Forwarded from Mäckle macht gute Laune
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📌📌📌
Gott lässt Verbrecher gegen sich selbst gestehen.
#Verbrechen gegen die Menschheit
Kanal: @Flatearthandmore
Chat: @FEAMCHAT
🌞🍷 Lust auf Gute Laune?
👉👉 https://t.me/macklemachtgutelaune
♦️🔹♦️🔹♦️🔹♦️🔹♦️🔹♦️
Mäckle Gruppen und Kanäle
👇👇👇👇👇👇
https://t.me/maeckleschafftwissen
Gott lässt Verbrecher gegen sich selbst gestehen.
#Verbrechen gegen die Menschheit
Kanal: @Flatearthandmore
Chat: @FEAMCHAT
🌞🍷 Lust auf Gute Laune?
👉👉 https://t.me/macklemachtgutelaune
♦️🔹♦️🔹♦️🔹♦️🔹♦️🔹♦️
Mäckle Gruppen und Kanäle
👇👇👇👇👇👇
https://t.me/maeckleschafftwissen
Forwarded from Corona und mehr zum Thema Impfen
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Hier sieht man, wie Kinder beeinflusst werden!
Es ist nicht schlimm einen Schuß zu bekommen. 😜
https://t.me/coronawahrheit
Es ist nicht schlimm einen Schuß zu bekommen. 😜
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Russland. Was geht mich der Unfall an ? Wenn man ausreichend eigene Sorgen hat...
Forwarded from Robin Monotti
It's easy to fall back into a belief that if we fix Big Pharma, we will fix the system. Problem is that the reason why people believe Big Pharma in the first place needs to be addressed, and that is a hyper-materialistic view of how the body heals. This is what we address in our film THE BOOK OF VISION:
@RobinMG
https://t.me/robinmg/26724
@RobinMG
https://t.me/robinmg/26724
Telegram
Robin Monotti + Dr Mike Yeadon + Cory Morningstar
📖 THE BOOK OF VISION 👁
Executive producer #TerrenceMalick
UK producer #RobinMonotti
Starring #CharlesDance, #LotteVerbeek, #SverrirGudnason
Directed by #CarloHintermann
🇬🇧🇮🇪 Now out on VOD 🎞
Apple TV, Amazon Prime Video, Google Play, Rakuten, Sky
https:…
Executive producer #TerrenceMalick
UK producer #RobinMonotti
Starring #CharlesDance, #LotteVerbeek, #SverrirGudnason
Directed by #CarloHintermann
🇬🇧🇮🇪 Now out on VOD 🎞
Apple TV, Amazon Prime Video, Google Play, Rakuten, Sky
https:…
Forwarded from Robin Monotti
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📖 THE BOOK OF VISION 👁
Executive producer #TerrenceMalick
UK producer #RobinMonotti
Starring #CharlesDance, #LotteVerbeek, #SverrirGudnason
Directed by #CarloHintermann
🇬🇧🇮🇪 Now out on VOD 🎞
Apple TV, Amazon Prime Video, Google Play, Rakuten, Sky
https://www.parklandentertainment.com/movie/the-book-of-vision?whereToWatch=watch-at-home
Executive producer #TerrenceMalick
UK producer #RobinMonotti
Starring #CharlesDance, #LotteVerbeek, #SverrirGudnason
Directed by #CarloHintermann
🇬🇧🇮🇪 Now out on VOD 🎞
Apple TV, Amazon Prime Video, Google Play, Rakuten, Sky
https://www.parklandentertainment.com/movie/the-book-of-vision?whereToWatch=watch-at-home
Zusammenfassung des Filmes "THE BOOK OF VISION" :
Eva, eine vielversprechende junge Ärztin, verlässt ihre glänzende Karriere, um Medizingeschichte an einer abgelegenen Universität zu studieren. Jetzt ist es an der Zeit, alles in Frage zu stellen: ihr Wesen, ihren Körper, ihre Krankheit und ihr besiegeltes Schicksal. Johan Anmuth ist ein preußischer Arzt des 18. Jahrhunderts im ständigen Konflikt zwischen dem Aufstieg des Rationalismus und alten Formen des Animismus. Das Buch der Vision ist ein Manuskript, das diese beiden Existenzen zusammenfegt und sie zu einem endlosen Strudel verschmilzt. Weit entfernt von einem richtigen wissenschaftlichen Text enthält das Buch die Hoffnungen, Ängste und Träume von mehr als 1800 Patienten. Dr. Anmuth verstand es wirklich, seinen Patienten zuzuhören, deren Geister noch immer durch die Seiten wandern, Leben und Tod in einem kontinuierlichen Fluss verschmelzen. Die Geschichte von Anmuth und seinen Patienten inspiriert Eva, ihr Leben in vollen Zügen zu leben. Nichts läuft zu seiner Zeit ab. Nur das, was du dir wünschst, ist real, nicht nur das, was passiert.
https://www.parklandentertainment.com/movie/the-book-of-vision?whereToWatch=watch-at-home
Eva, eine vielversprechende junge Ärztin, verlässt ihre glänzende Karriere, um Medizingeschichte an einer abgelegenen Universität zu studieren. Jetzt ist es an der Zeit, alles in Frage zu stellen: ihr Wesen, ihren Körper, ihre Krankheit und ihr besiegeltes Schicksal. Johan Anmuth ist ein preußischer Arzt des 18. Jahrhunderts im ständigen Konflikt zwischen dem Aufstieg des Rationalismus und alten Formen des Animismus. Das Buch der Vision ist ein Manuskript, das diese beiden Existenzen zusammenfegt und sie zu einem endlosen Strudel verschmilzt. Weit entfernt von einem richtigen wissenschaftlichen Text enthält das Buch die Hoffnungen, Ängste und Träume von mehr als 1800 Patienten. Dr. Anmuth verstand es wirklich, seinen Patienten zuzuhören, deren Geister noch immer durch die Seiten wandern, Leben und Tod in einem kontinuierlichen Fluss verschmelzen. Die Geschichte von Anmuth und seinen Patienten inspiriert Eva, ihr Leben in vollen Zügen zu leben. Nichts läuft zu seiner Zeit ab. Nur das, was du dir wünschst, ist real, nicht nur das, was passiert.
https://www.parklandentertainment.com/movie/the-book-of-vision?whereToWatch=watch-at-home
Forwarded from Robin Monotti
It was very naïve to think data would be looked at objectively. We need to tell stories, not numbers. Emotions need to be put back at the centre of our strategy. They own science, we need to change the playing field back to a truly human centred narrative one. Tell your stories. Speak your truths. Scientists or doctors are not more important nor have they got any more access to truth than any one of us. This is about people, not science.
@RobinMG
@RobinMG
" (...) Hier sind also alle aktualisierten Schlüsselfakten und Quellen zur angeblichen „Pandemie“, um Ihnen zu helfen, einen Überblick darüber zu bekommen, was seit Januar 2020 mit der Welt passiert ist, und um bei der Aufklärung aller Ihrer Freunde zu helfen, die möglicherweise noch in der Falle sitzen im Nebel der Neuen Normalität. (...)."
https://off-guardian.org/2023/03/24/40-facts-you-need-to-know-the-real-story-of-covid/
INFO :
Die Meinung von Dr.Mike Yeadon deckt sich mit diesem Artikel ab. Der Top-Wissenschaftler schrieb auf Telegram, dass er mit dem Inhalt einverstanden sei ! ( https://t.me/robinmg/26970 ).
https://off-guardian.org/2023/03/24/40-facts-you-need-to-know-the-real-story-of-covid/
INFO :
Die Meinung von Dr.Mike Yeadon deckt sich mit diesem Artikel ab. Der Top-Wissenschaftler schrieb auf Telegram, dass er mit dem Inhalt einverstanden sei ! ( https://t.me/robinmg/26970 ).
OffGuardian
40 Facts You NEED to Know: The REAL Story of “Covid”
We first published our hugely popular cribsheet in September of 2021 in response to dozens – even hundreds – of reader requests for sources and data. It was intended as a resource and l…
Forwarded from Robin Monotti
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🇨🇵 PARIS: This is what Place Beaubourg was designed for by architects Richard Rogers & Renzo Piano
Forwarded from Robin Monotti
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Dr Mike Yeadon at the Truth be Told demonstration in London today 25th March 2023
Forwarded from Robin Monotti
The problem is NOT CO2. The problem for Europe is the depleted uranium that the UK government wants to send to the breadbasket of Europe: Ukraine.
Do you really want to eat Ze Radioactive Bugs?
@RobinMG
Do you really want to eat Ze Radioactive Bugs?
@RobinMG
Forwarded from Robin Monotti
Robin Monotti with the IRREVEREND
And ye shall know the truth
And the truth shall set you free
Robin Monotti speaks to the @IRREVERENDpod podcast about THE BOOK OF VISION and the government restrictions of the last 3 years.
"For this special episode the Rev'd Dr Jamie Franklin was joined by Robin Monotti Graziadei, the producer of the new film 'The Book of Vision' starring Charles Dance and Lotte Verbeek, directed by Carlo Hinterman and executively produced by Terrence Malick.
The Book of Vision is about healing, medicine and the human soul. It tells the story of a real Prussian doctor from the eighteenth century whose approach to medicine was one of listening and developing a human connection with his patients. This approach is contrasted with the emerging modern idea of human beings as machines that simply need to be tinkered with in order to produce health.
Robin and Jamie talked about the relevance of the film's themes to the response to Covid-19 and what that response revealed about society's understanding of healing, health and medicine. They also spoke about the importance of a holistic approach to health that involves not only preventing ourselves from becoming ill but cultivating and nourishing our souls as well as our bodies."
Revered Jamie Franklin
With @RobinMG
"The Book of Vision with Robin Monotti Graziadei"
https://youtu.be/cj3xr5prgcw
Podcast, audio:
https://irreverend.buzzsprout.com/1303861/12485770-the-book-of-vision-with-robin-monotti-graziadei
And ye shall know the truth
And the truth shall set you free
Robin Monotti speaks to the @IRREVERENDpod podcast about THE BOOK OF VISION and the government restrictions of the last 3 years.
"For this special episode the Rev'd Dr Jamie Franklin was joined by Robin Monotti Graziadei, the producer of the new film 'The Book of Vision' starring Charles Dance and Lotte Verbeek, directed by Carlo Hinterman and executively produced by Terrence Malick.
The Book of Vision is about healing, medicine and the human soul. It tells the story of a real Prussian doctor from the eighteenth century whose approach to medicine was one of listening and developing a human connection with his patients. This approach is contrasted with the emerging modern idea of human beings as machines that simply need to be tinkered with in order to produce health.
Robin and Jamie talked about the relevance of the film's themes to the response to Covid-19 and what that response revealed about society's understanding of healing, health and medicine. They also spoke about the importance of a holistic approach to health that involves not only preventing ourselves from becoming ill but cultivating and nourishing our souls as well as our bodies."
Revered Jamie Franklin
With @RobinMG
"The Book of Vision with Robin Monotti Graziadei"
https://youtu.be/cj3xr5prgcw
Podcast, audio:
https://irreverend.buzzsprout.com/1303861/12485770-the-book-of-vision-with-robin-monotti-graziadei
YouTube
The Book of Vision with Robin Monotti Graziadei
For this special episode the Rev'd Dr Jamie Franklin was joined by Robin Monotti Graziadei, the producer of the new film 'The Book of Vision' starring Charles Dance and Lotte Verbeek, directed by Carlo Hinterman and executively produced by Terrence Malick.…
Forwarded from Covid Vaccine Victim Awareness Month
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'Do not take anything with the word 'vaccine' on it. Especially if it comes with 'emergency' or 'mRNA'. DON'T TAKE IT!
They are lying to you about the reason for needing it.
I say to people this; if you follow the narrative, the 'official' story, and I'm right, you'll lose your freedom and probably your life.
If you follow what people like me are saying and I'm wrong, the worst that is happening is your gonna get laughed at.
DON'T BELEIVE THE GOVERNMENT!
If you believe them and I'm right, you'll lose your freedom and your life and your children'.
Dr Mike Yeadon, ex VP of Pfizer speaking to the crowd at Truth Be Told in London yesterday, 25th March.
Thing is... he is right, so start fighting back now, start saying NO, if you haven't already. And if you complied, stand with us and say NO MORE!
For those who have said NO, and have not complied for the last three years, keep going and continue to encourage mass non compliance. We are winning!
#TruthBeTold
They are lying to you about the reason for needing it.
I say to people this; if you follow the narrative, the 'official' story, and I'm right, you'll lose your freedom and probably your life.
If you follow what people like me are saying and I'm wrong, the worst that is happening is your gonna get laughed at.
DON'T BELEIVE THE GOVERNMENT!
If you believe them and I'm right, you'll lose your freedom and your life and your children'.
Dr Mike Yeadon, ex VP of Pfizer speaking to the crowd at Truth Be Told in London yesterday, 25th March.
Thing is... he is right, so start fighting back now, start saying NO, if you haven't already. And if you complied, stand with us and say NO MORE!
For those who have said NO, and have not complied for the last three years, keep going and continue to encourage mass non compliance. We are winning!
#TruthBeTold
ÜBERSETZUNG :
„Nehmen Sie nichts ein, auf dem das Wort ‚ Impfstoff ‘ steht. Vor allem, wenn es um „ Notfall “ oder „ mRNA “ geht. NEHMEN SIE ES NICHT!
Sie belügen Sie über den Grund, warum Sie es brauchen.
Ich sage es den Leuten; Wenn Sie der Erzählung folgen, der „offiziellen“ Geschichte, und ich habe recht, werden Sie Ihre Freiheit und wahrscheinlich Ihr Leben verlieren.
Wenn du dem folgst, was Leute wie ich sagen, und ich falsch liege, wirst du im schlimmsten Fall ausgelacht.
GLAUBEN SIE DER REGIERUNG NICHT!
Wenn Sie ihnen glauben und ich recht habe, werden Sie Ihre Freiheit und Ihr Leben und Ihre Kinder verlieren.
Dr. Mike Yeadon, ehemaliger Vizepräsident von Pfizer, sprach gestern, am 25. März, vor der Menge bei Truth Be Told in London.
Die Sache ist... er hat Recht, also fang jetzt an, dich zu wehren, fange an, NEIN zu sagen, wenn du es noch nicht getan hast. Und wenn Sie dem nachgekommen sind, stehen Sie zu uns und sagen Sie NEIN MEHR!
Für diejenigen, die NEIN gesagt haben und sich in den letzten drei Jahren nicht daran gehalten haben, machen Sie weiter und fördern Sie weiterhin die Massenverweigerung. Wir gewinnen!
#Um ehrlich zu sein
„Nehmen Sie nichts ein, auf dem das Wort ‚ Impfstoff ‘ steht. Vor allem, wenn es um „ Notfall “ oder „ mRNA “ geht. NEHMEN SIE ES NICHT!
Sie belügen Sie über den Grund, warum Sie es brauchen.
Ich sage es den Leuten; Wenn Sie der Erzählung folgen, der „offiziellen“ Geschichte, und ich habe recht, werden Sie Ihre Freiheit und wahrscheinlich Ihr Leben verlieren.
Wenn du dem folgst, was Leute wie ich sagen, und ich falsch liege, wirst du im schlimmsten Fall ausgelacht.
GLAUBEN SIE DER REGIERUNG NICHT!
Wenn Sie ihnen glauben und ich recht habe, werden Sie Ihre Freiheit und Ihr Leben und Ihre Kinder verlieren.
Dr. Mike Yeadon, ehemaliger Vizepräsident von Pfizer, sprach gestern, am 25. März, vor der Menge bei Truth Be Told in London.
Die Sache ist... er hat Recht, also fang jetzt an, dich zu wehren, fange an, NEIN zu sagen, wenn du es noch nicht getan hast. Und wenn Sie dem nachgekommen sind, stehen Sie zu uns und sagen Sie NEIN MEHR!
Für diejenigen, die NEIN gesagt haben und sich in den letzten drei Jahren nicht daran gehalten haben, machen Sie weiter und fördern Sie weiterhin die Massenverweigerung. Wir gewinnen!
#Um ehrlich zu sein
Forwarded from Oracle Films
Media is too big
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Mistakes Were NOT Made: An Anthem for Justice
A powerful video montage chronicling the last three years of tyrannical COVID measures and vaccine mandates.
Adapted from the poem by Margaret Anna Alice, read by Dr Tess Lawrie.
Don't Let Them Get Away With It.
Video credit to Darrin McBreen
A powerful video montage chronicling the last three years of tyrannical COVID measures and vaccine mandates.
Adapted from the poem by Margaret Anna Alice, read by Dr Tess Lawrie.
Don't Let Them Get Away With It.
Video credit to Darrin McBreen
Forwarded from Robin Monotti
Why mechanical ventilation during the covid “pandemic” was almost always inappropriate.
I wrote this post in a discussion thread but I happen to think it might be important enough to share as a post on its own.
I’ve known right from the off (February 2020) that inappropriate mechanical ventilation has been widely used.
I didn’t focus on it publicly because I’m just a PhD. Surely if I was right, medics all over the place would be calling this out?
The fact that they didn’t meant I just left it alone for some time.
Now I appreciate that knowing something & speaking about it are entirely different things.
So mostly silent medics isn’t a good guide. Here’s what I’ve always thought about the topic.
An anecdote. When I heard politicians wringing their hands and calling for 30,000 or 40,000 ventilators, I was absolutely shocked. In no universe can there be a need of that scale. I had two thoughts.
The first one was that there really was something almost universally lethal in certain groups, like the frail elderly, and hospitals were going to be full of people literally dying in the waiting rooms with screaming relatives imploring hospital staff to “do something” to save their relative.
In such a world, ANY mechanical ventilator would serve to render inevitable death a great deal less traumatising. So here, even what they call a transport ventilator in an ambulance (a low tech device which is life saving for the few minutes between getting the patient stabilised at a scene and placing them into the hands of a fully equipped urgent care facility) would do.
I knew that low tech ventilators like this CANNOT be used to maintain a patient. You will kill all of them, even a fit young person so treated, placed on a primitive ventilator for long enough, will die.
Even sophisticated ventilators, life support systems, are inherently dangerous. The skilful intensivist knows how to minimise ventilator induced injuries and also to reduce the risk of ventilator acquired infectious pneumonia.
If you put a non specialist in charge, God help you.
It didn’t take me long to realise that the “out” I had created, more for myself than anything else, was bogus.
So onto the second thought. These ventilators were being used to transition people who weren’t at appreciable risk of dying into a body bag, in return for heaps of cash (in the US). What the psychological pathway was in U.K., I have no idea. Anyway, here’s my post which may well be expanded into an article for the alternative media. I would need a medical specialist coauthor for credibility.
Best wishes
Mike
**********
My next point of attack is mechanical ventilation.
I knew the moment I heard they were putting people with alleged influenza-like illnesses on ventilators that it was a method of killing people.
How did I know that?
I’ve worked over thirty years in & around respiratory diseases.
I know what a mechanical ventilator does & when it may be appropriate or even mandatory if the patient is to have any chance of survival.
I called a then-friend who was an immunology professor at a minor English university. I knew he had lots of Italian peers & research collaborators (mixture of clinicians and PhDs).
We jumped on a call with one Italian clinical respiratory expert, who was distressed at what his clinical peers were doing in the hospitals in northern Italy.
They’d been told to “follow the Wuhan protocol”, which was “get them sedated, intubated and ventilated as fast as possible”.
All informal. I haven’t seen such guidance written down, probably because it would be incredibly incriminating.
He persuaded a peer to run an informal comparison for a week, telling “covid” patients that at the time we didn’t know whether ventilation or not ventilation was the best path. Anyone with a strong preference got their choice. Others who said to the doctor, “you decide”, was randomised to ventilation or not. If not, they got “usual care”, which was very little mostly, but if they desaturated, they got an oxygen mask.
I wrote this post in a discussion thread but I happen to think it might be important enough to share as a post on its own.
I’ve known right from the off (February 2020) that inappropriate mechanical ventilation has been widely used.
I didn’t focus on it publicly because I’m just a PhD. Surely if I was right, medics all over the place would be calling this out?
The fact that they didn’t meant I just left it alone for some time.
Now I appreciate that knowing something & speaking about it are entirely different things.
So mostly silent medics isn’t a good guide. Here’s what I’ve always thought about the topic.
An anecdote. When I heard politicians wringing their hands and calling for 30,000 or 40,000 ventilators, I was absolutely shocked. In no universe can there be a need of that scale. I had two thoughts.
The first one was that there really was something almost universally lethal in certain groups, like the frail elderly, and hospitals were going to be full of people literally dying in the waiting rooms with screaming relatives imploring hospital staff to “do something” to save their relative.
In such a world, ANY mechanical ventilator would serve to render inevitable death a great deal less traumatising. So here, even what they call a transport ventilator in an ambulance (a low tech device which is life saving for the few minutes between getting the patient stabilised at a scene and placing them into the hands of a fully equipped urgent care facility) would do.
I knew that low tech ventilators like this CANNOT be used to maintain a patient. You will kill all of them, even a fit young person so treated, placed on a primitive ventilator for long enough, will die.
Even sophisticated ventilators, life support systems, are inherently dangerous. The skilful intensivist knows how to minimise ventilator induced injuries and also to reduce the risk of ventilator acquired infectious pneumonia.
If you put a non specialist in charge, God help you.
It didn’t take me long to realise that the “out” I had created, more for myself than anything else, was bogus.
So onto the second thought. These ventilators were being used to transition people who weren’t at appreciable risk of dying into a body bag, in return for heaps of cash (in the US). What the psychological pathway was in U.K., I have no idea. Anyway, here’s my post which may well be expanded into an article for the alternative media. I would need a medical specialist coauthor for credibility.
Best wishes
Mike
**********
My next point of attack is mechanical ventilation.
I knew the moment I heard they were putting people with alleged influenza-like illnesses on ventilators that it was a method of killing people.
How did I know that?
I’ve worked over thirty years in & around respiratory diseases.
I know what a mechanical ventilator does & when it may be appropriate or even mandatory if the patient is to have any chance of survival.
I called a then-friend who was an immunology professor at a minor English university. I knew he had lots of Italian peers & research collaborators (mixture of clinicians and PhDs).
We jumped on a call with one Italian clinical respiratory expert, who was distressed at what his clinical peers were doing in the hospitals in northern Italy.
They’d been told to “follow the Wuhan protocol”, which was “get them sedated, intubated and ventilated as fast as possible”.
All informal. I haven’t seen such guidance written down, probably because it would be incredibly incriminating.
He persuaded a peer to run an informal comparison for a week, telling “covid” patients that at the time we didn’t know whether ventilation or not ventilation was the best path. Anyone with a strong preference got their choice. Others who said to the doctor, “you decide”, was randomised to ventilation or not. If not, they got “usual care”, which was very little mostly, but if they desaturated, they got an oxygen mask.
Forwarded from Robin Monotti
They stopped the trial early, as almost everyone ventilated died whereas almost everyone not ventilated survived.
As I knew they would.
Mechanical ventilation is pretty much CONTRAINDICATED in frail, elderly patients.
It’s a very unnatural way to inflate lungs and is commonly associated with lung injury (followed by oedema, water invading air spaces, which raises resistance and drops compliance so ventilator pressure has to be increased and so the negative spiral continues until death).
Think right now as you inhale slowly. What’s making air flow into your lungs, making them expand? It’s not being inflated from the outside being higher pressure than the inside.
No, you inhale by LOWERING the pressure inside your lungs. The air simply flows in, down the pressure gradient. You create that sucking pressure by swinging your rib cage upwards and forwards & at the same time, completely automatically, you contract your diaphragm which sits across the lower part of your chest, like a rubber sheet across the wide part of a bell. During exhalation, it’s slack and curves gently upward in the centre.
Got an intact chest wall? No pneumothorax? Not got an obstructive airway disease like COPD, asthma? Then the patient can breathe on their own and should not be ventilated. The question about obstruction relates to the fact that if you are obstructed, you eventually tire from the “work of breathing” & you spiral down to unconsciousness. These patients didn’t have that. Flu is not an obstructive lung disease.
If the patient is desaturating, blood oxygen falling, give them an oxygen mask.
Treat their other symptoms. Usually, panic is the most prominent symptom, because they’re scared to death. The mass media did that. So, low dose (eg 2mg Valium) oral benzodiazepine, just one time. Have someone check on them often. What does that involve?
A clinician friend who’s a master ER/A&E doc says, “get your head on the same level as the patient and look at them when you speak. Time slows down when you do that. You notice more about the patient and that builds confidence and trust. That alone is worth a lot in a crisis”.
Ventilators are utterly brilliant, lifesaving devices for things like chest wall injury where they can no longer inflate their own lungs and will rapidly die unaided. Also, planned surgery, where the patient will go very deep & so their breathing rate and tidal volume will fall off a cliff. Or, if in such traumatic agony that deep sedation is necessary (50% burns for example or multiple severe injuries & compound bone fractures).
They’re complicated things, are ventilators. There are many controls. Rate & volume are the simplest, but pressure, rate of inflation, the relationship between pressure and flow rate (“compliance”) are all vital. Also, you control exhalation, not just turn off at the end of every inflation. Finally, you don’t allow complete emptying, because the walls of the small airways can collapse and start to stick to each other, raising resistance to inflation and lowering compliance. All the time, you’re measuring blood gases, not only oxygen but CO2 as well as pH, concentration of different salts like sodium, potassium, chloride etc.
You don’t just let anybody “fly the patient”. Not if you want them back.
So I’m just a PhD so what do I know?
I’m searching for a brave intensivist. Maybe a consultant anaesthetist.
Watch this space.
They already know, but most of the public doesn’t.
When they learn that mass mechanical ventilation has been widely used in countries with “advanced” medical systems, I’m hoping they’re going to be as seethingly angry about it as I am.
As I knew they would.
Mechanical ventilation is pretty much CONTRAINDICATED in frail, elderly patients.
It’s a very unnatural way to inflate lungs and is commonly associated with lung injury (followed by oedema, water invading air spaces, which raises resistance and drops compliance so ventilator pressure has to be increased and so the negative spiral continues until death).
Think right now as you inhale slowly. What’s making air flow into your lungs, making them expand? It’s not being inflated from the outside being higher pressure than the inside.
No, you inhale by LOWERING the pressure inside your lungs. The air simply flows in, down the pressure gradient. You create that sucking pressure by swinging your rib cage upwards and forwards & at the same time, completely automatically, you contract your diaphragm which sits across the lower part of your chest, like a rubber sheet across the wide part of a bell. During exhalation, it’s slack and curves gently upward in the centre.
Got an intact chest wall? No pneumothorax? Not got an obstructive airway disease like COPD, asthma? Then the patient can breathe on their own and should not be ventilated. The question about obstruction relates to the fact that if you are obstructed, you eventually tire from the “work of breathing” & you spiral down to unconsciousness. These patients didn’t have that. Flu is not an obstructive lung disease.
If the patient is desaturating, blood oxygen falling, give them an oxygen mask.
Treat their other symptoms. Usually, panic is the most prominent symptom, because they’re scared to death. The mass media did that. So, low dose (eg 2mg Valium) oral benzodiazepine, just one time. Have someone check on them often. What does that involve?
A clinician friend who’s a master ER/A&E doc says, “get your head on the same level as the patient and look at them when you speak. Time slows down when you do that. You notice more about the patient and that builds confidence and trust. That alone is worth a lot in a crisis”.
Ventilators are utterly brilliant, lifesaving devices for things like chest wall injury where they can no longer inflate their own lungs and will rapidly die unaided. Also, planned surgery, where the patient will go very deep & so their breathing rate and tidal volume will fall off a cliff. Or, if in such traumatic agony that deep sedation is necessary (50% burns for example or multiple severe injuries & compound bone fractures).
They’re complicated things, are ventilators. There are many controls. Rate & volume are the simplest, but pressure, rate of inflation, the relationship between pressure and flow rate (“compliance”) are all vital. Also, you control exhalation, not just turn off at the end of every inflation. Finally, you don’t allow complete emptying, because the walls of the small airways can collapse and start to stick to each other, raising resistance to inflation and lowering compliance. All the time, you’re measuring blood gases, not only oxygen but CO2 as well as pH, concentration of different salts like sodium, potassium, chloride etc.
You don’t just let anybody “fly the patient”. Not if you want them back.
So I’m just a PhD so what do I know?
I’m searching for a brave intensivist. Maybe a consultant anaesthetist.
Watch this space.
They already know, but most of the public doesn’t.
When they learn that mass mechanical ventilation has been widely used in countries with “advanced” medical systems, I’m hoping they’re going to be as seethingly angry about it as I am.