Saturday, April 11, 2020

My Experience with operating Ventilators

My Experience with operating Ventilators

My Experience with operating Ventilators started with neonates and ended in geriatrics.
I am thankful I am now in geriatric age and is not working in a hospital.
i quietly moved to my original interest pathology, where I have after the fact estimation of effects.
Thankfully my senior teacher, the Professor of Pathology warned me of the limitations.
He said I know only 40% currently and at best of your work and research you will bring it up to 60% and no more.
At best 40% will be a mystery and never resolved by scientific inquiry.
My research proved he was absolutely right and I could not find an explanation for 42% (2% is probably is the margin of error of my study).
my experince in paediatric neonatolgy is that I saved life briefly for them to a long life of agony with assortment of cerebral palsy and mental deficits.
It was easy for me to give up paediatric and paediatric oncology (leukaemias).

Leaving UK was instinct driven mandatory action.

Coming to geriatric ventilation, my or our plan was to wean off within five (5) days before the patient become ventilator dependent or develop ventilator related complications.
The five days was not arbitrary but a good safety valve in my experience.

I asked permission from the patient having given the basic information of the invasive procdure well in advance.
If the patient is unable to communicate I would ask the kith and kin.

My favorite patient in New Zealand with his permission put on a ventilator for three times (that was his wish).
In between the fist and third he broke both his hips which I helped to implant artificial prosthesis with 80% mobility (with 20% help, getting out and getting into the bed).
My other favorite patient with testicular cancer and large cannon ball secondaries in the lung refused ventilation by default.
His only request was for me to be at bedside when the time comes.
I was not on call but I made him a practical Buddhist in few minutes and showed him the exit and new life at the end of the tunnel.
On return from New Zealand I continued in private practice without ventilators (even for a brief periods) for five years before coming back to Dental Hospital for research without a supervisor (no emergency care or ventilators at all).
For the last three years no medical practice and no blogging for two years and the Coronavirus incarceration has made me to blog again.
I am currently trying (Kampuchia tea excluded) to identify 20 odd medicinal plants of use in day to day life.
Ginger, vinegar and lime are the fist three followed by Aralu, Bulu and Nelli  (Weniwel Gata excluded due good vaccination program including BCG).
So I have to formalize only 14 indredients (Gypsum, Sahinda Lunu and Pulmanikkam excluded with common salt).

Mind you salt and water is the best antiseptic (absolutely without sugar) to wash ones hands.
Sugar and salt are the basic ingredient of saprophytic life forms (they assemble the rest including amino acids from these two ingredients, just as by the fungus and bacteria in Kampuchia Colony).

I will stop blogging moment the curfew is listed.

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