@PMOIndia@narendramodi@AmitShah Why are politicians getting infected and dying an analysis. Mask wearing in most are not proper. While communication cues with facial expression is desirable unmasked face is dangerous. We have published data on Cough spread.
I have reviewed videos and ALL politicians are not wearing masks properly. That needs to be corrected.
Pretesting of guards etc will NOT be enough. False negatives is around 20-30% with RTPCR so will pull into a false sense of security. Mask wearing still remains mandatory and will help educate the noncompliant masses
Social distancing is 2 meters not one a d I have seen code is of meetings were many officers are not wearing masks properly. This needs to be corrected and mandated if need be with monitoring by guards and alarm buzzing at tables. Very often people remove masks while talking
That defeats the very purpose. It's when you speak that virus is shed.
A sense of infallibility can creep in those in power but a virus is an equal opportunity infected and does not care who we are and mighty have been infected historically.
So mask wearing with social distancing is vital. Guards need to wear masks and politicians too. Intersection of "contamination bubbles" around us with others spread infection.
Air travel requires full PPE. There is evidence of spread despite airline claims. Claims cannot beat scientific facts and observations. Proper donning and Doffing of masks & PPE are important. Eye protection in public I traction ( Soap coated nonvented Goggles) & not face shields
doi.org/10.1063/5.0021… is our data. 3 ply surgical masks need 1.5 meters bubble . N95 masks worn properly 0.3 M bubble. To wear mask properly please see hand sanitization and mask donning and doffing video @
Hope no more politicians and people die. Mask AND distancing is the Mantra. Pained to hear Suresh Angadi's death which should be an eye opener. On Shanthi
Long term COVID sequalae are being observed so it's not just a flu and can cause long term detrimental effects.
Jai Hind Sarve Sukino bhava
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New residents working smart is important - not just slogging aimlessly with no result. Seen some residents whining saying so busy with no work done ! That's not working.
Plan your rounds. Buildcrelations with radiology Biochem anesthesiology. Get tests done appointments
Fixed. Crib about your bosses with them ( that's me 😁) but get the job done. Be ready with worked up patients and "Rx plan" for cases. Write your interpretation of reports.
Keep a book. Write down bosses orders and see they ate done. DONT LIE TO YOUR BOSS. That's the best way
Lose confidence. If wrong apologize rather than justify. In surgery working up the case & not getting it unnecessarily cancelled is vital. Imagine stress of patient &family. Talk to patients. They Rnot organs. When you see a new case read about it, it's Mx+Rx of complications
Choose your subject for Masters carefully. If you cannot handle long hours, all nighters emergencies, multiple cases do NOT take surgery. If you don't have hand eye coordination and not ready to practice skills DONT take surgical branches. If you are not ready to come back for a
exploration of a case you have operated do NOT take surgical branches just because you have scored marks. You need to have the temperament to take bold decisions when your patients life is in danger and being committed to the patients care. If you find that tough do NOT take it
While duty hours etc are nice as a surgery resident continuity of patient care is the realty in clinical practice and even if iff duty learn to keep tabs about your patient. In post PG life reality is different and you are on call for everything once you operate. That's reality
@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
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 ?
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
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