Prasannasimha🇮🇳 Profile picture
Jul 7, 2020 12 tweets 2 min read Read on X
Bangalore needs a rapid lockdown-stop interstate& inter district movement Nonessential movement to be curbed for at least 15 days-allows the health system a breather by not adding to the overflowing pot.Allows BBMP to further identify resources staged unlock with defined cut offs
If influx/case load is > than (needed bed/14 days) = buffer - stop interstate influx allows regulation of incoming stream to a manageable extent Allows health care worker fatigue to not settle. BBMP DHO's are literally swamped having worked tirelessly for so many months.
RTPCR capacity should also be a trigger- if backlog occurs such that test reports cannot be delivered in a day- another sign to cut influx. O2 beds unallocatable - cut influx that in itself will decrease the never ending gift by Agaatha UT and other states
Hearing of people fleeing Bangalore to villages- that is worrisome f they spread to villages. In that case the YAN model of outskirt quarantine or village school quarantine may have to be implemented with village "voluntary sena"
Another disconcerting thing is infection of Health care workers. Can rapidly collapse health care systems. So called "rationalization of PPE" dosn't work when transmission is rapid- the chain is as strong as the weakest link
and hospitals forget its not just patients who can spread to HCW but HCW and ancillary staff can spread it between one another. When do HCW hesitate - when they feel the safety measures are not adequate because they cannot be fooled wrt safety issues
Dedicated hospitals to treat HCW's and their families would also help bolster confidence. 1 HCW incapacitated =100's of patients not getting care. HCW infected are hounded even by landlords,neighbours overlty and subtely etc making life a hell for some and then morale is lost
+ not=
I am still wondering why the hesitancy to reintroduce a lockdown here in Bangalore Trivandrum has reintroduced a lockdown - we should not bow toany lobby especially the pseudoeconomy lobby -saying e have to live with the virus is true provided people follow sane advice
Just two simple measures - mask wearing and personal distancing can abrogate the disease - just see how many people follow it So Samaa(placation) , Dhaana(economical incentives) Bedha (quarantine) have all been tried. Danda needs to be enforced now.
The seonc wave for Bangalore is rearing its ugly head- if not cut now it will become a Kalinga Sarpa or a Hydra with one head cut springing many- it needs to be burnt down to the ground
We had one of the best control measures for any city in the world and are frittering away our advantage . We should not lose patience till a vaccine comes -10 incubation periods is what we needed to control- 140 days from the first case in India - unfortunately we lost patience

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More from @Prasannasimha

May 23, 2021
@ShamikaRavi We have faced vaccine hesitancy for years. When we used to go for polio drives in the 80's we have faced the whole gamut of running away hiding etc to attacks - that is reality. vaccinators face. You wonder why they are hesitant for door to door campaigns
@ShamikaRavi Doctors Nurses ANM's and vaccinator's etc have always been soft and easy targets. When we were young we went with zeal thinking we are making a difference till we saw first hand what our teachers warned &taught us how to be on guard. Those lessons remain with us till today.
@ShamikaRavi So people need to really appreciate the vaccination teams who go all out to actually make a difference. When 60+ and 45+ with cpomorbidites were allowed we used to beg people to take the vaccine &utake was poor - guess what these were cardiac patients who would benefit the most
Read 15 tweets
May 21, 2021
kooapp.com/koo/prasanna_s…
I am putting up the banthat Twitter unilaterally put up when I called out @chetan_bhagat for his mischievous statements regarding COVID.
Guess what - Twitter thinks its OK to promote COVID misinformation if it a blue tick writer but bans people without recourse to defense and acts as judge jury and executioner. So much for freedom of speech @jack @TwitterIndia You are welcome to permanently ban me
if you find it offensive !! However I am not defined by my social media preence. Maybe @jack thinks he can con people by selling a teweet but at the end of the day it is vapour ware. There was a Yahoo and Altavista etc What are they now ?
Read 9 tweets
May 3, 2021
The one thing that seems to matter to prevent significant fall in saturation is timely initiation of steroids. Early initiation harmful late initiation useless.
Saturation monitoring after6 minute walk test has to be practiced from day 1-8 post first symptom. Sats drop from day 9 to 11 typically and rapidly. Initiation of inhaled and sos oral steroid a have caused a dramatic reversal in sats in such patients PROVIDED
PROVIDED it is initiated during this rapid descent in sats. Initiation at this stage. Initiation too early is harmful late has no benefit. Hitting at sweet spot causes rapid reversal but must be monitored. Seen people we say in an hour to below 92 but pick up if started faat
Read 7 tweets
May 2, 2021
Have you made your evacuation plan if you need 2 go 2 Hospital ? Large paper with SRFID(&BU number in KA) emergency contacts 2 set of clothes underwear. Phone chargerAdequate Data plan. Ready cash for emergent payment credit/debit cards etc. Dropping saturation is not time2 do it
One home quatantine family started getting aggressive when I told keep thise ready ! Do you want to be a chicken running aimlessly when the hawk is approaching. Fright Flight or **Fight**. Choice is yours. Fighters survive as you cannot Flight or be frightened here.
Never be aggressive to a care gives. Survival depends on hearing him/ her. If you antagonize you are @ loss. Difficult thing to explain but remember Mareechis advice to Ravana-its easy to find sweet talkers but difficult 2 get a person to tell & listen to bitter truth-Raghuvamsha
Read 4 tweets
Apr 30, 2021
Let this be clear viral transmission is not magical- host and recipient have to come into sufficient contact and exchange of virus has to occur for disease transmission If transmission occurs - a host recipient & conducive situation to interact and exchange has to be present
Every case that spreads is a breakdown of this . In whatever manner. Unfortunately unless you are on guard - there are many a slip between the cup and the lip.
As a fully vaccinated person with neutralizing spike protein specific antibodies I am still afraid. Really afraid - it is animalistic behaviour - eternal vigilance.
Read 4 tweets
Apr 30, 2021
See the way toolkitters are throwing dung around hoping something sticks !!
You should see the troll tweets that I get and some comments saying - he may be a Doctor but ...... (some nonsense) Sorry If medicine was so simple you would be operating looking at a YouTube video. Try learning to swim using a YouTube video for starters.
I used to try to educate but you can only put only so much lipstick on a pig. I now just ignore. If toolkitters spent half their time actually promoting safe practice encouraging vaccination of elders when it mattered(instead of crying hoarse now) we would have been far better
Read 5 tweets

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