My face is still red from the N95 mask I wore the day before. 30 November, 2020. He is not. She shares what her days are like, and why Adult Hospital Medicine Boot Camp is worth your time. Johnson, Whitty, Vallance, Hancock, and SAGE worry me more than Covid-19 and are far more dangerous to the UK. I was astonished to find a person in their early 30s, with no known past medical history, laboring to breathe. I understand, Jacinda cares. In the same week Facebook censored a medical post by Dr. Carl Heneghan, an Oxford Professor of Evidence-Based Medicine and GP as coronavirus “false information”. She doesn’t want her or anyone’s child to die (stats tell us the child will most certainly not). Physicians A Day in the Life of a Hospice Physician. Perhaps, I should call back and explore her ideas, concerns and expectations around Covid-19, but that would be a difficult conversation in ideal conditions on a good day, even with my medical colleagues. The patient’s details have been modified for anonymity. These will worsen. In the weeks during which I have taken care of these patients, we’ve had success delivering oxygen to them on the ventilator, but their CO2 exchange is highly impaired—a common problem. No consideration that the coronavirus may mutate outside the range of the vaccine. I assure you she is alive. Again lol. Is this how the doctors coped in Auschwitz? It looks, all in all, like a really poor job. Add to that a little medical progress, an allowance for influenza and other illness being conflated again in Covid deaths. I’m back with another featured day in the life! It is just so rewarding. To fit 20 patients in a day, the little time doctors spend with each patient creates room for misdiagnosis. No defibrillating nor precordial thumps today, except that is perhaps to keep myself alert to the stupefying task of seeing, yet not seeing patients. It seems that a patient will take a step forward towards removal of the breathing tube one day, then the next day move two steps back. While there is no doubt that we are putting our lives on the line every day, our intention is not to make war on this virus, but to heal people. His film was censored by YouTube within 24 hours. In the alternative, if there are the same or more deaths, he may say, “I told you so. Then it occurs to me. He was also politely scathing about some of most able medics and scientists on the planet who authored and co-signed the Great Barrington Declaration. I worked for the Royal Navy before realising my interest in patient care. Nor is he with moonshot, woefully inadequate and flawed strategies. We could do with a Court of Protection from our own government. In this day in the life guide, you will find out: What does a day as Preventive Medicine Physicians looks like; What do they do every day; Things they do on a weekly or monthly basis; How many hours do they work; The purpose of this is to give you a clear picture of this career so you can make a better career decision on whether this career is suitable for you or not. That is an unnecessary, astronomical punt by the government. Such a flimsy, phoney pretext with which to bring the world to its knees. Now everyone must acknowledge a malevolent, seismic shift is happening. I find it hard to find words to describe what this unit is like. When they speak for us, they are no-platformed and censored. The wise are not in preponderance in the executive. I won’t be moving much but my jaw. There is an antechamber we’ve fashioned into a workroom with computers and monitors where we can write notes or check lab reports with a physical barrier between us and the patients. The big difference was that the old nursing hotlines were pretty consistent about punting patients to the ED. The government could spuriously conclude after 28 days of the Moonshot detonation that over 90 per cent of all deaths in the UK are Covid-related. We are all in the same Lockdown boat, now. Through a massive logistical effort, we converted operating rooms into ICUs by turning spaces that normally would be used for elective surgeries into negative-pressure units, where air is always flowing in rather than out, adding ventilators, monitors and beds. I was right. If cases and deaths consequently fall, he will claim all the credit: “mortalities reduced by twenty-five thousand,” he will say. Dr. Ali is continuing to fight on the front lines of the disease, despite the risks to himself and his loved ones . My ears have small cuts from the plastic ties of the mask digging into them. I think of the Nuremberg Code, medical ethics, and patient choice. Speech and language therapists (SALTs) avoid her and make-believe care through Microsoft Teams. A tiny minority may actually have an active SARS-CoV-2 infection that day (the government estimated 0.05 per cent). I long for the wise ones. Is she still obeying Boris literally and trying to STAY ALERT to deter the virus? Augmentative and Alternative Communication. I hyperventilate to see if the seal is good. A feeding tube has been proposed, but she pretends to her specialist it hasn’t been. Johnson, Whitty, Vallance, Hancock, and SAGE worry me more than Covid-19 and are far more dangerous. GP colleague messaging, “How the hell do we deliver this vaccine at just three weeks’ notice, where do we get to the extra staff from? Let me know at @tcp_dr. Big Tech is digitally vaporising us in a Fourth Reich book-burning exercise. I do not recognise the government apocalypse in my medical reality. The whoosh from the negative-pressure fans is striking as we enter the ICU, joined by the symphony of beeping from monitors and pumps. A typical day begins at 6 A.M.  As the alarm wakes me, I feel a deep ache in my body. A business colleague had developed a finger-prick test which was far more accurate at the time, but someone trained in the humanities at the civil service declined it. They quietly do good work while others plot incompetent ascents to the top. Then repeat this same test in the same population regularly and define any death within 28 days of that very misleading test as Covid-related. In 28 days, over 90 per cent of all UK deaths might become cancer-related deaths and not Covid-related. After checking my messages (assignments constantly shift during the pandemic), I look in the mirror. I rush into the hospital a few minutes before seven, which is sign-out time for the night team. A day in the life of a Dermatology PA. Physician associate Alex Strivens-Joyce (pictured on the left) tells us what he loves about working in primary care in rural Wales. In effect, this is an infinitely looping version of the genuflecting Dr. Keir Starmer’s preferred two-week circuit breaker. Lawyers, is this material to my concern: The Coronavirus (Retention of Fingerprints and DNA Profiles in the Interests of National Security) (No. I slip on the headset and log in to the video-portal. This has been occurring elsewhere in the NHS at an unregulated pace with Google’s DeepMind project. Make tentative diagnoses and decisions about management and treatment of patients. They don’t have to hang out in the ER all day. At worst, if one fancifully believes that the fifty-five thousand UK deaths this year were all due to Covid-19, the population mortality rate is 0.08  per cent (globally it is 0.02  per cent). August 3, 2020. I feel there is no greater privilege than caring for others and no greater reward. I’m sorry. I change into hospital scrubs and shoes that I keep at the hospital and plan on throwing out at the end of this nightmare. My first patient is at either 8:30 or 8:45.. Erin Stutz, PA-C, works in pulmonary critical care in the medical ICU at the University of Rochester Medical Center (URMC). What is a day as a Sport and Exercise Physician like? It would be a geneticist’s dream. Johnson, Whitty, Vallance, Hancock, and SAGE worry the Covid Physician far more than Covid-19 does . SAGE has its own crony selection bias. Sometimes I’ll listen to music on the way home. She wants to protect us, and her lay intellect under immense scrutiny and pressure has decided zero-Covid is best. He is pursuing a fellowship in critical care/ICU medicine at the University of Michigan this summer. I swivel in my chair and ponder how to reply to my colleague. Professors Hancock and Whitty have erased another fundamental medical principle from medicine: Primum Non Nocere – first do no harm. Doctors are skilled for individual patients, and medical epidemiologists may be when it comes to populations – but neither have much special expertise balancing their ideas with human rights, liberty and individual autonomy. This is for our protection so that we aren’t being constantly exposed to virus. Mention Great Barrington, ivermectin, the Borody Protocol and hydroxychloroquine and one is met by blank stares or worse, a cold silence redolent with a concern for clinical competence. They become hypercarbic, with excess carbon dioxide remaining in the blood. Dr. Mike Yeadon, former VP of Pfizer and briefly, ex-colleague of Chief Scientific Adviser Patrick Vallance. Sometimes judges intervene in an incapacitous individual’s treatment and life-death issues. The day passes by in a frenetic whirlwind, and the toll on the body is harsh, yet a 12-hour shift can feel like a 24. I would rather not end up in a Jacinda Ardern flulag camp for medical dissidents. old normal I taught young medics keen to diagnose everything in every patient the old wisdom: there is usually only one diagnosis for each presentation. However, maybe by then another election will be postponed due to a coronavirus, as with London. I decided to write this essay because I needed something to help process everything that I am seeing and doing as a resident physician working in critical care at a large hospital in Manhattan. May 11, 2016. Or has the government already legally-waived our consent? A Day in the Life of a Physician Assistant. He is ensconced in an echo-chamber following a narrow body of nominal rubber-stamping medics, scientists and mathematicians without the correct skill sets, incentive nor personality traits to think outside of the box. I think this is an imperfect analogy. Most of those will be fine. Take a look into a physician’s typical day. This March/April’s seasonal cull of the elderly has cleared a major proportion of Covid-naïve patients. Sure enough, that data has subsequently emerged from PHE. In a matter of days beginning in late March, we created over double the number of ICU beds we previously had. Still, I do have one thing in common with many men in uniform: my wife shaved my head into a buzzcut because my barber has been closed for the last month. A cis- to trans-medicine moment. She has a toddler; she is a clean-freak mother freaked out by the germ. A flutter of a butterfly wing at the WHO has released an irrational tsunami of organised global chaos. The government shields and spins the facts. interconnect/it, The Coronavirus (Retention of Fingerprints and DNA Profiles in the Interests of National Security) (No. They are politically sabotaged or self-sabotage through their own inability to dishonestly follow the official line. Her impressive teeth have taken on altogether different connotations for me. Where are all those unexpected emergencies that should have dialled 999? Here is a look into my day as a cosmetic derm PA. The thick accent combined with her bulbar palsy means she speaks unintelligibly, as if her mouth is packed full of cotton-wool balls. COVID-19 patients are different. How long is it before Oxford sacks Professor Carl Heneghan and installs a fact-checker? This March/April’s seasonal cull of the elderly has cleared a major proportion of Covid-naïve patients; many people have acquired natural immunity imbuing us with some herd immunity. The reason could be because the lungs are highly inflamed with fluid and mucus. More so than privileged me. A Day in the Life of a Physician Assistant Like the physicians they serve, physician assistants (PAs) can follow many career paths, including university hospital work, private practice, and jobs with health maintenance organizations (HMOs). Her NJF CAPITAL is the venture capital arm of NJF Holdings. To me, a simple video-call is demoralising doublespeak, for non-existent care by proxy. A day in the life of a Merck physician and volunteer during COVID-19. Even most medics fell for it. Take for example the 34-year-old patient with motor neurone disease, English is a second language, she is an asylum seeker who thought she was escaping persecution and tyranny. To say my sleep is restless and difficult is an understatement. I still need to put food on the table. It feels as if I had hiked up a mountain with a giant backpack the previous day. A medical tyranny transitioning to a technocratic totalitarianism. Then a brief thought comes to me … like a sliver of light illuminating a former career … yes … I remember now … where have all the unwell patients gone? One resource that has helped me as a sleep doctor: At this point in my life and my career, one of the greatest daily struggles is balancing work life with family life. From infants to the elderly, we serve them all. I was not consented for anything other than the inaccurate Roche antibody test. Whitty later dismissed it again in an interview given on 28 October to the BMJ. My wife is also a physician, and one of the most challenging and stressful aspects of this has been the scramble to find ad hoc childcare for our son. Artillery Row. NJF’s portfolio includes investments in deep tech companies, such as OWKIN, Blockchain and Deep Genomics. Operation Moonshot’s magnificence reads like an experimental protocol for an altogether different agenda. Well, I can’t follow her. I’m back!!!! Do we need to add antibiotics for treatment of a bacterial pneumonia on top of the viral COVID pneumonia? Coercive-control, vaccine passports, and vaccine mandates. Subscribers get more award-winning coverage of advances in science & technology. Am I losing my compassion? We haven’t managed to eradicate polio in 231 years. What happens to them, now? Yes. They are simply too nice. This young person has a chance at a normal life (although they may require a very long recovery still). I have worn a beard for the last five years, but because N95 masks don’t properly seal with facial hair, I shaved it off. This article is a personal view and does not necessarily represent the views of the NHS. Are there thromboses? A Day in the Life of a Primary Care Physician More Thinking about applying to medical school­­—and getting through it—probably encompasses enough brain capacity. We need more arbitrariness, more violation of liberty, and more undirected vaccination.”. The post-Covid pseudo-medical order has not only destroyed the medical paradigm I faithfully practised as a medical doctor last year. A pathetic dripping roast for everyone to make even easier money off. Ambitious, ladder-climbing, back-stabbing Et tu Brute? in Accident + Emergency I am a recent graduate from St Georges University of London who has just started working in a busy A+E department. The positive for me is that it’s a remote easy hand-off to the hospital; or in a well, mobile patient to a commercial swab joint, where everything and nothing magically becomes Covid-19. It involves a combination of seeing patients in the office, ordering tests, prescribing treatments and more. Either way, live or die, the chances are any vaccine will be political win-win for him. Well, that timescale will still suit Prof. Hancock, who strikes me as one of politics’ really blunt instruments. People often talk about health care workers as soldiers or troops "on the front lines." I do not recognise the government apocalypse in my medical reality. I recall the UN declaration of Bioethics and Human Rights. I work at an institution with massive resources. It was a breath of fresh air when someone with compassion, knowledge and wisdom finally spoke. As a matter of fact, your presence is probably breaking up the monotony of her day — of her life. To make this virtual dystopia impressive and even better than the real thing they have given it an incredible name: The SALT proudly states: “Consultation done with AAC meeting”. Oh, wait. The hasty, poor scientific response has made the medical issues indeterminate. I keep reading. I shrug off these heavy questions with a disturbing ease. I have had to suppress my desire to constantly tweak and change ventilator settings—normal behavior in an operating room where I spent most of my workdays prior to the pandemic. At times, I feel as though we need to change our perspective and acknowledge that much of what we have learned in the past about acute lung injury from viral pneumonia may not apply to this novel virus. I am the same. A virtual pogrom against dissident doctors and scientists is afoot. When we breathe out, the lungs expel carbon dioxide, transferred from the bloodstream back into the lungs; the technical term for this is "ventilation." A day in the life of the Covid Physician . The department consists of minor injuries, majors, paediatrics and resuscitation. They could lock us up forever based upon their over-reactive criteria. Is this legislation applicable only for criminals and terrorists or for any old national security reason? After sign-out, I drive home in a daze, still distracted by the day’s events. A typical day in the life of a physician assistant. In this day in the life guide, you will find out: What does a day as Physical Medicine and Rehabilitation Physicians looks like; What do they do every day ; Things they do on a weekly or monthly basis; How many hours do they work; The purpose of this is to give you a clear picture of this career so you can make a better career decision on whether this career is suitable for you or not. A day in the life of a physician associate. The pandemic challenges a young critical care doctor in ways he could never have imagined. We need individuals who will make difficult decisions not based on political face-saving and media hysteria. To understand COVID-19 patients and their individual care needs, you have to understand what happens when we breathe. It occurs to me that the dehumanising, forced-impoverishment and restrictions of my refugee and asylum patient group is now upon us all – meagre social credits, not allowed to work, restricted movement, restricted access to healthcare. I usually see around 15 patients in a morning. * There is some graphic content involved in this video Check out what a typical ENT surgery day is like with me! The first lets you be your own boss. I would rather get my odds from Ladbrokes than Operation Moonshot. Typically, nights are controlled and quiet in an ICU, with some exceptions, but not in these units. It can flip-flop forever within a smokescreen like this, turning up and reducing the heat like an instrument of torture. Why are states breaking so many sacred global covenants for something which has killed somewhere on the scale from flu to Hong Kong flu? Each patient presents unique challenges, though they all share a diagnosis of COVID-19 pneumonia. The Covid Physician is an unheroic NHS doctor. Medicine has become an arbitrary political act. SAGE dismissed herd immunity. Having a full-time job and a YouTube and Instagram is NOT easy my friends. I have to consciously remember that I am driving on the West Side Highway and refocus my attention to the task at hand. In addition to the general muscular spasticity and weakness which will eventually lead to a slow death by respiratory failure she has a progressive bulbar palsy which means she can no longer speak nor swallow well. They have infantilised medicine. Even UK Christians have gone underground. Lockdown has dire, hidden consequences for unwell patients in general practice. The virus seems to take weeks, not days, to truly reveal how it will affect a given patient. “See! What is that? I wear 20-year-old surgical scrubs from my bygone dynamic, hospital youth, de rigueur to ward off SARS-CoV-2 these days as holy water was for vampires, but probably more useless. A doctor’s bread and butter is seeing patients, and each appointment is essentially a … What separates the West from global communism is a democratic sham. What would they do to us if a truly awesome contagion were to turn up? *WARNING!! No colleagues speaking of alternate mitigating manoeuvres nor therapeutics. The cost of Boris’s Moonshot may be £100 billion according to a leaked government document, which is about three-quarters of the total annual cost of NHS England. Weekends, weekdays, nights and days are completely irrelevant; it’s as if time has stopped since the virus arrived. Dr. TCP tweets at @tcp_dr. By Marty Nemko , Contributor Dec. 19, 2007 By Marty Nemko , Contributor Dec. 19, 2007, at 12:00 p.m. A parallel which lulled the population into colluding in a mass Rentokil extermination of a human pest. Even so, we are challenged in a way that I could never have predicted or imagined. Last year I wanted to try out the other part of my brain and take a step into a leadership position. COVID pneumonia patients have difficulty with both the uptake of oxygen and the removal of CO2. Discover world-changing science. In a normal ICU, most patients are very sick, but rarely is every single patient continually unstable. Then, if the government tested that 7 million on the eight day, virtually the entire population would be interned by day nine. © 2021 Scientific American, a Division of Nature America, Inc. Support our award-winning coverage of advances in science & technology. In this day in the life guide, you will find out: What does a day as Sports Medicine Physicians looks like; What do they do every day; Things they do on a weekly or monthly basis ; How many hours do they work; The purpose of this is to give you a clear picture of this career so you can make a better career decision on whether this career is suitable for you or not. It’s akin to standing next to a large industrial fan, forcing you to raise your voice to be heard—although your speech sounds garbled anyway when you’re talking through one or often two masks. I guarantee, come another year and a bad flu year of say 28,000 deaths, it could all go very unnoticed because it suits government for it not to be. We have had mixed success with this. Then, understand current tests and reasoning have the potential to falsely classify over 90 per cent of that whole population as actively infected. Try three issues of Britain’s newest magazine for £5, Johnson, Whitty, Vallance, Hancock, and SAGE worry the Covid Physician far more than Covid-19 does. If, as may be proposed, it tests 10 million every day, in a week it could “quarantine” over 90 per cent of the UK entire population who in fact do not have Covid-19. With COVID-19 patients, the changes that I want to make to the ventilator, in the hope that one day we can remove their breathing tube, have to be slow and incremental. While they do politics, we are suffering and dying in their Yes Minister tragifarce for real. Ensuring that intubated patients with acute respiratory distress syndrome, the severest form of COVID pneumonia, have their ventilator settings optimized is extraordinarily difficult. I put on my “society” mask—the cloth mask homemade by my brother-in-law that I’ve designated as the one to wear when I’m not at the hospital. Their lungs are unbelievably fragile, and we have to take great care to keep the ventilator from causing any further injury. He is absolving himself of command, control and blame by saying so. Please don’t ask me how I’m doing. By Benjamin Stix … I decline to reply to my WhatsApp colleague. Doesn’t she appreciate that zero-Covid is impossible unless she permanently imprisons or culls her entire human population? I’d be fascinated to see how these changed, particularly with the introduction of novel vaccine technologies, I’d be curious to know how modified RNA behaves once injected and whether its conferred properties were vertically transmissible from mother to baby, for instance. Covid does not displace absolutely everything because Professor-Elect in Covidology at the University of Parliament, Matthew Hancock announced today we must have a vaccine to reduce the risk of getting Covid and ’flu together.