Coronavirus Pandemic Update 45: Sharing Ventilators, More on Sleep, Immunity, & COVID-19 Prevention
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- čas přidán 26. 03. 2020
- Coronavirus (COVID-19) Update 45 with Roger Seheult, MD of www.medcram.com/?Y...
The state of New York has approved the use of one ventilator for multiple patients during a surge or crisis. Dr. Seheult discusses some of the implications and challenges of this practice. Dr. Seheult also builds upon the research he explained in Update 16 ( • Coronavirus Epidemic U... ) and Update 17 ( • Coronavirus Epidemic U... ) about important connections between sleep and immunity.
PLEASE NOTE: This video was recorded on March 27, 2020. Our more recent COVID-19 updates can be accessed free at our website www.medcram.com/courses/coron... or here on CZcams: • Coronavirus Pandemic U...
We've produced each COVID-19 video with the best information we could access at the time of recording. Naturally, some videos will contain information that has become outdated or replaced by better information or research.
That said, we believe each video contains concepts that have enduring value and reviewing how the response to COVID-19 has progressed over time may be of interest to you as well.
Website LINKS from this video:
gisanddata.maps.arcgis.com/ap...
www.worldometers.info/coronav...
www.nytimes.com/2020/03/26/he...
www.foxcarolina.com/news/pris...
www.aarc.org/wp-content/uploa...
rupress.org/jem/article/216/3...
www.ncbi.nlm.nih.gov/pmc/arti...
www.researchgate.net/publicat...
Some previous videos from this series (visit MedCram.com for the full series):
- Coronavirus Pandemic Update 44: Loss of Smell & Conjunctivitis in COVID-19, Is Fever Helpful? • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 43: Shortages, Immunity, & Can a TB Vaccine (BCG) Help Prevent COVID-19? • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 42: Immunity to COVID-19 and is Reinfection Possible? • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 41: Shelter In Place, FDA Investigates Hydroxychloroquine for COVID-19: • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 40: Ibuprofen and COVID-19 (are NSAIDs safe?), trials of HIV medications: • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 39: Rapid COVID-19 Spread with Mild or No Symptoms, More on Treatment: • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 38: How Hospitals & Clinics Can Prepare for COVID-19, Global Cases Surge: • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 37: The ACE-2 Receptor - The Doorway to COVID-19 (ACE Inhibitors & ARBs): • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 36: Flatten The COVID-19 Curve, Social Distancing, Hospital Capacities: • Coronavirus Pandemic U...
- Coronavirus Pandemic Update 35: New Outbreaks & Travel Restrictions, Possible COVID-19 Treatments: • Coronavirus Pandemic U...
- Coronavirus Epidemic Update 34: US Cases Surge, Chloroquine & Zinc Treatment Combo, Italy Lockdown: • Coronavirus Epidemic U...
- Coronavirus Epidemic Update 33: COVID-19 Medication Treatment Trials, Global Testing Remains Limited: • Coronavirus Epidemic U...
- Coronavirus Epidemic Update 32: Important Data from South Korea, Can Zinc Help Prevent COVID-19? • Coronavirus Epidemic U...
- Coronavirus Epidemic Update 31: Mortality Rate, Cleaning Products, A More/Less Severe Virus Strain? • Coronavirus Epidemic U...
- How Coronavirus Kills: Acute Respiratory Distress Syndrome (ARDS) & Treatment: • How Coronavirus Kills:...
Many other videos on COVID-19 and other medical topics (ECG Interpretation, hypertension, DKA, acute kidney injury, influenza, measles, mechanical ventilation, etc.) at MedCam.com
Speaker: Roger Seheult, MD
Board Certified in Internal Medicine, Pulmonary Disease, Critical Care, and Sleep Medicine.
Produced by Kyle Allred, PA
Media Contact: Hayley@MedCram.com
MedCram medical videos are for medical education and exam preparation, and NOT intended to replace recommendations from your doctor.
#Coronavirus #COVID19 #SARSCoV2
My biggest revelation after years of sleep problems, sleep doctors, & pills was this: to sleep well, first *remove* the obstacles to sleep. Most suggestions focus on what to *DO.* I found the key was to remove what I should not do. For me that was 2 hours before bed avoiding things such as any tv, engaging intellectual discussion (I'm easily excitable), problem solving (my passion), loud music, bright light. When I let my body settle down into a calm restful state, sleep was unimpeded by all these antagonistic burdens. I use an alarm on my phone 2 hours before bed which reminds me its time to start winding down for the day.
I hope these ideas can help other people too.
Thanks for some great information. I have been an insomniac for my entire life. It was a sudden acclimation at age 18. My mother was the worst insomniac I have ever seen. My sister and brothers “inherited” the disease at aboutthe same age. When I married and had children, I swore to myself that they would not get this same malady. Unfortunately, as all four turned about 18-20, each one became a serious insomniac. Throughout the years, I have relied on many sleep medications and programs to try and get at least 3-4 hours of rest a night. I firmly believe after years of research that being sleep deprived is an inherited disease. The doctors doing the research are not the ones that have insomnia. None of my doctors could appreciate what it’s like going for weeks without sleep. Finally, your body gets to the point to where it just crashes for 3-4 hours. This disease has been the bane of my life!
I find success in avoiding news or data on COVID-19 several hours before bed. Obvious I know but I was waking up at 3 am and looking at worldometers which was not helpful.
Here are some additional sleep hygiene tips from a former insomniac: Don't eat for at least 2 hours prior to bed( 3 hours is ideal). Exercise will help you sleep better at night and give you more mental clarity and energy. If you exercise in the evening just don't do it right before bed. See BrightSide video's on CZcams for lots of great ideas since we need to be working out in our home environments. Don't underestimate just getting outside and going for a walk. This is also beneficial in many ways. Just wave your neighbors and keep your social distancing in mind.
You seem very disciplined person. Someone to follow as a role model!
murder neighbors. got it.
A real genius knows how to explain something so the average person could understand. Doc you are one of the most intelligent people I ever heard speak. Thank you!
Best resource for covid-19 information. Thank you for what you do!
Thank you for your support!
@@Medcram It's great that you have brought attention to the need for quality sleep however from my experience in hospitals it's almost impossible to get good quality sleep due to lights being on and continual disturbances. Is sleep that is induced by medication still able to provide the same benefits or as with alcohol induced sleep, it does not provide the quality sleep?
Dr. Seheult, you are more precious to our mankind than the world leaders. I personally don’t feel comfortable that you are working in the front line. I’m sure many viewers feel the same. The famous biochemist Otto Warburg who joined the fight of WWI and later was persuaded by Einstein that he can serve mankind more by not risking his life in the war and continue to be a scientist. I implore you to dedicate fully to educating the public and leave the front line to those who don’t possess the talent for educating the public. The world desperately need you to save countless lives by spreading the knowledge and the truth.
While I agree with your logic, I somewhat doubt that Dr. Seheult would be able to bring himself to do that. This crisis is showing just how dedicated the vast majority of doctors, nurses and health workers are to help others. When we finally emerge from this crisis, I hope most people remember just how much they have given of themselves.
"sleep is a healer" explained Thank you Med Cram + Dr Seheult Sleep well !
I have been with your channel from this covid-19 started. And I look forward to seeing your videos everyday. Thank you Doc from Jamaica.
Thanks for tuning in from Jamaica!
Please tell your government to allow USA ICU nurses. I’d be there tomorrow.
I very much appreciate your non-bias approaches to educating us; showing conflicting studies, etc. Thank you!
I look like the smartest doctor in the room thanks to your daily updates! I look forward to them daily, and am saddened if one is not posted (rare). Keep up the great service. any help I can offer, just let me know. your presentation of pertinent information has already impacted my patient care.
David Schlomer Give your fellow doctors a heads up!
When this is over, you should get the Presidential Medal of Freedom and the Congressional Gold Medal, the highest civilian awards of the US. Thank you for this best mine of information!
"Presidential Medal of Freedom" - From Trump?
Life will never be the same in America by the way.
@@billytheweasel This channel should be kept clear of mindless, counterproductive political posturing and rhetoric.
Best award anyone can receive would be Life. This is more precious than any Shiny things. Hope we all get and keep that reward for working together. Be safe, stay healthy.
The better persons have never got any medal. Dr. Seheult will not be the exception, probably. The best of people don´t do their work for medals or any revards. They are just good people, God bless them.
I agree!
Thank you for what you do. This is the most reliable and easily understood information available to us. Appreciate you and all that you do
Vesper: a prayer at night. What a name for a ventilator company.
As a Respiratory Therapist for 40 years, I completely agree with the AARC, in their opinion of using one ventilator for 2 or more patients. There are way too many variables in between patients needing ventilator support to be able each patient. One variable, such as lung compliance, for example, would affect both patients, possibly causing more volume, pressure to one patient, and less to the other. Both patients could be injured, compromised in this situation. Yes, I’ve have heard this method discussed, but never used. I think it unwise to consider this as a viable option.
Love your videos! Thank you...
Hearing you, but as an alternative to death? Hm.
I would hope that patients with similar needs would be the ones sharing a given ventilator, for a start.....and too, some of the experimental mechanical designs could well be expanded or 'ganged' to deal with the variations between individual patients....
Not an RT, but hoping that the disadvantages get dealt with and more people survive....
M &M agree, RRT here.....this is definitely not recommended. I would however, be willing to use for two patients if I needed to. This whole thing really shines a spotlight on some major equipment shortages. I hope when this is done, we manufacture enough supplies to never be in this position again.
I don’t know you, but I love ya. Sending love and support to all here. Please stay safe, we’re in for a hell of a time.
Dr. Seheult, I’ve been following your channel since mid-January. I have referenced your videos many times when people would ask my opinion then two weeks later what you said would be in the mainstream news. People would come back to me and say “Wow! How’d you know that was going to happen or how’d you know about . . . After a minute of pretending I have medical visions, I remind them of MedCram. I’ve referred friends with anxiety who want to know what’s going on without the theatrics of 24-hour news reports. You have become a trustworthy and rational source for so many. Thank you for your work! God Bless you and keep up the great work!
Thank you for the kind words!
Anecdotally - Dr. Li, theWuhan ophthalmologist who was the “Canary In The Coal Mine” for the COVID-19 outbreak in Wuhan, had reportedly worked non-stop for almost three weeks before being hospitalized and overcome by this virus. Many have characterized this as a classical case of “working one’s self to death”. Apparently (as we have seen especially in Italy and now Spain) he was not alone.
This underscores the fact that healthcare workers need to make time for rest and sleep.
@@Medcram By 'sleep efficiency,' I take it you mean sleeping soundly rather than fitfully? If I routinely wake around 1am and again around 3am, what can be done about this? It seems to be a bad habit, rather a purely-medical (ie prostate enlargement/micturation) issue. Thanks, Dr! Your videos are extraordinarily illuminating.
@@Avital4414 I think in one of his previous videos about sleep, he mentioned something about the first few hours of sleep is the most important for immune function. Additionally, multiphasic sleep patterns have a decent amount of credibility as being just healthful as monophasic sleep as long as you are getting enough throughout the day.
@@Medcram I am a critical care nurse working in a dedicated COVID-19 ICU in Italy... it's hard but we keep it up!
Can you help me in finding data about infected medical workers and the number of deaths? In Italy I found newspaper articles reporting 45-46 physicians deceased... but what about nurses and other healthcare professionals?
Thank you for your excellent work!
It's very possible he got limited care because he reported what was actually happening.
Thanks Doc for keeping us updated. They sure do overlap with many other general health issues. I am much better off because your detailed explanations.
The more you think about sleeping and worry about your sleep the less you will sleep.
Terri D. So true, sigh
@@GL00MYG1RL it is something people can disallow via bad habits though.
Not really, i just think what i can do to sleep better.
Well yeah, so don't worry about it. Give it 9 hours of your schedule. 1 hr to wind down, 8 to sleep. No screens at night, sunlight during the day. Bam.
Yeah kind of like how anxiety about having shortness of breath causes shortness of breath.
Dude!! Thanks for helping us get thru this crap. Receiving accurate info from you helps me sleep! 😴
I've always mentioned when I get sick, I usually can sleep it off. And with lack of sleep I'm more likely to catch a cold or flu. This video just explained it's true. I'm going back to bed now.
Thank you for providing the vent refresher course.
It is so refreshing to come to a youtube channel that does not promote hysteria but gives very useful information. Thank you very much Dr. Seheult
It's actually too late for hysteria. Might have been handy in December though.
Most people are presently struggling to sleep properly because they are worried about their health and their loved ones' health as well as loss of income etc due to the pandemic. The medical professionals managing patients are in an even worse position so the Medcram video on how to get a decent night's sleep will provide a valuable resource.
So the people best equipped o fight this are sleepy introverts like me who actually prefer staying at home and sleeping in?
Laudine yes exactly take your Vit C and zinc and you are even better off....
@@dianasimplifies & vitamin d in winter.
The meek inherit the earth, apparently
Unless you're depressed. . . which could be bad news for your immune system.
Yes!
Your name and education toutre videos, will be in whole history and scientific references ....thank you from Israel
Great information. Number one thing I do when sick is sleep and rest. Way above everything else. Sleep is the number way to fight off sickness. Your body seems to really work hard to fix the body when sleeping.
Dear Dr. Seheult,
I wanted to thank you for the wonderful work you are doing with these updates. In these difficult times God is working through you to guide us through this dark valley.
God Bless You.
Love your work. I had CMV a few years ago. I slept all day every day until I recovered. 3 or 4 days. My doctor was surprised with my liver function test a weel later. These videos are doing the world a great service. Thank you.
You are great Doctor Roger!. Thank you for your support for health care providers .
Stay well and healthy !
Thank you again! Your earlier videos on this (updates 16-18) got me to take my sleep seriously. I started taking a hefty Melatonin tablet (not toxic or habit-forming) after getting my disabled husband to bed every night. Now by the time I get the chores done and catch up on maybe only one or two things online (instead of 19 or 20!) I am actually yawning and sleepy instead of wired, helps me TURN OFF the news and your much-appreciated updates and go to bed! WAY better to get up rested in the morning and have a whole day of sunlight, than to oversleep and have only part of a day (as in the past when I didn't have to get up early to take care of my husband) or now that I have to get up early, to get up sleep-deprived, feel like crap all day, AND be more susceptible to Covid-19. Having enough sleep also seems to be better for my state of mind in these nervous-making times. Even if the melatonin stops working, I am determined not to go back to my old patterns, I do not (usually) suffer from insomnia if I can just make myself adhere to a bedtime - it's this childish stubborn refusal to go to bed that keeps me sleep-deprived.
Thanks for the continued great content! One of the channels that inspired us to get working on our own!
Really good explanation of sleep effectivity, I didn't know about that pathway or the inhibition from the hormones on t-cells.
He went into even more about it in updates 16-18, pretty sure there were other immune response pathways as well that he showed had been proven to be helped by sleep and harmed by sleep deprivation. Totally made me change my sleep habits!
Thank you so much - I'm a Tele RN at Los Robles Hospital in California rushing through an 8 hour class on how to operate a ventilator. Your videos are a godsend!!!! Keep them coming!
Check out our free ventilator class at MedCram.com
I have no medical background but this video is so important that I'm sharing it on Facebook. Everyone can work on improving their sleep patterns with the commensurate benefits on their immune systems. Thank you.
Thank you. I'm finding your explanations helpful and even comforting. Please stay well everyone.
Thank you Med Cram and Dr Seheult. Stay well and in well being
Dr. Seheult, thank you again. I can't thank you enough for making this Sars-Cov-2 content for the last...almost 3 months. I watch you every day, and share your content with everyone who is interested in medicine...Cheers from NS, get some sleep!
I would like to thank you for all the time you spend trying to enlighten the general public on what is being developed to fight this pandemic. I’m 70 and started working when I was 14. I can’t thank You enough. I look forward to reading every article. My daughter is a RN in California in Nic U they were reusing face masks because none where available. This was at a Top hospital. I guess no one saw this coming. While I’m at it Thank God for all the Doctors and Nurses that are risking their lives for (strangers) the general public . The real hero’s.
Jut thinking the amount of time for our cell to evolve in order to have this complex mechanism, is mind blowing.
Thank you doctor. I learn something every time from you. To yourself, producer and everyone that makes it possible much gratitude 😉👍
The one true source for reliable and useful information on covid19 !
Great research and sharing. I appreciate your efforts doctor. I am your fan.
Haha, the joke's on the deadly disease - I'm very depressed with severe dopamine and serotonin deficiencies!
Thank you for your content. I has been one of the best sources of biomedical knowledge for me lately.
As mama used to say, its a very ill wind that doesn't blow SOME good.
Hahaha same with the serotonin, tho im taking SSRI's... The thing is, do ssri's affect us in a negative way when fighting the infection? Bc they probably increase setoronin plasma levels...
This is a fascinating study! It also suggests a cellular mechanism (as briefly noted in the conclusion) for the observed diminished immunity in chronic anxiety/stress states in which individuals have elevated endogenous catecholamines. Bless our health care workers who are both sleep deprived and stressed during this demanding time.
Thank you Dr. Seheult for this and all your excellent posts!
Thank you so much for this information Dr Seheult.
I would rather take my chances on a multiple ventilator than have it removed from me for a younger patient. So there is that.
Two of the lesser evils!!
Um doesn't this mean the air is shared if you use a multi vent? The virus is
airborne.
@@claysinborn1890 yes, which isn't really an issue if they're both infected with said virus
@@GraceLJWAlso sharing potential secondary bacterial infections. Although, if my vent was about to be taken away for a younger patient, I quite agree with the original post.
In America it will probably be determined by health insurance rather than who has a better chance of surviving. I wouldn’t be surprised if deaths outnumbered recovery because of this.
Again, excellent presentation....."resting is a precondition for healing".....useful and truthful teaching learned long ago.....much needed teaching for people in US.
So. Why, when we know this, are physicians still having to go through days of no sleep for their educational certificates? To me, it's common sense, but apparently it's had to be proven. Maybe it'll change now.
So far what I have learned - please correct me if I got anything wrong - :
1- fever helps the body fighting against viruses.
2- sleeping at least 8 hours a day improves immunity.
3- in case of people on ventilators, turning patients on their stomach reduces mortality rate (prone positioning).
@Random Stranger On The Internet the bat virus doesn't have the component that allows it to connect to human cells.
So the virus obviously mutated parts of the "capsule" and proteins on it to be able to connect and enter human cells.
In any case, we don't have the same virus as the bats
There is something else.
When your body reaches a fever say 38°C, a few degrees higher than normal body temperature. It's not just the temperature alone that kills the virus. Or it would not survive in aces that are hot right now.
It's because the higher temperature in the body, triggers the body to up it's immune response, a few enzymes and messages and proteins like those that signal that cells need to die are released in higher amount.
So it's a bit more complicated than temperature alone
Amanda Rios that’s why a mammal is needed. Ie Patagonia
Many thanks for this brilliant video. Love from France.
Thank you for your videos. Off to bed in half an hour. That means midnight and that is extremely rare for me!
Only slept for 6 hours. I just can't sleep before 3am!
Information and education that is delivered in an entertaining manner is so helpful. I look forward to your videos more than some of the shows I'm streaming. Great work!
A microbiological explanation of why sleep is good for you. Outstanding. I knew it, but didn't know why.
check out his updates 16-18 as well, I think he gave even more microbiological evidence there.
gd gracious . Dr schelt .., it’s your 45th report and u are still pressing on
Thank you, thank you, thank you. God bless you every day Doctor. X
Great work medcram. You are saving many many lives.
Wow. Thank you. This is probably another reason why you are so tired when you get sick. Not just because your body is fighting hard and needs all available energy, but because it needs you to shut down everything that might make its fight all the more difficult.
May The Almighty... Bless all the good works! Thanks Doc!
Thank you so much guys! You are the best medical information channel ever
This is a great channel. Thank you. Didn't realize how fascinating cells and proteins were and I seem to understand.
I chanced upon your videos only because of circumstances I wish were different. The world would be a better place if we'd never met.
That said, you're a gem, Dr. Seheult. Your molecular/cell bio lectures are masterfully tuned for the inquisitive among the general public...and a stimulating undergrad redux for myself. I look forward to your updates at LEAST as much as I look forward to Chef John's, and that's damn high praise.
I so love watching your videos even though I am not in a medical profession. Have watched many of the Covid 19 vid's and they are so educational! Thank you!
Thank you for the daily updates! Your content is one of the very few sources I'm following to stay in touch with the current status.
Extremely educational and interesting as a med student :)
Interesting to see this work with patients having different demands from VT to RR. Patients would need to be within the same ideal weight but sharing infection as well.
I truly admire your videos because I trust and respect the content conveyed to viewers on CZcams. You bring the elements of clear speaking, science, and detailed biochemical and molecular drawings that make sense not only to the science community but also to first time learners as well. Your presentations are of high quality and I commend you for continuously sharing meaningful science to our community.
With love, hope, and respect for humanity, together we can succeed. Through adversity, we as humans will get through this - through hope and science.
Your format & presentation are excellent once again . Thank you sir 🇨🇦
You're awesome. Thank you.
Thanks so much for the update!!
Thank you Doc.
👍👏👌✌🏻
I'm not a med student nor in the medical field and plenty of what you explain is above my pay I do learn some things and just find your explanation of things fascinating
Medcram. Thank you for what you do. I work as a Respiratory Therapist at a UC hospital in California. I really believe it is time to start using APRV (airway pressure release ventilation) to treat ARDS. It has not been widely accepted in the pulmonary critical care community as far as I know. Dr Habachi has had great success with APRV. I have herd any talk about this but it would be a good study. Im going to look into finding a pulmonologist champion to possibly do a study of "early APRV for intubated Covid-19 patient" china did a human APRV trial in 2017. Could you possibly help me out with creating a study like this. Hope to hear from you. Thank you.
Me staying up 'till 2am to watch this video.
Yep.
used to be me too! Even way later, but since I watched his earlier vids on this (updates 16-18) I've reformed. Midnight is bedtime now!
@@loopbraider midnight? Pfft, I started going to bed like I was in school again. (10 o'clock) Need to make sure I get enough incase I get woken up.
@@piranhaplantX Working my way down - maybe 11:30 tonight!
I normally hardly sleep my worry these pass two days that’s all I been doing is sleeping I am worrying I may have this virus at it’s early stages 💔 I guess only time will tell Thank you Doc
John Young
Some commentators have stated that they believe they and others they know think the virus got them as early as October
Melanin Magdalene
If they got it once can I get it again or can they be carriers
Wishing you a speedy recovery. I also have a few vague symptoms. It's very scary knowing that so many people have very vague symptoms. This site suggested vitamins d3 zinc and vitamin c. Also a commenter added that k2 and b6 can help. I stocked up. K2 was hard to find.. Found it in the gnc section of my local rite aid. None of the other brands seemed to have it. Also to avoid ibuprofen
I got really sick the end of February. Cough, fever, complete loss of smell, felt like breathing was “work “. I just assumed I had the flu and the breathing was anxiety. I’m not so sure now.....oh and not to be gross but thick sputum that was like glue and it would literally get stuck in my throat 🤷♀️I’ve NEVER lost the ability to smell. I’m a 55 year old nurse with an autoimmune disease.
I can't thank you enough doctor for explaining this stuff so the laymen can better understand it.
I hella wish you had been one of my bio professors in university, Dr. Seheult. At least we've got you and the Internet, now.
Thank you for being THE SIGNAL despite the Noise😙😙🤗
Thankyou for your wonderfully clear, informative and intelligent videos. I really learn a lot!
Concerned... is a word I'd use, among others.
Alot of people were concerned weeks ago but not enough was being done 🤔
You are so helpful! Thank you! I’m happy I found your channel. 🙂
When i sleep 7-8hrs and wake up i feel extreemely good. And i sweat out the stuff
Watching this like 2am in the morning. Definitely need to work on my sleep schedule because I am lacking. Thanks for the info much appreciated 👍
Like so many watching this way to late in the night, thanks for the reminder doc !
I think ventilating patients like this is taking a huge risk to all of the patients hooked up to the vent!!!!!! Sometimes it’s hard to just manage one patient on a vent and can’t imagine doing it for 4!!!!!!!!
Sleep is so important because before I got off working night shifts I would get sick a couple of times a year! Now I have had one mild sore throat in December and that was it!!!!
Christa Luongo
We unfortunately don’t have the luxury of being able to ventilate every patient with their own ventilator nor are we able to dedicate a staff member to stand by their bed 24/7 to bag them. These patients are also requiring very high pressures to ventilate their lungs with a need for precise small volume breaths and we just cannot do that with a traditional manual bag valve ventilator. The alternative is death and many hospitals and staff have created protocols to be able to ventilate these patients with one ventilator in the safest manner possible. We will optimize what we have, we will learn and we can save lives because the alternative is not acceptable.
thanks for informing us always
Thank you so much for always including Respiratory Therapists in your discussions, I am in RT from Texas and truly enjoy your uploads... very informational and educational.
always thk the docs and nurses RTs are the ones!!!
Invaluable information thank you so much ❤️
Really great info thankyou for the way you clearly break down human bio science so it can be understood. Now l will say goodnight and God bless you guys.
Such a good resource. Thank you.
ive been saying it all my life, Sleep when the sun goes down. everything gets better that way.
you burn fat, you gain muscle, you feel like you have superpowers.
its time to make a change, Thanks for this information its critical and hope allot more people start listening
great explanation. thanks.
Amazing work sir.
Thanks. Keep it up.
It is working to give us knowledge and a lot important info here- in a single video.
Awesome! Must increase families sleep quality!! My 5 yr old sleeps 9-10 hours but i only get 6, I see I have to change that thank you for this information, Awesome, really really appreciate you!
I’m going to be honest I can often sleep 😴 more than 4-5 hours. This is attributed to decades of working variable shift work all the way back to when I was in the U.S. Military. So my body learned a different sleeping habit where I’m often a Nightowl even at home. I rarely go to bed before Midnight and awake by 5 AM, often beating the alarm clock. Even when I try to sleep late on a weekend or on vacation time off my body automatically wakes me up by habit and when I check I the time it’s only been 4-5 hours of sleep. Unless I’m drop dead tired as can be maybe just maybe I get 7-9 hours of sleep and when I wake up my body is aching and sore all over. Still I appreciate this video in still showing the power of sleep and why we all need sleep for body repair and to fight infections and boost immunity. This was well explained video and for people that aren’t even medical personnel.
Hope it will last soon! 🙏😊.. thank you for everyday update!
Shared ventilators used in military, NY missed several opportunities to replenish ventilators and that they also had 4000 unused unopened ready to use...
thanks for another great update. At some point could you do a similar one on oxidative stress including what effects, but also what items seem most beneficial to help alter this in beneficial ways. For me this has been a very hard topic to sort out.
Thanks doc. It would be very helpful if you dedicate your next video over the biology behind sleep deprivation and insomniac and how to deal with that.
Thanks again doc.
There is no question that sleeping is critical to staying healthy, but you have to fall asleep first. Certain sounds and music can help with that.
Some italian start-ups developed a modification to safely share a ventilator between 4 people, and it is apparently working where they have implemented it
I'm learning more journals in a few minutes than I've been for days!
The ramifications of a lack of sleep and decreased immunity response is very disturbing for our front line health care workers, who are currently operating on diminished quantity and quality of sleep.
This could have been a factor in why those young Chinese doctors died.
I ❤️ my cytotoxic T-cells
Don't love them too much, as they might kill you in a cytokine storm.
Killer T cell: it would be a shame if I were to decide that these insulin producing cells were infected...
@@DdrtAddh and you can't use an umbrella to shield you!!!!
@@DdrtAddh 💯