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[YanTing]

This is the last forum entry of that thread:

Translated with www.DeepL.com/Translator (free version)

http://www.transgallaxys.com/~kanzlerzwo/index.php?topic=10804.msg31561#msg31561

[*quote*]

Tacheles! The barbaric stupidity of Harald Walach and his henchmen
" Reply #36 on: July 17, 2021, 04:31:18 PM "
There are interesting curves in the above picture:



https://www.weinmann-emergency.com/fileadmin/data/03_solutions/31_capnography/image_text/kapnographie-medumat-transport-display.jpg

[*quote]
How it works

In CO2 measurement, sample gas is passed through an optical measurement path. It is then filtered according to different wavelengths. The results are converted with the aid of microprocessors and shown numerically and graphically on the display.

WEINMANN Emergency uses the sidestream method, in which a gas sample is taken and evaluated via the ventilation hose. Compared to the main flow method, this has the advantage that no additional dead space is created by a measuring cuvette on the patient. This means that you receive the CO2 measured values directly in the display and have a reliable indicator of the CO2 content during ventilation.
[*quote]

Source: https://www.weinmann-emergency.com/de/loesungen/kapnographie/


I will now dissect one of the measurement curves to show what happens during breathing. For our purposes the purple curve is suitable. It shows the percentage of CO2 in the air we breathe.

The upper graph shows the enlarged curve.




The middle graph shows the phases for inhalation and exhalation in turquoise.

The time points T1, T2, T3, and T4 are present at each breathing cycle, but the intervals T12, T23, T34, T41 are always different and are controlled by breathing conditions and demands.

At time T1, inhalation begins.

Up to T2, the CO2 level increases exponentially.

From T2 to T3, it can have a relatively straight course, but it does not have to be constant; for example, it can rise more sharply. This is described in the articles on capnography.

From T3 to T4 is again an exponential decrease.

Starting with T3, and not T4, is the following inhalation phase.

Inhalation always from T3 to T1,
Exhalation always from T1 to T3.

The turquoise illustration shows exactly that.

So what's the deal with the areas T1 to T2 and T3 to T4?

I have labeled the ranges A, B and C. Each follows its own rules.

In area A, there is still fresh air in the nose/throat area, as well as the large air channels in the lungs. This air is the first to be expelled and is replaced over time by air from the lungs. This inevitably results in an exponential curve.

In area B, only air comes out of the lungs, which is why the CO2 concentration is reasonably stable. Because no fresh air enters the body during this time, the proportion of used air increases in the body, which is then reflected in the gas mixture in the lungs: the CO2 proportion increases.

Now it gets interesting: In area C, when exhalation is finished, it stops at T3, fresh air should be there, because now inhalation starts. Why then is an exponential function to be seen? Quite obviously, this curve shows a measurement setup where there is a cavity into which exhaled air has flowed. Only when this exhaled air is breathed in again, fresh air comes in and the CO2 content drops to the value of fresh air.

Area A shows the effect of a dead space IN the body.
Area C shows the effect of a dead space OUTSIDE the body.

So much for the basic curve when measured correctly.


As you can clearly see: the CO2 fraction has a distinct curve and is NOT constant. If you want to measure the CO2 fraction, you MUST measure faster than the CO2 fraction changes. Otherwise there are no measured values, but confused house numbers. Exactly this is the stupendous mistake, which Harald Walach and his spit companions have committed.

The measuring instrument used by them needs about 20 seconds, in order to be able to seize ONE SINGLE MEASUREMENT value reasonably exactly. In this time a human being has already breathed in and out several times. When did which gas mixture enter the measuring device? You don't have to be an expert to recognize the error. The error is hair-raisingly stupid.

But there is a second mistake, which is so brutally stupid that all doctors and professors, who support Walach, should be deprived of all titles, the license to practice medicine and other things.

In the video from Traindl, you can see how the measurements were taken. What is the most important thing? The measuring device. It is humming away all the time and sucking in air. Now please look at the breathing curve: WHEN is there fresh air and WHEN is there exhaled air? As you can see, there is fresh air when you inhale and exhaled air when you exhale. But exactly then, during exhalation, the device has continued to suck in air and thus conjured up "measured values". The device has sucked in exhaled air. However, it may only measure the inhaled air. If there is a dead space (in the form of the mask), then only the inhaled gas mixture from this mask may be measured. This is exactly what these bunglers did not do. On the contrary, afterwards they come up with some excuses and think they are in the right. They would have done everything right.


The Bavarian Red Cross has a remarkable website "Virtual San-Arena Erlangen".

http://www.san-erlangen.de/VirtuelleSanArena-Erlangen-Html4/html/Topic9992d4a20c43402b942c167566928784.html

[*quote]
The Virtual San-Arena Erlangen is a project of the Education Center of the Erlangen-Höchstadt District Association of the Bavarian Red Cross.

Bavarian Red Cross
Erlangen-Höchstadt District Association
Henri-Dunant-Str. 4
91058 Erlangen

Tel. (09131) 1200-0
Fax. (09131) 1200-104
Email: info@kverlangen-hoechstadt.brk.de
Internet: https://www.kverlangen-hoechstadt.brk.de/
Chairman of the board: Stefan Müller (MdB)
Managing Director: Beate Ulonska
Project manager: Andreas Thumser
[*/quote]


There is this page:

Practical guide: assessing capnometry - curve shape.
Changes in the capnography curve (capnogram) can indicate possible diseases.
http://www.san-erlangen.de/VirtuelleSanArena-Erlangen-Html4/html/Topic92f0d295e3624b66be68c5a371828d0e.html

In it, among many others, are these two excellent images:


https://www.san-erlangen.de/VirtuelleSanArena-Erlangen-Html5/png/Imagebe7939b500f44efb8977fc73fa5079ce.png


https://www.san-erlangen.de/VirtuelleSanArena-Erlangen-Html5/png/Image874be3584040453a87014a1500bb58cd.png

Instead of the percentage, the CO2 gas pressure was drawn in. But that does not matter, because it is about the basic course of the curve. Please read the explanations in the original page.


Among other things, the web page also shows anomalies of the breathing curve! This page is a must!

Medicine is nothing for dullards.

[*/quote*]

[YanTing]

This is the entry before the last one of that thread:

Translated with www.DeepL.com/Translator (free version)


http://www.transgallaxys.com/~kanzlerzwo/index.php?topic=10804.msg31559#msg31559

[*quote*]

Harald Walach and UNIVERSITY OF WITTEN-HERDECKE in free fall
" Reply #35 on: July 17, 2021, 10:40:33 AM "
The entanglements of the University of Witten-Herdecke in the case of the medical forger Harald Walach are becoming increasingly clear and are also pulling the university - finally - into the vortex.

New research shows that Witten-Herdecke University, the flagship of anthroposophy in Germany, is not an innocent bystander in the Walach case.

The discovery that it is quite possible to measure the CO2 content of the air we breathe in real time leads to an abyss of imbecility that one can only acknowledge with stunned amazement.

First of all, here is a picture from the company website of a manufacturer of such measuring devices:



in real time!
https://www.weinmann-emergency.com/fileadmin/data/03_solutions/31_capnography/image_text/kapnographie-medumat-transport-display.jpg

[*quote]
How it works

In CO2 measurement, sample gas is passed through an optical measuring path. It is then filtered according to different wavelengths. The results are converted with the aid of microprocessors and shown numerically and graphically on the display.

WEINMANN Emergency uses the sidestream method, in which a gas sample is taken and evaluated via the ventilation hose. Compared to the main flow method, this has the advantage that no additional dead space is created by a measuring cuvette on the patient. This means that you receive the CO2 measured values directly in the display and have a reliable indicator of the CO2 content during ventilation.
[*quote]

Source: https://www.weinmann-emergency.com/de/loesungen/kapnographie/

There are measuring devices. There are manufacturers. All of this has been around for years and decades. The situation is well known in medicine!


In this screenshot you can see such a device in use,
at the side of the stretcher, with active display of the data. In real time!



Screenshot from https://www.weinmann-emergency.com/de/loesungen/kapnographie/

There is also a lot of material on this, for example this PDF from "Hamilton Medical":

"Volumetric capnography.
Volumetric-capnograpgy-ebook-en-ELO20170204N.00.pdf
https://www.hamilton-medical.com/dam/jcr:097af5d7-d834-4f64-b1a7-5dacd933f979/Volumetric-capnograpgy-ebook-de-ELO20170204N.00.pdf

Everything is presented and discussed very broadly. Capnography belongs to the BASICS of emergency medicine. Also in North Rhine-Westphalia:

"SOCIAL
Dennis Sohner
Updated: 18.04.2016, 15:59

WITTEN.
Daniel Strohleit is one of the first emergency paramedics, he passed all his exams with one. At 22 years old, he's already experienced a lot."
https://www.waz.de/staedte/witten/daniel-strohleit-ist-einer-der-ersten-notfallsanitaeter-id11745508.html

As you can see, this is an article of the WAZ from 18.4.2016. There is an emergency medicine even in North Rhine-Westphalia. Since at least 5 years. About the time before that I say nothing now....


Now to a blog article:

https://dasfoam.org/2020/05/04/atmen-in-echtzeit-nichtinvasives-etco2-monitoring-bei-analgosedierung-in-der-praeklinik/

[*quote]
DASFOAM THINK TANK

Breathing in real time - noninvasive etCO2 monitoring during analgesia in the prehospital setting
MAY 4, 2020 BY GUEST AUTHOR

- It's like always, at some point someone comes along and says "but you could do that" -.

Particularly in emergency medical services, analgesia is an established procedure that is often used, especially for sufficient analgesia, usually while maintaining spontaneous breathing. There are ...

About the Author:
Daniel Strohleit - Emergency paramedic in ground and air rescue, FOAMed enthusiast, medical student.

Literatur:

Dreher M, Ekkernkamp E, Storre J, Kabitz HJ, Windisch W: Sedierung bei flexibler Bronchoskopie bei Patienten mit vorbestehender Atemwegsinsuffizienz: Midazolam versus Midazolam plus Alfentanil. Respiration 2010, 79(4):307-314.
Biro P, Layer M, Wiedemann K, Seifert B, Spahn DR: Kohlendioxid-Elimination während der Hochfrequenz-Jet-Ventilation bei der starren Bronchoskopie. BJA: British Journal of Anaesthesia 2000, 84(5):635-637.
Price HL: Auswirkungen von Kohlendioxid auf das kardiovaskuläre System. (0003-3022 (Print)).
Ishiwata T, Tsushima K, Terada J, Fujie M, Abe M, Ikari J, Kawata N, Tada Y, Tatsumi K: Efficacy of End-Tidal Capnography Monitoring during Flexible Bronchoscopy in Nonintubated Patients under Sedation: A Randomized Controlled Study. Respiration 2018:1-8.
Netzer N, Eliasson AH, Netzer C, Kristo DA: Overnight pulse oximetry for sleep-disordered breathing in adults: a review. Chest 2001, 120(2):625-633.
Fu ES, Downs JB, Schweiger JW, Miguel RV, Smith RA: Supplemental Oxygen Impairs Detection of Hypoventilation by Pulse Oximetry. Chest 2004, 126(5):1552-1558.
Riphaus A, Wehrmann T, Hausmann J, Weber B, von Delius S, Jung M, Tonner P, Arnold J, Behrens A, Beilenhoff U: Update S3-Leitlinie "Sedierung in der gastrointestinalen Endoskopie "2014 (AWMF-Register-Nr. 021/014). Zeitschrift für Gastroenterologie 2015, 53(08):802-842.
Huttmann SE, Windisch W, Storre JH: Techniques for the measurement and monitoring of carbon dioxide in the blood. Ann Am Thorac Soc 2014, 11(4):645-652.
Abdelmalak BB, Wang J, Mehta AC: Capnography monitoring in procedural sedation for bronchoscopy. J Bronchology Interv Pulmonol 2014, 21(4):370-371.
Schwarz SB, Windisch W, Magnet FS, Schmoor C, Karagiannidis C, Callegari J, Huttmann SE, Storre JH: Continuous non-invasive PCO2 monitoring in weaning patients: Transkutan ist vorteilhaft gegenüber endtidalem PCO2. Respirology 2017, 22(8):1579-1584.
https://www.welchallyn.com/content/dam/welchallyn/documents/sap-documents/MRC/80022/80022556MRCPDF.pdf.
(*/quote*)

Ich zitiere nicht aus dem Artikel. Den bitte an Ort und Stelle lesen:

https://dasfoam.org/2020/05/04/atmen-in-echtzeit-nichtinvasives-etco2-monitoring-bei-analgosedierung-in-der-praeklinik/


Mir geht es um die Literaturliste. Wie man sieht, gibt es zum Thema Kapnographie nicht wenig davon.

Mir geht es aber auch um etwas ganz anderes: um den Autor. Wie man hier sieht (und auch das "Witten" im Artikel der WAZ vermuten lässt), ist der in Witten. Genauer gesagt in der Universität Witten-Herdecke:

https://www.researchgate.net/profile/Daniel-Strohleit

[*Zitat*]
Daniel Strohleit
Universität Witten/Herdecke - Fachbereich Gesundheit
[*/quote*]


Die Universität Witten-Herdecke hat auch einen nicht unbekannten Fachmann, der zudem im Fach fit ist, der in Medizin fit ist, und der auch Artikel schreibt:

https://www.researchgate.net/profile/Daniel-Strohleit

[*quote*]
Daniel Strohleit
Universität Witten/Herdecke - Fachbereich Gesundheit

4 Veröffentlichungen
66 Lesungen
2 Zitate

Leitlinien zur Analgosedierung, Überwachung und Erholungszeit bei der flexiblen Bronchoskopie: eine systematische Übersichtsarbeit
Jun 2021
Daniel Strohleit
Thomas Galetin
Nils Kosse[...]
Erich Stoelben
Hintergrund Patienten, die sich einer Bronchoskopie in Spontanatmung unterziehen, sind anfällig für Hypoxämie und Hyperkapnie. Sedierung, Atemwegsobstruktion und Lungenerkrankungen beeinträchtigen Atmung und Gasaustausch. Die Restitution der normalen Atmung erfolgt im Aufwachraum. Dennoch gibt es keine Erkenntnisse über die notwendige Beobachtungszeit. Wir systematica...

Hyperkapnie bei COPD-Patienten, die sich einer endobronchialen Ultraschalluntersuchung unter Lokalanästhesie und Analgosedierung unterziehen: Eine prospektive kontrollierte Studie mit kontinuierlicher transkutaner Kapnometrie
Apr 2021
Thomas Galetin
Daniel Strohleit
Friederike Sophie Magnet[...]
Erich Stoelben
Hintergrund: Die flexible Bronchoskopie (FB) in der Analgosedierung verursacht alveoläre Hypoventilation und Hyperkapnie, umso mehr, wenn Patienten an COPD leiden. Dennoch gehört weder die Kapnometrie zum Standardmonitoring noch gibt es Evidenz, wie lange Patienten nach der Sedierung überwacht werden sollten. Zielsetzung: Wir untersuchten den Einfluss der COPD auf die Hyperka...

Late Breaking Abstract - Der Einfluss von COPD auf die Hyperkapnie während der flexiblen Bronchoskopie mit EBUS-TBNA in Analgosedierung
Konferenzbeitrag
Nov 2020
Daniel Strohleit
Erich Stoelben
Friederike Sophie Magnet
Thomas Galetin
Hintergrund: Die flexible Bronchoskopie (FB) mit EBUS-TBNA erfordert eine tiefe Sedierung mit aufrechterhaltener Spontanatmung. Das Standard-Monitoring erkennt schwere Hypoxämie und Hyperkapnie nicht sicher, insbesondere bei Patienten mit COPD. Unser Ziel war es, die Hyperkapnie aufgrund der EBUS-TBNA bei Patienten mit und ohne COPD zu quantifizieren und zu vergleichen. Methoden: Prospe...

Hyperkapnie und Hypoxämie bei flexiblem EBUS bei Patienten mit und ohne COPD
Konferenzbeitrag
März 2020
Daniel Strohleit
Thomas Galetin
Friederike Sophie Magnet
Erich Stoelben
[*/quote*]




A name that is also given with each of the 4 papers: Erich Stoelben. Erich Stoelben is a professor at the University of Witten-Herdecke:

Prof. Dr. med
Erich Stoelben
Faculty of Health
Chair of Thoracic Surgery
https://www.uni-wh.de/detailseiten/kontakte/erich-stoelben-2472/f0/

Now nobody can say that Professor Dr. med Erich Stoelben does not know anything about capnography!

This brings us to the crucial question: How does the University of Witten-Herdecke deal with truth, how does it deal with truth in teaching?

Why has Harald Walach not been kicked out of the University of Witten-Herdecke COMPLETELY for his outrageous, insane, brazen, human life endangering bullshit? WHY!?


As a reminder, THIS tweet from Witten-Herdecke University is dated July 8, 2021. That's 9 days ago!

https://twitter.com/UniWH/status/1413210410271059974

[*QUOTE]
-----------------------------------------------------
Witten/Herdecke University @UniWH
Replying to @PUMS_tweets and @Vaccines_MDPI.

#UniWH is reviewing the status of Harald Walach's visiting professorship. Until clarified, all rights and duties associated with the visiting professorship will be suspended.

8:56 PM - Jul 8, 2021-Twitter Web App.
2 Retweets 3 Quote Tweets 12 Likes
-----------------------------------------------------
[*/QUOTE*]

At the time, it was only about the downright idiotic "vaccination" study. It's since become about the "letter" as well. This is a double assault on the integrity of teaching and research in academia. And it is an assault on people's lives.


What is happening at Witten-Herdecke University that the public is not allowed to know?

[*/quote*]

[YanTing]

Then have a look at this tweet:

https://twitter.com/EdDeVere/status/1413974747843596290

[*quote*]
Edward de Vere @EdDeVere
Replying to @DrEricDing @trishgreenhalgh  and 2 others

Pls have a look at the embedded video on the website of the Austrian far right magazine "Wochenblick": this is how Helmut Traindl (the technical expert implementing the experiment for #Walach et al.) is doing the CO2-measurements! This is ridiculous.

"Sachverständiger beweist live: CO2-Werte unter Masken gesundheitsschädlich
Der gerichtlich beeidete Sachverständige Ing. Dr. Helmut Traindl hat vor laufender Kamera die CO2 Werte unter einer selbstgemachten und zwei handelsüblichen Corona-Schutzmasken gemessen. Dabei..."
https://www.wochenblick.at/sachverstaendiger-beweist-live-co2-werte-unter-masken-gesundheitsschaedlich/

https://pbs.twimg.com/card_img/1412962173115043848/nLCSBgKU?format=jpg&name=900x900

11:33 PM · Jul 10, 2021·Twitter Web App
2 Retweets 3 Quote Tweets 4 Likes
[*/quote*]


The link in that tweet is of this right-wing newspaper-article:

https://www.wochenblick.at/sachverstaendiger-beweist-live-co2-werte-unter-masken-gesundheitsschaedlich/

Klick on that link and wait for the page to appear. There is a video right above these words (in large print):

"Deutschland: „inakzeptabel“ ab 2 Promille CO2"
***********************************************

Start the video and just listen to the device. Don't mind the babble by Traindl.

The proband puts the end of the hose under the mask. The device measures continuosly.


To get 1 measurement of the CO2 done, the device needs about 20 seconds. But the human breathes much faster. So the device simply can not get a correct value. That is stupid mistake 1.

Stupid mistake 2 is that the device sucks in air continuously, that it sucks in air, when the proband inhales, and it sucks in, when the proband exhales. All the air during the exhaling phasing, which shows up during the measurement, is false. But Traindl and Walach STILL claim, that they made the measurement correctly. THIS is mindboggling. First to make the mistake, and then deny it, despite it is so clear to see.