Prasannasimha🇮🇳 Profile picture
Aug 4, 2020 8 tweets 2 min read Read on X
Next time you crib about wearing a mask have a thought for those who work with it day in and out Image
And No- it's not the se as regular masks -A fit tested properly worn N95 mask has to be worn after a leak test. It will be really tight
Acute weight loss between pre and post PPE 2.4 Kg ie that much fluid loss
But then people bring people in extremis and expect miracles and go and attack health care workers
It's not The hard work or trouble that is the issue. It's the uncouth and dangerous behaviour of relatives of patients that become particularly troublesome to handle. Doctors cannot work in an atmosphere of fear
Neighbours flashing tires of junior Doctors. Nurses being kicked out of PG rooms and rented apartments overnight ,threatened to throw everything out at a few hours notice ? They are afraid to report due to fear of reprisal
A young girl or boy in her 20's coming from some other place with no roots fears reprisal at a later date so they back out if reporting even though we try to help. This is the ugly truth
*slashing

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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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