By the two hour conveyor belt mark, however, her body rose by almost ten degrees, and her heart began to beat. By the age of five, she had recovered her faculties completely. Her pupils were dilated and did not react to light, indicating cessation of brain function. She underwent extensive outpatient therapy. And discipline is hard, harder than trustworthiness, skill or even selflessness. Third - count something. Maybe, how often one has succeeded or failed.Gawande says all learned occupations have a definition of professionalism - a code of conduct. Say something positive about almost anything and the atmosphere in the room completely changes. In the intensive care unit, the team worked throughout the day and night on suctioning the pond water and debris from her lungs with a fibre optic bronchoscope.
Gawande has now been named the CEO of the Amazon-Berkshire-J. She had no blood pressure, no pulse and she was not breathing.But the emergency team continued with their cardiopulmonary resuscitation. Her physical and neurological examinations were normal. Complaints are the litany of our lives and bore people. The degree of difficulty in any one of these steps is substantial. Two tubes were fitted, one into her femoral artery to take out blood and another into her femoral vein to send the blood back. A helicopter took her to the nearest hospital where she was wheeled directly into an operating room and a surgical team hooked her onto a heart-lung bypass machine with one technician continuing to pump her chest. She was gone.
So they switched her instead to an artificial-lung system known as ECMO, extracorporeal membrane oxygenation. She was lost beneath the surface for thirty minutes before they found her at the bottom of the pond. To this, Gawande says, we can add a fourth code, that of discipline. Between the transport time and the time it took to plug the machine into her, she had been lifeless for an hour and-a-half. An audience is a community. A scan showed global brain swelling so the team went one step further.This dip leads to a joyful rise thanks to the wits and wagers of Mamta and Mauji.What do you think they’ll do?One will put sequins all over it, the other will bathe it in zardozi, and the third will add trimmings of velvet in a contrasting colour that peep out from all its shores. All other desires are annoyingly superfluous in this low-income group house.Raghubir Yadav is good.This is sad because Anushka Sharma is quite good.
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