Fooled into masking follow-up. Do Surgeons Need Masks?
ฝัง
- เผยแพร่เมื่อ 15 มิ.ย. 2024
- Why do surgeons and operating room staff need to wear masks? I’m going to tell you the history about why surgeons started wearing surgical masks, what they are good for, and what a few of the medical opinions about masking in the operating room are today. There have been studies done with masked and unmasked operating staff. I'm also going to answer a few follow-up questions at 09:01 and comments from my video about the Cochrane review of masking.
Chapters
00:00 Surgical masking
09:01 Follow-up on video fooled into masking
Cochrane: www.cochranelibrary.com/cdsr/...
www.sciencedirect.com/science...
Fooled Into Wearing a Mask? What do 15 randomized studies say? Cochrane Review • Should I Wear a Mask? ...
Sudden Death After COVID Shots • Sudden Death After COV...
DISCLAIMER : Thank you for watching my TH-cam video. The content of my video is not intended to be a substitute for professional medical advice, diagnosis or treatment. No doctor-patient relationship is formed by viewing this video. For further details, please click the following link below for my full disclaimer.
drive.google.com/file/d/1tQku...
Dr. Keith Moran MD, RCPSC, DABIM, RCS, NBE Biography:
I am a consultant in Internal Medicine with special medical interests in gastroenterology, cardiology, and echocardiography. I am a a full-time practising physician in these areas. I was an undergraduate at the University of Toronto, Trinity College where I received a number of scholarships including one for top student at Trinity College. I attended medical school at the University of Toronto graduating with a gold medal. My internship was completed at McMaster University in Hamilton followed by a residency in Internal Medicine at the University of Western Ontario in London. I then completed a fellowship in General Internal Medicine at the University of Western Ontario. I am an active echocardiographer who has been certified and recertified by the National Board of Echocardiography. I am certified in cardiac sonography and have trained and completely educated a number of cardiac sonographers. I am the medical director of my cardiology laboratory which was established in 2001. My laboratory performs echocardiography and stress echocardiography amongst other tests. I maintain my certification in the American Board of Internal Medicine. I have over 27 years of experience as a hospital-based consultant in internal medicine and intensive care unit attending physician. I am the medical director of the cardiac rehabilitation program in my community.
#MedicinewithDrMoran #covid 2023 #covidupdates
Thank you for watching my video! I hope you found it informative.
Sudden Death After COVID Shots th-cam.com/video/2mWZY6vmdBM/w-d-xo.html
Fooled Into Wearing a Mask? What do 15 randomized studies say? Cochrane Review th-cam.com/video/XZ1n_woWVkQ/w-d-xo.html
How to Tell if You are Healthy th-cam.com/video/klwwN6KDBDc/w-d-xo.html
Gastroscopy | OGD | See inside the stomach! th-cam.com/video/Vzn77Lnibqs/w-d-xo.html
Body Mass Index Calculator - Am I overweight? th-cam.com/video/KY8BkJCNfkE/w-d-xo.html
10 Biggest COVID Mistakes / from a Doctor's perspective th-cam.com/video/2ScWE6k0lZk/w-d-xo.html
Unvaccinated for Covid? Scientific Study Proves Discrimination th-cam.com/video/w1gBAagWaXM/w-d-xo.html
Thank you, I’d found the surgery mask studies a few years ago…. Tried to find them more recently but Google seems to have lost them…..
I assume splatter would be the reason for the 😷
When people sneeze it goes out 6 feet.........😷😷😷
@@usul2542 how dare you think and research yourself lol
@@jcrider392 mea culpa! 🥴 😂😂😂
Funny how the "follow the science" people suddenly reject the scientific method.
"follow my science" lol
Man, isn't THAT the truth. And they do the switcheroo without a hint of a blush or embarrassment. They lean a little toward psychosis.
Also funny how the "Masks infringe on muh freedom. God will protecct me." crowd are all suddenly "Follow the scientific method."
See what I did there?
@@AreAitchSea Funny. Never heard anyone say that.
They follow the $cienc€.
Sometimes taking the troll-like questions seriously and addressing them calmly with reason is the best approach.
Recent quote from Karla Soares-Weiser, editor-in-chief of the Cochrane Library "the idea that masks don’t help slow COVID is an “inaccurate and misleading interpretation...” I encourage you to read her comments in full. Just Google it.
I think that's the only way they ever go away. This was the only thing that made the Holocaust deniers in the 90's go away. Ultimately if you refuse to actually reason with people, you'll only lose ground to the people who are doing the reasoning, even if it's very bad reasoning. A high school football team can easily beat an NFL team if the NFL team just doesn't show up to the game.
When do you think this doctor is going to address this issue calmly and with reason? He can start at any time. Masks by stopping droplets containing viral particles and reduce the viral load on the wearer and on those also present. This has to be the case I have seen studies that dealt with virus and mask material. It is possible that one can wear a mask inappropriately and handle the mask too much. I know that the University Health San Antonio facilities require you to wear a mask all the time you are in their buildings. I feel your evidence is lacking in several aspects...
@@raykirkham5357 how exactly mask will reduce viral load of the wearer?
Its not a troll question. Its a sane valid question. Wanting to understand why they are worthless in some cases and so important in others is what educated people who are not sheep want to know. An educated person wants primary evidence that removes a persons biases as much as possible. Its like you did not actually watch the video. He goes to show its actually a good question.
What I like is the calm clinical delivery. Many other TH-cam doctors get emotional and whilst passion is often a good thing, sometimes just speaking facts, is more effective at proving the point.
Thank you very much Alun.
FYI Dr. Moran is the one I've forwarded more than any other on YT specifically because of what you wrote.
Nah! The monotone voice makes me fall asleep.
@@khchoi2012 One can't please everyone. Each to their own I suppose. Vinay Prasad is also a great YT doctor I follow. His more passionate delivery might be more your cup of tea. I hope Dr. Moran doesn't mind me posting a link to VP's channel.
th-cam.com/video/2YefLYKq0EE/w-d-xo.html
One of the most deranged persons I ever met spoke in a calm, even tone. Fundamentalist Mormons (polygamists), Sovereign Citizens and tax protesters also speak in a calm voice.
I do some industrial hygienist work within my field and was so perplexed by the mask mandates when the pandemic started. I had read some of those studies about masking in surgery also. Thank you for bringing this topic to a public forum.
yeah face masking does not stop viruses at all really that much if at all
@SaraMorgan-ym6ue The other problem that most people don't understand is even if you're wearing an N95 mask that's been freshly fitted with no air gaps and you're following proper protocols. For its use, your tear ducts are still exposed.
I think the fear to danger ratio in the recent disease panic was way out of proportion. My trust in the medical, and pharmaceutical industry has been eroded when I've see how doctors and the drug pushers have conducted themselves. I see the maneuvering for power that seems to have taken precedence over health.
Doctors who pushed these shots as safe and effective were lying. There was never any long term data to back up those claims
No doubt. I've taken careful notice of local businesses that take pleasure in abusing people in the name of regulations and even instituted rules above and beyond anything required by the CDC and other agencies. I don't frequent those places anymore. People remember and a lot of those businesses are hurting. One of our local grocery stores that did this is about to go under. If you choose to screw around with us, don't bitch when it comes back around.
Still millions died...
@@jessicabixler1658
And wearing a mask makes zero difference in that equation. Florida was the most lax, California was the most strict, and their infection rates, death rates, and other stats were essentially identical. I knew the mask requirement was complete BS when they put out, "You can make them out of old T-shirts!"
@@jessicabixler1658 , a big reason lots of people died is because they were refused off-label medicine that proved to work and heal. In the U.S. off-label prescriptions make up 20% of prescriptions, and yet the medical industry dug in their heals and blocked a couple of medications that healed people of the dreaded virus. The love of money and corruption are ruining the medical profession in America.
As an engineer and a lawyer I'm perplexed that there's such a thing as "evidence based medicine", because it implies there is medicine that is practiced for reasons other than evidence, which is very alarming if not negligent.
The entire pandemic response was devoid of any evidentiary basis.
In my home state, months after it had become common knowlwdge ths elderly were the most endangered demographic, Governor Whitmer sequesteres infected patients with relatively healthy, uninfected, elderly people.
The mRNA shots were never intended to innoculate a body against infection, which explains why they don't work.
The masks were an absolutely ridiculous proposition, considering the relative size of a virus to the weave of fabric.
Parks and gyms were ordered closed, while liquor stores remained open. Weak, drunken bodies definitely don't have as effective an immune system as sober, strong bodies.
Churches were ordered closed, which is a blatant violation of the Constitution. Any preacher who complied needs his credentials revoked.
Continual, excessive handwashing and sanitizing sentized immune systems. As a result, minor infecrions that eventually got through affected the body far worse than they would have in normal situations.
Scientific thinking would have been to allow the elderly and thise with insanely poor health to opt out of work and unnecessary human interaction. Ironically, they are the least productive part of the economy, and an actually scientific approach to the whole thing would have had a minimal effect on the world's stability.
There are plenty of maladies for which no RCT exists but personal experience is quite persuasive.
And sometimes new diseases are discovered and speculation is all we have to go on.
Other times corruption stops the efficient treatment of disease.
We can't ever make progress but on the edge of what is known.
Where solid evidence exists it is quite persuasive.
FOR YOU FACE DIAPER CONNOISSEURS: from the Psychopath's mouth
From: Fauci, Anthony (NIH/NIAD) [E]
Sent: Wed, 5 Feb 2020 03:48:11 +0000
To: Sylvia Burwell
Subject: RE: A couple of quick questions
Sylvia:
Mask are really for infected people to prevent them from spreading infection to people who are not infected rather than protecting uninfected people from acquiring infection. The typical mask you buy in the drug store is not really effective in keeping out virus, which is small enough to pass through the material. It might, however, provide some slight benefit in keep out gross droplets if someone coughs or sneezes on you. I do not recommend that you wear a mask, particularly since you are going to a very low risk location. Your instincts are correct, money is best spent on medical countermeasures such as diagnostics and vaccines.
Safe travels.
Best regards,
Tony
There are plenty examples where medicine follows dictates that do not conform strictly to the tenets of EBM. To understand this, you have to understand research methodology. The gold standard of EBM in its execution is developed for the evaluation of drugs. The methodology does not translate to many other medical and surgical undertakings. This is a highly complex field, your question is basic and naive. Research first, then opine and comment later.
There is medicine that isn’t practiced for evidence. A lot of alternative “medicine” does.
This is how an objective, expert doctor looks at things. You may disagree, but he is clearly an expert with a clear description of how to review medical data. So for those who disagree with Dr. Moran, please set aside your political biases and listen to what he is saying....
Certain groups will only believe the propaganda.
I am a former 🇬🇧ITU nurse (transplant) and wore masks when I worked in surgical changing dressings and A&E when dealing with those casualties that had bleeding or were drunk and vomiting/spitting etc. It was just a barrier to their body fluids. In the above ITU we had a patient have surgery in the unit as he could not be transferred to theatre. No-one wore masks. The curtains were not drawn as access to the bed was necessary. He was later transferred to recover in surgical and home two weeks later. A blue surgical mask (if worn properly) has an efficacy as a barrier for approx 1 min 42 secs. It filters particles measuring 60 - 80 microns. A Covid 19 particle measures 0.6 - 1.0 microns. An analogy would be: buy any grade of chicken wire and construct a mosquito net. Good luck with that.
FOR YOU FACE DIAPER CONNOISSEURS: from the Psychopath's mouth
From: Fauci, Anthony (NIH/NIAD) [E]
Sent: Wed, 5 Feb 2020 03:48:11 +0000
To: Sylvia Burwell
Subject: RE: A couple of quick questions
Sylvia:
Mask are really for infected people to prevent them from spreading infection to people who are not infected rather than protecting uninfected people from acquiring infection. The typical mask you buy in the drug store is not really effective in keeping out virus, which is small enough to pass through the material. It might, however, provide some slight benefit in keep out gross droplets if someone coughs or sneezes on you. I do not recommend that you wear a mask, particularly since you are going to a very low risk location. Your instincts are correct, money is best spent on medical countermeasures such as diagnostics and vaccines.
Safe travels.
Best regards,
Tony
I think that you provided a good clear explanation of the report. Until now Cochrane reports have been highly respected, suddenly everyone seems to deny this one report which makes me suspect that something far greater than we are allowed to know is going on. Even the WHO seem to have ignored the report and are still advising mask wearing. Last week when one brave MP in the House of Commons raised the issues surrounding Hospitalisations from Covid compared to Hospitalisation as a result of the vaccination using the Governments own figures, virtually all of the MP's, as if on cue, exited the House. The truth is out there somewhere but most won't accept that something strange is happening.
As he mentions in the intro, wearing a mask in an OR is basically common sense. I did surgical sales for a couple years and had to scrub and mask up just like everyone else. Got blood and fluids on my face, glasses, etc., not to mention cautery smoke (who wants to inhale particulate matter from a burning cancerous tumor? No thanks...) It's embarrassing that any medical professional needs to point out these basics, and Dr. Moran does a fine job.
I am old as dirt; back in the early 80's while working as a nurses assistant I got face, eyes, nose and throat infections from wearing face mask. I stayed sick while working in a health clinic. I took off for 3 months got better and went back and within a week I was back in the doctor's office in the clinic where I worked with a sinus and throat infection. Finally the doctor said: Stop wearing those darn mask. The clinic administrator silently transferred me to another hospital where I quit. I quit because I was required to wear a face mask.
Thanks so much for the “get healthy, and stay healthy” at the end. That’s what’s been largely missing during this. And likely the most important for people to do.
I hate to admit that I've been a pro mask advocate. I wish this information had been available 2 years ago. Could have saved me a lot of money. Thanks for the video. Good job.
This information has been available for years... Most viruses can transmit through the eyes and the scale of a virus is orders of magnitude smaller than the perforations in a mask. It literally is just common sense if you're educated which you clearly are not. Don't feel bad though, most people aren't.
The Cochrane Review looked at 15 mask RCTs, I think only 2 were done in the last couple of years. The studies became difficult to find with google search results after the pandemic started.
At 3:50 he is refering to a report from 1981 . So we knew 2 years ago . But these research results were suddenly fake news , conspiracy theory and disinformation .
on the bright side I think I have a lifetime supply of relatively worthless paper nurse masks now 😅
Sadly, we did know this prior to 2019. Most who work in OR’s know we use them because of policies and because we have historically used them, so we keep doing so. A retrospective analysis of 173 of the best studies done on masks was completed in 2015, showing they not only don’t work, but are not recomended outside of the OR because they could become a panacea…distracting from the things proven to actually work. Dr. Moran is spot on.
It seems to me(educated in mechanical engineering and physics but not medical sciences) that the respiratory system is a major human vulnerability. And as such, respiratory protection has been studied to the Nth degree. I received training on the proper use of a gas mask in the Army. I have worked in manufacturing for the past 29 years. We get annual training on the use of dust and particle masks, half- face and full face respirators. Every single one of those trainings always includes the same phrase. "Masks only work for that which they were specifically designed to protect against." If they don't work for Flu, why would anyone assume that they work for coronaviruses? When was a mask designed to specifically protect against coronavirus? This is not the first time masks have been tried in an attempt to slow or stop a virus. Never worked before, why would it suddenly work now?
@@porscheoscar uh, do you have evidence that the low rates of covid-19 in Japan were due to masking?
@@porscheoscar Still waiting on that evidence.
I thought Japan just had an outbreak that "threatened to collapse their healthcare system." Hong Kong had outbreaks. Have not checked on South Korea. But these places have incredibly high compliance when it comes to mask wearing. Yet they have outbreaks just like all the rest. Like the previous post, please share your evidence. Hard facts please, not just talk.
Actually the respiratory system is amazing. Think logically. Our ancestors were exposed to all sorts of viruses, bacteria and contaminants and we are still here. Therefore we have a built in filtration system that has dealt with billions of pathogens throughout history. Of course chemical and biological weapons are a bit different but in general it's always an arms race between various pathogens and our respiratory/immune systems. Even this most recent man-altered pathogen was taken care of by the body in 99.9 percent of people.
I was coughing for two months after Covid. Wearing a mask while cutting wood or cleaning where there’s a lot of dust solved that. You can see dust so it makes sense it would work. I have one of those masks with the pump and 15 foot hose for spaying industrial paints. Proper masks can work for what they are designed
Dr. Moran's dad was my family doc growing up and was a truly fantastic family doctor!
Like father, like son.
Cool!
Every prescription drug pulled off of the market for causing harm had been previously approved.
The funny thing is that the P-zer BioNTech V was NEVER approved (via the company's own documents). It was COMIRNATY that was approved.
Supposedly it has the same ingredients, but we don't know if the proportions changed.
#Fraud
Dr. Moran is the voice of reason.
Had a minor operation last week . The surgeon, anaesthetist, and nurse monitoring vital signs did not wear masks. The surgeons right hand assistant and one other nurse both wore masks, as did the recovery ward staff.
Seems like personal preference.
As a new nurse who regularly attended surgical proceedures in the early 90's I already knew all of this. Sadly so many have forgotten these facts.
They didn't forget they just got line. I understand that some had to in order to keep their jobs. Some of them enjoyed the new power they have over the patients and coworkers. I was recently chased down by a nurse in a cancer clinic; where I was the only person in the room for not having on my face mask. My doctor told me to take it off and told me I didn't have to wear it in his offices because it was causing me to hyperventilate. I told the nurse this but she still called security on me. Even though I was heading out of the door.
@@addiecoelman1996 Prove it?
@addiecoelman1996 I happened to be a part of a committee researching the efficacy of hospital supplied scrubs in the NICU where I worked. As an aside we also looked at research related to use of masks in surgical procedures because we participated in C-sections. Any other questions?
I want to keep my part time jobs; but even though I am retired I still work in the hospital district. I work up close with the dying. Forcing an individual to wear a face diaper when that individual patient doesn't need one or it complicates their ability to breathe properly is premeditated murder. I have seen face diaper cause infections around the mouth, nose and inside ears. They cause mouth and nose sores and when I wore them I got eye infections constantly until my eye doctor said I was getting pinkeye and other eye infections from wearing that darn face diaper. And in all honesty when you wear them and you have a cold. You are just making yourself even more ill. For one they double the amount of bacteria deep inside of your lungs. They force the bacteria in your mouth; up your nose and so deep and thick in your throat that you end up with throat and ear infections at once. All of this is common sense but there seems to be a lot of stupid; NO EVIL smart people dictating to the country. When I am driving to work in the mornings "This is no lie! The number one thing I see littering my stretch of HWY to from work are unrecyclable face diapers. They are now a land field and pollution problem but no one is reporting on this. excuse my rant @jeralynncostello5392
@@oldladyfish Yikes! Bless you! Good rant...It's so very tragic. I hear people talking about how masks will stop droplets as if while wearing the mask for hours on end those droplets maintain their integrity. It seems to me that instead a high viral load is deposited until the fluid dries up (because your breathing on it) which is subsequently breathed out and dispersed into the air. Without the mask the heavy droplets would just fall.🤷♀️ Education in mask use was never given and one time I watched someone pull down their mask to sneeze into a hand before replacing the mask.
“There’s no reason to be walking around with a mask. When you’re in the middle of an outbreak, wearing a mask might make people feel a little bit better and it might even block a droplet, but it’s not providing the perfect protection that people think that it is. And, often, there are unintended consequences - people keep fiddling with the mask and they keep touching their face.”
- Dr. Anthony Fauci
#jailfauci
@@Wayoutthere grow up
The one time Fuci actually told the truth about masks!
I'm sure it was the stickers on the floors no one followed that saved us. 🙄
Oh and masks for people who aren't sick. Now I assume your sick if your out with a mask on and gladly keep my distance from the maskers.
maybe that was before he bought stock in 3M
I have never been so sick as the time during the pandemic, in which I religiously wore masks as a barrier device. I also caught COVID twice during this period of time. As I had expected, my mask wearing did not prevent my becoming infected and it may have increased sickness.
I hypothesize that germs will be caught in the mask and somehow replicate until viral or bacterial load is high enough to overcome my innate immune response.
You've got to wear an actually good mask, one that's been tested and certified. Seems that many people during the pandemic were wearing basically worthless masks. I wore a masks, as did my clients, doing massage in a small room 6-7 hours a day 5 days a week and never got covid. So in my experience masks do work as long as it's worn right, a quality mask, and replaced every day.
@@Dave_Outside
I have a 100% respirator. And it’s very effective. But it’s bulky and quite restrictive. Almost no one will wear a respirator to prevent respiratory infections.
I masked with average store bought masks for 1.5 years and still caught Covid twice. I feel like an idiot for ever putting on a mask now. An average store bought mask is completely useless.
Thank you Doctor for your calm and reasoned comment on this issue. To use an old analogy, one person is a weathercock and always turns to the prevailing breeze, another is a compass and always points north. It's useful to know which way the wind is blowing, but it id you want to get anywhere, it is the compass that you need.
Excellent presentation of the facts we currently have. Thank you Dr. Moran.
You're welcome Colleen.
Thank you for your presentation of facts and evidence. It is very much appreciated by those of us who understand scientific studies, methodology, etc. but don't have the time to comb through it all personally. Thank you, also, for bringing forward the realism of life and how that must be considered. Again, thank you!
Thank you very much Jocelyn! I'm glad you enjoyed it.
The idea that masks don’t help slow COVID is an “inaccurate and misleading interpretation” of the report they published in January, Karla Soares-Weiser, editor-in-chief of the Cochrane Library, wrote in an update.
@@andyfpt The idea that crystals don't help slow the growth of cancer is an inaccurate and misleading interpretation. Just because we can't show that it works is not evidence that it doesn't work.
See how dumb that sounds?
@@brianwright9514 sorry I don't even know what you're talking about.
@@andyfpt How can you not understand that? People like you forced hundred of millions of people to do something against their will with no evidence that it had any positive effect. That is what we knew from the beginning and that is what the report showed.
It is super refreshing to hear from a fellow doctor this sort of scientific view point.
The COVID pandemic was the most frustrating era of my 30 plus year in medicine career The COVID pandemic was the most frustrating era of my 30 plus year in medicine career. It was incredibly disappointing to have to constantly be aware of what you say because science was no longer matching policies. The data Presented in this talk as a classic example. The public likely has no idea how badly doctors were silenced during this pandemic The public likely has no idea how badly doctors were silenced during this pandemic. It was truly tragic on numerous levels.
As the surgeon, I would still want to wear the mask to avoid potentially getting an unexpected arterial spray to the mouth.. regardless of the benefits or lack thereof for preventing infections.
A plastic face shield is 100% better for that than a mask
@@athenaemmanouilidis1291
Most definitely. But the question was mask or no mask, and even a simple cloth or paper mask is far better than nothing for blocking macroscopic things flying at your face. Microscopic particles are a different consideration. Still better than nothing at all but don't rely on it for protection.
This is the reason I had doubts about the usefulness of masks during the pandemic. Masks have been worn by everyone in the operating room in the US for decades without any clear evidence. During my training in Europe, non-scrubbed personnel never wore masks and I have even worked with surgeons that did not wear one
Thank you sir. Very clear, concise, addressed all the main points on surgical and covid situations. And what ppl should realize is that you are explaining or referencing studies and major reviews, you are not providing solely personal opinions (so those with issues should contact scientific journals and ask them to stop doing science)
You have an excellent presentation style, Keith! Subbed.
What a gentleman.
Also, so informative, thank you so much!
good point, a surgeon wearing a surgical mask, coughed with symptoms (wet cough and drippy nose) on my husband's abdominal incision, he ended up with a wound infection...it makes people "feel better" but they don't work
As always, very helpful to listen your rational objective videos. Thank you.
Thank you I thought this all along and I am not a nurse nor a surgeon but it makes absolute sense on why they were a mask and that is what I figured! Society today seems to want to take our common sense and kick it to the curb as though it’s nonexistent. I absolutely appreciate your direct honesty.
" Get healthy and stay healthy... "
Most important advice these days 👌
Fascinating. Thank you for this balanced response.
Covering your face with a paper/plastic mask for hours on end is askiing for serious lung problems in years to come due to the inhaled particles from these items.
No not exactly, you just might have a dirty mouth, if you're concerned brush your teeth and gums and don't eat anything previous to masking for a length of time, yes you are rebreathing your germs ect and gas exhaust it's important not to burp in the mask you do not want to rebreath your burp , burp and pull mask for a opening to release gas(burp)
@@guytelfer1353 What relationship is there between the point I made and your comment? None as far as I can see.
bollocks
@@misterunknown8923 can you and some detail to your exhaustive, uninformed comment.
@@andy1way everybody has a dirty mouth and exhale toxic fumes
Brilliant, thank you for being so thorough. 👍 👍👍
Didn’t expect these results but that is the best evidence... thank you for delivering it in such a simple and clear way.
excellent. An objective, well studied position. Honesty and objectivity is refreshing.
Its sad to hear people give reactions to attack you. Like don't wear them in in the operation room. Or your not a real doctor. I'm proud you stand your ground, and follow the evidence. Even some people are insulting and pressure's you. If doctors wear facemask or not, is always up to them. They studied for it, and do know the procedures how to use them. So people should respect that. Your information is very helpful to understand why these procedures are setup. I'm very proud of you for share these information. You are a good example for us and the medical world. Thank you for sharing and please continue with your good work Dr. Moran.
Dr. Moran, I consider you the gold standard of medical information on the Internet. Thank you for your fine work.
Thank you, Dr. Moran
It would seem that, like in any situation where safety equipment is warn, be it mountain biking, flue shot administration, lion taming or open heart surgery, the more safety equipment utilized by the participant the less careful they are due to the feeling of security provided by the safety equipment. It is the same in medical settings, if the participant feels they needed to be more self aware for their own wellbeing due to less safety equipment being worn that care and benefit would spillover into the procedure.
Working in the medical procedure industry I have witnessed many times individuals that would cross-contaminate everything in their reach simply because they had on gloves and were only concerned with their personal safety.
This is why so many of the non-mask results came back with lower infection rates...people were being more careful as a result on having less perceived protection themselves.
Bravo! 👏 Clean and simple, beautiful true information for the wellbeing of the people, Thank You!
I’m a retired defense engineer/scientist and have been calling bullshit on masks from day one , I thank you for your very professional presentation of the facts
Surgeon friends told me this yrs ago..only wore a mask 3 times in 3 yrs ..
Thank you for the informative video. Strange how the Royal Society, ignored the Cochrane review yet chose to reference one dubious Canadian review in support of mask effectiveness, which, although referencing Cochrane, effectively dismised it.
For blood splatter you really need a big shield over the entire face. I was splattered by a surgeon when I was a medical student. I had a shield on!
Another great video. Thank you Sir!
I tried going on reddit to discuss this with threads that are pro-masking still. And i got perma banned in 10 mins. I linked to the cochrane study.
Its so sad too. The threads are full of people discussing how they deal with day to day life among others who are not masking anymore. They're just lost beyond measure.
Update: the moderator messaged me back with a link to an article saying cochrane retracted and apologized. They didnt. The editor says they want the review authors to update their summary wording. Wonder why, right? I explained this and posted the full quotation for the mod and he responded saying:
TL;DR
bye
And a message that says ive been blocked and muted.
these are the people running the reddit threads about "following the science" concerning masks for covid.
Well, if it turns out that mask don't work, then it means that instead of being pro-science heroes, they were merely superstitious jerks. Therefore masks must work.
I'm subbing because I love this content AND I love the cat 😻
Where did you go...Keep going we need Dr's Speaking up!
Thank-you!
Another excellent & informative video Doc! Clearly more clinical studies need to be done in order to settle this issue. However, as you noted, given the variabilities associated with different mask wearing situations, it will be difficult to reach a definitive conclusion. Thanks & be well.... 👍👍
You are a true scientist, sir! Thank you for these breakdowns.
Thank you for your very informative video.
Thank you for your clear and honest commentary. 1 addition to your proposed study would be what type of ventilation the O-R uses.... How often is the air turned over? Is there laminar air flow? There is often splatter of blood and other yucky stuff during surgery unless you are doing something with no risk of splatter I cannot imagine not wearing one.
Thanks for always being objective.
I'd like to know if there's any national or international standard, as this has always been part of my argument against masks - is there any data whether doctors are allowed to operate while ill?
I'd imagine that any considerate and intelligent doctor would avoid patient contact, particularly surgical, if they're ill because it could easily have a more damaging effect on the patient who will be in a lowered state of immunity after an operation.
Excellent job and clear logical explanation.
Thank you Dr. Moran my health authority has lost the plot and I can never trust them again.
My governments, state and federal panicked but many locals stood strong. "Health officers" followed the political narrative but often got shot down. My doctor, however, is from the "not proven" school and never veered from it. Asked me about the vaccine once and dropped the subject. Much respect to him.
Thank you for the info and I also admire your dress code, Excellent.
Thank you, quite interesting and informative.
Sterile processing departments in hospitals don't guarantee sterilization of instruments but only that the measurable parameters of sterilization (temperature, steam quality, pressure and recommended exposure time) have been met. Personally, I prefer my surgeon to scrub and wear a mask, thank you!
@@punothebear agreed, take extra precautions, but forcing that on the population at large is not only useless but openly and obviously detrimental to the health and wellbeing of the people. Wash your hands and maintain good hygiene, eat sensibly and keep the government out of our lives.
An eye-opener! I would have liked some commentary frm
the perspective of infection in the pt. undergoing surgery as regards the wearing or non-wearing of masks. Too broad for definition? It's a thought though. Fr: an island in the West Indies, an R. N. retd. 🤔🤔🌴
Thank you, Dr.
You're most welcome Ella!
So interesting. Thanks Doctor
Of course it does depend on what type of surgery, total joints are different from urologic endoscopic procedures. And it is not just patient infections that the mask may help prevent. They do provide some protection of the wearer from contamination with splatter. Rudolph Matis the founder of the surgery department at Tulane, my alma mater, lost an eye from an infection caused by splatter during a surgery.
Thanks for commenting.The surgery does matter as you point out. I mentioned that in the section on future research. The studies presented were "clean" general surgical procedures. Endoscopic procedures don't require masking. There can be times where wearing a tight fitting mask can be helpful when there are nauseating smells in the room from GI bleeding, removing food bolus obstructions from the esophagus, abscesses etc. For GI tract bleeding, wearing additional clothing, plastic apron and gallon on top of your scrubs or clothes will reduce the chance of blood staining. Getting blood and bodily fluids on you is a part of medicine.
@@MedicinewithDrMoran Even dentistry, I have, as my dentist politely put it, an overactive salivary gland, like a water pistol at certain jaw positions. Staff wears shields when I show up.
Interesting and many thanks to yourself and Cat for posting. Sound is feint, please consider getting a better microphone. Otherwise, Interesting. many thanks to yourself and Cat for posting! 😎
Thank you Gena! We're going to turn the sound up next time so it should be better.
Great presentation.
Sir, you are soooooo useful, thank you !!!!
I'm happy to help!
Thank you Dr for retaining your critical thinking skills! I've been watching you walk the tight rope and appreciate your candor. Seems like we should be funding r.c.t. in hospitals..maybe Congress should be dividing the funding that goes to pharma and funding research in hospitals and in the field post op/diet/therapy. Would serve to force competition between care and chemicals.
They are used to prevent BACTERIAL infections, NOT viral infections. Prevention of bacterial infections is really important during surgery. It DOES make sense in those cases, as the mask will stop bacteria which is MUCH larger than a virus.
Man, viruses are carried by droplets, much bigger than bacterium. Same applies to them bacterium, BTW.
Much of the virus not free, it’s associated with bodily fluids, and is released when coughing or sneezing.
I would also be curious if negative pressure makes a difference in infection rates in surgical suites. I do not know for how long we have been using negative pressure in those rooms as well as rooms for patients with compromised immune systems. But the assumption is it carries bacteria and hopefully viruses up and out of the room and hospital and thus reduces the patient's exposure to both.
Love your cat! Thanks for this video.
Wow. You are very brave, Doctor! In a world where solid evidence is heresy, I so appreciate you and your excellence in presenting peer reviewed studies on such an important subject. You may be the only one doing it (that I have found). THANK YOU, DOCTOR MORAN! You are very high up on my hero list.
Thank you for the great video!
My pleasure!
Excellent, I was just thinking a while back that there is a reason why they are called surgical masks. To prevent open wound infection from the surgeon and to prevent bodily fluids from entering the surgeons mouth. Not bad for a lowly plumber if I do say so myself.
Great information!
I can't help but wonder how the future will judge us all for our handling of COVID.
Thank you!
People who work directly with live viruses capable of airborne transmission invariably use positive pressure supplied air systems.
As a surgeon, I was taught the only intervention that decreases post operative wound infections was timely administration of preoperative antibiotics. Masks, hairnets, sterile gloves, sterile drapes and cleaning the site prior to incision do not decrease post operative infections.
Would the temperature of the OR have an effect? Cold temp should help?
It's good that there are experts who can set aside bias and preconceived notions of what they think and look at the real evidence objectively and reach sound conclusions. I still see a few people in my small town who are young and very healthy going around in masks to this day. I believe this insanity will have far-reaching psychological ramifications for some people for years to come. I wore masks only when I had to since this whole thing started. I have not had so much as a sniffle in probably over 5 years and am in contact with people daily.
Sorry, I was distracted by the beautiful kitty!!!!!!!!! 😻
The CDC and FDA have apparently found science less useful these past few years. It is good that people like yourself remind us that science is the only method that can bring about better medicine. Thanks you.
Surgical masks do not filter air, but redirect air - air is directed toward the back of the head, thus preventing (but not stopping) operating field contamination - in the operating room you never turn your back to the operating field, including instrument fields when within a certain distance from the field. In reality, there is nothing sterile in an operating room once it is removed from sterile packaging - it is a game of minimizing risk, but there is always risk of contamination from breathing related sources.
Logically, wearing surgical masks as a protective device against breathing in or breathing out an air borne agent, say a virus, is just an exercise in futility.
Sealed masks are another story, but these also have limits to their efficacy including the length of time they remain efficacious.
Unfortunately, your statement is nonsense, only incorrectly fitted masks redirect behind the head.
I never got vaccinated and often avoided or flaunted the masking requirements even when flying across the country to states considered lax on covid measures. I was always vigilant about handwashing. Though I’m in my 60s, I have not had any symptoms of illness in the past several years. I have never been tested for covid but my wife has been tested numerous times for possible exposure at work and for international travel and all results were negative.
I am convinced that handwashing was helpful.
Totally awesome! 😊
Thank you Michael!
Great video! Thank you! Sometimes we do things because there is evidence to support it. Other times we do things because we think it’s a good idea. Still other times we do things because it is logical to conclude that benefits will follow. I suppose mask wearing falls perhaps into this third category. Thank you for your excellent videos!
Nobody with a thinking mind wore a mask for any of those reasons.
We wore them because of merchants or employers who refused to do business withlit them.
Thank you very much for this & your previous mask video, they are VERY helpful for all of us with an open mind i.e. those actually following the science as opposed to MSM's / our government's "science".
I think it’s a little different when a surgeon has your body cut open and he drips some nasal discharge or spit from his mouth into your wound. That’s not the same thing as breathing, the air that he’s breathing under normal circumstance with well people in a room.
9:11 _"the topic of community masking is extremely polarized with many people putting forth their opinion on both sides of the spectrum. The key word there is opinion. My video was based on the Cochrane systematic review of physical interventions to prevent Covid-19."_
So much of your video response is spot on, but this particular point is one that all of us would do well to seriously contemplate. Opinions are **irrelevant** when contradictory evidence exists. Period.
People can chant about their 'right to an opinion' all they want, but at the end of the day, 2+2 continues to equal 4; no opinion otherwise actually matters.
Medical people wearing masks actually makes me mistrust them. I have doubts about what they say to me, especially since they also parroted the Government's political spiel which is since debunked. As medically trained qualified persons - I rely on them to have some trace of common-sense. But this was lacking, and it was clearly lacking from day#1 - that is why I am still not jabbed. But masks and bugs. By complying, medical staff insult themselves, and hope we will play along. That offended me. Lets see - nobody can see a bug, a virus, or other infection without scientific grade optics - such as an electron microscope. By wearing a mask, ?medically trained persons? are pretending that any mask that is not full blown oxygen supplied and totally encapsulating HAZMAT outfit can prevent infection bypassing, or getting through out into the atmosphere (or visa-versa), past a face mask. Even medics get irritations, itchy noses, sneezing etc that cause them to touch / move any mask against instructions - but the masks are useless anyway. It is all about the money stream, and I expect a medically competent trained person to have figured that out - unless they are mentally dim. Do I want mentally dim people involved in my health. Well I ignored all the officials and medics told me, and I don't regret it. I gave myself safer and better advice than I got from a highly qualified medic. That is a worry, isn't it!
They wear them so that they cannot be identified in a court of law ^^
@@noncompliant4316 Maybe you are right. I figured that our medics? would continue feeling immune from consequences with an assurance that legal justice would continue to be perverted by the most influential and corrupt that already rule over us and protect them.
There were so many that gleefully seized the opportunity to become mask tyrants, it's disgusting. Society has been coddling and nurturing in-accountability for a very long time. The whole "don't worry, it's not your fault, you don't have to take responsibility for your actions" mentality that profiteers love to promote in order to sell you "the solution" in the form of a pill. So even the well grounded solid professionals were overcome by the overwhelming numbers of incompetent, insecure, power hungry bullies in the medical industry. People that were out to prove "I'm right, you're wrong" based on nothing more than a desire to greedily retain authority even when they are so obviously in the wrong. Truly wise people know that arguing with an idiot in that situation just makes you another idiot, so even the good ones that knew better just put on the mask and soldered on. Keep that in mind before passing judgement on the entire medical field. There are still good ones out there. It just gets hard to see them because of all the crap that society as a whole has allowed to creep into our lives.
Science is not exact. It is constantly changing as new evidence becomes available. All we can do is try to find the best solution to a problem and go with it until a better one replaces it.
In 50 years masks that actually do the job may be available. Ex. A mask that uses positive pressure that is filtered thru a HEPA filter is now available. It protects the wearer but if the wearer is infected it spreads the infection to others who don't have such protection.
Therefore it provides only limited protection.
Smart to not take the injection.
Before watching this video I am going to say that it's because people being operated on will have open wounds. You can touch someone's skin and they won't get an infection but if you touch an open wound with dirty hands you will. I think some of these people hate to think for themselves
I never understood that questions. I never heard of a Surgery to remove a Virus.
And is it fair to assume the type of operation also makes a difference? I mean just compare the old and new way of removing a galblader.
The one I had was just 3 small insicions and thats it but I hear the old way they had to cut you open properly. Which I assume would lead to a bigger chance something entering the cut that shouldnt. And the new way would have smaller chances of something in the would splashing up towards there faces.
Back in the day with open surgeries, it was important to keep surgeons from spitting in the wound inadvertently. Now with endoscopic and robotic surgery, that is much less of a concern.
Excellent information. Thanks. I think kitty agrees with you. Anyone ever tell you you look a bit like Ralph Nader?
Wondering if wearing gloves has any effect. Any large randomized studies?
Pure gold :)
Are their studies on the effectiveness of laminar-flow surgeries?