spacetacular:


Talk about TBI and SCI external insult first before heading to CNS. You are misfiring your medical procedure doctor fish

You really do have to call your doctor now, I said CNS because the claim was the person died, woke up after 12 hours and WALKED out of the morgue. Unless they taught you in your paramedic school that the CNS isn't in control of ambulation of which I won't be surprised.
Traumatic brain injury and spinal cord injury are all part of the CNS.
You really have to call your doctor now

Sarassin:


Fair enough. But surely you can express a general opinion based on your experiences as a practitioner and in light of the more esoteric events you may have witnessed as a first respondent.

I have seen my fair share of what we term the miraculous on the field. We have applied unconventional and non medically approved procedures on the field with instant positive result but we dare not mention it as medically such is seen as life threatening and with a chance of maybe 5% and if the person had died still then our efforts at trying to save a life would be misconstrued.

Where those thoughts and ideas on radical procedures come from is strange but ordinarily we would never think up such procedures. Yes I have seen medical miracles but cannot use them to carry out a generalization.

So like I said I need a before, during and then an after to approve or disprove but for now I would stick with perhaps.

CatfishBilly:

You really do have to call your doctor now, I said CNS because the claim was the person died, woke up after 12 hours and WALKED out of the morgue.

What was your initial diagnosis and proof of death including your personal claim of reviving the dead? You are killing your supposed medical career

Stop focusing on CNS like you did medical journals. What was your prognosis?

spacetacular:



What was your initial diagnosis and proof of death including your personal claim of reviving the dead? You are killing your supposed medical career

Like I said, I have no business with paramedics, call your doctor, then we'll talk. Since you don't know that the brain and spinal cord are part of the CNS, Dropping tbi and sci for me.
Chai, paramedics Sha, it's not your fault.

CatfishBilly:

Like I said, I have no business with paramedics, call your doctor, then we'll talk.

Lol doctor fish but you have been responding until I began probing. What is your medical specialty?

CatfishBilly:

Like I said, I have no business with paramedics, call your doctor, then we'll talk. Since you don't know that the brain and spinal cord are part of the CNS, Dropping tbi and sci for me.
Chai, paramedics Sha, it's not your fault.

Self professed doc. You do not talk about the CNS at death without first talking about the external insult which affects the TBI and the SCI that was why I asked for your prognosis on the person who died and you claimed to revive. Try and save the little of your alleged medical divinity you have left sir.

What is your medical specialty?

spacetacular:


I have seen my fair share of what we term the miraculous on the field. We have applied unconventional and non medically approved procedures on the field with instant positive result but we dare not mention it as medically such is seen as life threatening and with a chance of maybe 5% and if the person had died still then our efforts at trying to save a life would be misconstrued.

Where those thoughts and ideas on radical procedures come from is strange but ordinarily we would never think up such procedures. Yes I have seen medical miracles but cannot use them to carry out a generalization.

So like I said I need a before, during and then an after to approve or disprove but for now I would stick with perhaps.

Decisions of medical expediency that you make in the field, based on your training is still in my view an informed decision. It's a far cry from the summary hand waving that goes on in churches in Nigeria today in the name of healing. I understand that you won't express an opinion but at least you've kept an open mind and that's fine too.

spacetacular:



even after I showed you how medical journals lie and bend the truth ALWAYS. Without verification, NOTHING WRITTEN IN ANY MEDICAL JOURNAL IS CREDIBLE . ?

The operative words "ALWAYS" and "ANY", is the pointer to my suspicion of charlatanry and confirmed pseudoscience birthed ancillary.

akintom:


The operative word "ANY", is the pointer to my suspicion of charlatanry and confirmed pseudoscience birthed ancillary.

I stand by my very words Mr rude Akintom. If it's not verified then it's a simple medical literature. Medical science is meant for practitioners and not theory hawking wannabes.

Perhaps Dr fish can tell you his medical specialty since he has refused telling me even after repeatedly being asked.

spacetacular:


Self professed doc. You do not talk about the CNS at death without first talking about the external insult which affects the TBI and the SCI that was why I asked for your prognosis on the person who died and you claimed to revive. Try and save the little of your alleged medical divinity you have left sir.

What is your medical specialty?

A little bit of knowledge is a bad thing, it really is.
You don't talk about the CNS at death? How else do you check for brain stem reflexes when certifying a patient without talking about the CNS? Oh wait, you're a paramedic, that's not your area of expertise.
Bloody quack.

CatfishBilly:

A little bit of knowledge is a bad thing, it really is.
You don't talk about the CNS at death? How else do you check for brain stem reflexes when certifying a patient without talking about the CNS? Oh wait, you're a paramedic, that's not your area of expertise.
Bloody quack.

You sir are the bloody quack. You talk about OCR and assume it's accurate even when every kid doctor knows it has false positives under certain conditions.

Permit me to ask sir when a patient is without brain stem reflexes but ventilator dependant and under intensive care is the person dead or deeply comatose?

What is your medical specialty and what part of the world do you practice?

spacetacular:



I stand by my very words Mr rude Akintom. If it's not verified then it's a simple medical literature. Medical science is meant for practitioners and not theory hawking wannabes.

Perhaps Dr fish can tell you his medical specialty since he has refused telling me even after repeatedly being asked.

In addition to your internal Dunning Kruger, you obviously don't understand the use of tenses.

Within the intellectual sphere, it's not only rude, but reprehensible, to speak in the manner of the quoted excerpt, of your earlier post.

akintom:

In addition to your internal Dunning Kruger, you obviously don't understand the use of tenses.

Within the intellectual sphere, it's not only rude, but reprehensible, to speak in the manner of the quoted excerpt, of your earlier post.

All I did sir was follow your lead. You have a strong handle on being rude so I spoke to you like you spoke to me and you say I am being rude? You sir are being a hypocrite.

spacetacular:


You sir are the bloody quack. You talk about OCR and assume it's accurate even when every kid doctor knows it has false positives under certain conditions.

Permit me to ask sir when a patient is without brain stem reflexes but ventilator dependant and under intensive care is the person dead or deeply comatose?

What is your medical specialty and what part of the world do you practice?

So, oculocephalic reflex is the only brain stem reflexes you know when certifying a patient?
Wow. Little knowledge is a bad thing. Call your doctor, you're not keeping up.

CatfishBilly:

So, oculocephalic reflex is the only brain stem reflexes you know when certifying a patient?
Wow. Little knowledge is a bad thing. Call your doctor, you're not keeping up.

Apnoea, absence of brain stem activity and coma are the 3 checks attached and I hope you know Apnoea is temporary so not accurate. Coma can also be temporary so not accurate. OCR is riddled with false positives under certain conditions so not 100% so tell me where your brain stem reflexes stands?

I asked a question about being on a ventilator and ICU if it's death or being comatose even when there is no brain stem reflex observed. Answer it please sir.

Also what is your medical specialty?

spacetacular:


Apnoea, absence of brain stem activity and coma are the 3 checks attached and I hope you know Apnoea is temporary so not accurate. Coma can also be temporary so not accurate. OCR is riddled with false positives under certain conditions so not 100% so tell me where your brain stem reflexes stands?

I asked a question about being on a ventilator and ICU if it's death or being comatose even when there is no brain stem reflex observed. Answer it please sir.

Also what is your medical specialty?

He has Still not given us his medical specialty.

ilynem:

He has Still not given us his medical specialty.

Assuming he has any. It's a thing of honour to declare your medical specialty but Dr fish has refused to disclose his even after I began sounding like a broken record asking the same question.

He knows he is a bloody quack so dare not mention it. I am an emergency medical specialist with emphasis on traumatology so I am addressed as a traumatologist and I am not afraid to say it. He should declare his.

spacetacular:


Assuming he has any. It's a thing of honour to declare your medical specialty but Dr fish has refused to disclose his even after I began sounding like a broken record asking the same question.

He knows he is a bloody quack so dare not mention it. I am an emergency medical specialist with emphasis on traumatology and I am not afraid to say it. He should declare his.

He is not going to. Him and the rest of them will run into their little hole until they have something new to feed on and then they will come out in their numbers. That's how it works here. I have to give you credit though. Standing up to all of them, it was lovely to see. Thank you very much for standing up to what you believe in. Plus you are proof that Science doesn't automatically make one an atheist like they all believe here. That is why they wi always try to discredit you.

ilynem:

He is not going to. Him and the rest of them will run into their little hole until they have something new to feed on and then they will come out in their numbers. That's how it works here. I have to give you credit though. Standing up to all of them, it was lovely to see. Thank you very much for standing up to what you believe in. Plus you are proof that Science doesn't automatically make one an atheist like they all believe here. That is why they wi always try to discredit you.

Parasites by nature. They need the host to survive but often killing the host in the process and jumping on to the next host.

Medicine made me a believer. I was not really one before being coloured but my partner on The job who is white is a full believer and he helped to make me one coupled with all I have seen in my line of work.

spacetacular:


Apnoea, absence of brain stem activity and coma are the 3 checks attached and I hope you know Apnoea is temporary so not accurate. Coma can also be temporary so not accurate. OCR is riddled with false positives under certain conditions so not 100% so tell me where your brain stem reflexes stands?

I asked a question about being on a ventilator and ICU if it's death or being comatose even when there is no brain stem reflex observed. Answer it please sir.

Also what is your medical specialty?

You are still talking about OCR when I've told you that it's not the only brain stem reflex testable, seems like that's the only one you know. Open a textbook​ for godsake, are paramedics allergic to reading? You don't want to read journals, you don't want to read textbooks too?

Since you asked, I've practiced Medicine in 2 continents, Europe (where I attended medical school also) and Africa. That's the most you're getting from me.
Non Medical doctor forming traumatologist. Go and start up your own practice too while you're at it.
Bloody quack.

CatfishBilly:

You are still talking about OCR when I've told you that it's not the only brain stem reflex testable, seems like that's the only one you know. Open a textbook​ for godsake, are paramedics allergic to reading? You don't want to read journals, you don't want to read textbooks too?

Since you asked, I've practiced Medicine in 2 continents, Europe (where I attended medical school also) and Africa. That's the most you're getting from me.
Non Medical doctor forming traumatologist. Go and start up your own practice too while you're at it.
Bloody quack.

What a bloody quack and a shipload of bull from you Dr fish. So Apnoea, coma and absence of brain stem activity are not checks under which OCR falls into absence of brain stem activity? Lol

You know zilch about medicine. From journals you now move to text books yeah? So all your knowledge about medicine are from books with no actual practice?

So you attended medical schools in Europe and Africa right? So now answer me this much asked question Mr intercontinental Doctor, what is your medical specialty sir? You claim you practiced in 2 continents so what was your specialty?

Kindly educate me on the other medical tests associated with Brain stem reflexes beyond the 3 I already gave you and for sake of accuracy, what are the stages involved in each test? Any real doctor would know the answer to that in a heartbeat.

Prove me wrong.

spacetacular:



What a bloody quack and a shipload of bull from you Dr fish. So Apnoea, coma and absence of brain stem activity are not checks under which OCR falls into absence of brain stem activity? Lol

You know zilch about medicine. From journals you now move to text books yeah? So all your knowledge about medicine are from books with no actual practice?

So you attended medical schools in Europe and Africa right? So now answer me this much asked question Mr intercontinental Doctor, what is your medical specialty sir? You claim you practiced in 2 continents so what was your specialty?

Kindly educate me on the other medical tests associated with Brain stem reflexes beyond the 3 I already gave you and for sake of accuracy, what are the stages involved in each test? Any real doctor would know the answer to that in a heartbeat.

Prove me wrong.

Here is a link, educate yourself, scroll down to assessment of brain stem reflexes. It's a journal and you're allergic to reading it, but who cares, man.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772257/

CatfishBilly:

Here is a link, educate yourself, scroll down to assessment of brain stem reflexes. It's a journal and you're allergic to reading it, but who cares, man.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2772257/

haha yep he is back to his journals as expected. No direct response from him but depending on google. lol you are a quack sir.

Kindly read the abstract from your own journal and see where it talks about accuracy in diagnosis and remember where i talked about Apnoea, coma, etc and their lack of accuracy. Also read where it mentioned process of brain death certification and how you messed up medically when you jumped to CNS when i corrected you by bringing you back to TBI and SCI as linked with external insults to the patient before determining CNS. Even your journal is against you. Let me paste the first five processes from your own journal

1. Identification of history or physical examination findings that provide a clear etiology of brain dysfunction.

2. Exclusion of any condition that might confound the subsequent examination of cortical or brain stem function.

3. Performance of a complete neurological examination including the standard apnea test and 10 minute apnea test.

4. Assessment of brainstem reflexes.

5. Clinical observations compatible with the diagnosis of brain death.

Number one talks about external insults.

Number three talks on the same apnoea i already repeatedly told you

Number 4 talks about OCR which i already told you falls under brain stem reflexes and part of the checks along with apnoea and coma of which number 5 talks about.

You are a quack sir.

Giving links to online medical journals does not make you a medical practitioner. I could smell your quackery even from over here especially with your lack of knowledge of basic medical practices and inability to use the right medical language when conversing with me. You only expand on my medical abbreviations which clearly shows your failed attempt at being legit.

You asked that i scroll down to assessment of brain stem reflexes and this is what it says below and i helped translate it for you by giving each an apt guide

Assessment of brainstem reflexes

(THIS IS OCR)
Pupils- no response to bright light Size: midposition (4 mm) to dilated (9 mm) (absent light reflex - cranial nerve II and III)
Ocular movement- cranial nerve VIII, III and VI

(THIS IS ALSO UNDER OCR)
No oculocephalic reflex (testing only when no fracture or instability of the cervical spine or skull base is apparent)
No deviation of the eyes to irrigation in each ear with 50 ml of cold water (tympanic membranes intact; allow 1 minute after injection and at least 5 minutes between testing on each side)
Facial sensation and facial motor response
No corneal reflex (cranial nerve V and VII)

(THIS IS UNDER APNOEA)
No jaw reflex (cranial nerve IX)
No grimacing to deep pressure on nail bed, supraorbital ridge, or temporo-mandibular joint (afferent V and efferent VII)
Pharyngeal and tracheal reflexes (cranial nerve IX and X)
No response after stimulation of the posterior pharynx
No cough response to tracheobronchial suctioning

I will ask again sir what is your medical specialty?

You have responded to everything else except this singular question sir. How come?

In addition to the stale groping Christians on NL religion section;

Ebulog - the charlatan in chief, who knows science more than the scientists.

Felixomoron - the liar for Africa, and the medic that has sleeping brain.

Comes a new auxiliary medic, who claims medical journals are ALWAYS false and incredible.

Religious beliefs are truly bad infection.

spacetacular:


haha yep he is back to his journals as expected. No direct response from him but depending on google. lol you are a quack sir.

Kindly read the abstract from your own journal and see where it talks about accuracy in diagnosis and remember where i talked about Apnoea, coma, etc and their lack of accuracy. Also read where it mentioned process of brain death certification and how you messed up medically when you jumped to CNS when i corrected you by bringing you back to TBI and SCI as linked with external insults to the patient before determining CNS. Even your journal is against you. Let me paste the first five processes from your own journal

1. Identification of history or physical examination findings that provide a clear etiology of brain dysfunction.

2. Exclusion of any condition that might confound the subsequent examination of cortical or brain stem function.

3. Performance of a complete neurological examination including the standard apnea test and 10 minute apnea test.

4. Assessment of brainstem reflexes.

5. Clinical observations compatible with the diagnosis of brain death.

Number one talks about external insults.

Number three talks on the same apnoea i already repeatedly told you

Number 4 talks about OCR which i already told you falls under brain stem reflexes and part of the checks along with apnoea and coma of which number 5 talks about.

You are a quack sir.

Giving links to online medical journals does not make you a medical practitioner. I could smell your quackery even from over here especially with your lack of knowledge of basic medical practices and inability to use the right medical language when conversing with me. You only expand on my medical abbreviations which clearly shows your failed attempt at being legit.

I will ask again sir what is your medical specialty?

You have responded to everything else except this singular question sir. How come?

Classic strawman argument. The point of our argument was types of brain stem reflexes to certify death, i never mentioned apnoea of which you constantly harped on OCR, from the link I posted, we could pick at least 5 while you constantly harped on 1, that was our argument. Every other thing is a distraction.
Call your doctor naa, scared I'll come to to the UK and you'll be answerable to me?

Jaw reflex for apnea? Grimace at pressure at the nail bed for apnea? Do you even know what apnea means?
I'm done bro. It keeps getting ridiculous.

CatfishBilly:

Classic strawman argument. The point of our argument was types of brain stem reflexes to certify death, i never mentioned apnoea of which you constantly harped on OCR, from the link I posted, we could pick at least 5 while you constantly harped on 1, that was our argument. Every other thing is a distraction.
Call your doctor naa, scared I'll come to to the UK and you'll be answerable to me?

Dr quack fish can you show me where i harped on 1? There are no 5 processes as all 5 processes listed fall under 3 categories:

1) OCR

2) APNOEA

3) COMA

the supposed 5 checks are just extensions in detail but if you were a true medical practitioner my mere mentioning of those 3 categories would have revealed to you that you are talking to a medical expert but no you had to expose your quackery to all by running to your online medical journal when i have not made reference to any online aid throughout our discussion and spoke from personal knowledge as a bonafide medical practitioner. You could not offer an answer of your own but had to direct me to an online medical journal which you had to search out. The time it took you to search it out you would have simply answered me from the top of your "medical" head Dr quack fish sir.

Stop parading yourself as a medical doctor because you are not. You are a death monger. If anyone has foolishly handed their hospital or clinic to you then he just gave a death monger license to carry out medical quackery on the less knowledgeable.

Here in UK your quack type would be put away for years for impersonation, medical mismanagement and negligence.

CatfishBilly:
Jaw reflex for apnea? Grimace at pressure at the nail bed for apnea? Do you even know what apnea means?
I'm done bro. It keeps getting ridiculous.

The ridiculous one sir is all you and you did not need my help to show it. What is your medical specialty? Since you already claim to know what Apnoea means why disregard it as part of brain stem reflex check and push an online journal to me and the journal itself showed you how ignorant you are.

spacetacular:


Dr quack fish can you show me where i harped on 1? There are no 5 processes as all 5 processes listed fall under 3 categories:

1) OCR

2) APNOEA

3) COMA

the supposed 5 checks are just extensions in detail but if you were a true medical practitioner my mere mentioning of those 3 categories would have revealed to you that you are talking to a medical expert but no you had to expose your quackery to all by running to your online medical journal when i have not made reference to any online aid throughout our discussion and spoke from personal knowledge as a bonafide medical practitioner. You could not offer an answer of your own but had to direct me to an online medical journal which you had to search out. The time it took you to search it out you would have simply answered me from the top of your "medical" head Dr quack fish sir.

Stop parading yourself as a medical doctor because you are not. You are a death monger. If anyone has foolishly handed their hospital or clinic to you then he just gave a death monger license to carry out medical quackery on the less knowledgeable.

Here in UK your quack type would be put away for years for impersonation, medical mismanagement and negligence.

I said at least 5 types of brain stem reflexes, not process, where did you see process in my write up?
Do you have comprehension problems?
Ah, she has comprehension problems, no wonder you couldn't make it as a doctor and had to settle for a paramedic.
Bloody quack

CatfishBilly:

I said at least 5 types of brain stem reflexes, not process, where did you see process in my write up?
Do you have comprehension problems?
Ah, she has comprehension problems, no wonder you couldn't make it as a doctor and had to settle for a paramedic.
Bloody quack

Again you show your quackery to all.

You have no idea that a traumatologist (which i am) is better trained than an ordinary surgeon. We go the extra mile to get further training so as a matter of fact no ordinary doctor can measure up to a traumatologist. Your quackery didnt tell you this did it?

All medical doctors and surgeons start off with the same training in medical school. Specialization comes after graduation during their residency. Training in trauma surgery is a longer process than ER medicine. It's a significant commitment to become a trauma surgeon. It's usually a 5 or 6 year residency for general surgery, followed by a year or two of surgical critical care/trauma fellowship. Emergency medicine residency lasts three or four years, depending on the program. Although there is some overlap, as a trauma surgeon (traumatologist) i must remain up to date on the definitive management of various types of injuries, whereas emergency room physicians focus on the initial stabilization of the patient. So if i am above and more valued than an ordinary ER doctor how much more a doctor with no specialty like you.

Brain stem reflex is a function of its processes. Giving you a detailed lecture is futile because you are a certified quack. You still have not mentioned your medical specialty. Can i have it now?

spacetacular:


Again you show your quackery to all.

You have no idea that a traumatologist (which i am) is better trained than an ordinary surgeon. We go the extra mile to get further training so as a matter of fact no ordinary doctor can measure up to a traumatologist. Your quackery didnt tell you this did it?

All medical doctors and surgeons start off with the same training in medical school. Specialization comes after graduation during their residency. Training in trauma surgery is a longer process than ER medicine. It's a significant commitment to become a trauma surgeon. It's usually a 5 or 6 year residency for general surgery, followed by a year or two of surgical critical care/trauma fellowship. Emergency medicine residency lasts three or four years, depending on the program. Although there is some overlap, as a trauma surgeon (traumatologist) i must remain up to date on the definitive management of various types of injuries, whereas emergency room physicians focus on the initial stabilization of the patient. So if i am above and more valued than an ordinary ER doctor how much more a doctor with no specialty like you.

Brain stem reflex is a function of its processes. Giving you a detailed lecture is futile because you are a certified quack. You still have not mentioned your medical specialty. Can i have it now?

You're a trauma surgeon? Scrub into the theatre and they hand you a scalpel? Registered with the Royal College of Surgeons while you're still a paramedic?
Fear God with your lies naa.

CatfishBilly:

You're a trauma surgeon? Scrub into the theatre and they hand you a scalpel? Registered with the Royal College of Surgeons while you're still a paramedic?
Fear God with your lies naa.

So far I have been the only one who declared I am an emergency medical specialist with emphasis on traumatology which gives a license to be a traumatologist and a trauma surgeon which I have been for 9 years. 3 years In an emergency hospital and my desire to do more made me enrol for field service in EMT as a paramedic of which I have been one for 6 years.

What is your medical specialty Dr Quack fish?