The immaculate❤️ wish:
And there comes a day when Desires were shuttered and passion guttered with eyes folded and visions moulded sight rolled ànd words bold.
Passion graved and and love nailed destiny paved with indemnity unsaved living caved and person enclaved.
One shall never deßire for de$ire shall never fulfil.
Beauty remains masked & hope envisaged.
This is the day when ego shall raise or the passion shall waste.
Purity in passion must have casted shadow or the silhouette shall lost in meadow.
Save soul not body or the same shall veil and the body shall kneel though remains the diamond gold and steel but no one to deal.
Never let the one to go away just for fun remember none! (Dr Raza)
08 June 2020
Hospital Precautions and standing operative procedures during attending patient in various presentations during Covid -19 pandemic:Wards SOP’s:• All patients attending hospital shall be considered as Covid (+ Ive) unless and otherwise proven.
04 June 2020
Autopsies of the affected Lung tissues with regard to cases that succumb during the pandemic were systematically analyzed and were found to have features of the exudative (release from pores) and proliferative (Rapid growth) phases with changes brought about in substance of lung during the course of disease known as Diffuse Alveolar Disease (DAD)Therefore the predominant pattern of lung lesions in COVID-19 patients was DAD (Diffuse alveolar Disease), as has been described for previous two corona viruses that infected humans; SARS-Cov and MERS-Cov.Analysis suggested,
A novel is a fictitious prose typically representing character and action with some degree of realism.A manuscript of more than 40,000 or above words is considered to be a novel.A novel is a long fictional narrative that defines intimate human experiences.Summing up a novel tells about specific human experiences over a considerable length of time.One must remember not all fictions are novel but all novels are fiction.The following traits must be present in a novel.It must be written in prose rather verseStorytellers must have different degree of knowledge and different point of view.
What are we trying to do; containing virus or curtailing disease.In my opinion containing virus cannot be executed whereas curtailing disease can be managed.Solution lies in herd immunity for its impossible for our people to obey the functionaries orders in true letter and spirit.Let’s be realistic.People are poor and functionaries are corrupt.People can starve but the problem is, governance will not manage this lockdown induced starvation therefore violation of order is the tunnel end.Inference is; spread of the disease has hidden remedy and that is a herd immunity secondary to primary exposure creating passive immunity for exposure retaliation again, if at all.Let’s prepare for the exposure and let exposure be contained and nullify by antibodies.My opinion of the quiz is virus is less virulent than the immunity our people are bearing.This has documented evidence from people whom have been quarantine and now discharge without a single entity going through the mild or moderate course of disease even.I am not saying; I am only true and positive but this is what a stats defines the spread map.Let’s face it for once and create antibodies for long.Trend has static graph and does not need lockdown any more for what has been presented as calculation in terms of positive cases or likely to be positive has not come up as after effects.There may be more potential cases but iconic sign is, people did not come up with the disease and virus could not show its virulence either.What if we have number of positive cases but with no modality in terms of severity?Carrying as carrier and bearing as disease are two different scopes.If major portion of population carries a disease with no symptoms population at large become immune to it.We must match our socio economic blue print with upcoming threat that shall put massive at large in to a dip that will never give them a goose bump again.There will be no vaccine in near days or months and as such a likely second wave of disease shall put the country if not before, in to a civil war.No government can hold the fort of population’s thriving for food and for long and in sustained manner.Global misfortune will soon shutter trade and mobility and sooner or later countries had to rely on their own manufacturing’s may they be food, goods or medicine.Attack has basics understanding of antonym as defence and to defend one has to face and retaliate.We cannot leave empty platform for the disease to spread in a scoop of fear where people submits their body and soul without retaliating with burst of immunity or whatever they have.If we ought to die at least die with an honor not in fear and horror.Death is eminent and life is certain till its time of death.(Dr Raza)
d through active immunization by vaccination or passively by getting natural immunity after infection hence building a new response though development of antibody.Herd immunity shutters the spread of disease and contributes to disruption of spread.The percentage of people that must have required immunity to slow or stop spread of disease is called herd threshold.Natural immunity develops when one get immune after contracting disease therefore resisting it naturally vide antibodies against the organism on re-exposure.It develops when so many people in a community becomes immune to infectious disease causing epidemic break.Such massive level of protection from re infection or disease spread is called herd immunity.Sometimes a disease spread through the community unnoticed and wean off itself creating herd immunity.Thus herd immunity is the protection from a contagious infection when population at large is immune to it either through previous vaccination or through previous infection.The process of becoming immune for future includes the production of antibodies specific to the virus.This production of antibodies can be after a person develops symptom or even when it do not develop symptoms or irrespective of the symptom.A symptomless exposure develops immune response developing antibodies against the virus and thus becomes naturally protected.When large population is immune virus has the hardest time to affect and infect middle of the herd who are unprotected thus the spread dies off as no further transmission to community can be appreciated due to natural resistance in surrounding thus slowing the spread as well as social infectivity.The pivotal role of herd immunity is that if people are not vaccinated or even the vaccine could not trigger response to disease in terms of provisioning immunity yet still people who are immune would act as a buffer between infected and other.R (o) is a basic reproductive ratio of herd immunity and is define as the average person an infected individual gives disease to.It remains fairly constant to variant disease and the R (o) for corona virus is between 2 or 3.By herd immunity we reduced the basic infective reproductive ratio to effective reproductive ratio of 1.As such when R (o) remains 1 disease do not grow above and remain stable.Now if we suppose that we have a herd immunity of any kind within the community we can reduced the number and spread of disease to the major extent.Since the pattern of disease spread has Reproductive ration R (o) 3 the spread could be curtailed best by exposing and enhancing the herd immunity thereby reducing the R (o) and creating buffer of spread by people themselves.In My opinion best way to control this epidemic was to create immunity, especially in Pakistan, was through the herd immunity not vide vaccination but by exposing maximum to the epidemic so that maximum number of cases of passive immunization could have a better natural resistance .Here it must be noted that China model of theme and theory of epidemic control has demographic cum environmental based differences where as its population has a limitless level of more than 1.5 billion people of variant statistical date and data as far as age, habit and habitat are concerned.It is true that out of blues if 1 percent of the Chinese population could have been brought in to death counter the inflicted number shall have risen to 15 million people at a stretch which is a large number to pay for herd immunity.So naturally and very rightly; Chinese decision to go for city and intra / intercity lock down was justified.But this decision to go for lock down in major cities of Pakistan is somewhat immature for the population here is fivefold less than china as well the norms culture habits and politico-religious affairs at extremes of distance apart.Intercity lock down would have been a better option where as intra-city affairs should have strict partial self quarantine/ forced strict policy.Being a doctor and very well aware of the fact and figures and of course the pattern from prodromal to aftereffects of any disease that take the flight of outbreak; I under no means take this non tech. and unprofessional dealing of the so called outbreak as liquid diet to be assimilated as such and as per dictated assorted theology and assault of the functionaries.As per available data and the run of the disease in terms of course and gravity; there is no second thought but the belief that progression of disease has a mild course of influence on majority and no more than few though are still controversial takes the full blown course of critical.Stats of quarantine throughout and in special centers have not a single case being reported to the peak of no return.And yes test being conducted as part of pre -assessment tool have false positive element and even positivity does not necessarily necessitate seriousness to the level of Zombie’s catch as if some on who is a threat to the community.In my opinion functionaries must redress and redefine their policies regarding Covid-19 outbreak keeping their demographic outline and conditional requirement as deemed necessary keeping masses at large and social economical factors as foremost mandatory asylum of strategy.In my opinion as per available data and defined past drives thru course and cases, a strategy to encompass herd immunity should be considered by exposing people and developing herd immunity and not through lock down and curfews.Up till now my conclusive remarks as per critical observation and inference we as nation have a better protection and prognostic cordon and as such it is needless to put state in to affairs of social and economical misbalanceIn my personnel opinion we have an innate immunity against the virus and even if a little chance to progress as per suspicion our strategic move should be developing herd immunity before we jump in to means of other protective mechanisms like lock down or curfew vaccination etc (Dr Raza Haider )
The lethal combination that facilitate the infectivity of virus is when old peoples among the family get closer to young.As such if this combination is barred virus would sooner or later will loose its virulence.So the houses that bears such targets should quarantine their old members for their safety.Let your children stay away from their old love one as grand maa for being a focal target of the virus can get virus and ultimately succumb if at all been exposed .