Grivances No 3

One of my childhood friends Srikant said some bitter truth, my heart pricked in pain, agony and dismay that his note contained the truth as he said, ' "I was discharged from the hospital feeling very weak. While I was in BMC government hospital, I was looking after the cremation responsibility too.

Last year March 27th Covid and non-COVID bodies in 5000 were burnt. Cremation of BMC responsibility on my duty.

Be alert. Wear double mask one over other with N95 both inside the home and outside the home. Only safeguard. Keep inhaling, gargling, sleep in Proning position to uplift the respiration system. Keep small children inside the home. With mask AC restricted. Keep your room well ventilated. Allow sunlight as much as possible inside the room.

Sit in sunlight from 8.30to to 9.30 minimum one hour."

Now I want to say some harsh reality, bitter truth that now is not the time of craziness to fight in the issue of religious strife like hindu Muslim sentiment after the election in Bengal. The videos are shown of burning houses, violence bloodshed, what is the reason against such things only to create violence, strife, hatration in the minds of Indians to get vote banks. Political parties are playing with the emotions and sentiments of people. They can strongly declare emergency president rule over Bengal if the union government feels so. The Governor of Bengal can take the decision on this matter.

I request my readers not to be influenced by such sentiment, it is not the time to fight or riot against each other. We must face the pandemic as warriors strongly and boldly together. Unity is the strength and mental power of us now. Then another issue, if we think seriously then we have enough oxygen in stock presently and in future too. I want to explain how.

Oxygen is essential this time during a covid pandemic.

A pressure valve in A concentrators helps regulate supply, ranging from 1-10 litres per minute. Concentrators are designed for continuous operation and can produce oxygen 24 hours a day, 7 days a week, for up to 5 years or more.

At 90-95 per cent purity, is the oxygen from concentrators pure enough? It costs 2.5 lakhs. One oxygen plant costs 33 lakhs.

Steel Authority of India (SAIL), one of the largest domestic steel producers, has been enhancing its capabilities to supply Liquid Medical Oxygen (LMO) in the country and has doubled its capacity over the last few weeks.

The daily delivery of LMO from its integrated steel plants situated at Bhilai (Chhattisgarh), Rourkela (Odisha), Bokaro (Jharkhand), Durgapur and Burnpur (West Bengal) has been increased from about 500 tonnes in the second week of April to more than 1,100 tonnes per day currently, it said.

The company has so far supplied around 50,000 tonnes of LMO. In April, SAIL has delivered more than 17,500 tonnes of LMO to 15 States.

Oxygen concentrators are the easiest alternatives to 7cylinders but can only supply 5-10 litres of oxygen per minute (critical patients may need 40-50 litres per minute) Oxygen cylinders can produce more litres of oxygen than concentrators, cost also cheaper rs30,000 per cylinder.

The real truth all should know. Even if 50,000 are affected in karnataka then 50% means 25,000 are from Bangalore affected but in harsh reality how much oxygen do we need for ICU or emergency need that do we have enough stock for 1,00000 patients or not, that is important. Yes, we have plenty of stock at present. The same is the case in Odisha and other states. This is purely means that private hospitals, medical stores agencies that supply oxygen are surely manipulating the government system or the government is manipulating the private agencies and hospitals vice versa.

Obviously, Corona pandemic maffia raj is going on all over the country like one more pandemic virus of corruption or malpractice as a commercial monopoly over oxygen. Private as well as government hospitals are violating the norms, where stands BJP government or union government remaining silent why? what about corruption and black money? How can they collect now black money to white money on the dead bodies of the cremation ground? Hospitals should follow government protocols guidelines seriously. Poor people are striving against death to get oxygen ICU ventilation.

My driver's friend, my maid's relatives narrating the tragic and heartbreaking pathetic stories of their kith and kin died paying huge money on loans. They sobbed in sorrows and tragedies losing all their gold, property everything on loan as government hospital as well as private hospitals have deviated all legal rules protocols of government charging high rate for ICU, ventilators oxygen, all . They paid 7 lakhs, each day one lakh for hospital charge which government has determined as follows for the poor people who have BPL cards Ayushman card under the poverty line.

This week news latest updated. A bench of justices DYChandrachud and MR Saha have given more emphasis on appropriate rational distribution of oxygen supply, allocation and distribution is the need of the hours. An oxygen audit, that determines the actual need for oxygen in a state. Solicitor general Tushar Meheta informed that 730.7 (MT metric tonnes ) was received in Delhi Wednesday.

Supreme court has alerted the Union government to start preparation for oxygen allocations to the states, there is the third attack of covid 19 pandemic ahead, The centre approached the supreme court against Karnataka high court for the allocation of oxygen 1200 MT from 865 MT, as it did not have the records of the cases.

Recently the Chengalpattu government hospital in Tamilnadu faced lack of oxygen. J Muthukumar dean of the hospital said, oxygen was available in April, a total capacity of 23 kiloliters oxygen tank, we did not face any shortage, suddenly it hiked to 580 patients,patients who needed oxygen. Doctors protested on strike to fulfill the demand immediate filling of oxygen tanks. Collector A john Louis reached the hospital, he pacified the doctors assuring them of sufficient oxygen tanks.

Now supreme court has accepted the demand of karnataka highcourt to supply 1200MT oxygen every day to the state seeing the urgency or need of oxygen in the state

Yes , we cannot stop writing about the tragedy, death of again 20 people due to lack of oxygen, even it is one most tragic terrific fact of death news of a doctor head of the Gastroenterology only for the lack of oxygen . His wife rushed to the hospital of South Delhi carrying oxygen cylinder to see his husband. If doctors cannot get oxygen then imagine the condition of common patients . Neither money nor power can help anyone. We cannot do anything except praying to God. Even it is said common oxygen gas cylinders cannot suffice to ventilator patients.

Another great tragedy when 10 people died in ICU hospital due to burning of fire, same thing had recently happened in Nasik ICU rooms, 20 patients died in burning fire, even some hospitals are not abided by fire safety norms. How long people can fight against such pandamic we are in anxieties, stress and fear.

Oxygen concentrators: yet as cases surge and with oxygen cylinders in short supply across several states, the concentrator is among the most sought after devices for oxygen therapy, especially among patients in home isolation and for hospitals running out of oxygen.

How does it work?

An oxygen concentrator is a medical device that concentrates oxygen from ambient air. Atmospheric air has about 78 per cent nitrogen and 21 per cent oxygen, with other gases making up the remaining 1 per cent. The oxygen concentrator takes in this air, filters it through a sieve, releases the nitrogen back into the air, and works on the remaining oxygen.

This oxygen, compressed and dispensed through a cannula, is 90-95 per cent pure. A pressure valve in concentrators helps regulate supply, ranging from 1-10 litres per minute.

According to a 2015 report by the WHO, concentrators are designed for continuous operation and can produce oxygen 24 hours a day, 7 days a week, for up to 5 years or more.

At 90-95 per cent purity, is the oxygen from concentrators pure enough? It costs 2.5 lakhs. One oxygen plant costs 33 lakhs.

While it is not as pure as LMO (99%), experts say it is good enough for mild and moderate Covid-19 patients with oxygen saturation levels of 85% or above. It is, however, not advisable for ICU patients. Pure oxygen under oxygen therapy for a long time also has side effects like dry nose beeding , migrain etc. The patient cannot be exposed to fire or flames it gets burning sensation badly. Even oxygen cylinders are very carefully handled opening or attaching valves.

Concentrators can be attached with multiple tubes to serve two patients at the same time, but experts don’t recommend it since it carries risk of cross-infection. Oxygen cylinders can produce more litres of oxygen than concentrators, cost also cheaper rs30,000 per cylinder.

How are concentrators different from oxygen cylinders and LMO?

Oxygen concentrators are the easiest alternatives to cylinders but can only supply 5-10 litres of oxygen per minute (critical patients may need 40-50 litres per minute) and are best suited for moderately ill patients.

Concentrators are portable and unlike LMO that needs to be stored and transported in cryogenic tankers, need no special temperature. And unlike cylinders that require refilling, concentrators only need a power source to draw in ambient air

Most people can hold their breath comfortably for about 1-2 minutes. Trying to hold your breath for much longer than this, especially under water, may be dangerous. Our bodies need both oxygen (O2) and carbon dioxide (CO2) to survive.

In all, this process produces around 2 kilograms of oxygen per day. According to NASA, the average person needs around 0.84 kilograms of oxygen per day

Essential is oxygen this time during covid pandamic.

A pressure valve in A concentrators helps regulate supply, ranging from 1-10 litres per minute. concentrators are designed for continuous operation and can produce oxygen 24 hours a day, 7 days a week, for up to 5 years or more.

At 90-95 per cent purity, is the oxygen from concentrators pure enough? It costs 2.5 lakhs. One oxygen plant costs 33 lakhs.

Oxygen concentrators are the easiest alternatives to cylinders but can only supply 5-10 litres of oxygen per minute (critical patients may need 40-50 litres per minute) Oxygen cylinders can produce more litres of oxygen than concentrators, cost also cheaper rs30,000 per cylinder.

If each state gets minimum 1000 megawatt tonnes that mean one megawatt contains mass volume of 1000 kilograms weight of oxygen which can suffice 10 person needs in acute corona affected patients who needs minimum 40liters in a minute , means 5times more than a normal time oxygen inhalation. So around 12 kg one person may need one day. So 1000 kg or one mega tonne includes a minimun of 100 patient requirements to fulfill in ICU beds. Then 10-kilo megawatt can cover 1000 patients in a day, then 100-kilo megawatt can suffice 10,000 patients in a day who need oxygen in ICU beds or ventilators in a day. 1000 kio megawatt can suffice 1lakh seriously affected patients in a month. In Bangalore we have total 500 ICU and 92 ventilators in government hospitals apart from private hospitals, if private hospitals are included then 1000 ICU and ventilators will be counted in numbers who require oxygen in emergency, but we have oxygen for 10,000 patients in need or emergency then why should people panic? It is a question to think if rationally the oxygen is allocated or distributed that we must know. The real truth all should know. Even if 50,000 are affected in karnataka then 50% means 25,000 are from Bangalore affected but in harsh reality how much oxygen do we need for ICU or emergency need that do we have the enough stock for 10,000 patients or not, that is important.

Steel Authority of India (SAIL), one of the largest domestic steel producers, has been enhancing its capabilities to supply Liquid Medical Oxygen (LMO) in the country and has doubled its capacity over the last few weeks.

In addition to supply of LMO, SAIL is going to set up additional 2,500 hospital beds, outside its current medical facilities, with the support of gaseous oxygen brought by dedicated gas pipelines from the plants. These beds will use gaseous oxygen directly as an additional source of oxygen as the demand for LMO is currently high, the company said in a statement.

The daily delivery of LMO from its integrated steel plants situated at Bhilai (Chhattisgarh), Rourkela (Odisha), Bokaro (Jharkhand), Durgapur and Burnpur (West Bengal) has been increased from about 500 tonnes in the second week of April to more than 1,100 tonnes per day currently, it said.

The company has so far supplied around 50,000 tonnes of LMO. In April, SAIL has delivered more than 17,500 tonnes of LMO to 15 States.

Till date, 14 of the “Oxygen Express” carrying more than 950 tonnes LMO have been loaded for various parts of the county from SAIL plants at Bokaro, Rourkela and Durgapur. SAIL plants have also received tankers, which have been airlifted and after loading have moved to their destinations by road and rail, it said.

With the arrival of ISO tankers, SAIL facilities have delivered these tankers after suitable conversion and modifications at the delivery points. Production of LMO at SAIL facilities is being ramped up by optimizing process parameters. The production and delivery are taking place 24x7 at SAIL plants, it added