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- •Acknowledgements
- •Foreword
- •Contents
- •Preface
- •Recognition of the Sick Patient
- •Shock and Organ Perfusion
- •Outcomes of Resuscitation
- •Investigations
- •Fluid and Electrolyte Replacement
- •Haematological Therapy
- •Coagulopathy
- •Antibiotics
- •Emergency Laparoscopic Surgery
- •Approach to Traumatic Abdominal Pain
- •Ancillary Investigations in the ED
- •Indications for Referral
- •References
- •Risk Factors for Surgery
- •Postoperative Care
- •Intensive Care/High Dependency
- •Sepsis Syndromes
- •Acute respiratory distress syndrome(ARDS)
- •Blood transfusion and blood component therapy
- •Postoperative Oliguria
- •Renal Replacement Therapy (RRT)
- •Abdominal compartment syndrome (ACS)
- •Nutrition
- •Pros and cons of TPN
- •Introduction
- •Initial Management
- •Rockall score
- •Glasgow–Blatchford score
- •Medical Therapy
- •Endoscopic Therapy
- •Timing of endoscopy
- •Epinephrine injection
- •Thermal therapy
- •Argon plasma coagulation
- •Endoscopic clipping
- •Failure of endoscopic therapy
- •References
- •Introduction
- •Management of Variceal Bleeding
- •Medical Management and Resuscitation
- •Endoscopic Management
- •Variceal band ligation
- •Cyanoacrylate glue
- •Endoscopic sclerotherapy
- •Subsequent endoscopy
- •Portosystemic shunts: TIPS and surgery
- •References
- •Introduction
- •Management Options
- •Catheter Angiography
- •CT Angiography
- •Embolic Agents
- •Complications of Angiography
- •Indirect Bleeding
- •References
- •I. Indications
- •II. Preoperative Preparation
- •B. Over-Sewing a Bleeding Ulcer
- •Pyloroplasty/gastroenterostomy
- •Truncal vagotomy
- •Ensure safe duodenal stump closure
- •Dealing with problems related to the posterior duodenal ulcer penetratinginto the pancreas
- •Mobilisation of distal stomach
- •Billroth II gastroenteral anastomosis
- •Surgical Techniques for BleedingGastric Ulcer
- •F. Local Excision of Gastric Ulcer
- •Key Points in Billroth I Gastrectomyfor Bleeding Gastric Ulcer
- •Incisional wound closure
- •Postoperative care
- •References
- •Indications
- •Preoperative Preparation
- •Operative Treatment
- •A. Benign Duodenal Ulcer Perforation
- •B. Benign Gastric Ulcer Perforations
- •References
- •2. Preoperative Preparation
- •3. Surgery
- •Open Appendectomy
- •Introduction
- •General Complications
- •Thromboembolism
- •Atelectasis
- •Nausea and Vomiting
- •Wound Complications
- •Acute Abdominal Complications
- •1. Bleeding
- •2. Leaks
- •Treatment options for GJ leak
- •Managing sleeve leak
- •3. Stenosis and Stricture
- •4. Gastric Band Slippage and IntestinalObstruction
- •5. Other Complications
- •Gastric banding
- •Gastric bypass
- •Nutritional problems
- •1. Indications
- •Operative Strategy of Acute Appendicitis
- •Laparoscopic Appendectomy
- •4. Postoperative care
- •Special Situations
- •Introduction
- •Management of Acute Sigmoid Colonic Diverticulitis
- •A. Preoperative Management
- •B. Indications for Surgery
- •C. Options of Surgical Procedure
- •Two-stage approach
- •Single-stage approach
- •Role of laparoscopic surgery in acute perforative sigmoid colonic diverticulitis
- •E. Position of Patient for Surgery
- •Intra-Operative Surgical Techniques
- •A. Incision and Laparotomy
- •Tips and tricks to help locate the ‘difficult’ left ureter
- •Common sites of left ureteric injury during anterior resection
- •D. Splenic Flexure Take Down
- •Tips and tricks to tackle difficultsplenic flexure
- •E. Vascular Control
- •Ligation of the inferior mesenteric artery (IMA)
- •How to identify the IMA?
- •On-table colonic lavage
- •When is it not safe to anastomose?
- •J. Completion of Surgery
- •K. Postoperation Care
- •References
- •Introduction
- •I. Preoperative Management
- •II. Management Options
- •III. Endoscopic Colonic Stenting
- •Indications
- •IV. Defunctioning Stoma
- •Indications
- •Postoperative Considerations
- •References
- •Definition
- •Risk Factors for DifficultLaparoscopic Cholecystectomyin Acute Cholecystitis
- •Preoperative preparation
- •Surgical Treatment
- •Laparoscopic approach
- •References
- •Pre- ERCP Preparation
- •ERCP for Choledocholithiasis
- •ERCP in Bile Duct Injuries
- •Difficult Biliary Cannulation
- •Post- ERCP Care
- •References
- •A) Acute Cholangitis
- •C) Bile Duct Injuries During Surgery
- •D) Pancreatic Trauma
- •E) ERCP Perforation
- •I. Introduction
- •IV. Postoperative Management
- •Special situations
- •Final Note
- •Introduction
- •Disadvantages of Radiological Drainage
- •Radiological Evaluation of the Abscess
- •1) Diagnosis of Abscess
- •2) Identify a Potential Cause for an Abscess
- •3) Determine Drainability of an Abscess
- •4) Identifying the Complications from an Abscess
- •5) Aid Drainage Planning
- •Role of RadiologicalIntervention
- •Contraindications
- •Technique
- •Imaging Guidance
- •Insertion of the Drain
- •Drainage Catheter
- •Site Specific Comments on Radiological Drainage of Intra-Abdominal Abscess
- •Liver Abscess
- •Subphrenic and Lesser Sac Abscess
- •Percutaneous Cholecystostomy
- •Pancreatic Collection/Abscess
- •Pelvic Abscess
- •Enteric Abscess
- •Others
- •Conclusion
- •References
- •I. Ectopic Pregnancy
- •Operative procedures
- •II. Ruptured Tubo-Ovarian Abscess
- •Preoperative
- •Operative procedures
- •Postoperative
- •III. Haemorrhage or LeakingOvarian Cyst and Adnexal Torsion
- •A. Adnexal torsion
- •Preoperative — Benign Ovarian Cyst
- •Laparoscopic intervention
- •2. Laparoscopic ovarian oophorectomy
- •3. Open Cystectomy
- •Introduction
- •Repair of Bladder Injuries
- •Boari Flap
- •Other Manoeuvres
- •Post-Operative Care
- •Conclusion
- •II. Perioperative Care
- •IV. Mycotic Aneurysms
- •VI. Post-Surgery Follow-up
- •I. Introduction and Indications
- •II. Preoperative Management
- •III. OT Preparation
- •IV. Operative Procedure
- •Damage Control Mode
- •Splenic Injuries
- •Bowel Injuries
- •Kidney Injuries
- •Pancreatic Injuries
- •Liver Injuries
- •VI. Postoperative Care
- •V. Wound Closure
- •Introduction
- •Preoperative Planning
- •Choice of Surgical Technique
- •Operative Procedure
- •1. Component Separation Technique
- •3. Bilateral Skin Flap Advancement
- •5. Use of Alloplastic Materials
- •Postoperative Management
- •References
- •Laparotomy
- •Laparoscopy
- •Interventional Radiology
- •Air Enema
- •Neonatal Intestinal Obstruction
- •Duodenal Atresia
- •Duodenoduodenostomy
- •Malrotation with Volvulus
- •Intestinal Atresia
- •Hirschsprung’s Disease (HD)
- •Anorectal Malformations
- •Inguinal Hernia in Children
- •References
- •Introduction
- •Benefits of Laparoscopy in Emergency
- •Indications of Emergency Laparoscopy
- •Instrumentation
- •Instruments for Removal of Specimen
- •Instruments for Port Closure
- •Patient Position and O.T. Setup
- •Suggested Reading
- •Index
- •Uploaded by [StormRG]
- •Contents

wasn’t) signed into law by Republican hero President Ronald
Reagan which gave amnesty to millions living in the United States
illegally and other incentives for people to head for the southern
border. Here we have the one-party state at work again.
Save me syndrome
Almost every aspect of what I have been exposing as the Cult
agenda was on display in even the first days of ‘Biden’ with silencing
of Pushbackers at the forefront of everything. A Renegade Mind will
view the Trump years and QAnon in a very different light to their
supporters and advocates as the dots are connected. The
QAnon/Trump Psyop has given the Cult all it was looking for. We
may not know how much, or lile, that Trump realised he was being
used, but that’s a side issue. This pincer movement produced the
desired outcome of dividing America and having Pushbackers
isolated. To turn this around we have to look at new routes to
empowerment which do not include handing our power to other
people and groups through what I will call the ‘Save Me Syndrome’
– ‘I want someone else to do it so that I don’t have to’. We have seen
this at work throughout human history and the QAnon/Trump
Psyop is only the latest incarnation alongside all the others. Religion
is an obvious expression of this when people look to a ‘god’ or priest
to save them or tell them how to be saved and then there are ‘save
me’ politicians like Trump. Politics is a diversion and not a ‘saviour’.
It is a means to block positive change, not make it possible.
Save Me Syndrome always comes with the same repeating theme
of handing your power to whom or what you believe will save you
while your real ‘saviour’ stares back from the mirror every morning.
Renegade Minds are constantly vigilant in this regard and always
asking the question ‘What can I do?’ rather than ‘What can someone
else do for me?’ Gandhi was right when he said: ‘You must be the
change you want to see in the world.’ We are indeed the people we
have been waiting for. We are presented with a constant ra of
reasons to concede that power to others and forget where the real
power is. Humanity has the numbers and the Cult does not. It has to

use diversion and division to target the unstoppable power that
comes from unity. Religions, governments, politicians, corporations,
media, QAnon, are all different manifestations of this powerdiversion and dilution. Refusing to give your power to governments
and instead handing it to Trump and QAnon is not to take a new
direction, but merely to recycle the old one with new names on the
posters. I will explore this phenomenon as we proceed and how to
break the cycles and recycles that got us here through the mists of
repeating perception and so repeating history.
For now we shall turn to the most potent example in the entire
human story of the consequences that follow when you give your
power away. I am talking, of course, of the ‘Covid’ hoax.

W
CHAPTER FOUR
‘Covid’: Calculated catastrophe
Facts are threatening to those invested in fraud
DaShanne Stokes
e can easily unravel the real reason for the ‘Covid pandemic’
hoax by employing the Renegade Mind methodology that I
have outlined this far. We’ll start by comparing the long-planned
Cult outcome with the ‘Covid pandemic’ outcome. Know the
outcome and you’ll see the journey.
I have highlighted the plan for the Hunger Games Society which
has been in my books for so many years with the very few
controlling the very many through ongoing dependency. To create
this dependency it is essential to destroy independent livelihoods,
businesses and employment to make the population reliant on the
state (the Cult) for even the basics of life through a guaranteed
piance income. While independence of income remained these Cult
ambitions would be thwarted. With this knowledge it was easy to
see where the ‘pandemic’ hoax was going once talk of ‘lockdowns’
began and the closing of all but perceived ‘essential’ businesses to
‘save’ us from an alleged ‘deadly virus’. Cult corporations like
Amazon and Walmart were naturally considered ‘essential’ while
mom and pop shops and stores had their doors closed by fascist
decree. As a result with every new lockdown and new regulation
more small and medium, even large businesses not owned by the
Cult, went to the wall while Cult giants and their frontmen and
women grew financially faer by the second. Mom and pop were

denied an income and the right to earn a living and the wealth of
people like Jeff Bezos (Amazon), Mark Zuckerberg (Facebook) and
Sergei Brin and Larry Page (Google/Alphabet) have reached record
levels. The Cult was increasing its own power through further
dramatic concentrations of wealth while the competition was being
destroyed and brought into a state of dependency. Lockdowns have
been instigated to secure that very end and were never anything to
do with health. My brother Paul spent 45 years building up a bus
repair business, but lockdowns meant buses were running at a
fraction of normal levels for months on end. Similar stories can told
in their hundreds of millions worldwide. Efforts of a lifetime coldly
destroyed by Cult multi-billionaires and their lackeys in government
and law enforcement who continued to earn their living from the
taxation of the people while denying the right of the same people to
earn theirs. How different it would have been if those making and
enforcing these decisions had to face the same financial hardships of
those they affected, but they never do.
Gates of Hell
Behind it all in the full knowledge of what he is doing and why is
the psychopathic figure of Cult operative Bill Gates. His puppet
Tedros at the World Health Organization declared ‘Covid’ a
pandemic in March, 2020. The WHO had changed the definition of a
‘pandemic’ in 2009 just a month before declaring the ‘swine flu
pandemic’ which would not have been so under the previous
definition. The same applies to ‘Covid’. The definition had
included… ‘an infection by an infectious agent, occurring
simultaneously in different countries, with a significant mortality
rate relative to the proportion of the population infected’. The new
definition removed the need for ‘significant mortality’. The
‘pandemic’ has been fraudulent even down to the definition, but
Gates demanded economy-destroying lockdowns, school closures,
social distancing, mandatory masks, a ‘vaccination’ for every man,
woman and child on the planet and severe consequences and
restrictions for those that refused. Who gave him this power? The

Cult did which he serves like a lile boy in short trousers doing
what his daddy tells him. He and his psychopathic missus even
smiled when they said that much worse was to come (what they
knew was planned to come). Gates responded in the maer-of-fact
way of all psychopaths to a question about the effect on the world
economy of what he was doing:
Well, it won’t go to zero but it will shrink. Global GDP is probably going to take the biggest
hit. But you don’t have a choice. People act as if you have a choice. People don’t feel like
going to the stadium when they might get infected … People are deeply affected by seeing
these stats, by knowing they could be part of the transmission chain, old people, their parents
and grandparents, could be affected by this, and so you don’t get to say ignore what is going
on here.
There will be the ability to open up, particularly in rich countries, if things are done well over
the next few months, but for the world at large normalcy only returns when we have largely
vaccinated the entire population.
The man has no compassion or empathy. How could he when he’s
a psychopath like all Cult players? My own view is that even beyond
that he is very seriously mentally ill. Look in his eyes and you can
see this along with his crazy flailing arms. You don’t do what he has
done to the world population since the start of 2020 unless you are
mentally ill and at the most extreme end of psychopathic. You
especially don’t do it when to you know, as we shall see, that cases
and deaths from ‘Covid’ are fakery and a product of monumental
figure massaging. ‘These stats’ that Gates referred to are based on a
‘test’ that’s not testing for the ‘virus’ as he has known all along. He
made his fortune with big Cult support as an infamously ruthless
soware salesman and now buys global control of ‘health’ (death)
policy without the population he affects having any say. It’s a
breathtaking outrage. Gates talked about people being deeply
affected by fear of ‘Covid’ when that was because of him and his
global network lying to them minute-by-minute supported by a
lying media that he seriously influences and funds to the tune of
hundreds of millions. He’s handed big sums to media operations
including the BBC, NBC, Al Jazeera, Univision, PBS NewsHour,

ProPublica, National Journal, The Guardian, The Financial Times, The
Atlantic, Texas Tribune, USA Today publisher Ganne, Washington
Monthly, Le Monde, Center for Investigative Reporting, Pulitzer
Center on Crisis Reporting, National Press Foundation, International
Center for Journalists, Solutions Journalism Network, the Poynter
Institute for Media Studies, and many more. Gates is everywhere in
the ‘Covid’ hoax and the man must go to prison – or a mental facility
– for the rest of his life and his money distributed to those he has
taken such enormous psychopathic pleasure in crushing.
The Muscle
The Hunger Games global structure demands a police-military state
– a fusion of the two into one force – which viciously imposes the
will of the Cult on the population and protects the Cult from public
rebellion. In that regard, too, the ‘Covid’ hoax just keeps on giving.
Oen unlawful, ridiculous and contradictory ‘Covid’ rules and
regulations have been policed across the world by moronic
automatons and psychopaths made faceless by face-nappy masks
and acting like the Nazi SS and fascist blackshirts and brownshirts of
Hitler and Mussolini. The smallest departure from the rules decreed
by the psychos in government and their clueless gofers were jumped
upon by the face-nappy fascists. Brutality against public protestors
soon became commonplace even on girls, women and old people as
the brave men with the batons – the Face-Nappies as I call them –
broke up peaceful protests and handed out fines like confei to
people who couldn’t earn a living let alone pay hundreds of pounds
for what was once an accepted human right. Robot Face-Nappies of
Noingham police in the English East Midlands fined one group
£11,000 for aending a child’s birthday party. For decades I charted
the transformation of law enforcement as genuine, decent officers
were replaced with psychopaths and the brain dead who would
happily and brutally do whatever their masters told them. Now they
were let loose on the public and I would emphasise the point that
none of this just happened. The step-by-step change in the dynamic
between police and public was orchestrated from the shadows by

those who knew where this was all going and the same with the
perceptual reframing of those in all levels of authority and official
administration through ‘training courses’ by organisations such as
Common Purpose which was created in the late 1980s and given a
massive boost in Blair era Britain until it became a global
phenomenon. Supposed public ‘servants’ began to view the
population as the enemy and the same was true of the police. This
was the start of the explosion of behaviour manipulation
organisations and networks preparing for the all-war on the human
psyche unleashed with the dawn of 2020. I will go into more detail
about this later in the book because it is a core part of what is
happening.
Police desecrated beauty spots to deter people gathering and
arrested women for walking in the countryside alone ‘too far’ from
their homes. We had arrogant, clueless sergeants in the Isle of Wight
police where I live posting on Facebook what they insisted the
population must do or else. A schoolmaster sergeant called Radford
looked young enough for me to ask if his mother knew he was out,
but he was posting what he expected people to do while a Sergeant
Wilkinson boasted about fining lads for meeting in a McDonald’s car
park where they went to get a lockdown takeaway. Wilkinson added
that he had even cancelled their order. What a pair of prats these
people are and yet they have increasingly become the norm among
Jackboot Johnson’s Yellowshirts once known as the British police.
This was the theme all over the world with police savagery common
during lockdown protests in the United States, the Netherlands, and
the fascist state of Victoria in Australia under its tyrannical and
again moronic premier Daniel Andrews. Amazing how tyrannical
and moronic tend to work as a team and the same combination
could be seen across America as arrogant, narcissistic Woke
governors and mayors such as Gavin Newsom (California), Andrew
Cuomo (New York), Gretchen Whitmer (Michigan), Lori Lightfoot
(Chicago) and Eric Garcei (Los Angeles) did their Nazi and Stalin
impressions with the full support of the compliant brutality of their
enforcers in uniform as they arrested small business owners defying

fascist shutdown orders and took them to jail in ankle shackles and
handcuffs. This happened to bistro owner Marlena Pavlos-Hackney
in Gretchen Whitmer’s fascist state of Michigan when police arrived
to enforce an order by a state-owned judge for ‘puing the
community at risk’ at a time when other states like Texas were
dropping restrictions and migrants were pouring across the
southern border without any ‘Covid’ questions at all. I’m sure there
are many officers appalled by what they are ordered to do, but not
nearly enough of them. If they were truly appalled they would not
do it. As the months passed every opportunity was taken to have the
military involved to make their presence on the streets ever more
familiar and ‘normal’ for the longer-term goal of police-military
fusion.
Another crucial element to the Hunger Games enforcement
network has been encouraging the public to report neighbours and
others for ‘breaking the lockdown rules’. The group faced with
£11,000 in fines at the child’s birthday party would have been
dobbed-in by a neighbour with a brain the size of a pea. The
technique was most famously employed by the Stasi secret police in
communist East Germany who had public informants placed
throughout the population. A police chief in the UK says his force
doesn’t need to carry out ‘Covid’ patrols when they are flooded with
so many calls from the public reporting other people for visiting the
beach. Dorset police chief James Vaughan said people were so
enthusiastic about snitching on their fellow humans they were now
operating as an auxiliary arm of the police: ‘We are still geing
around 400 reports a week from the public, so we will respond to
reports …We won’t need to be doing hotspot patrols because people
are very quick to pick the phone up and tell us.’ Vaughan didn’t say
that this is a pillar of all tyrannies of whatever complexion and the
means to hugely extend the reach of enforcement while spreading
distrust among the people and making them wary of doing anything
that might get them reported. Those narcissistic Isle of Wight
sergeants Radford and Wilkinson never fail to add a link to their
Facebook posts where the public can inform on their fellow slaves.

Neither would be self-aware enough to realise they were imitating
the Stasi which they might well never have heard of. Government
psychologists that I will expose later laid out a policy to turn
communities against each other in the same way.
A coincidence? Yep, and I can knit fog
I knew from the start of the alleged pandemic that this was a Cult
operation. It presented limitless potential to rapidly advance the Cult
agenda and exploit manipulated fear to demand that every man,
woman and child on the planet was ‘vaccinated’ in a process never
used on humans before which infuses self-replicating synthetic
material into human cells. Remember the plan to transform the
human body from a biological to a synthetic biological state. I’ll deal
with the ‘vaccine’ (that’s not actually a vaccine) when I focus on the
genetic agenda. Enough to say here that mass global ‘vaccination’
justified by this ‘new virus’ set alarms ringing aer 30 years of
tracking these people and their methods. The ‘Covid’ hoax officially
beginning in China was also a big red flag for reasons I will be
explaining. The agenda potential was so enormous that I could
dismiss any idea that the ‘virus’ appeared naturally. Major
happenings with major agenda implications never occur without
Cult involvement in making them happen. My questions were
twofold in early 2020 as the media began its campaign to induce
global fear and hysteria: Was this alleged infectious agent released
on purpose by the Cult or did it even exist at all? I then did what I
always do in these situations. I sat, observed and waited to see
where the evidence and information would take me. By March and
early April synchronicity was strongly – and ever more so since then
– pointing me in the direction of there is no ‘virus’. I went public on
that with derision even from swathes of the alternative media that
voiced a scenario that the Chinese government released the ‘virus’ in
league with Deep State elements in the United States from a toplevel bio-lab in Wuhan where the ‘virus’ is said to have first
appeared. I looked at that possibility, but I didn’t buy it for several
reasons. Deaths from the ‘virus’ did not in any way match what they

would have been with a ‘deadly bioweapon’ and it is much more
effective if you sell the illusion of an infectious agent rather than
having a real one unless you can control through injection who has it
and who doesn’t. Otherwise you lose control of events. A made-up
‘virus’ gives you a blank sheet of paper on which you can make it do
whatever you like and have any symptoms or mutant ‘variants’ you
choose to add while a real infectious agent would limit you to what
it actually does. A phantom disease allows you to have endless
ludicrous ‘studies’ on the ‘Covid’ dollar to widen the perceived
impact by inventing ever more ‘at risk’ groups including one study
which said those who walk slowly may be almost four times more
likely to die from the ‘virus’. People are in psychiatric wards for less.
A real ‘deadly bioweapon’ can take out people in the hierarchy
that are not part of the Cult, but essential to its operation. Obviously
they don’t want that. Releasing a real disease means you
immediately lose control of it. Releasing an illusory one means you
don’t. Again it’s vital that people are extra careful when dealing with
what they want to hear. A bioweapon unleashed from a Chinese
laboratory in collusion with the American Deep State may fit a
conspiracy narrative, but is it true? Would it not be far more effective
to use the excuse of a ‘virus’ to justify the real bioweapon – the
‘vaccine’? That way your disease agent does not have to be
transmied and arrives directly through a syringe. I saw a French
virologist Luc Montagnier quoted in the alternative media as saying
he had discovered that the alleged ‘new’ severe acute respiratory
syndrome coronavirus , or SARS-CoV-2, was made artificially and
included elements of the human immunodeficiency ‘virus’ (HIV)
and a parasite that causes malaria. SARS-CoV-2 is alleged to trigger
an alleged illness called Covid-19. I remembered Montagnier’s name
from my research years before into claims that an HIV ‘retrovirus’
causes AIDs – claims that were demolished by Berkeley virologist
Peter Duesberg who showed that no one had ever proved that HIV
causes acquired immunodeficiency syndrome or AIDS. Claims that
become accepted as fact, publicly and medically, with no proof
whatsoever are an ever-recurring story that profoundly applies to
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