Bharat Rakshak

DrRatnadip

In a shocking incidence , 40 doctors and nurses have been quarantined as one of the operated pt later turned as COVID positive.. He concealed history of attending Jamat event in delhi.. He has not only put his family members in danger but also greatly affected working capacity of that hospital

DrRatnadip

.. Trump Urges PM Modi To Release Hydroxychloroquine Orders Placed By US Yeah.. why would Indian establishment serve a section of people only (from USA) it's not like they can take away state resources on priority at cost of Indian population and ask details or play blame game for disease from Wuha...

DrRatnadip

If source is uncovered and receiver is using tightly sealed N95 mask workplace protection factor is 118.. Dr., I understand what you are saying but GoI is mandated that N95 masks should be used only for healthcare personals like yourself. Firstly, N95 masks are not available in pharmacies or online...

DrRatnadip

CDC has issued directives about Americans using mask when they step out (they have also said that even a cloth mask would be helpful compared to nothing)...I dunno if similar directives will be issued in India as well (I hope).................... Point is, all countries are covertly fighting for Me...

DrRatnadip

More I think about exiting lockdown more I realize how tough it is going to be.. If we see sudden increase in cases after curfew is lifted , people will start questioning very purpose of this 21 days lockdown.. If govt increases lockdown further we will see less and less compliance from people and ...

DrRatnadip

More I think about exiting lockdown more I realize how tough it is going to be.. If we see sudden increase in cases after curfew is lifted , people will start questioning very purpose of this 21 days lockdown.. If govt increases lockdown further we will see less and less compliance from people and m...

DrRatnadip

The weekly death statistics haven't exceeded the historical averages and is not deviating significantly from the weekly death averages for other years. Further from the Swiss doctor's article: "The mortality profile remains puzzling from a virological point of view because, in contrast to infl...

DrRatnadip

I would like to share my personal understanding about COVID 19 here.. This is just summary of what most of us already know.. we can group infected individuals in three groups.. Group(A )Infected but asymptomatic or with very mild symptoms which people tend to ignore.. These individuals comprise larg...

DrRatnadip

Dr. Ratnadip, I read reports that ARDS from Covid-19 is not same as from flu. It's more damaging. yes sir..Some pts do show rapid detoriation .. I am trying to collect case histories of pts on ventilator or those who are dead due to COVID directly from treating physicians and residents ..My special...

DrRatnadip

I have seen many elderly pts in OPD boasting that they are not scared of death and all.. If they are Hindus, ask them if they're ok with facing their next life with the consequences of having passed on the disease to some other vulnerable person, and they will fall in line pretty quickly. Indian Do...

DrRatnadip

Interesting article: https://www.nature.com/articles/s41392-020-0148-4 Questions to doctors: * What is this LYM% number? * Can this be boosted through treatment? * If so, is it going to help, i.e., is it likely to be the cause of the severe disease, or is it more like a symptom? Lymphocyte percenta...

DrRatnadip

There are so many patients cough , fever ,tiredness.. Considering everybody as COVID 19 will consume significant efforts, money and manpower.. Labs have to test other diseases too .. We have to treat other patients too.. Giving too much attention to COVID will increase morbidity and mortality due t...

DrRatnadip

https://twitter.com/epigiri/status/1245112071135649794 To be successful in tackling #covid19india, @tarunb20 we urge for review of containment measures by the PM @PMOIndia of each state. We propose a syndromic approach as the way forward for containment measures. We plead to use #techn…https://lnkd...

DrRatnadip

DrRatnadip sir, whats your opinion about use of splitter for ventilator? i see that FDA has approved it for COVID19 patients . The reason i am asking is my friend owns a small 3D printer. thought of creating one and test. i had floated this idea in my company when they asked for ideas. however one ...

DrRatnadip

1)Though they expect more cases in coming days nobody expects too many deaths in India.. 2) Indians appear immune against severe form of disease.. Endemic arboviral infections gives cross immunity against other RNA viruses.. Almost universal BCG immunization is also positive factor 3) Our physician...

DrRatnadip

[/quote] Sir, first of all thanks your family for being a frontline combatant for this pandemic. Regarding PPE, are private hospitals not carrying any stocks of their own which can be utilized? Also, despite claims of it being otherwise, the newspapers carry reports of COVID19 deaths in people who h...

DrRatnadip

https://m.timesofindia.com/city/pune/sinhagad-road-woman-punes-first-critical-covid-19-patient-taken-off-ventilator-to-go-home-in-a-week/articleshow/74922140.cms Many congratulations to courageous efforts by ICU team.. They have used combination anti viral/ anti malarial and anti biotic medications ...

DrRatnadip

Getting test for COVID in private hospitals is easier now as private labs are involved.. time lag between sample collection and getting actual report is considerable though.. I ordered test of three pts since last week.. Got reports after 2 days.. Many senior physicians and pulmonologists I met rece...

DrRatnadip

Italy and Spain are showing almost 10% fatality rate. Any guesses? 1) Their healthcare system is probably exhausted.. 2) routine protolcols for deconamination and fumigation might have become difficult to follow due to lack of adequate manpower / overcrowding of patients.This will lead to secondary...

DrRatnadip

Not everyone requires ventilation or extracorporeal membrane oxygenation (ecmo) ... many can survive using CPAP if used at the very onset of respiratory distress and is non-invasive. F1 team is making a low cost CPAP. https://www.bbc.co.uk/news/health-52087002 I have seen this story making rounds o...

DrRatnadip

22 cases in tirunelveli and 18 cases in namakkal. The spread triggered by the Tableeghi Jamaat preachers? Namakkal is a district bordering Erode. We are working tirelessly to fight this virus.. Wife is posted in designated COVID hospital and every day when I go to drop her I pray to God that she sh...

DrRatnadip

Govt of India guidelines on 30 march recommended use of HCQ and Azithromycin as off label indication with appropriate ecg monitoring..Its not recommended in children bellow 12 ys and lactating/pregnant females..

DrRatnadip

https://techstartups.com/2020/03/28/dr-vladimir-zelenko-now-treated-699-coronavirus-patients-100-success-using-hydroxychloroquine-sulfate-zinc-z-pak-update/ Dr. Vladimir Zelenko has now treated 699 coronavirus patients with 100% success using Hydroxychloroquine Sulfate, Zinc and Z-Pak [UPDATES] I j...

DrRatnadip

Zynda wrote:A pretty basic question: Does hand wash solutions like Dettol, Lifebuoy & Salvon etc., are as, less or more effective when compared to soap (bars) during hand washing?

If used correctly both should be equally good..

DrRatnadip

https://punemirror.indiatimes.com/pune/civic/scare-prompts-pvt-docs-to-shut-clinics/articleshow/74868283.cms? Govt expects private doctors to work without proper PPE and diagnostic tools.. politicians are even turning public opinion against doctors by calling them cowards.. But frankly if you see sm...

DrRatnadip

South Korea has done most extensive testing. So i feel more confident of the numbers. If we go by their numbers total cases is 9583 and total fatality is 152. This puts case fatality ratio of just under 1.5% and total serious ill is 1%. This puts the number close to less than common flu. With this ...

DrRatnadip

Docs working in India, or those who know medical professionals working in India, are you seeing a spike in pneumonia cases ? No abnormal increase in pneumonia cases here in pune.. most cases in OPD are of sore throat and dry cough.. people are panicking it for COVID though.. it takes much effort to...

DrRatnadip

one more question for Docs - Does asthma inhalers like albuterol early help avoid the pneumonia/breathing issues? Not much.. It is broncodilater.. It increases diameter of airways.. in pneumonia problem is mostly due to accumulation of fluid in alveoli which are microscopic breathing units of lung....

DrRatnadip

https://www.thelancet.com/journals/lani ... 5/fulltext

<mod note>Doc - please use URL tag</mod note>

DrRatnadip

One more interesting fact about Chloroquine is that it has demonstrated anti HIV properties.. As other anti retro viral drugs are being used for COVID infection combining them with HCQ may have additive anti viral effect.. This is one interesting article about anti viral effects of chloroquine https...

DrRatnadip

ICMR India has said that Hydroxychloroquine and Azithromycin combination reduces viral load Further Second French study also said it cures 78/79 patients. Chinese study is being misreported but it also said that Hydroxychloroquine (alone) has 87% success rate which is same as First French study tha...

DrRatnadip

Another point, are our migrant workers that poor that they don't have any savings to survive for couple of weeks? I find it difficult to believe. What is so hard to believe in it? A significant chunk of daily wagers are hand to mouth. Most people I talked to in pune are not convinced that curfew wi...

DrRatnadip

Today some of my colleagues reported an increase in respiratory cases with fever and dry cough in some places. Almost all of them have mild symptoms. Should see if they are just panic cases or corona.. some of these were tested and results might take 2 days. My advice is, do not go to hospital if u...

DrRatnadip

Dr. John Murray , great auther of book on respiratory medicine died due to COVID 19.. He coined the term ARDS.. RIP sir

DrRatnadip

Minutes of Meeting at Collector office (Pune) 1) In today’s meeting, Collector has announced the new “COVID-19 hospital”. A 11 storeyed new building with 1100 beds at BJ medical college has been identified as the COVID-19 hospital, under the leadership of Dr Chandanwale with the help of various heal...

DrRatnadip

https://www.google.com/amp/s/swarajyama ... ors-strike

Shameless politicians from malegaon putting extra pressure on doctors..

DrRatnadip

To all hakims, are all 41 recoveries in India down to management of symptoms only? None down to the efficacy of HydroxyChloroquine and Azithromycin and HIV drugs against the virus ? Its raining in pune.. hope it helps in clearing virus from environment Sir isnt it the other way round? The cold and ...

DrRatnadip

Its raining in pune.. hope it helps in clearing virus from environment

DrRatnadip

Many doctors in India i know are taking HCQ prophylaxis.. I have taken it too.. Best way to avoid infection is staying at home.. But if you have accidently exposed to or have high chances of future exposure due to your profession then HCQ is reasonably safe drug.. I wont recommend it without doctor'...

DrRatnadip

someone correct me if wrong. The anti-malaria drug is been used on patients to reduce the virus load. Fundamentally save them from dying. People will still need hospitalization, however we may see reduction in death numbers. Would it help in the cases, when someone is just starting showing symptoms...

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