info4patient - Har Rung Pakistan - Amir Akram - video Dailymotion

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Transcript

00:00Info for patient

00:30How to save for fistula?

00:32This is the main question

00:34You should save fistula by

00:36not giving blood sample

00:38on this hand

00:40No injection

00:42Do not injure patient

00:44like this

00:46This is the most important

00:48thing

00:50What is the effect of fistula?

00:52Fistula affects veins

00:54What is fistula?

00:56We have to connect patient with

00:58fistula

01:00If patient is getting

01:02puncture

01:04due to this

01:06patient's veins get

01:08broken

01:10It is not able to

01:12make fistula

01:14It is not able to

01:16make fistula

01:18It is not able to

01:20make fistula

01:22It is not able to

01:24make fistula

01:26It is not able to

01:28make fistula

01:30Next,

01:32ask your nephrologist

01:34when you want to make fistula

01:36and when you can get

01:38Your first dialysis

01:40of the patient

01:42should be done

01:44with this fistula

01:46Here,

01:48by putting saline in the neck

01:50It will help patient

01:52in long life

01:54From the neck fistula and the proper fistula?

01:57Yes, the one from the neck is called double lumen catheter or palm catheter.

02:01It can be inserted, I am not saying that it should not be inserted because for some patients, it is right to insert it.

02:06It is right to insert it, okay?

02:08The patients who can get fistula,

02:10Yes, sir.

02:11In them, there should be an effort of nephrologist and surgeon that the first dialysis should be done through the fistula.

02:19Because in fistula, there is a big thing that in comparison to the gut, there is less chance of infection in the fistula.

02:25Okay, there is more chance of infection in the gut, okay?

02:28Now, infection in such a patient in whom the kidneys are already not working,

02:32the immunity of the body has been reduced,

02:35so that infection can be fatal.

02:38When you do it through the fistula, then this danger becomes very less.

02:41So, it is better that the first dialysis should be done through this.

02:45So, sir, how much is the cost of making a proper fistula?

02:51See, there is not much cost, okay?

02:53There is a basic cost of every procedure, that is what you have to pay.

02:57Secondly, we also have to pay the full cost.

info4patient - Har Rung Pakistan - Amir Akram

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