This is what a colleague of mime, a 2nd year resident @ downstate opines on this subject matter:
Pulmonary embolism, stop the silliness! The need to elevate the debate
The news of the president emergency landing in Florida for an acute pulmonary embolism has caused many critics, including Senator Dr. Kelly Bastien to even question the nature of the diagnosis. Not surprising, everything is politics in Haiti. But are the critics right?
The senator, Dr. Bastien, argued that Pulmonary embolism (PE) is a serious condition for which he cannot conceive how the president could have only spent 2 days in the hospital for such a critical illness. I don’t wish to question the senator’s knowledge of pulmonary embolism, but his comments are misleading.
Pulmonary embolism (PE) is indeed a serious illness, which can be fatal but is common. The clinical symptoms and signs are non-specific (dypsnea, pleuritic pain, tachycardia, etc..) and it is frequently asymptomatic. A PE can be chronic or acute, massive or submassive. Most PE arises from thrombi in the deep venous system of the lower extremities but they can also originate in the right side of the heart or the pelvic, renal or upper extremity veins. Risk factors include, immobilization, surgery within the last 3 months, paralysis, cancers, chronic heart disease, autoimmune disease, heavy cigarette smoking, and history of venous thromboembolism.
Is it possible that the president had a pulmonary embolism? Absolutely. I don’t know the president's detailed medical records and unlike others I don’t need to see them to affirm the possibility of the diagnosis of PE.
First, let’s cut the foolishness, it is a new low in Haitian politics to politicize this issue. It would have been wiser for the senator and the critics to wish the president a good recovery instead of wrongly and misleadingly question his diagnosis. Second, the president just had a recent surgery in the upper extremity that can put him at risk for a PE, in addition to other risk factors that we may not be aware of.
Finally, the senator’s comment in “Le nouvelliste, controverse sur la maladie du president” that pulmonary embolism is so severe that he finds it strange for the president to stay in the hospital for only 48 hours and that he attributed it to a modern day “miracle” is misleading to the public. In fact, a short hospital stay for a PE not strange at all, nor is it a miracle. There are studies that even support that patients who do not require supplemental oxygen, have a normal pulse rate and normal blood pressure (!!!!), no previous history of bleeding, are adherent to medications, and fully understand the disease, can even be treated as outpatients - meaning they can leave the hospital in less than 24 hours. This is supported by current practice guidelines (02/2012, ACCP guidelines 9th ed.) and several observational studies (see below).
We hope that Haitian politicians will elevate the debate, not seek to destroy their opponents but seek to elevate the nation.
We urge the parliament to rather focus its attention on issues such as the alleged case of corruption of then candidate Mr. Martelly and candidate Mme Manigat during the electoral campaign and after the campaign for Mr. Martelly. The Haitian people want to see an impartial investigation to shed light in this alleged case of corruption, what about hearings in the parliament to punish, and rectify? what about new laws about campaign financing and corruption?
What about the issue of the so-called ex-military officers armed and in uniforms, which threatens the notion of “etats de droit “ in Haiti?
What about the other zillions of institutional and structural problems we face as a nation? What about the need for a new government?
We have too much on our plates, please stop the silliness! And let’s elevate the debate!
Some observational studies:
Ambulatory management of pulmonary embolism: a pragmatic evaluation
.Kovacs MJ, Hawel JD, Rekman JF, Lazo-Langner A.
Division of Hematology, Department of Medicine, University of Western Ontario, London, ON, Canada.
Safety of outpatient treatment in acute pulmonary embolism.
Erkens PM, Gandara E, Wells P, Shen AY, Bose G, Le Gal G, Rodger M, Prins MH, Carrier M.
Department of General Practice, School for Public Health and Primary Care (CAPHRI) and Laboratory for Clinical Thrombosis and Haemostasis, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study.
Zondag W, Mos IC, Creemers-Schild D, Hoogerbrugge AD, Dekkers OM, Dolsma J, Eijsvogel M, Faber LM, Hofstee HM, Hovens MM, Jonkers GJ, van Kralingen KW, Kruip MJ, Vlasveld T, de Vreede MJ, Huisman MV; Hestia Study Investigators.
This is what a colleague of mime, a 2nd year resident @ downstate opines on this subject matter:
Pulmonary embolism, stop the silliness! The need to elevate the debate
The news of the president emergency landing in Florida for an acute pulmonary embolism has caused many critics, including Senator Dr. Kelly Bastien to even question the nature of the diagnosis. Not surprising, everything is politics in Haiti. But are the critics right?
The senator, Dr. Bastien, argued that Pulmonary embolism (PE) is a serious condition for which he cannot conceive how the president could have only spent 2 days in the hospital for such a critical illness. I don’t wish to question the senator’s knowledge of pulmonary embolism, but his comments are misleading.
Pulmonary embolism (PE) is indeed a serious illness, which can be fatal but is common. The clinical symptoms and signs are non-specific (dypsnea, pleuritic pain, tachycardia, etc..) and it is frequently asymptomatic. A PE can be chronic or acute, massive or submassive. Most PE arises from thrombi in the deep venous system of the lower extremities but they can also originate in the right side of the heart or the pelvic, renal or upper extremity veins. Risk factors include, immobilization, surgery within the last 3 months, paralysis, cancers, chronic heart disease, autoimmune disease, heavy cigarette smoking, and history of venous thromboembolism.
Is it possible that the president had a pulmonary embolism? Absolutely. I don’t know the president's detailed medical records and unlike others I don’t need to see them to affirm the possibility of the diagnosis of PE.
First, let’s cut the foolishness, it is a new low in Haitian politics to politicize this issue. It would have been wiser for the senator and the critics to wish the president a good recovery instead of wrongly and misleadingly question his diagnosis. Second, the president just had a recent surgery in the upper extremity that can put him at risk for a PE, in addition to other risk factors that we may not be aware of.
Finally, the senator’s comment in “Le nouvelliste, controverse sur la maladie du president” that pulmonary embolism is so severe that he finds it strange for the president to stay in the hospital for only 48 hours and that he attributed it to a modern day “miracle” is misleading to the public. In fact, a short hospital stay for a PE not strange at all, nor is it a miracle. There are studies that even support that patients who do not require supplemental oxygen, have a normal pulse rate and normal blood pressure (!!!!), no previous history of bleeding, are adherent to medications, and fully understand the disease, can even be treated as outpatients - meaning they can leave the hospital in less than 24 hours. This is supported by current practice guidelines (02/2012, ACCP guidelines 9th ed.) and several observational studies (see below).
We hope that Haitian politicians will elevate the debate, not seek to destroy their opponents but seek to elevate the nation.
We urge the parliament to rather focus its attention on issues such as the alleged case of corruption of then candidate Mr. Martelly and candidate Mme Manigat during the electoral campaign and after the campaign for Mr. Martelly. The Haitian people want to see an impartial investigation to shed light in this alleged case of corruption, what about hearings in the parliament to punish, and rectify? what about new laws about campaign financing and corruption?
What about the issue of the so-called ex-military officers armed and in uniforms, which threatens the notion of “etats de droit “ in Haiti?
What about the other zillions of institutional and structural problems we face as a nation? What about the need for a new government?
We have too much on our plates, please stop the silliness! And let’s elevate the debate!
Some observational studies:
Ambulatory management of pulmonary embolism: a pragmatic evaluation
.Kovacs MJ, Hawel JD, Rekman JF, Lazo-Langner A.
Division of Hematology, Department of Medicine, University of Western Ontario, London, ON, Canada.
Safety of outpatient treatment in acute pulmonary embolism.
Erkens PM, Gandara E, Wells P, Shen AY, Bose G, Le Gal G, Rodger M, Prins MH, Carrier M.
Department of General Practice, School for Public Health and Primary Care (CAPHRI) and Laboratory for Clinical Thrombosis and Haemostasis, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study.
Zondag W, Mos IC, Creemers-Schild D, Hoogerbrugge AD, Dekkers OM, Dolsma J, Eijsvogel M, Faber LM, Hofstee HM, Hovens MM, Jonkers GJ, van Kralingen KW, Kruip MJ, Vlasveld T, de Vreede MJ, Huisman MV; Hestia Study Investigators.
Rho a'k Marc Junior gen yon apwòch medikal de kesyon an. Yo pa'ka rive mete aksan sou aspè politik la. Nou konprann sa paske mesye yo se doktè yo ye. Gunner li menm plis poze sou kote politik la paske sanble misye pa kon'n gebede nan lamedsin. Mesye sa yo pa'p jan'm rive antann yo, sitou nou wè Rho se fanatik Mateli, Gunner li menm rayi Mateli amò.
Tout diskisyon sa yo se paske Mateli abitye bay manti wi! Antouka mwen ta renmen mesye doktè yo adrese pozisyon Gunner ya konsènan yon nonm a'k yon anboli pilmonè ki mache pran avyon pou'l antre Mayami. Si Mateli pa'ka rive prezante dosye medikal li pou montre se vre koze anboli ya, ma'p toujou gen dout paske Mateli se yon mantè li ye!
Epi Rho, eseye mete yon fren nan awogans initil wa'p montre ya! Se yon bagay ki pa bon pou ou ditou. Rele moun "F/U/C/K/I/N idiot" pa fè'w onè ditou! Si se joure na'p joure se diferan, men nan yon diskisyon, se dialektik ki konte!
This is what a colleague of mime, a 2nd year resident @ downstate opines on this subject matter:
Pulmonary embolism, stop the silliness! The need to elevate the debate
The news of the president emergency landing in Florida for an acute pulmonary embolism has caused many critics, including Senator Dr. Kelly Bastien to even question the nature of the diagnosis. Not surprising, everything is politics in Haiti. But are the critics right?
The senator, Dr. Bastien, argued that Pulmonary embolism (PE) is a serious condition for which he cannot conceive how the president could have only spent 2 days in the hospital for such a critical illness. I don’t wish to question the senator’s knowledge of pulmonary embolism, but his comments are misleading.
Pulmonary embolism (PE) is indeed a serious illness, which can be fatal but is common. The clinical symptoms and signs are non-specific (dypsnea, pleuritic pain, tachycardia, etc..) and it is frequently asymptomatic. A PE can be chronic or acute, massive or submassive. Most PE arises from thrombi in the deep venous system of the lower extremities but they can also originate in the right side of the heart or the pelvic, renal or upper extremity veins. Risk factors include, immobilization, surgery within the last 3 months, paralysis, cancers, chronic heart disease, autoimmune disease, heavy cigarette smoking, and history of venous thromboembolism.
Is it possible that the president had a pulmonary embolism? Absolutely. I don’t know the president's detailed medical records and unlike others I don’t need to see them to affirm the possibility of the diagnosis of PE.
First, let’s cut the foolishness, it is a new low in Haitian politics to politicize this issue. It would have been wiser for the senator and the critics to wish the president a good recovery instead of wrongly and misleadingly question his diagnosis. Second, the president just had a recent surgery in the upper extremity that can put him at risk for a PE, in addition to other risk factors that we may not be aware of.
Finally, the senator’s comment in “Le nouvelliste, controverse sur la maladie du president” that pulmonary embolism is so severe that he finds it strange for the president to stay in the hospital for only 48 hours and that he attributed it to a modern day “miracle” is misleading to the public. In fact, a short hospital stay for a PE not strange at all, nor is it a miracle. There are studies that even support that patients who do not require supplemental oxygen, have a normal pulse rate and normal blood pressure (!!!!), no previous history of bleeding, are adherent to medications, and fully understand the disease, can even be treated as outpatients - meaning they can leave the hospital in less than 24 hours. This is supported by current practice guidelines (02/2012, ACCP guidelines 9th ed.) and several observational studies (see below).
We hope that Haitian politicians will elevate the debate, not seek to destroy their opponents but seek to elevate the nation.
We urge the parliament to rather focus its attention on issues such as the alleged case of corruption of then candidate Mr. Martelly and candidate Mme Manigat during the electoral campaign and after the campaign for Mr. Martelly. The Haitian people want to see an impartial investigation to shed light in this alleged case of corruption, what about hearings in the parliament to punish, and rectify? what about new laws about campaign financing and corruption?
What about the issue of the so-called ex-military officers armed and in uniforms, which threatens the notion of “etats de droit “ in Haiti?
What about the other zillions of institutional and structural problems we face as a nation? What about the need for a new government?
We have too much on our plates, please stop the silliness! And let’s elevate the debate!
Some observational studies:
Ambulatory management of pulmonary embolism: a pragmatic evaluation
.Kovacs MJ, Hawel JD, Rekman JF, Lazo-Langner A.
Division of Hematology, Department of Medicine, University of Western Ontario, London, ON, Canada.
Safety of outpatient treatment in acute pulmonary embolism.
Erkens PM, Gandara E, Wells P, Shen AY, Bose G, Le Gal G, Rodger M, Prins MH, Carrier M.
Department of General Practice, School for Public Health and Primary Care (CAPHRI) and Laboratory for Clinical Thrombosis and Haemostasis, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, The Netherlands.
Outpatient treatment in patients with acute pulmonary embolism: the Hestia Study.
Zondag W, Mos IC, Creemers-Schild D, Hoogerbrugge AD, Dekkers OM, Dolsma J, Eijsvogel M, Faber LM, Hofstee HM, Hovens MM, Jonkers GJ, van Kralingen KW, Kruip MJ, Vlasveld T, de Vreede MJ, Huisman MV; Hestia Study Investigators.
konstitution an di gen yon lame men li pa di ke yo gen dwa mache avek zam nan men yo nan lari ya
de ki constitution wap pale la
parlement an ta supoze vote yon lwa tou pou dekri nan ki condition neg MINISTA yo gendwa opere an ayiti
et si lwa parlement yo vote pa respecte et renforcer se pou minister ki responsable yo bay ki rezon si non se yon BANANA REPUBLIC KE OU GENYEN
Anmweeeeeeeee! Apa ti bonnonm nan vin pou touye'm! Eske Konstitisyon an di lapolis gen dwa pote zam nan lari? Non! Enben a'l dezame polis yo! Se de Konstitisyon 29 Mas 1987 la wi ma'p pale!
Palman-an pa'ka vote lwa ki an konfli a'k Konstitisyon peyi-a! Manman lwa peyi-a! Palman-an pa'ka vote lwa konsènan MINISTA ki kontrè a prensip Nasyonzini Ayiti se yon manm nan. Epi ki lwa ki pwa'l vote apre MINISTA a'p banbile nan peyi-a depi pase 8 tan-an? Kabrit fin pase wa'p rele fèmen baryè! Wi, gen antant ki deja defini kondisyon pou MINISTA opere nan peyi-a!
Ou sanble ou fè'k reyalize se nan yon REPIBLIK BANNANN ou ye? Ou anreta anpil tonton! Kiyès ki pa fè sans? Ou menm oubyen mwen menm?
Yon bagay ki klè mwen vle ou konnen: Mwen kont koze briganday vagabon a'p fè nan peyi-a sou kouvèti lame ya. Sa dwe fini. Ou konnen se Mateli ki voye manje bay vagabon bandi yo? Apalipapa! Janklod Divalye rete dousman, men mwen sispèk men'l antre byen fon nan koze lame sa-a!
ok banm redi l li anko paske ou genle pa konpran point ke mwen tap bay la
konstitution Haiti an garanti existence lame de meme pour parlement ect..
mwne lwa de fonctionnement ou reglement interne yo ke ce soit lame ya, la police, parlement, ect..
se parlement an ki vote lwa sa yo ke president an obliger apliquer a la lettre
parlement pa ka vote yon lwa di pa gen lame paske li en contradiction avek constitution an
men parleiment gen dra vote lwa di ke lame pas gen dwa gen zam nan men ensuite ap mache nan lari
sa pa an contradiction avek konstitution an
sel sa konstitution garanty se exixtance lame ayiti
men lwa fonctionnemet et reglement lame ya se parlement ki decidew
meme jan ke yo decide ke dapres reglement internet police la
PNH pa gen dra fe greve
Nan yon etat de dwa se parlement an ki vote lwa fonctionement tout institution yo avek support executif la
e role execetif la se apliquer tout lwa yo a la lettre si non se yon banana republic
This is what a colleague of mime, a 2nd year resident @ downstate opines on this subject matter:
Pulmonary embolism, stop the silliness! The need to elevate the debate
The news of the president emergency landing in Florida for an acute pulmonary embolism has caused many critics, including Senator Dr. Kelly Bastien to even question the nature of the diagnosis. Not surprising, everything is politics in Haiti. But are the critics right?
The senator, Dr. Bastien, argued that Pulmonary embolism (PE) is a serious condition for which he cannot conceive how the president could have only spent 2 days in the hospital for such a critical illness. I don’t wish to question the senator’s knowledge of pulmonary embolism, but his comments are misleading.
Pulmonary embolism (PE) is indeed a serious illness, which can be fatal but is common. The clinical symptoms and signs are non-specific (dypsnea, p pain, tachycardia, etc..) and it is frequently asymptomatic. A PE can be chronic or acute, massive or submassive. Most PE arises from thrombi in the deep venous system of the lower extremities but they can also originate in the right side of the heart or the pelvic, renal or upper extremity veins. Risk factors include, immobilization, surgery within the last 3 months, paralysis, cancers, chronic heart disease, autoimmune disease, heavy cigarette smoking, and history of venous thromboembolism.
Is it possible that the president had a pulmonary embolism? Absolutely. I don’t know the president's detailed medical records and unlike others I don’t need to see them to affirm the possibility of the diagnosis of PE.
First, let’s cut the foolishness, it is a new low in Haitian politics to politicize this issue. It would have been wiser for the senator and the critics to wish the president a good recovery instead of wrongly and misleadingly question his diagnosis. Second, the president just had a recent surgery in the upper extremity that can put him at risk for a PE, in addition to other risk factors that we may not be aware of.
Finally, the senator’s comment in “Le nouvelliste, controverse sur la maladie du president” that pulmonary embolism is so severe that he finds it strange for the president to stay in the hospital for only 48 hours and that he attributed it to a modern day “miracle” is misleading to the public. In fact, a short hospital stay for a PE not strange at all, nor is it a miracle. There are studies that even support that patients who do not require supplemental oxygen, have a normal pulse rate and normal blood pressure (!!!!), no previous history of bleeding, are adherent to medications, and fully understand the disease, can even be treated as outpatients - meaning they can leave the hospital in less than 24 hours. This is supported by current practice guidelines (02/2012, ACCP guidelines 9th ed.) and several observational studies (see below).
We hope that Haitian politicians will elevate the debate, not seek to destroy their opponents but seek to elevate the nation.
We urge the parliament to rather focus its attention on issues such as the alleged case of corruption of then candidate Mr. Martelly and candidate Mme Manigat during the electoral campaign and after the campaign for Mr. Martelly. The Haitian people want to see an impartial investigation to shed light in this alleged case of corruption, what about hearings in the parliament to punish, and rectify? what about new laws about campaign financing and corruption?
What about the issue of the so-called ex-military officers armed and in uniforms, which threatens the notion of “etats de droit “ in Haiti?
What about the other zillions of institutional and structural problems we face as a nation? What about the need for a new government?
Once again this article is not looking at the totality of the evidence.
50 year old male (who happens to be the President of Haiti) complains of severe chest pain.
That's what you're presented with as the physician.
So what doesn this "physician" do:
1. DOES NOT perform a confirming CAT scan on his diagnosis of PE.
2. Therefore, he has no idea where the PE is located or its size or whether he actually has PE.
3. Tells the man to hop on a commercial flight to Miami.
Now tell me, how would that be taken by the Chief Medical Resident?
How do you know the physician did not do a CAT scan in Miami? How do you know they did not do a lab workup on Martelly?
Do you have access to his medical files? Were you there?
-------------------------------------
Because a press conference would have been held and the attending physician would have addressed EXACTLY what was done and diagnosed.
We don't even know what supposed hospital he was at.
There own administrative press release stated that his was never in any danger.
Therefore, NO PE.
Get it?
Think! Think! ALWAYS look at all of the information provided by the patient and any extraneous knowledge that you have about the patient before jumping to conclusions!
Wrong! Mwen pa fanatik okenn moun! Mwen fanatik peyi-a!!!
OK Rho! Mwen vale mo'm yo! Yo di se vre Mateli te fè yon anboli, men se pa't yon anboli pilmonè. Yo di se yon kalite anboli ki rive lakay moun ki vale twòp dwòg. Sa te menm bay misye yon enfarksyon. Eske'w k'a pale a'k nou sou sa? Mèsi davans!
