Ask doctor Afzal

For educational purpose to all healthcare providers and health loving individuals who don’t have t



Breathing is very limited when one is laid flat on their chest against the ground and someone is sitting on their back. For inhalation of oxygen we need chest expansion and diaphragm has to push abdominal organs down and out. Both these mechanisms are effected in above mentioned scenario. Now you know why most passout or die.

American Health Care’s Staggering Administrative Overhead 05/06/2021

Patients always wrongly blame doctors for their big medical bills.

American Health Care’s Staggering Administrative Overhead A pie chart. When a group called Citizen Health recently crunched the government’s numbers for 2018 to find out where the money was going in American health care, the result was a pie chart — a picture worth a thousand words, some of which aren’t printable. That pie chart showed that 73 cents ...


What I learned in this one year about COVID19 spread prevention that other then vaccine mask is way superior than other measures. Health system was the only fully open sector in the whole world and people working in this sector are high risk in-terms of exposure, but still did very well only because they really wore their masks. Healthcare workers not only saved lives, but kept their jobs as well. Looking backward there was and there is no need to close any business as long mask mandate stays effective.

Timeline photos 08/09/2020

For those fighting on the front lines, Headspace is offering free subscriptions to help maintain mindfulness during stressful times. Visit and input your NPI number to start today.

Loudoun County to host free coronavirus testing for all ages May 20 05/18/2020

Loudoun County to host free coronavirus testing for all ages May 20 Loudoun County will host free, drive-through testing for COVID-19 at Philip A. Bolen Memorial Park, 42405 Claudia Drive in Leesburg, on Wednesday from 10 a.m. to 6 p.m., according to

Photos from Delegate David Reid's post 04/25/2020

Best and ideal plan. Thank you Governor. This will save lives and open businesses.


Good news for north Virginia


If can’t live by yourself then you shouldn’t be around others. Stay home. Lol 😂.


Please wear mask even homemade is fine. Masks are mainly to prevent the spread not for protection. We should be judging the ones not wearing 🎭 . 20-25 percent people may never have symptoms but can pass on the disease.


Based on this study my choices for homemade masks cloth will be:
First choice Tea Towel, second choice mixed cotton and third choice will be double layer of 100% cotton.

Photos from Ask doctor Afzal's post 04/04/2020

Myths and facts about surgical masks 😷 and N95:
Surgical masks are usually used by surgeons during surgery so their mouth and breathing organisms are prevented from dropping in surgical site. It means that they are designed to protect others if you are infected. People wearing surgical masks or homemade mask are morally superior than the ones not wearing them in public. Placing surgical mask on Covid-19 patients in hospitals makes more sense then worn by healthcare provider, but better to be worn by both, because we don’t know if the healthcare provider is silent carrier or not. N95 masks are designed to protect healthcare providers when they work long shifts in close contact in close environment with contagious diseases. Public should never be using N95.


Covid-19 ideal strategy at this time and date:
Test every healthcare providers for antibodies ( if they have it they can be immune), daily morning fever check, once a month test for COVID19 if negative antibodies. Full protective gears for all nurses and doctors.
Public wearing surgical mask 😷 or homemade masks not N95. Increasing public testing and separating positive from public and family if possible. Complete country shutdown for 3 weeks.


PAPR is Safest and cost effective as it can be used unlimited times with sterilization, then why USA is stressing on masks, which we don’t even have ?
A powered, air-purifying respirator (PAPR) is a type of personal protective equipment used to safeguard workers against contaminated air.


Found this app, which is very good tool for general public to screen themselves if they are concerned about Covid-19

There are no FDA-approved drugs or vaccines to treat COVID-19 03/25/2020

Please be safe don’t take or horde any medications

There are no FDA-approved drugs or vaccines to treat COVID-19 There are currently no FDA-approved drugs, including vaccines, to treat or prevent COVID-19. Products that claim to cure, treat, or prevent COVID-19 haven’t been evaluated by the FDA for safety and effectiveness; they might be dangerous to you and your family.

UK doctors are threatening to quit because they have not been given enough safety equipment to protect them from the coronavirus 03/25/2020

UK doctors are threatening to quit because they have not been given enough safety equipment to protect them from the coronavirus UK doctors are threatening to quit due to a nationwide shortage of the equipment needed to protect them from catching the coronavirus.


Some simple steps, which can protect you from COVID19

Photos from Ask doctor Afzal's post 03/22/2020

After work I come home see my family at outdoor in my backyard to keep social distancing from them, because I may be carrying virus from work place. I eat outside and then go downstairs from the backdoor to basement where I spend few hours watching tv and then sleep to get ready for my next day fighting this COVID19. Stay home stay safe at least you have the luxury to hug your kids.


To those of you who thought doctors just went into medicine for the money, or that we are just trying to “get out into the golf course” - we are trying to take care of the sick. Without proper protection. And the government says now we don’t need the protection, not because we actually don’t need it, but because we don’t have it. It is time to mobilize.

Essay from Josh Lerner, MD after the CDC loosens guidelines for all of us on the front lines.

“In one of the most vivid scenes in the HBO miniseries "Chernobyl" (among many vivid scenes), soldiers dressed in leather smocks ran out into radioactive areas to literally shovel radioactive material out of harm's way. Horrifically under-protected, they suited up anyway. In another scene, soldiers fashioned ge***al protection from scrap metal out of desperation while being sent to other hazardous areas.

Please don't tell me that in the richest country in the world in the 21st century, I'm supposed to work in a fictionalized Soviet-era disaster zone and fashion my own face mask out of cloth because other Americans hoard supplies for personal use and so-called leaders sit around in meetings hearing themselves talk. I ran to a bedside the other day to intubate a crashing, likely COVID, patient. Two respiratory therapists and two nurses were already at the bedside. That's 5 N95s masks, 5 gowns, 5 face shields and 10 gloves for one patient at one time. I saw probably 15-20 patients that shift, if we are going to start rationing supplies, what percentage should I wear precautions for?

Make no mistake, the CDC is loosening these guidelines because our country is not prepared. Loosening guidelines increases healthcare workers' risk but the decision is done to allow us to keep working, not to keep us safe. It is done for the public benefit - so I can continue to work no matter the personal cost to me or my family (and my healthcare family). Sending healthcare workers to the front line asking them to cover their face with a bandana is akin to sending a soldier to the front line in a t-shirt and flip flops.

I don't want talk. I don't want assurances. I want action. I want boxes of N95s piling up, donated from the people who hoarded them. I want non-clinical administrators in the hospital lining up in the ER asking if they can stock shelves to make sure that when I need to rush into a room, the drawer of PPE equipment I open isn't empty. I want them showing up in the ER asking "how can I help" instead of offering shallow "plans" conceived by someone who has spent far too long in an ivory tower and not long enough in the trenches. Maybe they should actually step foot in the trenches.

I want billion-dollar companies like 3M halting all production of any product that isn't PPE to focus on PPE manufacturing. I want a company like Amazon, with its logistics mastery (it can drop a package to your door less than 24 hours after ordering it), halting its 2-day delivery of 12 reams of toilet paper to whoever is willing to pay the most in order to help get the available PPE supply distributed fast and efficiently in a manner that gets the necessary materials to my brothers and sisters in arms who need them.

I want Proctor and Gamble, and the makers of other soaps and detergents, stepping up too. We need detergent to clean scrubs, hospital linens and gowns. We need disinfecting wipes to clean desk and computer surfaces. What about plastics manufacturers? Plastic gowns aren't some high-tech device, they are long shirts/smocks...made out of plastic. Get on it. Face shields are just clear plastic. Nitrile gloves? Yeah, they are pretty much just gloves...made from something that isn't apparently Latex. Let's go. Money talks in this country. Executive millionaires, why don't you spend a few bucks to buy back some of these masks from the hoarders, and drop them off at the nearest hospital.

I love biotechnology and research but we need to divert viral culture media for COVID testing and research. We need biotechnology manufacturing ready and able to ramp up if and when treatments or vaccines are developed. Our Botox supply isn't critical, but our antibiotic supply is. We need to be able to make more plastic ET tubes, not more silicon breast implants.

Let's see all that. Then we can all talk about how we played our part in this fight. Netflix and chill is not enough while my family, friends and colleagues are out there fighting. Our country won two world wars because the entire country mobilized. We out-produced and we out-manufactured while our soldiers out-fought the enemy. We need to do that again because make no mistake, we are at war, healthcare workers are your soldiers, and the war has just begun.”

-Josh Lerner, MD.

Medical organization calls on Trump administration to address "critical shortages" of equipment and tests 03/21/2020

Medical organization calls on Trump administration to address "critical shortages" of equipment and tests The American Medical Association has called on the Trump administration to “leverage every tool at its disposal” to address a shortage of protective equipment and coronavirus tests.


These are not signs of healthy societies


We are way behind than rest of the world in testing for COVID19. In Virginia the result can take 2-3 days or more. Don’t buy Goverment promises on TV about the tests or has control. We still can’t test like it is suppose to be tested.

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