Plight of a Covid-Nurse; who died Reusing PPE


The Covid 19 does not differentiate whether the health worker, who is at war  with the  virus,  is  in a government sector or private sector. Whether it is in Europe, USA or Asia,  although conditions of Covid warriors may differ. Their protective armour may differ from place to place, even hospital to hospital. But the enemy virus remains ruthless and attacks, whenever on slight opportunity.  Although there are plethora of rule and regulations dealing with health care workers and  many times health workers themselves do not know or aware about, what to do in a given situation?

But more importantly, among this chaotic situation, whether rules are being followed or not, how administrators or managers are doing can be any one’s guess rather than an  assumption that of  following a uniform  system. The possibility of chaotic and inept  management due to economical or intentional compulsions  may be a real possibility often rather than exception.

Health care workers may be subjected to moral and legal blackmail or pressure to perform their duties in sub-optimal conditions. Such pressures can be tremendous in private sector because of financial complexities.

Is the payment made to doctors and nurses is commensurate to the risk to their life and work they do? Who will pay them and how much in case harm occurs to saviors   themselves,  administrators refrains to discuss.

 

Nurse’s death: Colleagues say had to wear used PPEs

A senior nurse at   the Hospital claimed, “While the doctors were given fresh PPE, the nurses were asked to reuse PPE. If we raised objections, we were told that since this is not a designated Covid-19 hospital, we are at little risk, and can reuse PPE.”

 

A day after a 46-year-old nurse at a private hospital in Delhi succumbed to Covid-19, her colleagues have alleged that the hospital made nurses “reuse personal protective equipment (PPE), including gloves and masks”.

On Sunday afternoon, a nurse at the  Hospital, was admitted and  died at Delhi’s Safdarjung Hospital, where she was admitted on May 21. She is the first nurse to have died of the virus in Delhi.

The Indian Express spoke to 10 nursing staff at the hospital, where she worked as well as nurse’s son, and all of them spoke about PPEs being reused during duty.

A senior nurse at the Hospital claimed, “While the doctors were given fresh PPE, the nurses were asked to reuse PPE. If we raised objections, we were told that since this is not a designated Covid-19 hospital, we are at little risk, and can reuse PPE.”

The Indian Express spoke to the owner of the hospital, who denied the allegations and said that adequate PPE and hand sanitizers were being provided to all employees. “I have not received a single complaint from any staffer. If there is a single discrepancy, I will investigate and take strict action,” he said.

A senior nurse, who said she was close to the nurse, alleged that on her last day at the  Hospital a week ago,  she  got into an argument with the nursing in-charge about “not getting fresh PPE and masks”. Another senior nurse who worked in the ICU with her  confirmed this.

Her friend and colleague claimed that she was working until May 18, when she did a morning shift and refused to do the night shift as she was feeling sick. “At night, she had fever, a bad throat and body ache, so we advised her to rest. On May 19, too, she was sick, and on May 21, she had difficulty breathing, so she was taken to Safdarjung Hospital,” said the nurse.

She died on the afternoon of May 24.

Her son said “My mother’s condition deteriorated so rapidly… I couldn’t understand how to get here sooner. Over a week ago, she mentioned that the hospital was making her reuse PPE and charging money for masks. I got agitated and told her to just stay at home, but she didn’t listen to me. She continued working, and now she is dead.”

 

25 factors for expensive medical treatment

Altruistic professions are not cherished in present era

21 occupational risk to doctor and nurses

Being doctor or nurse- a disadvantage in present era

 

Balancing Immunity in Corona Times


Any substance is considered effective only after rigorous testing through randomised clinical trials with Covid-19 patients, and additional laboratory analyses.  The substances that are merely propagated on social media or claims of company or advised by quacks will not help and merely remain as part of immunity business. They provide a false hope and thereby earn money  because of fear in the minds of masses.

  As there is no definite treatment or prevention against Covid-19, people need to depend upon their own body resistance and preventive strategies. There are advisory in respected papers about the same in The Hindustan times and The Wall Street Journal, that may be helpful.

 

 

Scientists bust myths about ‘immunity-boosting’ substances in fighting Covid-19

Indian scientists on Thursday released a statement against the promotion of “immunity-boosting substances” to protect oneself from being infected with the novel coronavirus. Citing lack of scientific evidence, scientists said consuming mustard oil or tea, homaeopathic solutions or ayurvedic preparations, or modern medicines like hydroxychloroquine that are claimed to provide either immunity or cure “do not provide any known and/or validated protection against Covid-19”.

Additionally, drinking cow urine, wearing talismans, exposure to ultraviolet light or injecting disinfectants are harmful to the human body, while excess consumption of supplements such as zinc or datura seeds can prove to be fatal.

Aniket Sule, astrophysicist at Homi Bhabha Centre for Science Education and one of the signatories, said, “Since the beginning of Covid-19 epidemic, several statements have propagated ‘immunity-boosting’ substances. Some assertions were also supported by a few government functionaries at the Centre and in various states; and we, therefore, wanted to place scientific facts in the public domain.”

The most severe cases of Covid-19 are made worse by an overreaction of the immune system. So trying to boost general immunity using untested methods may be risky.”

Facts (and Myths) About Boosting Your Immune System

It’s crucial to stay healthy as the threat of coronavirus spreads. Here are the best strategies.

As the new coronavirus continues to spread across the country, having an optimally functioning immune system is more important than ever.

Medical professionals say it is important not to rush to buy supplements and vitamins that promise to enhance your immune system; there isn’t much evidence that such products do any good. Instead, they say, stick with the more mundane, but proven, approaches:

  • Keep your stress levels down.It’s a bit of a vicious cycle, of course: The more you stress about the virus, the more likely you are to suffer from it. “Stress can certainly hurt your immune system,” says Morgan Katz, an assistant professor of infectious diseases at Johns Hopkins University. “Do not panic, try to minimize stress.”

Andrew Diamond, chief medical officer of One Medical, a nationwide network of primary-care providers, says the stress hormone cortisol turns off cells in your immune system. He recommends engaging in activities that people find relaxing, such as meditation.

  • Exercise.Low- and moderate-intensity exercise naturally lowers cortisol levels and helps with immune-system function, says Dr. Diamond. One Medical recommends 30 to 60 minutes of exercise a day. If you’re apprehensive about germs in the gym, walk or run outside.

But it is important not to go overboard. A recent study found high-performance athletes have an increased risk of infection, says Elizabeth Bradley, medical director of the Cleveland Clinic’s Center for Functional Medicine. “Exercise helps boost the immune system, but we have to be careful not to overexercise because it can weaken your immune system,” she says.

  • Get adequate sleep.For adults, that means getting seven to eight hours of sleep a night. Children should get more, depending on their age.
  • Make sure your vaccines are up-to-date, especially the flu vaccine.
  • Eat plenty of plain yogurt every day.“It’s really an easy way to boost your probiotics and help support your microbiome,” Dr. Katz says. “It helps to support the good bacteria that live in your body, which help to fight bad bacteria or viruses.”

Dr. Katz also suggests avoiding antibiotics unless you must take them because they deplete the good bacteria in the system, leaving you more vulnerable to other infections.

Other foods that can help support the microbiome include garlic, onion, ginger, sauerkraut and fermented foods, says Dr. Bradley.

 Watch your diet. Stick to a healthful, balanced diet filled with lots of colorful fruits and vegetables to ensure you’re getting enough zinc and vitamin D and other important vitamins and minerals. Most experts say you should be able to get enough of these vitamins and minerals through your diet, and extra supplementation isn’t necessary. But because vitamin D deficiency is relatively common, experts do recommend supplementation if levels are low.

Dr. Bradley recommends eating lots of dark green, leafy vegetables and berries, as well as nuts and seeds, and to minimize foods with sugar and trans fats, which aren’t as nutrient-dense.

Your immune system needs fuel, so avoid ultralow-carbohydrate diets, experts say. In addition, drink lots of water and reduce alcohol consumption, which can disrupt your sleep.

  • Stop smoking or vaping.Smokers and those with respiratory disease have a higher rate of serious illness and complications from coronavirus. “Anything that is challenging to your lungs is going to work in the wrong direction,” says Dr. Diamond.

 

 

 

Disbelief to grief & hypocrisy# Doctor’s death in Mumbai #Covid-19


 

Covid-19 has unmasked the real danger to medical professionals, doctor and nurses while doing their duties. But it has also laid bare the hypocrisy, the denial of dignity by society to doctor and nurses, even to those who lost their lives in service of patients.  Medical professionals had signed for the occupational hazard willingly, but not to be an object of violence, undignified, and ignoble behaviour.

At this time, if anyone is there and surrounded by patients, with or without appropriate PPE,  it is the only doctors, nurses, and front health care workers. Even in non-COVID hospitals or outdoors, it is impossible to differentiate which one patient is carrying the deadly virus.

There were countless reports of health care workers being assaulted, all over before Covid-19, as well.  It was being taken as a routine. Covid-19 has not only helped to unmask the real danger to doctors and nurses but also sounded them of being an object of the undeserving ignoble attitude and hypocrisy of the society.

Mumbai: 36-year-old doctor dies of multiple organ failure, samples test positive for Covid-19

A 36-year-old general physician, who consulted at two private hospitals in Mumbai’s Govandi, succumbed to the novel coronavirus infection on Thursday. He is likely to have contracted the virus from a patient at the hospital.

“My brother had to be shifted on oxygen to Raheja as no cardiac ambulance was ready to transport a Covid-19 patient,” said the doctor’s brother.

The doctor did not have any co-morbid conditions and died of Acute Respiratory Distress Syndrome due to Covid-19 along with multiple organ failure. He was declared dead at around 1:55 am on Thursday at SL Raheja Hospital. The doctor started showing symptoms such as loose motions and breathlessness on April 13.

He was admitted to the Sion Hospital in the wee hours of April 15 where he was tested for Covid-19. As his condition was deteriorating and an ICU bed was not available at Sion, he was shifted to Somaiya Hospital in Vidyavihar. At Somaiya hospital, his breathing improved but he needed dialysis.

As he was a suspected Covid-19 patient, Somaiya hospital administration said that he will have to be shifted to Raheja hospital as they have dialysis for Covid-19 patients.

“My brother had to be shifted on oxygen to Raheja and no cardiac ambulance was ready to transport a Covid-19 patient. He was on a ventilator. After looking at his deteriorating condition, we shifted him using a normal ambulance. His samples have returned positive for Covid-19,” said the deceased’s brother who is also a doctor.

The doctor’s condition kept deteriorating. He had a multi-organ failure with deranged liver function test, acute renal failure, and bleeding disorder. His condition further worsened on Wednesday night. Despite multiple efforts of resuscitation, he could not survive and was declared dead.

“We did not get a chance to speak with him to understand how he contracted the virus. Before going to Sion, we tried to get a bed at Kasturba hospital, but we were told no beds are available,” the doctor’s brother added.

“This is something we need to be very careful about. If healthcare workers are infected like this, we should be able to provide them with the best of care,” said Epidemiologist Dr Om Shrivastava.

21 occupational risk to doctor and nurses

Covid-19 unmasks the risk to health workers

Noble doctor-ignoble death

Noble doctor-Ignoble death #Chennai doctor death #Covid-19


 

Chennai Locals Pelt Stones at Ambulance Carrying Body of Popular Doctor Who Died Due to Covid-19.

Hercules, who ran the New Hope private hospital in Chetpet, battled against the disease for 15 days at the Apollo Hospital in Chennai before succumbing to it.

 

Chennai: Locals at an upmarket locality in Chennai pelted stones at an ambulance ferrying the body of popular doctor and medical entrepreneur Simon Hercules who died due to coronavirus after a 15-day struggle with the disease.

Hercules, who ran the New Hope private hospital in Chetpet, battled against the disease for 15 days at the Apollo Hospital in Chennai before succumbing to it.

The ambulance driver and a sanitation worker were wounded in the attack that happened late on Sunday night. Police sources confirm that 20 people have been arrested.

According to a relative of Hercules, locals opposed their attempt to bury the body despite the fact that permission was granted. “They refused to allow the cremation of the body. I make this teary-eyed post to all you that a sincere doctor who died treating Covid-19 patients does not have the space for a decent burial,” said Dr Bakiaraj.

This is the second incident of a doctor being disallowed a decent burial in Chennai. Recently, in Ambattur, a doctor from Apollo Vanagaram was not allowed space for burial by locals.

 

The incident at Chennai is not only disheartening for doctors but dissuades others to carry out the noble work and discourages many to take responsibilities of medical care. This brings forth the narrow-minded nature of public, without realizing their own loss.  Doctors are not  God and are simply human beings. They may become victims of the diseases, while they try to save the patients while putting their own life at risk. This incident not only unmasks their vulnerability to catch diseases, the adverse circumstances they have to work, but sadly victims of underserving public wrath.

If such is the behavior of the public towards doctors, why children should become doctors at all? Why doctors should put themselves at risk while in pursuit to save lives?

21 occupational risk to doctor and nurses

Altruistic professions not respected in the present era

Reclaim of Lost Territory by Mighty Nature #COVID-19


 

         For thousands of years, humans have achieved tremendous progress and evolution, which was reflected in advancement and modern science. The evolution was used to acquire natural wealth and the environment to the materialistic advantage of mankind. From butchering animals to control sea waters and skies, humans tried to control everything around. Modern medicine was discovered to attack the germs, bacteria, and viruses in a pursuit to prolong life and interfered severely in natural processes of nature without knowing the bigger picture. A sense of holding masterly gained by possessing superior intelligence prevailed in the modern world.  Except for humans, everything living or non-living was being considered as a captive resource to be exploited and consumed. Animals and birds were farmed, tormented and mercilessly killed in uncountable numbers.

        In a few weeks of invasion by COVID-19, the world looked changed. Greener plants, no air pollution, transparent waters, and clear sky looked, no traffic on roads, as if nature claiming back the lost territory without being even seen.

         All living and non-living elements form an ecosystem. Birds, animals, plants, sea life, the environment on earth, non-visible germs and bacteria form an ecosystem and form a balance. How we have affected this balance, that is still unknown.  Germs have been there before humans and are armed with strange powers to mutate and attack humans if balance is disrupted. The real barriers between deadly nano predators and human beings are still undiscovered. When we pollute and destroy the hills and jungles, deserts and oceans, icy glaciers and lush rain forests, use antibiotics to kill micro- and nano-life for our evolved requirements, we force the barriers to be broken.

     The rapidly recurrent coming pandemics may be warning for the behavior of the human race, and point towards a need for more sustainable evolution. The mighty nature deserves more respect to be kind to humans.

     Human beings need to prove that they are truly evolved. Considering that the current invasion by COVID -19 is not the last one that befell us, there can be many more in future, we need to check our pattern of choices to suit the nature and not vice-versa.

21 occupational risk to doctor and nurses

reel heroes vs real heroes

Russian Doctor arrested for Challenging Virus data. Administrator’s refrain


The police held overnight an outspoken Russian doctor, Anastasia Vasilieva, who was trying to deliver masks to an impoverished rural town.

MOSCOW — Russian authorities detained the leader of an independent doctors’ union, an outspoken critic of the Kremlin who has dismissed as “lies” the country’s low official numbers for coronavirus infections.

Anastasia Vasilieva, the head of the Alliance of Doctors, was stopped by the police on Thursday and held overnight while traveling from Moscow to an impoverished rural town to deliver masks, gloves and other supplies to a local hospital, a colleague who was traveling with her said.

Earlier a Chinese doctor Li Wenliang, one of the eight whistle-blowerswho warned other medics of the coronavirus outbreak but were reprimanded by the police, died of the epidemic on Thursday, official media reported. Li, a 34-year-old doctor who tried to warn other medics of the epidemic, died of coronavirus.

       Administrators and regulators refrain to study data that would establish and quantify the occupational hazards of being a doctor and nurses. Some of these hazards may be known, but there is no comprehensive analysis of workplace risk for physicians and nurses, like those that have been done for other professions. Perhaps society prefers to remain blissfully ignorant of the sacrifice and risk their doctors  and nurses take on.  Perhaps we  all despise to let reality and data shatter the illusion

The detention of Dr. Vasilieva, an eye specialist who has been highly critical of Russia’s response to the pandemic, added fuel to already widespread skepticism, particularly among Kremlin critics, about the accuracy of official figures showing relatively few cases of the virus in Russia. Her detention also increased skepticism about the readiness of Russia’s health care system to cope with the pandemic.

A group of doctors at a hospital in St. Petersburg, Russia’s second biggest city, released a video on Friday appealing to the public for help in obtaining the protective equipment they said they needed to treat coronavirus patients.

Maria Bakhldina, the head doctor at the hospital, speaking to Fontanka, a news site in the city, dismissed the doctors complaints as “untrue.”

Views on how far the virus has really spread in Russia and how prepared the country is have been largely determined by political leanings. The general public, which mostly supports President Vladimir V. Putin, has voiced little concern while many of the Kremlin’s opponents suspect a cover-up.

Aleksei A. Navalny, Russia’s most prominent opposition leader, recently accused the authorities of lying about the number of tests carried out and suggested that, as a result, the number of cases could be much higher than reported.

Russia has sharply stepped up testing and now says it has conducted more than 575,000 tests, but this includes cases of multiple tests on the same person, lowering the head count.

In an address to the nation on Thursday, President Putin, holed up for most of the past week in his country residence outside Moscow, praised health workers for “holding the line of defense against the advancing epidemic” but acknowledged the worst is yet to come.

Dr. Vasilieva, the detained physician, set up the Alliance of Doctors last year in part to counter the Kremlin’s claims of dramatic improvements in funding and other support for hospitals. She has treated Mr. Navalny as a patient and affiliated her group with his. The authorities arrested her last year for rallying opposition to the closure of a tuberculosis clinic in a poor region of southern Russia.

Mr. Putin’s approval rating, according to a recent survey by the Levada Center, a respected Russian polling organization, fell from 69 percent in February to 63 percent in March, near to what it was in 2014 before a surge in the president’s popularity after Russia’s seizure of Crimea from Ukraine.

In his last public outing early last week, Mr. Putin visited a new state-of-the-art infectious diseases center, Hospital No. 40 in Moscow, escorted by its head doctor, who this week tested positive for the virus. The Kremlin said that Mr. Putin has been tested regularly and that “everything is O.K.”

Russia on Friday reported 601 new infections, down from 771 new cases reported on Thursday, bringing the total number to 4,419. This is a fourfold increase over the past week but still far fewer than the more than 245,000 cases reported in the United States and nearly 118,000 in Spain and 115,000 in Italy.

Critics of the Kremlin, however, have questioned the official figures. Dr. Vasilieva, the detained doctors’ union head, said in a video late last month that authorities were lying about the true number of infections, accusing them of deliberately misclassifying people who had developed the disease as victims of ordinary pneumonia.

A few days later, she said she had been called in for questioning over her comments, declaring defiantly in another video that “You can send whomever you want to get me — the Federal Security Service, the fire service — but the truth will not change.” The real number of coronavirus cases, she said, “is much higher than the authorities say.” She provided no evidence of any cover-up.

Her medical workers’ union, warning that Russian hospitals were desperately short of masks and other protective equipment, recently started a fund-raising drive online to raise money from the public to buy supplies for hospitals and clinics.

The government, too, seems worried that it may need to do more to control the virus. On Friday, it suspended the last remaining flights into the country, halting even special flights bringing Russians home from abroad, the Interfax news agency reported. All land borders have already been closed.

Moscow, St. Petersburg and many Russian regions this week ordered residents not to leave their homes except to buy food and medicine or walk their dogs close to their residence.

Dr. Vasilieva was stopped by police officers on Thursday while attempting to deliver supplies by car to a hospital in Okulovka, northwest of Moscow, according to Natalia Kolosova, a colleague who was traveling with her. “They were clearly waiting for us,” Ms. Kolosova said, noting that police officers had set up a check point at the entry to Okulovka but stopped no other vehicles.

Dr. Vasilieva appeared in court on Friday charged with disobeying police orders and violating quarantine restrictions. She was released on Friday evening after being ordered to pay a small fine.

Natalia Zviagina, director for Amnesty International in Russia, condemned the detention, saying in a statement that: “It is staggering that the Russian authorities appear to fear criticism more than the deadly Covid-19 pandemic” caused by coronavirus. By detaining Dr. Vasilieva, she added, the authorities show “they are willing to punish health professionals who dare contradict the official Russian narrative and expose flaws in the public health system.”

Okulovka hospital’s head surgeon, Yuri I. Korvin, also a critic of the authorities, had been ordered to stay away from the hospital and self-isolate for two weeks because he had had contact with Dr. Vasilieva, Mr. Sokolov said. Police officers involved in her detention, however, were allowed to keep working, he added.

Mr. Sokolov said “nobody knows the real number of infections” and added that residents in Okulovka were alarmed by a recent flood of people arriving from Moscow and St. Petersburg. Fleeing quarantine restriction and high infection rates in their home cities, urban residents have been fleeing to rural towns like Okulovka to take shelter at country homes.

“None of us know where these people have been or whether they have been tested,” he said.

reel heroes vs real heroes

21 occupational risk to doctor and nurses

administrators refrain to study  risk to doctor and nurses

Lock-down essential to prevent knock-down


Imagine what would have happened if religious functions, social functions, conferences, marriages and birthday functions,  social gatherings or normal transport would have continued for many more days.

Social distancing is the key element to prevent the Coronavirus spread.  But not everyone among the masses has the ability to understand the urgency from the very beginning and own up responsibility for social distancing. It is the responsibility of each and every human being to prevent the spread. But a significant number of people failed to do it from the time that was crucial. The time for basic understanding and wisdom to prevent at individual level varies from person to person.

Social distancing to be successful has to be strict and imposed in a totality. Police patrolling, drone surveillance, camera surveillance may be needed for a longer duration in view of the current crucial phase that may lead to community transmission.

Online consultation or teleconsultations need to be strengthened to avoid unnecessary contact.

Doctors and nurses need to be protected as they can be crucial links for treatment.

As it is a totally preventable disease, so lock-down has to be more complete and strict. It cannot be left to individual wish to quarantine. Once it happens, doctors can not treat it, whereas people can prevent it from happening.

So strict Lock-down is much needed to prevent Knock-down from community spread.

How to implement strict lockdown

Global clap-doctor and nurses

Myths about medical-Ventilator; Corona may help to burst


Unfortunately, celebrities and media have most of the time fuelled the myths and common allegations against the medical profession and ventilator. The myths have been propagated rather than disseminating the truth. This is no truth in such projected and perceived hearsay.

Someone who is drowning, a small boat can save his life, till sea storm settles or the victim reaches a safe land. The boat will not settle the sea storm, but enough to save a person from catastrophe. In reality, a ventilator is the invention, which should be worshiped. But contrarily, due to wrong projections and misguided perceptions, it has been hated despite saving lives.

Although doctors and ventilators are in a similar situation, projected in the wrong way, hated in spite of doing good work and saving lives. They are hated and despised, despite the only ones of help in life and death situations. The following are a few myths and facts about the ventilator.

  1. Myth: Once on a ventilator, patients do not survive: the common myth is that once the patient is placed on a ventilator, he will not survive. The human body, when it gets severely diseased or under stress, heart and lungs need to be supported for saving the life, till ailment So, when the battle for saving a life is ongoing, almost all the patients will have to be placed on the ventilator. It is a last-ditch attempt made to save the patient’s life. However when the patients do not survive people feel that it’s the ventilator that has caused death, rather than a rational thought about the severe disease as a cause.

In reality, it is the severity of disease and the possibility of death, when the ventilator is required. It is necessary to support life.

  1. Myth: Ventilator is a modality for the mere prolongation of life: every disease has a spectrum. Every disease can progress from a reversible to an irreversible state. As an effort is ongoing while waiting to reverse the process, the patient will need ventilator to sustain life. Unless the disease reaches a stage of irreversibility, the ventilator is indispensable for an absolute need to maintain life. Since in serious condition, it is an uncertain prognosis. In retrospect, combined with the application of average wisdom, the time of uncertainty and institution of the ventilator can be interpreted as a mistake. As the whole exercise is labeled as futile and expensive by relatives. it’s a grey area and the negative thoughts are fuelled because of retrospective wisdom in hindsight. The real prognosis cannot be predicted in real-time.

In reality, Ventilator is a machine which just supports respiration and not responsible for heart beating. Therefore it buys time for healing and treatment of primary disease.

  1. Myth: Ventilator will cause death:

one can understand this simple logic on the basis that patients are placed on dialysis when kidneys fail. Patients are placed in the cast when bones are fractured for a fixed predefined period of time. Similarly, patient is placed on a ventilator when the lungs fail. The ventilator is used till the time lungs recover and become fully functional.

In reality; Risk is because of disease, which needs ventilator and not vice versa. Ventilator is a friendly machine which helps people who have failed lungs.

  1. Myth : Doctors and hospitals keep dead patients on ventilator for financial gains

Fact: placing patient on ventilator is a very critical decision, taken in best interest of patient to buy time, to so as to treat the disease. A patient needing on ventilator is actually so sick, that not instituting ventilator will risk the patient’s life. Knowing all these facts, doctors take a decision to keep the patients on a ventilator.

Once the patient is on ventilator, it is a stress for the doctor to take the patient off the ventilator. As such ventilator is a SANCTUM SANCTORUM lifesaving machine, to be used only in life and death situations.

  1. Myth : Its a miracle if the patient placed on ventilator survives.

Given the fact that placing the patient on ventilator on scientific facts. There are clear indications for putting the patient on ventilator. A much larger patients put on ventilator are actually saved and go home.

Fact: Everyday thousands of patients are placed on ventilator and sent home to lead a normal life: Any patient who is given general anesthesia is placed on ventilator in the operation theater and then taken off the ventilator at the end of the surgery. In these cases patients are placed on ventilator so as patient can be put to deep sleep (called anesthesia) during which surgery on desired part can be carried out. Soon after the surgery patient are taken off the ventilator and soon thereafter discharged for home after few days of healing.

  1. Myth :Doctors place patients on ventilator at their own will:

Fact: there are scientific parameters which decide when the patient should be placed on the ventilator and when the patient should be taken off the ventilator. So the decision to place the patient is scientific and based on objective parameters.

Contrary to this popular myth, it is a compulsion for the doctor to put patient on ventilator to prevent death in serious situations. Doctors are usually thinking several steps ahead of lay person about medical science.

  1. Myth :All patients placed on ventilator are unconscious:

Fact: this is not necessary. Usually patients are sedated for their comfort. they can be made to walk, write and even perform small tasks when on ventilator, depending upon their lung condition.

Patients are also put on ventilator in case of airway failure when unable to protect their airway for various reasons. Another reason why patients are placed on ventilator is inability of the patients to protect his or her airway. Conscious and alert patients can swallow normally formed mouth secretions. When patients consciousness level is dulled the ability of the patient to protect his airway is lost or compromised. This causes secretions from mouth to enter into the lungs through the airway i.e. trachea causing infections in the lungs. The only way to prevent this and protect the patient’s lungs is to place a tube in his airway and then place them on the ventilator.

  1. Myth: Patients can be kept alive by placing on the ventilator:

General masses have a feeling that patient can be kept alive by keeping them on the ventilator. Even a dead person can be kept alive by placing on the ventilator, which is not true.

In reality: It is machine used only for breathing and not heart and brain.

  1. Myth : Ventilating the dead patients:

this is a common allegation on medical profession. This is no truth in this projected and perceived hearsay.

Facts: Assumptions are based on thoughts of lay persons. Patients on ventilator, may look like dead, because of the disease, sedation and paralyzed by drugs. But their heart and brain are working, so they cannot be declared dead.

If there is some incident, it needs to be proved by medical personnel. In reality, it can be a very rare and remote exception. These untrue projection are creating lots of mistrust about life saving machine.

The problem is about correct projection and majority of people without knowledge of medical science do not even know the large number of lives been saved by the ventilators.

In nutshell: serious conditions and life threatening situations need higher technical interventions, to save a life. If correct projections are made, ventilators are lifesaving machines.

About ventilator

History of ventilator

How to achieve “Effective Lock-Down” to prevent community spread @Corona pandemic


  To identify communities at  risk

“Battle of Corona” Only people can win this war, not doctors or Governments

         Preventing Community spread at this time  is the key to  control  the  Corona pandemic.  Strict  Lock down needs to be effective to achieve the desired objectives. Therefore it is necessary to identify the communities at  risk, where lock-down is not complete and hence these may be need to identify the weak points to achieve effective lock-down.

   These communities can be:

  1.    Surveillance in high population density zones: India  and specially large cities have areas with thick population density.  There is a tendency to come out of houses for  informal chatting.  People need to understand that effective lockdown is more than just not attending to the office work.  Such collections of people can be  prevented by strict enforcement:

A.   Police patrolling in thickly populated residential or good administrative control.

B.   Drone surveillance

C.   Camera surveillance and administrative control

  • Medical needs: people may come out of houses for medical needs. This can be minimized by
  1. Online consultations
  2. Telephonic consultations

These tele-consultations to be used  to differentiate whether it is an emergency or not. The emergencies should be guided to attend hospital, that may be different from Covid 19. So these consultations will help to segregate these patients from  Covid patients.

3.Strengthening of Ambulance service- Network of ambulances can be used to assess at homes and hence  the need for hospitalization may be minimized.  Besides it may help in preventing gathering of relatives and guiding the patient  to appropriate hospital.

4. Providing PPE’s to doctors to prevent loss of work force.

  • Need for essentials: System for community delivery  or   decongestion at market places need to be checked and gathering to be discouraged.

                   Effective Lock-down  can be a key  for winning the “Battle of Corona”. Only people can win this war, and not doctors or Governments.

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