Dr.Vyas

Bullemma fathers day

Happy Father's Day #funny #kidsvideo #share

https://youtu.be/JdS3KFOKpwk

Depression Depression with Dr Bharath Vyas, Consultant Physician and Cardiodiabetologist,The Mediforte Hospital ,Kisii

My experience with SARS COVID 19.. Dr.Bharath Vyas Marla

The hype is not true.. of all the patients I had admitted only 2 ppl died.. it's not as deadly as it was advertised.. It's not hoax.. as far as the place where I practice, there has been a sudden spurt of patchy pneumonias.. starts mostly with fever followed by increased bronchovascular markings crossing the midline which later coalesce in to patchy pneumonia sometimes going in to fluffy infiltrates.. crp is usually elevated despite normal total count with lymphocytes with neutropenia with d dimer elevation.. . second phase marked by neutrophilia, raise in total count suggestive of secondary bacterial infection.. dependence on oxygen starts somewhere in between.. Old heafty people with dm htn and ckd are at high risk for morbidity and mortality.. with careful follow-up and with rationale treatment we have very good results at our center.. Prevention of systemic inflammatory response syndrome was the cornerstone of our treatment strategy.. we also practiced serial chest x Ray's daily.. I was curious if exposure to x ray radiation everyday is responsible for better outcomes?? Flip side of such a radiation exposure needs to be researched.. Early admission with titrated rational doses of steroids with respiratory spectrum antibiotics coverage in par with clinical assessment does improve most of the patients.. Favipiravir is useless.. role of Remdesvir has to be debated.. our practice is to start it early without waiting for rt pcr report and stop if its negative.. positive patients received it for 5 days.. as I told earlier we had only 2 deaths with the said treatment.. however corona affected our town only in mid august and from then we have treated about 200 patients.. out of which there were about 40 admissions and about 30 patients were properly followed up and there were only 2 properly documented proven deaths.. 71 year old and 79 year old Male and female patients.. Both patients died because of hyperkalemia related ventricular fibrillation.. one thing we noticed was in this group of patients on tiecoplanin and tigecyclin there was hemolysis resulting in anemia.. one lucky patient survived all through this with multiple dialysis.. was on ventillator for 20 days.. tracheostomized and undergoing respiratory physio.. Albeit very weak, very much alive.. Piptaz, Clavum, levoflox, Dalacin, doxy were commonly used as a cover based on clinical assessment when initiating steroids I.e dexamethasone.. meropenem was used sparingly as there was creatinine elevation in most of the patients with the advent of the signs of secondary bacterial infection.. However around 5 patients required linezolid, tiecoplanin and tigecyclin in various combinations as their counts became unusually high.. in that group we had 2 deaths.. Take home message is that manage viral phase well.. dont let patient go in to SIRS.. One more notable feature was there were no mi incidents.. apart from the fact that mi in native african populations is very low when compared to india.. we covered the patients with either rivaroxaban or dabigatran.. for patients on dialysis we preferred regular heparin during dialysis.. unfractionated heparin was used in ventillator patients.. dosages were decided empirically and titrated such a way to not to cross an inr of 2.. We didnt do mass routine testing at our center.. hence our rt pcr yield was well above 80%.. our criteria for testing was - symptoms + cbc + x ray chest + crp.. There was also a subset of about 40% patients who were highly likely corona symptoms but rt pcr and antibody negative.. which we treated under the diagnosis of post corona sequalae

HbA1C Explianed in Telugu

HbA1C the test for diagnosis and management of Type2 DM (Telugu) Health Talk; Patient Education; Disease Awareness Type 2 Diabetes Basics; HbA1C 'The" test for diagnosis and management of Type2 Diabetes Mellitus Disclaimer...

https://youtu.be/jRXaUyVm4vE

HbA1C Explained in Telugu

HbA1C the test for diagnosis and management of Type2 DM (Telugu) Health Talk; Patient Education; Disease Awareness Type 2 Diabetes Basics; HbA1C 'The" test for diagnosis and management of Type2 Diabetes Mellitus Disclaimer...

Thank you all for the support..

https://www.youtube.com/watch?v=iMRpl_hvhD0

HbA1C the test for diagnosis and management of Type2 DM Health Talk; Patient Education; Disease Awareness Type 2 Diabetes Basics; HbA1C 'The" test for diagnosis and management of Type2 Diabetes Mellitus Disclaimer...

youtube.com/watch?v=6Bhk9GgW4Es&t=1036s

Pathophysiology of Type2DM (telugu) Type 2 Diabetes Basics; How does one get affected by type 2 diabetes? (pathophysiology) (telugu) Disclaimer The health talk in this video presentation is int...

https://www.youtube.com/watch?v=z-WcfNebam8&t=658s

diabetes basics pathophysiology Health Talk; Patient Education; Disease Awareness Type 2 Diabetes Basics; How does one get affected by type 2 diabetes? (pathophysiology) Disclaimer The heal...