Javier Ordóñez: details of the autopsy and medical explanation of his death – Health


Last Friday, data from the what would be the necropsy performed on Javier Ordóñez, the man who died on Wednesday, September 9 in Bogotá in a police abuse case under investigation. The EL TIEMPO Health Unit makes a clinical analysis of what can happen to a body with the type of injuries described.

(In context: Necropsy reveals the wounds suffered by Javier Ordóñez)

The outbreak of a solid viscus such as the kidney, with separation of the blood vessels (artery and vein) that supply it, it can be the result of very strong blows that displace the organ with such force that they tear the structures of the arteries and veins, causing hemorrhages that can hardly be contained.

It is a very serious situation because severely compromises the body’s hemodynamic balance due to blood loss, but if the complete rupture of the main artery and vein of the other kidney is added, the risk is multiplied throughout the body, unless the injuries are corrected immediately.

Two liters of blood are lost due to these damages, They accumulate in the form of a hematoma in the back of the abdomen (retroperitoneum), and the general functioning of the body begins to be compromised by a dangerous lack of fluids within the blood vessels and of red blood cells to oxygenate the tissues.

Read also: Judge decides whether to send police officers to prison for Javier Ordóñez case

So far the imminence of death is high. Now, if to these damages are added injuries in other viscera with tears in the membranes that fix them to the abdomen (mesentery), which produce bleeding of another 1,500 cubic centimeters, which are concentrated in the abdomen, the possibility of a shock hypovolemic (massive blood loss) is very high, given that by a single trauma, 3.5 liters of blood have already been lost out of the 5 that the body handles, that is, about 60 percent.

Here you have to know that Acute (sudden) blood losses greater than 20 percent are considered extremely serious, to the point that they fall into the range of so-called vital emergencies.

And if the situation is already extreme, we must add simultaneous injury to organs such as the liver and spleen, that due to their high irrigation also contribute their share of bleeding in this catastrophe.

In this context, the affected person’s blood pressure drops dramatically, the heart rate increases in an exaggerated way and the pulse is too weak, the person becomes extremely pale and as there is no blood to irrigate the neurons, consciousness is lost. which means that the body is not getting the blood it needs and literally the risk of dying is imminent.

Of interest: They take a patrol car involved in the death of Javier Ordóñez to the clinic

On the other hand, if the affected person presents other types of external injuries, electrical burns, trauma and gunshot wounds, A true polytrauma is consolidated that increases the stress of the organism with greater demands on blood supply to try to compensate for the damage. Given this, alarm systems are literally no longer able to compensate.

In this sense, all the functions of the body begin to fail until reaching a general collapse, starting with the death of cells that are very sensitive to oxygen deprivation, such as brain cells, heart cells and, progressively, those of vital structures.

In functional terms, without oxygen, the body enters a deadly triad: acidosis (excessive acid production due to the activation of compensatory anaerobic processes); hypothermia, due to the inability to produce heat, and serious failures in the coagulation mechanisms.

Without oxygen, the organs resist variable times, for example, brain, lung and heart do not tolerate this condition for more than 7 minutes, while the abdominal organs can be up to 45 minutes and the muscle and skin, up to 6 hours.

In this state, If the person has not received immediate attention, the situation is irreversible and the patient dies quickly.

The serious thing is that since in closed traumas there are no signs of bleeding, it may be thought that the affected person is not so bad.

This can be the outcome of closed traumas produced by strong blows with forceful elements on the back and abdomen.

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80,000 infected per month, reproduction number 1.6 and up to 20 percent of positive findings – ČT24 – Czech Television

According to Dušek, the reproduction number was not published during the holidays because it did not make sense – the epidemic during July was practically invisible in our territory and existed only in a few relatively clearly descriptive bounded clusters – or groups. From the beginning of September, probably in connection with the return to normal life, the re-operation of schools, but also imports from abroad, the disease began to spread throughout the country, even faster than in the spring.

The reproductive number is not fixed, its size is affected not only by the properties of the virus, but especially by human behavior. According to international data, it seems that the citizens of the Czech Republic at the beginning of September almost did not limit their behavior or number of contacts at all compared to other countries – and because the obligation to wear veils was abolished until recently, the virus could spread very quickly.

According to Professor Dušek, the current measures are aimed at reducing the number of infections – whether by not meeting such a large number of people in one inappropriate place (up to half of the cases of infection occur in foreign conditions, hundreds of people), or that the virus hits a barrier – it can be drapes, properly washed hands, or a greater distance between people, which the virus is not able to overcome.

In fact, testing and tracing work the same way: if the infected person can be detected in time and proven to be really infectious, he will be able to infect far fewer other people. That is why the capacity of both the number of tests and the hygienists is constantly increasing. And an application can also help, such as the new version of the e-veil – she, in turn, warns the person against the infected and he can adjust his behavior so that he is not risky for others.

Percentage of positive tests

Thursday’s presentation by Professor Dušek and his colleagues also showed that the tests reveal a very high percentage of positive cases. And it’s not just daily data: this is convincingly demonstrated by graphs showing the average of positive cases over seven days. It shows that about 10.4 percent are infected.

At the same time, the World Health Organization states that if the cases detected are up to ten percent, then the epidemic in the country is under control, if this number is higher, then the country should be careful and quickly try to come up with measures to slow the spread.

At Thursday’s presentation, however, Professor Dušek showed another graph – it showed how many positive cases there were if they cleared themselves of the mandatory second tests; they are usually only negative. And their amount is even around 20 percent on some days, which indicates how fast the disease is spreading and also that hygienists can escape a number of other cases of infection.

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Oncologist Smirnova named foods that improve bowel function

Oncologist, surgeon Elena Smirnova revealed a list of foods that improve digestion, normalize microflora and improve the digestive tract. They are also able to prevent the development of colorectal cancer. This is reported by “Medical Note”.

First of all, according to the doctor, probiotics and prebiotics should be present in the food.

Probiotics are living microorganisms that can improve motility and help burn fat. Additives are found in kefir, cheeses, yoghurts and fermented baked milk. People, whose body assimilates these foods without any problems, is recommended to consume them up to 200 ml per day.

Prebiotics are the dietary fiber that probiotics feed on. They are found in bran, dairy products, cereals, vegetables and fruits.

Whole grains have a positive effect on the intestines. These are buckwheat, corn, brown rice, bulgur, wheat. These foods contain significant amounts of fiber, carbohydrates and proteins. These components affect the growth of bacteria beneficial to the body.

The doctor also recommended using kombucha. When processed, polyunsaturated fatty acids are formed in it, which have a positive effect on digestion.

However, it is advisable to consume broccoli. The vegetable prevents the development of gastritis and reduces inflammation in the digestive tract.

Finally, Elena advised to turn to the use of turmeric. This spice helps to improve the condition of the mucous membrane and normalizes the digestive tract.

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Here’s How to Prevent and Overcome When Someone Experiencing Happy Hypoxia

Merdeka.com – One of the health problems that are currently being discussed is Happy Hypoxia. This problem is one of the symptoms experienced by COVID-19 patients.

Erlina Burhan, a pulmonary specialist in the Infection Division of the Department of Pulmonology and Respiratory Medicine, University of Indonesia (UI), revealed the symptoms of Happy Hypoxia that need to be known.

According to him, Happy Hypoxia is a decrease in oxygen levels in COVID-19 patients that the patient is not aware of. The patient may show a healthy body condition when in fact he is lacking oxygen. Generally, Happy Hypoxia occurs in symptomatic patients.

“It’s rare for a patient without symptoms,” he said in a BNPB press conference on Wednesday (16/9).

Symptoms of Happy Hypoxia that can be experienced by patients are usually characterized by a cough that persists for some time and gets worse, the body feels weak, and the color of the lips and fingertips becomes bluish.

“Don’t wait for tightness because in Happy Hypoxia there are generally no symptoms of tightness,” he said

If you already experience these symptoms, you must immediately be rushed to the hospital, he added. Because the only drug Happy Hypoxia is oxygen.

Happy Hypoxia Prevention

The first thing you can do to prevent Happy Hypoxia, says Erlina, is to know the symptoms.

“Another way is to frequently measure oxygen saturation with pulse oximetry, don’t wait for tightness,” he said.

An even more basic way is to prevent the disease from catching COVID-19. According to him, the way it is very easy to return to 3M is to wear a mask, wash your hands with soap and keep your distance.

Another thing that needs to be done is to increase the immune system. This can be achieved by consuming nutritious foods, getting enough rest, not smoking, taking supplements, and avoiding stress.

Reporter: Ade Nasihudin Al Ansori
Source: Liputan6.com [RWP]

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Eminence in AIDS was serious from Covid-19 and tells of the hard experience

Miguel Pedrola is doctor, is 52 years old and is an eminence in the early diagnosis of HIV. He serves as scientific director for Latin America and the Caribbean of AHF (Aids Healthcare Foundations), an international organization that works in prevention and comprehensive response to HIV and Page, also installed in Argentina. And in Rosario she achieved in 2012, with a work team, the Guinness record for tests: 3,733 in eight hours. What he never imagined in almost three decades of work against one disease was going to be that another, called coronavirus, I would deposit him in a hospital bed with a really serious picture. Recovered in his hometown, One-Eyed Deer, and still convalescing, tells: “I just realized how bad I had been when I saw the results of the studies that had put me at home at home.”

Pedrola surprised this week with a very emotional message on Facebook, in which he thanks all the health personnel who intervened in his treatment. Many of them with first and last names; to others, in the memory “of their eyes and their words”, and of their forms “behind the suits, glasses, chinstraps and gloves”. From the “various angels of 107” who appeared one Sunday and transferred him to the Alejandro Gutiérrez Hospital, to the doctor who hugged him and let him “cry.”

He had returned to Argentina in March from Miami, the AHF operational center, as a repatriated scientist, when the country had already restricted flights from risk areas. When he arrived at Venado Tuerto, and after passing the quarantine imposed on travelers, Governor Omar Perotti, who always consulted him on the situation of Covid-19 in the United States, summoned him to participate in the provincial teams. “I couldn’t do both activities, so they gave me a consultancy by decree,” he recalls.

He began to work in the south of Santa Fe. With the provincial Epidemiology area, he assisted the town of Carreras when the situation became complex, and he also worked with the Santa Isabel health system. Then came everything else.

In late August, he was diagnosed with moderate to severe pneumonia, which led him to spend two days in the local hospital. Then, feeling better, he withdrew. She wanted to celebrate her birthday at home on the 29th of that month, promising to get checked again the next day. “It was an act of pride, I signed up alone. Now I learned my lesson ”, he acknowledges.

In the early morning hours of that Sunday after the celebration of his 52 years, the situation became untenable. He woke up with a fever, shivering with cold, his whole body was contracted and he could not breathe. “It was like a cramp in the whole abdomen that prevented me from entering the air. It was exasperating ”, bill. Sies immediately fell and he put oxygen on it, something that relieved him. When he arrived at Gutiérrez, the doctor told him: “This time, you won’t leave until I order it.” He was obedient.

Con plasma

Although he did not enter intensive care, something that terrified him (“he had never been hospitalized,” he clarifies), yes Plasma had to be applied to him, and he was subjected to rigorous care. He didn’t have a good time. The first week was difficult. “I saw it in the faces of the professionals, who made every effort not to discourage me, they told me it sweetened, but the parameters obviously weren’t working for me. The truth is that I realized how bad I had been when I returned home and reviewed the studies, which I had not seen before ”, recognize. And it abounds: “If I had seen them in the hospital, I would have been very worried.”

From Sunday 30 to Friday 4 September he did not feel any improvement, but that last day he woke up as “cured”, although he would still have a few days of hospital bed left, until on Friday the 11th he was discharged.

Pedrola assures that the strongest thing, beyond the physical, is how the disease affects the mental and emotional plane. “Everything goes through the head. I cried a lot, I was only relieved when I saw that things improved. I have no explanations from the medical point of view, but it hit me in the spirit “, recalls. He was sensitized by any news about Covid, especially cases in nursing homes. He could not send messages, he referred everything to his wife, who now has them “short”. “You are and you feel very lonely,” he admits.

One thing that did him good was sharing a room with other patients. When he began to feel better, he devoted himself to his companion, bringing him the food that was left for them at the door of the room and taking care of him. That, he says, “helped me forget about myself a bit, it put the problem out of my head. Now I ask every day how this patient is, who is from Santa Isabel and I didn’t even know. These situations are really hinges in life ”, he reflects.

Today, and already with the medical discharge, he takes off “the hat” before the professionals who attended him. “I knew I was where I needed to be, that’s a boost of encouragement.” And there is something that he does not stop remembering: “It was not only the attention they gave me, they were treated in the same way”.

Pedrola prefers not to make considerations regarding the situation of the coronavirus in the country and in the province. Less, after having been “unplugged” for so long while “many other colleagues have been at the bottom of the gun all this time”. But you can talk about your specialty, HIV.

He explains that the UN-AIDS and the World Health Organization had set the goal of eradicating the AIDS epidemic by 2030. A goal that could be achieved because with the advancement of treatments, a person who receives effective care is not contagious. “It was the 90-90-90 project: that this percentage of the infected population was diagnosed early, that ninety percent of them already had effective treatment, and that in a similar proportion they followed it. Extrapolated to 2030, we would take the plan to 95-95-95 ”, he says.

However, he acknowledges that the coronavirus changed all forecasts. “With this pandemic that arouses health care, surely the goals will have to be postponed, and not only in the area of ​​HIV-AIDS, but in many other diseases, which will be left behind and will be stretched. When we realize it, the indicators will all be changed ”, the Mint.

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A former director of the Hospital joins as a medical volunteer

He former director of Hospital of Plottier, Marcelo Di Peto, will join as voluntary to the medical clinic of that institution to collaborate and bring some relief to health personnel, after the increase in positive cases of Covid-19 in that town.

Di Peto is a clinical doctor, councilor and director of the Sanitary Station of the Cooperativa de Servicios Público de Plottier, in addition to working in private practice. He was also director of the Hospital de Plottier for about three years, when he was still at the old headquarters.

I have volunteered since the pandemic started. I worked in the old hospital, also in other pandemics like Flu A, although they were not of these characteristics. But I know about the fatigue, the exhaustion of colleagues, that is why I made myself available to its director Francisco Facci so that he can count on me”Di Peto told LM Neuquén.

I point out that he will join the medical clinic hospitalization staff when the Director of Medical Attention, Rafael Palomino, so decides.

Marcelo Di Peto- doctor-councilor- Plottier.jpeg

Kindness

He said that when Governor Omar Gutiérrez launched the volunteer proposal, the process was streamlined. He also agreed that “the staff recognized that they were exhausted, due to the wear and tear of these months, when there are staff on leave, set aside for being a risk factor.” While adding: “It makes me sick to see colleagues tired from so much work, I know what they are going through. I don’t mind doing guards. “

He pointed out that five people died in Plottier from Covid-19, but 270 did also since the beginning of the pandemic for other reasons, hence the need to attend to all pathologies per se.

The doctor invited his colleagues who work in private activity or who are retired to join this volunteer service in this context of health emergency. “I want to urge the rest of the retired doctors or those who are in private practices to join the hospital work. Most have gone through the public sector and know the mystique of hospitals. Let them join in, it will rejuvenate them ”, he assured LMN.

He indicated that any experience they can contribute, in addition to specialties with great demand, will be welcomed in the local public health system.

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The photo and a smile. The Russian dissident comes back to life: “I’m Navalny”

BERLIN «Hi, I’m Navalny», wrote the Russian dissident yesterday under a photo posted on his Instagram account, which in a few hours received over a million likes. Sitting on a hospital bed, with his wife and two children next to him, is his first image since he was admitted to the Charité in Berlin to be treated after being poisoned at a Siberian airport with a nerve agent from the novichok family. .

“I missed you. I can’t do it all by myself yet, but yesterday I managedto breathe without help all day, ”added Putin’s first opponent, a likely victim of the Russian secret services. In a tweet sent separately, her spokesperson, Kira Yarmysch, said that once Navalny is cured she wants to return to Russia to continue her battle against corruption and in support of opposition candidates.

But no one makes any predictions about the timing of the return. Doctors Monday della Charitè removed the respirators and Navalny was also able to leave her bed for short periods. But they do not yet rule out that the poison can leave permanent consequences on the dissident’s body. Proven by the analyzes of the toxicological laboratory of the Bundeswehr, the German army, the use of novichok has also been confirmed by independent tests conducted in France and Sweden. Developed in the 1970s by the Red Army, the poison was used in 2018 in Salisbury, England, against former spy Sergei Skripal and his daughter, both of whom survived. The British government openly accuses the Moscow services of the attack.

A real battle is now raging around the Navalny case diplomatic between Russia and Western countries, which are demanding explanations and threatening new sanctions, in addition to those already in force since 2014 after the annexation of Crimea. Yesterday, in a phone call with French President Emmanuel Macron who expressed “strong concern about the criminal act”, Vladimir Putin called the accusations against Russia “improper and unfounded” and renewed the request to the German authorities to show the analyzes. and the blood samples used.

Kremlin spokesman Dmitry Peskov even raised a shadow on the behavior of Germany, saying he does not understand its refusal to cooperate. The director of Russian external services, Sergei Naryshkin, is more explicit, according to whom, since Alexei Navalny had no traces of poison in his body when he left Russia (according to the Omsk doctors) “there are many questions to which the German side must answer ».

Meanwhile, the Russian Foreign Minister, Sergei Lavrov, has canceled as a sign of controversy, a long-planned visit to Berlin and in a phone call with his German colleague Maas, warned him against trying to politicize the affair. According to Lavrov, the Germans’ refusal to provide biological samples “demonstrates unwillingness to shed light through an objective investigation.” A spokesman for the Foreign Ministry of the Federal Republic, however, noted that “Navalny was hospitalized for 48 hours in a Russian hospital after feeling ill.”

16 September 2020 (change September 16, 2020 | 01:47)

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Coronavirus: Government of Ireland in isolation – Last Hour

(ANSA) – LONDON, SEPTEMBER 15 – The entire Irish government is now in precautionary isolation due to the suspected coronavirus infection of the Minister of Health, Stephen Donnelly, who felt unwell after a cabinet meeting. The minister has turned to his doctor and is awaiting the test results. In the meantime, the single-chamber Parliament of Dublin has first updated the work until further notice, only to be reconvened. According to the BBC, the undersecretaries will for the time being respond to a planned interpellation session of deputies. (HANDLE).

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