Letter to Hospitals and Doctors…read more Subject: Medical Practitioner Death and the Solution to Disinfect the Air Cond System of Hospitals The reports of medical frontlines increasing death is a question of why. They are well equipped with PPE and are the most qualified to know the dangers and strengths of the need for health safety such as wearing PPE, against the virus. The answer lies in that the most unanticipated source of contamination has not been eliminated altogether. This is the virus transmission caused by the air conditioning system in the hospital. Check the following: 1. Air condition operating principle. a. Air cond units have air discharge and exhaust that circulate air in a given closed room. b. When running, air condition temperature would be at least 24C, way below the virus limit to life temperature of 28C. Therefore air cond rooms are a good place for the virus to thrive. c. Each air-cond unit has an air filter which must be detached and cleaned to keep the room air quality sanitized. 2. Physical characteristics of the coronavirus. a. It can thrive in temperature up to 28before it dies down gradually. b. The distance the virus can travel is normally up to 1meter but can be longer depending on the strength of its discharge (sneezing or mouth droplets). c. The virus uses the moist of droplets and sneezes to survive. When this dries up the virus begins to deteriorate without its host moisture. Solutions to stop the virus circulation in the room. a. Clean the air cond units and disinfect the entire units at least once a month during this pandemic period. Use standard procedure of soap & water. And final air drying. b. Clean the air filter of the air cond separately from the unit. i. Take out the filter and avoid direct contact. ii. Wash thoroughly the filter with soap and water, meaning back to back. iii. Dry the filter at least 10 to 20 % moisture content if possible 100% dry. Do not wring but drip dry or air dry. iv. After drying the filter spray the filter with disinfectant end to end and back to back. v. Have a spare filter per air cond and change the filter every end of the day. The used filter can be again washed, dry, and disinfected as per above. If the filter is dischargeable, discharge to the trash can, use the procedure of hospital discharges. vi. When cleaning the air cond and filter the technician must wear PPE to ensure there is no contamination to himself. vii. Ditto, when daily pulling out the filter and replacing it with a new filter, both newly washed and disinfected filter or disposable filter. Also, medical workers must have separate dressing rooms to change and wear their PPE. No patient must be allowed inside such a room. a. The PPE dressing room must not have the personal effects and bags of the medical worker. Keep the room bare except for closet and shoe shelves and maybe benches. b. Disinfect the room every end of the day. If this goes unchecked the death will simply go on unknowing what is causing it. Other areas of the hospital must also be disinfected. c. The canteen must be disinfected wall to wall table to table. d. All cooking utensils, dishes, and cutlery must be disinfected after every use. e. All other rooms in the hospital must be similarly disinfected. Note: This procedure must also be used for malls, rooms, and halls where people assemble or gather for any purpose such as to dine, conference, seminar, shop, etc. Prepared by: Prof. Ernesto Abaya Guzman ME MM Ph.D. (cand) Loyola Height, Quezon City Philippines Email: guzaba2003@yahoo.com Cell: +63 9202167762 Note: 1. A former professor at University of Santo Tomas, Manila, Philippines 2. If found useful please send a certificate of appreciation and if there is remuneration please send notice to advise to give more details.

When my 10 yr old daughter fell badly and broke her leg during our trip in Paris (a long and…read moresomewhat frightening story...especially for fellow parents), Necker children's hospital was a godsend. We knew it was a good place when Parisian acquaintances nodded and smiled when they heard the ambulance was taking her there. In retelling our tale to friends, we now affectionately refer to Necker as the "Lucile Packard of Paris" The staff was wonderful and supportive, and the care my daughter received was first rate. The amount of English spoken here, along with my wife's and my French, was enough to get us by quite well. We always felt they were putting our daughter's health and happiness first, which of course is the whole idea. My wife would also like to report that their fold-out futon couches are VERY comfortable. She stayed on one for a couple of nights. We had a few strange surprises (e.g. wheelchairs or crutches could not be obtained or rented from the hospital) but this was just French health care, not Hopitaux Necker. (Otherwise French health care worked just fine, thank you). Of course this incident put a damper on further Paris sightseeing until our flight home, but the important thing is my daughter is back home in CA (has been for weeks now), and she is happy, healthy and healing very quickly. We are feeling very fortunate indeed.

Saw Dr Salama - GYN on a Sunday. He was caring and listen to the concerns. He also did an email…read morefollow up with me in. the USA. Highly recommend him and the American Hospital in Paris

Had a very bad experience here in 2019. Went to the ER after being sick for a week and losing a…read moresignificant amount of weight. I am an American and was a dumb kid who didn't realize the hospital had nothing to do with the US and that there were almost no English speakers on staff (A couple of ppl spoke very broken English) As for the quality of care, it was very very bad. It took about 2 hours for the doctor to see me. When she finally did, the nurses came in and hooked me up to some IV fluids. I waited a few hours as they eventually ran out. The bag was then empty, so I pressed the call button for a nurse. I waited a while but eventually fell asleep. I woke up an hour or so later and saw the fluid line was filling back up with my own blood and pressed the button to call a nurse. After waiting 30 minutes and pressing it a few times, nobody showed up. I then got up and walked out into the reception area (sick, very weak and walking with the fluid line full of blood) and ask the receptionists if a nurse can come help me remove the IV by pointing at the blood in the line (I was young and had no experience in the medical field yet and didn't want to mess up the catheter in case I needed other treatment). They brushed me off and said yes go wait in your room. Well I did, for 3 MORE HOURS. I finally just took the catheter out myself as the whole line was filled with blood. It took another 2 hours for a nurse to finally come in to check on me. Very negligent staff and no communication between nurses and patients. Also poor attitudes from the receptionists the entirety of my stay

Excellent service! Best professional crew, service oriented and ready to help. AMAZING. I strongly…read morerecommend this hospital in Paris.

After a fall, my husband suffered a broken neck, broken wrists, broken nose, broken eye socket and…read moremultiple bruises and was admitted to the Intensive care unit. The initial care in keeping him alive and when operated on was very good but the follow up care was appalling with the following issues: 1. only checked every six hours in intensive care 2. restrained to the bed with leather straps for all limbs - when I complained was informed this was normal practice for someone who is agitated and they did not have enough staff to monitor the situation- no consideration was given to the fact that both wrists were broken 3. Had to request on several occasions for him to be washed/ cleaned 4. Lack of information - staff were rotated every two days so no one could give full prognosis - no care plan evident. Contradictory information was given by different shifts. 5. Even after 4 weeks no effort was made for physio or rehabilitation again due to staff shortages. Still restrained and in bed. 6. Very little assistance given to feeding bearing in mind both wrists were broken After 6 weeks without progress, it was decided to repatriate back to the UK and within 20 minutes of arrival at ICU unit was able to weight bear and attend to personal needs with little assistance. It was then discovered that the wrists were not properly set but now too late for this to be corrected. So I cannot state that France has the best care .

Had an appointment at 14:30. As it usually happens in all dentists and clinics it got delayed 30…read moreminutes. The doctor was quick and efficient and gave me a good explanation of why the pain (caries) and possible actions i may have to do in the future ( wishing tooth removal) in overral a fairly good experience and just glad the pain stoped!

I know! Five Stars you ask? And I give a resounding yes!!! Before I hit the ground in Paris Id done…read moreenough research to make me dangerous. You know, the must-see stuff. Well, this one ended up on my list because of some art in the courtyard. It wasn't a must-see but, I bookmarked it so that if I was in the area, it would pop up. As anyone knows who has visited Paris, there are very few to no public restrooms. So, after I visited the Notre Dame Cathedral and came out, yes, I was looking for a restroom. I noticed on my bookmarks, right across the street was Hopital Hotel Dieu! Perfect, so we walked across the street entered the front door and it was then I realized it was a functioning hospital. I just kept walking towards the courtyard I could see through the back window. Out the door into the courtyard. Wow, looking up and around you could see the history of this place. Old is an understatement and at that point, I was ready to explore. I have always been entranced with old institutional buildings. In particular hospitals and mental institutions. It was obvious that this building over the centuries had been used for both. I didn't want to just roam the halls looking for a bathroom so I went towards the coffee shop sign. I felt like I stepped back in time 50-100 years as I entered the small room with a woman making espresso. Wow, couldn't believe my luck, how great the coffee was and... She didn't speak English so my inquiry as to a restroom elicited directions in French! So, I walked towards the stairs she pointed at that took me to an elevator. The deeper into the building I went the farther back in time I seemed to travel. I exited the elevator on the second floor. People were walking to their destinations rapidly. Finally, I saw a female doctor and asked her where I might find a restroom. Her look and wave of an arm showed she didn't want me there so I continued my search in the direction of her arm wave. Walking down the hall I was now in a different world. I immediately reminded myself how grateful I am to have the health care system we have. This was by all appearances primitive compared to the United States. Asking a nurse (they still dress in all white with the little hat) she pointed at a small unmarked door. I entered into what seemed a broom closet. I then opened the second door which led to a small Vintage restroom circa 1930. Spotless and with a design Ralph Lauren would be happy with, finally, I found a restroom. Its amazing what will lead you on a fantastic voyage sometimes. I'm glad Paris doesn't have a lot of public restrooms. Otherwise, I wouldn't have had a few more of these types of adventures!

I managed to fall and hurt my wrist. I saw a pharmacist who took one look at my sausage-hand and…read moretold me to go to the Hôtel Dieu. ( I speak adequate French.) The intake personnel were very pleasant and kind, as were all the nurses and techs. Clearly, I didn't have an emergency, so I wasn't seen as fast as someone who had been hit by a car. The whole visit was about 3 hours, including a nursing intake, a physician history and physical, 4 Xray views of my hand and a diagnosis (sprain, not fracture) and instructions on going home. I had to buy my wrist brace at the pharmacy I started at. The whole encounter was professional and timely. I have worked in ER's and I was pleased with my care. the bill will be sent to my home in the US, so I can't report on the prices.