I’ve been sick for 8 years . Diagnosed prior pandemic. Was thrown on prednisone 3 years straight. It kept me alive but lord I was miserable. Hair loss, teeth loss and insomnia. Everything was driving me nuts. I don’t feel it was helping the problem it was slapping a bandaid on the problem. Stopped it for a few months now my lungs has flared up to the max. Heatwaves right now I just wanna die. Huge medical community but not one person can help me live a decent life without looking like a crazy whale
Lyme disease is resistant. The bacteria has no patents, but the OspA and B has a patent. The lipoproteins are the problem, these are not gram negative anything and were never part of the original Bacteria. With lyme it should be how to disable these Osps and then go after the bacteria.
I actually made a recent discovery. As i was living in Albuquerque NM and was struggling to function (breathe). I made two trips back to virginia and guess what??? I could breathe again. The ELEVATION is 5400 in ABQ but not in Virginia. I was told to live in a hot dry environment. Well, those places consist of HIGHER ELEVATIONS and i felt near death everyday. Prednisone didnt help, immunosuppresaants didnt help, etc. SO I MOVED BACK TO VIRGINIA.
Thank you for sharing your experience. It's incredible how the environment can significantly impact our health. Your discovery about the elevation differences between Albuquerque and Virginia is quite insightful. It's a reminder that sometimes our health issues can be solved in our surroundings. I'm glad that moving back to Virginia has helped you breathe easier and feel better. Finding the right environment that supports our well-being is important, and your story is a powerful testament to that. Wishing you continued health and comfort in Virginia!
Very well explained, can you make videos on lung ultraosund - b lines and resemling artefacts and can you explain in detail regarding determining size of pneumothorax based on lung point Thank you 😊
Thank you sir. Suggestions for future videos that would be greatly helpful to us CCM aspirants: 1. Cardiac output monitoring 2. Fundamentals of ICU management after transplant surgeries 3. Broncho-alveolar lavage in the ICU 4. Fever in immunocompromised patients
Thank u for the much useful video. Please please make a video on ventilator patient dyssynchrony, P-sili, P0.1, occlusion pressure, and pressure muscle index.
2 questions: 1. At 4:31, whose grading system is it sir? CLIF-ACLF? 2. How to clinically differentiate if a patient has acute decomposition of CLD or ACLF if a patient without any apparent infections or recent alcohol intake land up in ICU with multi-organ failure?
1. European Association for the Study of the Liver (EASL) 2. ACLF is basically multiorgan failure in the background of cld. Decompression means you will have typical decompression features of HE or Ascites or jaundice
Aclf patients have ....very low albumin ...high billirubin and high inr and low sodium as compared to decompensated cirrhosis ......and the rate at which billirubin increases day by day is very high in aclf like in Alf
@@user-ud9kh4kr6v Thank you for your insightful observation. Indeed, the differences in albumin, bilirubin, INR, and sodium levels between ACLF and decompensated cirrhosis patients are critical for diagnosis and management. The rapid increase in bilirubin levels in ACLF further underscores the severity of this condition. This distinction helps in tailoring appropriate therapeutic strategies for these patients.
@@dr.rishabhshealthadvice you are correct but our objective is to find a metabolic disorder. Respiratory ones are already diagnosed since 1st we see the PCO2.
Very vague. Just tell me if the patient has bacterial pneumonia with extensive inflitrates in the CT, fever, tachycardia and hypotension should I add steroids or not?
Like the rapid approach but when watching and you focus in on chart too closely viewer loses perspective of what you are saying if viewer is trying to read the chart (the column and row "headings" go away when you focus closely within the chart )
