info4patient - Har Rung Pakistan - Amir Akram
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LearningTranscript
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.