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.
Saturday, April 11, 2020
Kombucha Tea
Reproduction
Kombucha Tea
Kombucha (also tea mushroom, tea fungus, or Manchurian mushroom when referring to the culture; botanical name Medusomyces gisevii is a fermented, slightly alcoholic, lightly effervescent, sweetened black or green tea drink commonly consumed for its supposed health benefits. Sometimes the beverage is called kombucha tea to distinguish it from the culture of bacteria and yeast. Juice, spices, fruit or other flavorings are often added to enhance the taste of the beverage.
Kombucha is thought to have originated in Manchuria, China where the drink is traditionally consumed, or in Russia and Eastern Europe.
Kombucha is now homebrewed globally, and also bottled and sold commercially by various companies.
Kombucha is produced by fermenting sugared tea using a symbiotic culture of bacteria and yeast (SCOBY) commonly called a "mother" or "mushroom". The microbial populations in a SCOBY vary; the yeast component generally includes Saccharomyces cerevisiae, along with other species; the bacterial component almost always includes Gluconacetobacter xylinus to oxidize yeast-produced alcohols to acetic acid (and other acids).
Although the SCOBY is commonly called "tea fungus" or "mushroom", it is actually "a symbiotic growth of acetic acid bacteria and osmophilic yeast species in a zoogleal mat [biofilm]".
The living bacteria are said to be probiotic, one of the reasons for the popularity of the drink.
Numerous implausible health benefits have been attributed to drinking kombucha.
These include claims for treating AIDS, aging, anorexia, arthritis, atherosclerosis, cancer, constipation, and diabetes, but there is no evidence to support any of these claims.
Moreover, the beverage has caused rare cases of serious adverse effects, including fatalities, possibly arising from contamination during home preparation.
Therefore, the potential harms from drinking kombucha may outweigh the benefits, so it is not recommended for therapeutic purposes.
Kombucha Tea
Kombucha (also tea mushroom, tea fungus, or Manchurian mushroom when referring to the culture; botanical name Medusomyces gisevii is a fermented, slightly alcoholic, lightly effervescent, sweetened black or green tea drink commonly consumed for its supposed health benefits. Sometimes the beverage is called kombucha tea to distinguish it from the culture of bacteria and yeast. Juice, spices, fruit or other flavorings are often added to enhance the taste of the beverage.
Kombucha is thought to have originated in Manchuria, China where the drink is traditionally consumed, or in Russia and Eastern Europe.
Kombucha is now homebrewed globally, and also bottled and sold commercially by various companies.
Kombucha is produced by fermenting sugared tea using a symbiotic culture of bacteria and yeast (SCOBY) commonly called a "mother" or "mushroom". The microbial populations in a SCOBY vary; the yeast component generally includes Saccharomyces cerevisiae, along with other species; the bacterial component almost always includes Gluconacetobacter xylinus to oxidize yeast-produced alcohols to acetic acid (and other acids).
Although the SCOBY is commonly called "tea fungus" or "mushroom", it is actually "a symbiotic growth of acetic acid bacteria and osmophilic yeast species in a zoogleal mat [biofilm]".
The living bacteria are said to be probiotic, one of the reasons for the popularity of the drink.
Numerous implausible health benefits have been attributed to drinking kombucha.
These include claims for treating AIDS, aging, anorexia, arthritis, atherosclerosis, cancer, constipation, and diabetes, but there is no evidence to support any of these claims.
Moreover, the beverage has caused rare cases of serious adverse effects, including fatalities, possibly arising from contamination during home preparation.
Therefore, the potential harms from drinking kombucha may outweigh the benefits, so it is not recommended for therapeutic purposes.
Common Sense and Common Law
Common
Sense and Common Law
We as a nation (including tress passing on pedestrian crossings and Ambulance Drivers and Government Drivers taking politicians -and some killing the pedestrians-over speeding) DO NOT follow basic rules.
What
we lack is common sense and common law, that include U.N.O, W.H.O.
and emerging economic Kill Country, the mainland China (aborted
abruptly and TIMELY by a small or tiny RNA polymerase virus).
1.
Number one is eating all animals like civet bat and snakes.
That is violation of ALL Animal Rights to live in harmony with animal predators (not for human needs) to control the population balance.
Human
can survive well on a vegetarian diet!
2.
Then not stealing something that belongs to a second or third party.
The
king of this is killing, the 10% dealer who supervises the distribution and
divert the limited resources to the “Pathala Party” or SLPP
goons.
3.
Then the same Pathala Kings who rape underage Girls and Boys
including some saffron clothed guys.
4.
Then spreading false information (that include all religions) that
one of the Chiefs trying to absolve god of all responsibilities and
blaming only humans.
He
forgets that there still a few guys / girls who better versed and
kinder than several gods (of all religions) put together!
5.
Then of course the “Majja Pama Dattana Veramani” or “Tikak
Gathanam Hary” or Small Tot is OK mentality.
Fortunately
this is the common denominator of Ceylonese including Chief Priests
(“Dasa Mula Aristata” more powerful than Vodka) and the worlds
highest per capita alcohol production (both legal and illegal) and
consumption country overtaking America and Russia by many a mile.
If you look at the above it is the Pan Sil or Five Precepts' Violation, Right Left and Center.
Mind
you some of my friends ask me “how to make alcohol at home”
and I refer them to read Louis Pasteur and his monumental
experiments on yeast, rabies and small pox.
I
know a very simple method (mind you one cannot make “King
Coconut Wine” in Kandy due to global warming) but won’t tell
you, since I have stopped making them.
There
is a substitute called “Mongolian Tea” which has three
ingredients.
1.Tea
2.Sugar
3. And
Mongolian Fungal Flora.
Now
I do not drink tea that is 90% adulterated in Ceylon.
Sugar
is expensive but I love chocolates not sugar.
The
fungus flora I stop cultivating many moons ago since, if it is not
kept under 100% darkness in between cultures, it results in contamination
of germs of all kinds including amoebae.
Kombucha (also tea mushroom, tea fungus, or Manchurian mushroom when referring to the culture; botanical name Medusomyces gisevii) is a fermented, slightly alcoholic, lightly effervescent, sweetened black or green tea drink commonly consumed for its supposed health benefits.
Kombucha (also tea mushroom, tea fungus, or Manchurian mushroom when referring to the culture; botanical name Medusomyces gisevii) is a fermented, slightly alcoholic, lightly effervescent, sweetened black or green tea drink commonly consumed for its supposed health benefits.
Wash Your Hands—A Lot
Wash Your Hands—A Lot
We all know that washing our hands keeps germs at bay—but make sure
to rinse with regular soap and water,
Lipman says. The recent popularity of antibacterial soap has created harsher products loaded with toxins that can actually increase the risk of creating resistant bacteria. These soaps also tend to over dry and crack the skin, making the transmission of viruses that much easier. So stock up on nondrying soaps and keep them on hand throughout the season.
My Addition
These toxic chemicals percolate into water and kill fish (gills are affected) and also friendly microorganisms.
End result is an increase of mosquitoes and dengue and other mosquito born diseaes.
Any over-kill method has tremendous turn around effects on flora and fauna including our birds and their breeding patterns.
Lipman says. The recent popularity of antibacterial soap has created harsher products loaded with toxins that can actually increase the risk of creating resistant bacteria. These soaps also tend to over dry and crack the skin, making the transmission of viruses that much easier. So stock up on nondrying soaps and keep them on hand throughout the season.
My Addition
These toxic chemicals percolate into water and kill fish (gills are affected) and also friendly microorganisms.
End result is an increase of mosquitoes and dengue and other mosquito born diseaes.
Any over-kill method has tremendous turn around effects on flora and fauna including our birds and their breeding patterns.
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