Surgery. General and Specialized

Delhi reported over 1490 new cases in last 24 hours.
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Wear a mask,
Carry a sanitiser,
Get your booster shots,
Follow COVID Appropriate Behaviour (CAB),
Experts advise and warn that the " pandemic isn't over yet""
😷😷😷😷😷😷😷😷😷

Should you visit hospital for non Covid conditions?
Hospitals are seeing surge of Covid patients due to Omicron variant.. Since highly transmissible is this varient, the risk of acquiring Covid is very high if you come in close contact with a patient harbouring virus, with or without symptoms...And this is exactly the scenario that prevails in the hospitals, whether designated Covid or non Covid facilities.. So what should you do if you have a medical condition needing a hospital visit...?
Set up a video consultation and let your caregiver decide whether you need a hospital visit or not..
If it's a serious medical emergency, then alone you should visit Hospital..Here too with all Covid appropriate precautions..like mask, distancing with only one attender..
If you, or someone you are looking after is scheduled for an intervention or therapy, do check in with your caregiver about the course of action to undertake..
By all means avoid hospital visit for minor problems to help hospitals cater to the more needy ones..
Stay safe.. stay masked when outdoor..

Copied from the wall of Dr J K Bhutani ..I totally endorse his views which are based on the best evidence...

'WHAT do not work in COVID are Azithromycin, Doxycycline, Ivermectin, Hydroxychloroquine, Vitamins, and Oseltamivir clones….
What works in some are steroids, low-molecular-weight heparin, and in very early and very few Remdesivir…
Patients with severe or moderate hypoxia, which generally occurs after a week of onset of symptoms, are treated with supplemental oxygen…

The optimal oxygen saturation (SpO2) in adults with COVID-19 is uncertain...
A target SpO2 of 92% to 96% seems logical and beneficial…
The experience in patients in observational studies of COVID-19, suggests that a SpO2 96% may be harmful….
SpO2 of 88% to 92% and SpO2 of >96% were both associated with higher mortality....
The conventional oxygen therapy or options for providing enhanced respiratory support including HFNC, NIPPV, intubation, and invasive mechanical ventilation, or extracorporeal membrane oxygenation (ECMO) logically should have a similar target of, SpO2 92%....

Too much oxygen, unmonitored or casually monitored oxygen therapy often is associated with reactive inflammation, growth of microbes (bacteria, and fungi) leading to superadded lung infections, induction of subsequent fibrosis, and restrictive lung disease….
Nearly nothing is even known about the effect of therapeutic administered oxygen on the expression of ACE2 and Furin in respiratory tissues and possible long-term outcomes….
Some generation of ‘oxygen radicals’ may not be bad, as phagocytic cells generate radicals to kill invading pathogens…..
But too much reactive oxygen can be toxic to cells and possibly damaging to many macromolecules, including lipids, proteins, and inhibitory mutant or autoimmune triggers…

As most of the data and published work on COVID-19. is observational, anecdotal or subjectively biased, clinical, and not based on randomized controlled trials…
An astute clinician shall facilitate the immune response of the patient, with watchful expectant expediency, while looking for more mysteries of the body, COVID, and medical science to reveal….

The majority of the patients will get well on their own with just supportive treatment and no drug, oxygen, or device intervention…

post-COVID sequelae and the genesis of these in the panic responses of the medical science to the pandemic is a worthwhile compassionate consideration…'