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.

ALMOST EVERYTHING, except the orthopedic surgeons, who did a good job repairing my fractured…read morekneecap, and the aides who were friendly and sympathetic. After a fall at our B&B at about 20 heures on June 3, 2024 (a Monday), where I broke my kneecap horizontally into 2 large pieces, I was taken by ambulance to this hospital. Upon arrival in the ER, I was transferred to a gurney and waited to be seen. We asked for ice or ice packs to apply to my knee to reduce/minimize/slow swelling (standard practice, in our experience, in the US). To our great surprise, there WASN'T ANY ice (glace)! They offered a thin, totally inadequate small bag of frozen platelets, which did nothing to help. A visitor to Paris who goes to a cafe or restaurant who asks for ice in a drink WILL GET ICE FOR THEIR DRINK!! NOT IN THIS HOSPITAL!! Plus they acted last like ours was an unreasonable request! While I was in the ER, a staffer took photos (rather than photocopied) of my medical information--a 2+-page paper document that details my medical conditions (all medications [dosages and times of day taken], past surgeries, past surgeries, past vaccinations, etc.) Eventually X-rays were taken, confirming the break. Around 4am on Tuesday, June 4, I was admitted and temporarily put in a double room in the vascular unit because they were full up everywhere else. After being fed breakfast, I was taken to a private room in the ortho unit. A staffer eventually came to tell me that my surgery would be the next day (Wednesday). After a very uncomfortable night in the most uncomfortable bed I had ever experienced (the mattress was thoroughly bottomed out; there was padding only on the sides), I made sure to tell them that I was on a major blood thinner, Plavix, which they should have known from the paper document they took photos of in the ER. Evidently, that crucial information WAS NOT SHARED beyond the ER. On Wednesday, I was told surgery would be Thursday, but then an anesthesiologist came in (after learning about my Plavix use perhaps--which I had taken last on the morning of my fall) and said it would be Friday. On Friday, an orthopedic surgeon informed me that surgery would have to wait until either Saturday or Sunday because 5 days without Plavix was required -- to avoid bleeding out on the table during surgery. He also indicated that, on Saturday, only one operating theater would be open in the entire hospital and that emergencies would be given priority. He also said: on Sunday 2 operating theaters would be open, one of which is devoted to orthopedic surgery. So..... I anticipated waiting until Sunday for the operation. (Our return flights home to the US from CDG airport were scheduled for that Monday!) To my surprise, I was taken to surgery Saturday morning! All this while I was communicating with Generali Global Assistance. (I had the foresight to buy a travel insurance policy with them before going to France--Generali was a life saver!) All the surgeons and medical staff had to do for Generali to begin arranging alternate ground and air transportation for our return home was to provide a filled-out Fit-To-Fly form (indicating it would be safe for me to fly), and a summary of my my medical treatment. Staff really dragged their heels putting together this information! (TERRIBLE INTERNAL COMMUNICATION AND A LACK OF A SENSE OF URGENCY characterized my entire hospital stay.) We also needed prescriptions for medications and--more importantly--full-height crutches (bequilles axillaires) and a folding walker, for my wife to take to a nearby pharmacy in the morning and retrieve later that afternoon. The prescriptions were given to us late in the morning June 11. When she went back to get ever, she was told that the walker and crutches had not come in. That she WOULD HAVE TO GO BACK TO THE PHARMACY THE NEXT MORNING AT 8am!! I HAD ALREADY BEEN DISCHARGED. I WOULD NOT BE GETTING MEALS, MEDICATIONS THAT NIGHT OR THE NEXT MORNING! I could not walk out of the hospital without those crutches, so...... We collected all my items in the hospital room, I got dressed, and WE WALKED OUT OF THE HOSPITAL ON OUR OWN POWER WITH THE HOSPITAL CRUTCHES I UAD BEEN TOLD I COULD NOT TAKE WITH ME!!! Walked out through the lobby and got in a taxi right out front, which took us to the hotel nearby where my wife had been staying! I DO NOT RECOMMEND THIS HOSPITAL!

Great location, and great staffs help suck people. And…read morethey are very vigilant to your health history issue to give out a professional opinions.

I WOULD GIVE ZERO STARS IF I COULD!! Terrible service, even worse patient care!!!!! Waited for 5…read morehours in extreme pain, quickly seen by a student nurse but no doctor. The staff at the front were unprofessional and laughing at all patients. There was a man touching and exposing himself in the waiting area, and took security a ridiculously long time to address. It is a homeless shelter in one waiting room (not exaggerating, it actually is), and the homeless people interact with and scare the waiting patients who are already in distress. Overall, stay away.