 1 --> Patient 4 "did not have any physical contact and simply said “hello” to each other as they crossed paths" Patient 1 --> Patients 3 & 6 "seated at different tables and spatially separated by 1–2 m" Patient 2 --> Patient 11 "No direct or close contact between the two patients was reported." Patient 8 --> Patient 28 "Patient 8 shared a room with Patient 28 and her relative. Patient 28 and Patient 8 did were not in close contact." OTHER IMPORTANT DETAILS IN THAT PRIOR OUTBREAK -In that outbreak, one person infected 5 at a birthday party. One of those infected then infected his wife. He died, and his wife infected 10 more at her husband's funeral/wake. -They got the outbreak under control by strict isolation and quarantine, with people having to stay home for 40 days with no contact with others. CHALLENGES, AND WHAT I'M WATCHING -The long incubation period (several weeks) means it will take some time to know if others get sick, or if we have had any secondary transmission after the boat (29 people from the boat already returned home, but are still within the incubation period). -There is one report of a flight attendant hospitalized/ill, but it's not clear if they have hantavirus. Someone with hantavirus boarded a flight but was removed from the plane before takeoff because they were so sick. So, if transmission did happen, it happened in that one hour while the plane was on the ground.

Joseph Allen

44,368 Aufrufe • vor 4 Monaten

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

Wall Street Apes

115,739 Aufrufe • vor 1 Jahr

SUMMERY AFTER WATCHING WHOLE VEDIO & COMMENTS. It appears that public opinion is divided, largely influenced by vote-bank politics), and even the government seems to be leaning toward the majority side. BUT Justice requires examining mistakes on both sides to determine who is telling the truth and who is lying. ★The video clearly shows that when the doctor said the patient was only four years older than him, the patient called the doctor “mentally unstable.” ★The video also shows how the patient, who was lying on the bed, was being restrained because he was behaving violently. The patient forcefully kicked the doctor in the chest. We are not blindly supporting the doctor, but we believe the issue should be judged logically and fairly. Accountability should be equal for both parties including Political goons who are giving Death threats) , and punishment (if warranted) should apply to both. It should not be a one-sided action where no steps are taken against the patient, while only the doctor is suspended. There are reports that the doctor has been terminated; this should not happen and is completely unjust. #medtwitter IGMCSHIMLA

SUMMERY AFTER WATCHING WHOLE VEDIO & COMMENTS. It appears that public opinion is divided, largely influenced by vote-bank politics), and even the government seems to be leaning toward the majority side. BUT Justice requires examining mistakes on both sides to determine who is telling the truth and who is lying. ★The video clearly shows that when the doctor said the patient was only four years older than him, the patient called the doctor “mentally unstable.” ★The video also shows how the patient, who was lying on the bed, was being restrained because he was behaving violently. The patient forcefully kicked the doctor in the chest. We are not blindly supporting the doctor, but we believe the issue should be judged logically and fairly. Accountability should be equal for both parties including Political goons who are giving Death threats) , and punishment (if warranted) should apply to both. It should not be a one-sided action where no steps are taken against the patient, while only the doctor is suspended. There are reports that the doctor has been terminated; this should not happen and is completely unjust. #medtwitter IGMCSHIMLA

Indian Doctor🇮🇳

29,583 Aufrufe • vor 9 Monaten

EMT Harry Fisher: "They were paying me $1,000 a shift [to bring patients to hospital 'death camps']...When I learned what I literally was doing, I tried to coach them, like, 'Hey, they're going to try to put you on a ventilator. I haven't seen anybody come off of these vents." This clip of Fisher (Harry Fisher), an EMT paramedic, military veteran, and co-author of Safe and Effective...For Profit, is taken from an interview with Joe Oltmann () posted to the UntamedNation (Untamed Nation) Rumble channel on October 21, 2025. ---------------Partial transcription of clip---------------- "I never saw anybody come off the tube. Like whenever I was, I worked New York City, lower Manhattan ICU and ER. I picked up contracts there because they were paying us stupid money to work these contracts, which is another reason I realized, oh, okay, well, if you're going to pay a paramedic $1,000 a shift, so a 12 hour shift, they were paying me $1,000 a shift and putting me up in New York City. I can only imagine what the bigwigs were getting paid with the federal dollars. "When I learned that what, what I literally was doing, I tried to coach them, like, hey, they're going to try to put you on a ventilator. I haven't seen anybody come off of these vents. I suggest you just, you know, it's, you're going to have anxiety because that's typically why we would get the calls or why they would come in is anxiety. And they would have low saturations. It was, something called happy hypoxia, which is very strange that it's very seldom talked about. But a super low sats and the patient looked normal. The patient wasn't acting like they were sickly. "But still with the, with the way that a lot of these hospitals were running, they would go off basically the monitor and intubate the patient, put them on a ventilator and the patient would die within days. They would also give them Remdesivir and you know, other, other drugs. "But which one was it doing the killing? My thoughts on it. Just my opinion as a lowly paramedic, since these people were compensating really well at super low sats with whatever they had going on inside them, I think we were oxygen and poisoned. We were causing oxygen poisoning because that'll start shutting down your organs. Just if I give someone too much oxygen for too long, you'll start shutting down organs. You'll inevitably kill them if you give them, if you over oxygenate a patient for too long, and that's what these, all these people seem to have in common."

EMT Harry Fisher: "They were paying me $1,000 a shift [to bring patients to hospital 'death camps']...When I learned what I literally was doing, I tried to coach them, like, 'Hey, they're going to try to put you on a ventilator. I haven't seen anybody come off of these vents." This clip of Fisher (Harry Fisher), an EMT paramedic, military veteran, and co-author of Safe and Effective...For Profit, is taken from an interview with Joe Oltmann () posted to the UntamedNation (Untamed Nation) Rumble channel on October 21, 2025. ---------------Partial transcription of clip---------------- "I never saw anybody come off the tube. Like whenever I was, I worked New York City, lower Manhattan ICU and ER. I picked up contracts there because they were paying us stupid money to work these contracts, which is another reason I realized, oh, okay, well, if you're going to pay a paramedic $1,000 a shift, so a 12 hour shift, they were paying me $1,000 a shift and putting me up in New York City. I can only imagine what the bigwigs were getting paid with the federal dollars. "When I learned that what, what I literally was doing, I tried to coach them, like, hey, they're going to try to put you on a ventilator. I haven't seen anybody come off of these vents. I suggest you just, you know, it's, you're going to have anxiety because that's typically why we would get the calls or why they would come in is anxiety. And they would have low saturations. It was, something called happy hypoxia, which is very strange that it's very seldom talked about. But a super low sats and the patient looked normal. The patient wasn't acting like they were sickly. "But still with the, with the way that a lot of these hospitals were running, they would go off basically the monitor and intubate the patient, put them on a ventilator and the patient would die within days. They would also give them Remdesivir and you know, other, other drugs. "But which one was it doing the killing? My thoughts on it. Just my opinion as a lowly paramedic, since these people were compensating really well at super low sats with whatever they had going on inside them, I think we were oxygen and poisoned. We were causing oxygen poisoning because that'll start shutting down your organs. Just if I give someone too much oxygen for too long, you'll start shutting down organs. You'll inevitably kill them if you give them, if you over oxygenate a patient for too long, and that's what these, all these people seem to have in common."

Sense Receptor

52,048 Aufrufe • vor 11 Monaten

Socialized healthcare is when the State stops parents from taking their dying toddler to a hospital that offered to treat him for free and then orders his life support withdrawn. In 2017, Alfie Evans was on a ventilator with a rare undiagnosed neurological condition, the NHS sought permission to pull the plug. His parents found Bambino Gesù in Rome willing to continue his care at no cost, Italy granted him citizenship to help the transfer, and Pope Francis publicly appealed for his release. Every court from the High Court through the Supreme Court and the European Court of Human Rights sided with the hospital and barred the family from leaving the country with their own son. Because obviously the State knows better than the parents and they care more for the child than his own parents. They withdrew support on April 23 2018. Alfie kept breathing on his own for nearly five days, longer than doctors predicted, then died. TLDR: the State healthcare system in the UK kidnapped and murdered a toddler, but Medicare for All will be different.

Socialized healthcare is when the State stops parents from taking their dying toddler to a hospital that offered to treat him for free and then orders his life support withdrawn. In 2017, Alfie Evans was on a ventilator with a rare undiagnosed neurological condition, the NHS sought permission to pull the plug. His parents found Bambino Gesù in Rome willing to continue his care at no cost, Italy granted him citizenship to help the transfer, and Pope Francis publicly appealed for his release. Every court from the High Court through the Supreme Court and the European Court of Human Rights sided with the hospital and barred the family from leaving the country with their own son. Because obviously the State knows better than the parents and they care more for the child than his own parents. They withdrew support on April 23 2018. Alfie kept breathing on his own for nearly five days, longer than doctors predicted, then died. TLDR: the State healthcare system in the UK kidnapped and murdered a toddler, but Medicare for All will be different.

Rothmus 🏴

104,105 Aufrufe • vor 1 Monat

#WATCH | Rohtak, Haryana: A seven-month-old infant who was critically injured in a Pitbull dog attack in Sonipat is currently undergoing treatment at the Post Graduate Institute of Medical Sciences (PGIMS), Rohtak. Dr Kundan Mittal, PGIMS Rohtak, says, "The child was brought in on the 14th with severe injuries. The abdominal trauma was particularly critical; his intestines had actually protruded—requiring surgery. The child is currently stable; we have started him on milk. He is stable and is receiving only antibiotics and milk. We have started feeding him via a tube. The injury was severe; he is just a seven-month-old infant, so the situation could have been dire. The impact was massive; the injuries to his face and back, while present, are not as critical. The direct trauma was to his chest and abdomen, causing the intestinal protrusion. Surgery was performed, and he is doing well; we will proceed with further feeding once he recovers."

#WATCH | Rohtak, Haryana: A seven-month-old infant who was critically injured in a Pitbull dog attack in Sonipat is currently undergoing treatment at the Post Graduate Institute of Medical Sciences (PGIMS), Rohtak. Dr Kundan Mittal, PGIMS Rohtak, says, "The child was brought in on the 14th with severe injuries. The abdominal trauma was particularly critical; his intestines had actually protruded—requiring surgery. The child is currently stable; we have started him on milk. He is stable and is receiving only antibiotics and milk. We have started feeding him via a tube. The injury was severe; he is just a seven-month-old infant, so the situation could have been dire. The impact was massive; the injuries to his face and back, while present, are not as critical. The direct trauma was to his chest and abdomen, causing the intestinal protrusion. Surgery was performed, and he is doing well; we will proceed with further feeding once he recovers."

ANI

221,932 Aufrufe • vor 16 Tagen

Send the patient home. Wait until their lips turn blue. Bring them in, put them in a coma, put them on a ventilator, and watch nine out of ten of them die. That was the official protocol, set by the WHO, the UN, and the United States government. Meanwhile, the doctors who refused to follow it, the ones who kept the Hippocratic Oath and treated the patient in front of them with whatever actually worked, were getting twice the survival rate. And those are the doctors who lost their licenses. Every single one of them, shut down, for having the best outcomes in the world and refusing to stay quiet about it. What we're left with is a medical establishment that purged its best doctors to protect a protocol that was killing nine out of ten people who followed it. That isn't a mistake. That is the greatest medical fraud that has ever taken place.

Send the patient home. Wait until their lips turn blue. Bring them in, put them in a coma, put them on a ventilator, and watch nine out of ten of them die. That was the official protocol, set by the WHO, the UN, and the United States government. Meanwhile, the doctors who refused to follow it, the ones who kept the Hippocratic Oath and treated the patient in front of them with whatever actually worked, were getting twice the survival rate. And those are the doctors who lost their licenses. Every single one of them, shut down, for having the best outcomes in the world and refusing to stay quiet about it. What we're left with is a medical establishment that purged its best doctors to protect a protocol that was killing nine out of ten people who followed it. That isn't a mistake. That is the greatest medical fraud that has ever taken place.

Del Bigtree

145,903 Aufrufe • vor 10 Tagen

Dr. Abhishek Shukla (Geriatrician) explained about ABG (Arterial Blood Gas Analysis) Student: Sir, I am a Nursing second-year student. I often see ICU patients undergoing ABG tests. A strip comes out, and doctors discuss acidosis, alkalosis, CO₂, and oxygen levels, but honestly, I still don’t understand how to read it. Why is ABG done so frequently, and how can I learn to interpret it? Dr. Abhishek Shukla: Very important question, Riya. ABG stands for Arterial Blood Gas Analysis. It helps us quickly understand what is happening inside a critically ill patient’s body. If a patient is unconscious, drowsy, breathless, or deteriorating, ABG tells us whether the problem is due to oxygen, carbon dioxide, acid-base imbalance, or severe infection. It requires only 0.5 ml of arterial blood, usually taken from the radial artery, and the result comes within one minute. The first thing to check is pH. Normal pH is 7.35–7.45. If it is below 7.35, it means acidosis; above 7.45 means alkalosis. Severe acidosis can become life-threatening. Next is pCO₂ (35–45 mmHg). If it rises very high, like 90, it means the patient is retaining carbon dioxide. This can lead to unconsciousness and is called Type 2 Respiratory Failure. Then check pO₂, which tells us about oxygen. If oxygen is low while CO₂ is normal, it is called Type 1 Respiratory Failure. After this, review electrolytes—especially sodium and potassium. Low sodium can cause confusion, while high potassium can disturb the heartbeat. Finally, look at lactate, glucose, and creatinine. High lactate may suggest sepsis, and high creatinine may indicate kidney failure. So always remember the ABG rule: pH first, then CO₂, then oxygen, and finally electrolytes. #ABG #ABGTest #ArterialBloodGas #MedEd #ClinicalSkills#ABGInterpretation #AcidBaseBalance #BloodGasAnalysis #NursingStudent #NurseLife #NursingNotes #AIIMSNORCET #mednotes #drabhishekshukla #geriatriccare

Dr. Abhishek Shukla (Geriatrician) explained about ABG (Arterial Blood Gas Analysis) Student: Sir, I am a Nursing second-year student. I often see ICU patients undergoing ABG tests. A strip comes out, and doctors discuss acidosis, alkalosis, CO₂, and oxygen levels, but honestly, I still don’t understand how to read it. Why is ABG done so frequently, and how can I learn to interpret it? Dr. Abhishek Shukla: Very important question, Riya. ABG stands for Arterial Blood Gas Analysis. It helps us quickly understand what is happening inside a critically ill patient’s body. If a patient is unconscious, drowsy, breathless, or deteriorating, ABG tells us whether the problem is due to oxygen, carbon dioxide, acid-base imbalance, or severe infection. It requires only 0.5 ml of arterial blood, usually taken from the radial artery, and the result comes within one minute. The first thing to check is pH. Normal pH is 7.35–7.45. If it is below 7.35, it means acidosis; above 7.45 means alkalosis. Severe acidosis can become life-threatening. Next is pCO₂ (35–45 mmHg). If it rises very high, like 90, it means the patient is retaining carbon dioxide. This can lead to unconsciousness and is called Type 2 Respiratory Failure. Then check pO₂, which tells us about oxygen. If oxygen is low while CO₂ is normal, it is called Type 1 Respiratory Failure. After this, review electrolytes—especially sodium and potassium. Low sodium can cause confusion, while high potassium can disturb the heartbeat. Finally, look at lactate, glucose, and creatinine. High lactate may suggest sepsis, and high creatinine may indicate kidney failure. So always remember the ABG rule: pH first, then CO₂, then oxygen, and finally electrolytes. #ABG #ABGTest #ArterialBloodGas #MedEd #ClinicalSkills#ABGInterpretation #AcidBaseBalance #BloodGasAnalysis #NursingStudent #NurseLife #NursingNotes #AIIMSNORCET #mednotes #drabhishekshukla #geriatriccare

Association of International Doctors. (India).

47,852 Aufrufe • vor 3 Monaten

2026: A patient reached out to me yesterday to let me know about a concerning interaction with a hospital system. The patient was scheduled for a therapeutic procedure, in advance of surgery. Arrangements were made and the patient paid their estimated portion of the cost. Then they received a call from the facility asking them whether they still had the same insurance. When the patient confirmed that nothing had changed, they received a warning from the facility that the estimate no longer applied and costs could go up…significantly. Why? Because the hospital system is renegotiating with the insurance company. Not because the clinical situation changed, not because the procedure became more complex…just because the patient is caught in the middle of a business negotiation without an advocate. So they called me. And I’m telling all of you. So we can help one another by insisting that patients come first. Always.

2026: A patient reached out to me yesterday to let me know about a concerning interaction with a hospital system. The patient was scheduled for a therapeutic procedure, in advance of surgery. Arrangements were made and the patient paid their estimated portion of the cost. Then they received a call from the facility asking them whether they still had the same insurance. When the patient confirmed that nothing had changed, they received a warning from the facility that the estimate no longer applied and costs could go up…significantly. Why? Because the hospital system is renegotiating with the insurance company. Not because the clinical situation changed, not because the procedure became more complex…just because the patient is caught in the middle of a business negotiation without an advocate. So they called me. And I’m telling all of you. So we can help one another by insisting that patients come first. Always.

Elisabeth Potter MD

55,057 Aufrufe • vor 9 Monaten

Had the chance to speak on CTV News about the epidemic of burnout among health care workers. It is not surprising at all that this is happening. We all want to work hard to save lives, but hopeless work in a collapsing system is what leads to burnout. Let me try to illustrate some of the challenges we face. Recently I arrived to my evening shift; I saw 18 ambulances outside, with patients waiting to be offloaded into a department with few free beds. Our 'Infinity Hallway' is full again with stretchers lined up as far as the eye can see. I get inside, all of our acute resuscitation beds are occupied, our ICU is full, and another ambulance crew is taking a patient to another hospital's ICU. We get an alert from EMS that a person in their 40s has collapsed, is unresponsive, and is five minutes away. Just from that description, this person likely needs a ventilator and an urgent CT scan, but we had no beds. Immediately we try to find a spot, checking just which other really sick patient we can shuffle somewhere else. Do we move the 50 year old on high flow oxygen for Covid? Or the heart attack patient waiting for the cath lab to free up, and it goes on. The strain of constantly weighing these lives, trying to eke out space from nothing, weighs heavily on all of us. One exhausted nurse, who helped intubated 5 patients earlier in the day muttered under their breath that they're going to quit after this. I hope she's not serious, she's one of our best. We somehow manage to find space, the crew doing the patient transfer came early, and we used that bed. But what if 2-3 more came at the same time? Most busy ERs looks like pandemonium to an outsider, but there's method to the madness that usually can process a huge number and variety of patients, treat them and occasionally accomplish miracles. But all of this is impossible if you completely burn out the highly trained staff on the ground.

Had the chance to speak on CTV News about the epidemic of burnout among health care workers. It is not surprising at all that this is happening. We all want to work hard to save lives, but hopeless work in a collapsing system is what leads to burnout. Let me try to illustrate some of the challenges we face. Recently I arrived to my evening shift; I saw 18 ambulances outside, with patients waiting to be offloaded into a department with few free beds. Our 'Infinity Hallway' is full again with stretchers lined up as far as the eye can see. I get inside, all of our acute resuscitation beds are occupied, our ICU is full, and another ambulance crew is taking a patient to another hospital's ICU. We get an alert from EMS that a person in their 40s has collapsed, is unresponsive, and is five minutes away. Just from that description, this person likely needs a ventilator and an urgent CT scan, but we had no beds. Immediately we try to find a spot, checking just which other really sick patient we can shuffle somewhere else. Do we move the 50 year old on high flow oxygen for Covid? Or the heart attack patient waiting for the cath lab to free up, and it goes on. The strain of constantly weighing these lives, trying to eke out space from nothing, weighs heavily on all of us. One exhausted nurse, who helped intubated 5 patients earlier in the day muttered under their breath that they're going to quit after this. I hope she's not serious, she's one of our best. We somehow manage to find space, the crew doing the patient transfer came early, and we used that bed. But what if 2-3 more came at the same time? Most busy ERs looks like pandemonium to an outsider, but there's method to the madness that usually can process a huge number and variety of patients, treat them and occasionally accomplish miracles. But all of this is impossible if you completely burn out the highly trained staff on the ground.

Kashif Pirzada, MD

107,085 Aufrufe • vor 2 Jahren

$Last night the regime’s propaganda and only TV station in Zimbabwe, ZBC-TV broadcast this propaganda piece which meant to mislead people into believing that Mutare General Hospital has a working Intensive Care Unit. This silly crude propaganda was meant to push back after a young Zimbabwean doctor died at that hospital because of a dilapidated system, it was in bad taste. The questions to ask ZBC and the hospital are; 1. How can a working ICU be in a room with such archaic equipment? 2. Why do you talk of a working ICU when the patients in the video are not receiving intensive care. 3. Why is the monitor/screen not connected to a patient if there are patients in the ICU, it never occurred to them that we know how it works. 4. How come there is no ventilated patient there, and why would a fractured patient go into ICU? 5. Why is there no patient admitted in the ICU if it’s functional? 6. Where is the anaesthetist and ICU nurses if the ICU is working? Why does the regime resort to such cheap propaganda?$

Last night the regime’s propaganda and only TV station in Zimbabwe, ZBC-TV broadcast this propaganda piece which meant to mislead people into believing that Mutare General Hospital has a working Intensive Care Unit. This silly crude propaganda was meant to push back after a young Zimbabwean doctor died at that hospital because of a dilapidated system, it was in bad taste. The questions to ask ZBC and the hospital are; 1. How can a working ICU be in a room with such archaic equipment? 2. Why do you talk of a working ICU when the patients in the video are not receiving intensive care. 3. Why is the monitor/screen not connected to a patient if there are patients in the ICU, it never occurred to them that we know how it works. 4. How come there is no ventilated patient there, and why would a fractured patient go into ICU? 5. Why is there no patient admitted in the ICU if it’s functional? 6. Where is the anaesthetist and ICU nurses if the ICU is working? Why does the regime resort to such cheap propaganda?

Hopewell Chin’ono

121,396 Aufrufe • vor 3 Jahren