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       #Post#: 4593--------------------------------------------------
       PUBLIC STUDY Whether Dr. Edmisten and Hospital Staff will MASK o
       r not & Treat Immunocompromised Patients Differently 
       By: Masked Man Date: December 16, 2025, 8:29 pm
       ---------------------------------------------------------
       Meet Tim Edmisten, MD - Watauga Surgical Group
       UNC Health Appalachian...
       SUMMARY:
       "I am inquiring whether Dr. Edmisten and hospital staff treat
       immunocompromised patients differently than regular patients?
       If Dr. Edmisten and hospital staff treat immunocompromised
       patients differently than regular patients, then what extra
       precautions are to be expected? Would strict masking be required
       amongst hospital workers and all those  who might approach the
       patient in the care of Dr. Edmisten?
       The reason I ask is most surgeries are considered invasive and
       the surgeries themselves inherently put a patient at risk
       especially an elderly loved one therefore  compromising the
       immunity of the patient.  Furthermore with today's rising
       concern about the long term repercussions of viruses especially
       relatively novel viruses such as long covid, what practices are
       taken by Dr Edmisten and his team and the hospital  to ensure
       complete success and recovery of patients who receive surgery?
       Thank you,
       Richard Easley"
       LINK:
  HTML https://www.youtube.com/watch?v=RarN9X_sX-A
       COMMENT: Masked Woman the love of Masked Man's life,  is about
       to put her life into the hands of Tim Edmisten, MD and Watauga
       County Hospital. Masked Woman is to have her gall bladder
       removed and she is 77 years old. Follow along and let's see Dr
       Edmisten address Masked Man's concerns publicly on Dr.
       Edmisten's youTube channel!
       #Post#: 4594--------------------------------------------------
       Re: PUBLIC STUDY Whether Dr. Edmisten and Hospital Staff Treat I
       mmunocompromised Patients Differently Than Regular Patie
       By: Masked Man Date: December 17, 2025, 12:09 am
       ---------------------------------------------------------
       While we await to see what replies may come from Tim Edmisten,
       MD - Watauga Surgical Group
       UNC Health Appalachian...
       ...Let's research this ourselves...
       To be real, I'm trying to figure out do doctors, surgeons and
       nurses and the hospital area follow their Hippocratic oaths more
       for the immunocompromised patients rather than the regular
       patients? Do immunocompromised patients get better care and
       treatment than the regular patients who aren't
       immunocompromised?.
       I'm wondering if you take a gall bladder out of 77 year old if
       that would cause  the immunity system to fight during the
       surgery itself!?
       According AI overview..." Yes, surgery, including gallbladder
       removal (cholecystectomy), temporarily suppresses a patient's
       immune system due to stress, inflammation, and anesthesia,
       making them more vulnerable to infection, but minimally invasive
       (laparoscopic) methods cause less immune disruption than
       traditional open surgery, with better outcomes for
       immunocompromised patients overall."
       ...Masked Man notes the aforementioned paragraph above states
       that the surgery itself creates a state of immunocompromisation.
       Therefore Masked Man reasons people having surgery should be
       considered immunocompromised and treated as such at hospital by
       all those that approach the patient!
       Yet more scientific explanation that says surgery itself
       produces a state of Immunocompromisation for the patient which
       supports my reasoning that people who are in surgery should be
       classified as immunocompromised patients....
       "AI Overview
       Yes,
       surgical stress, inflammation, and anesthesia during a
       cholecystectomy cause temporary, short-term immunosuppression,
       making a patient more vulnerable to infection in the immediate
       postoperative period. This effect is significantly less
       pronounced with laparoscopic surgery compared to open surgery.
       Mechanism of Immune Suppression
       The surgical procedure triggers a stress response that activates
       the neuroendocrine system (HPA axis and sympathetic nervous
       system), leading to the release of hormones like cortisol and
       inflammatory mediators (e.g., IL-6, TNF-α). These mediators
       cause several temporary changes in immune function:
       Decreased Immune Cell Activity: The function and number of
       critical immune cells, such as Natural Killer (NK) cells and
       T-lymphocytes, are temporarily suppressed or reduced.
       Inflammatory Imbalance: There is an initial pro-inflammatory
       phase followed by a compensatory anti-inflammatory state, which
       disrupts immune homeostasis and increases susceptibility to
       infection.
       Anesthetic Effects: General anesthetic agents and opioids
       used for pain management can also directly contribute to immune
       modulation and suppression of immune parameters.
       Laparoscopic vs. Open Surgery
       The extent of immune suppression depends heavily on the surgical
       technique used:
       Open Cholecystectomy: Involves a larger incision and more
       tissue trauma, leading to a significantly higher inflammatory
       response, more pronounced immune suppression, and a greater risk
       of wound and respiratory tract infections.
       Laparoscopic Cholecystectomy: Is a minimally invasive
       procedure associated with less surgical trauma, a reduced stress
       response, minimal immune suppression, and a lower rate of
       postoperative complications.
       Recovery
       In most cases, these immune parameters return to normal,
       preoperative levels within a few days to two to three weeks
       after the operation. The temporary nature of this suppression is
       a key factor in standard postoperative care, which often
       includes prophylactic antibiotics to manage infection risk."
       ...So Masked Man reasons all doctors, nurses, staff, guests, and
       caretakers such as myself should be ordered and required to be
       fully masked and take all precautions for the patient undergoing
       surgery because the patient is classified as an
       immunocompromised patient due to the surgery itself...
       ...Accordingly we all have to mask and take precautions
       until the immune parameters return to normal, preoperative
       levels within a few days to two to three weeks after the
       operation. Sounds like I and everybody else need to mask around
       my loved one for at least a few days to three weeks during and
       after the operation. I don't have a problem with that or any
       issues like that.
       I can mask for the immunocompromised,
       The Masked Man
       P.S. My next goal is to get Masked Woman admitted, recognized
       and  classified as an immunocompromised patient prior to
       admittance to hospital for surgery in hopes the hospital and all
       persons involved who approach her and are in her quarters are
       more careful and more strict about masking and precautions with
       their viruses in front of immunocompromised patients and loved
       ones! The surgery itself will make Masked Woman temporary,
       officially, technically, and genuinely immunocompromised. I love
       her!
       .
       #Post#: 4629--------------------------------------------------
       Re: PUBLIC STUDY Whether Dr. Edmisten and Hospital Staff Treat I
       mmunocompromised Patients Differently Than Regular Patie
       By: Masked Man Date: December 23, 2025, 4:01 pm
       ---------------------------------------------------------
       excerpts from Masked Man's PUBLIC STUDY thus far ....
       Here some of my questions with a link to another site called
       "Dr. Tim Edmisten discusses the advancements in Thoracic
       Surgery" link to site below  the study questions:
       STUDY Questions:
       @RichardEasley-m5t
       5 hours ago (edited)
       We were wondering if Tim Edmisten masks and will he mask for us
       and have staff and those who have contact with the patient
       during gall bladder surgery mask around the patient.?  I wear a
       mask to prevent airborne illness and airborne disease. Today at
       Appalachian regional healthcare/Watauga Medical center's nurse
       or rather technition that did the  ultra sound led us to
       ultrasound room. My little trick of saying  "We prefer you mask
       for us if that is possible"  in the nicest tone of voice I could
       use did the trick and she masked for us. That was a relief
       because she was in close contact with my loved one who masks to
       prevent airborne illness and airborne disease...
       ..I want everybody to wear a mask when she's on the operating
       table. She's all I got. I love her. Wondering if the surgeon and
       those around her are going to wear a mask is killing me man!
       Like I said what if the surgeon and/or staff comes home sick
       after their Christmas vacations and then exposes my loved one to
       airborne illness while working around her?
       @RichardEasley-m5t
       4 days ago (edited)
       My question To Dr Tim Edmisten is does a patient who receives
       surgery
       such as gall bladder surgery be entitled to all the things an
       immunocompromised person is entitled to because of the
       Hippocratic
       oath that in particular states "I will prevent disease whenever
       I can,
       for prevention is preferable to cure".? Will Preventions and
       Precautions
       such as masking be required of
       all surgeons, doctors, nurses, staff at Watauga
       Medical Center,  guests, and caretakers such as myself around
       the patient
       who is receiving  Gall Bladder surgery?
       Surgery, including gallbladder removal (cholecystectomy),
       temporarily
       suppresses a patient's immune system due to stress,
       inflammation, and
       anesthesia, making them more vulnerable to infection, Therefore
       am I
       correct in assuming all surgeons, doctors, nurses, staff at
       Watauga
       County Hospital guests, and caretakers such as myself be ordered
       and
       required to be fully masked and take all precautions for a
       patient
       before, during, and a period after undergoing surgery because
       the
       patient would therefore classified as an immunocompromised
       patient due
       to the surgery itself?
       Will the following policy at the Watauga Medical Center apply to
       those
       receiving Gall bladder surgery also be taken by Dr Tim Edmisten
       and
       should the following policy be required  of me the patient's
       caretaker ?
       "UNC Health Appalachian, which includes Watauga Medical Center
       and
       Cannon Memorial Hospital , maintains specific policies to
       protect
       immunocompromised patients and visitors. Masking Requirements:
       While
       masks are generally "encouraged" for the public, they remain
       mandatory
       in units and clinics that serve specific high-risk populations,
       including immunocompromised patients. Visitor Restrictions:
       During
       periods of heightened respiratory virus spread (such as COVID-19
       or
       flu seasons), immunocompromised individuals are actively
       discouraged
       from visiting patients to minimize their risk of exposure.
       Specialized
       Care: For patients who are already immunocompromised, the system
       provides targeted services through the Seby B. Jones Regional
       Cancer
       Center . Historical adaptations for these patients have included
       "drive-thru" care for labs and follow-ups to bypass crowded
       waiting
       rooms. Infection Control: The system adheres to strict
       Healthcare-Associated Infection (HAI) prevention protocols,
       currently
       maintaining infection rates below the national average to ensure
       a
       safer environment for those with weakened immune systems.
       Patient
       Rights: Immunocompromised patients have the right to treatment
       that
       avoids "unnecessary discomfort" and to be fully informed about
       their
       condition and treatment options. For specific clinical concerns
       or to
       arrange accommodations before a visit, you can contact Watauga
       Medical
       Center or use the UNC Health Appalachian Patient & Visitor Guide
       for
       further resources".
       I look forward to your reply.
       Caretaker of patient to receive Gall Bladder surgery,
       The Masked Man
       LINK:
  HTML https://www.youtube.com/watch?v=OMroAuI4s1c
       Yet more study questions at the "Meet Dr Tim Edmisten site"....
       @RichardEasley-m5t
       5 hours ago (edited)
       We were wondering if Tim Edmisten masks and will he mask for us
       and have staff and those who have contact with the patient
       during gall bladder surgery mask around the patient.?  I wear a
       mask to prevent airborne illness and airborne disease. Today at
       Appalachian regional healthcare/Watauga Medical center's nurse
       or rather technition that did the  ultra sound led us to
       ultrasound room. My little trick of saying  "We prefer you mask
       for us if that is possible"  in the nicest tone of voice I could
       use did the trick and she masked for us. That was a relief
       because she was in close contact with my loved one who masks to
       prevent airborne illness and airborne disease...
       ..I want everybody to wear a mask when she's on the operating
       table. She's all I got. I love her. Wondering if the surgeon and
       those around her are going to wear a mask is killing me man!
       Like I said what if the surgeon and/or staff comes home sick
       after their Christmas vacations and then exposes my loved one to
       airborne illness while working around her?
       @joshturner3084
       1 year ago
       Dr edmisten is the man! He made my surgery easy and talked to me
       and eased my nerves, we prayed together and made my time in the
       hospital easy.
       @catherineroberts8291
       1 year ago
       Dr Edmisten is a great guy. He is knowledgable with wisdom and a
       very skilled surgeon. He is very caring. areal doc just like you
       want. I know. He operated on me 04/24/24. God bless you and your
       family
       @richardeasley1303
       5 days ago
       Does surgery itself produces a state of Immunocompromisation for
       the patient which supports my reasoning that people who are in
       surgery should be classified as immunocompromised patients?
       Thank you ,
       Richard Easley
       @richardeasley1303
       6 days ago
       I am inquiring whether Dr. Edmisten and hospital staff treat
       immunocompromised patients differently than regular patients?
       If Dr. Edmisten and hospital staff treat immunocompromised
       patients differently than regular patients, then what extra
       precautions are to be expected? Would strict masking be required
       amongst hospital workers and all those  who might approach the
       patient in the care of Dr. Edmisten?
       The reason I ask is most surgeries are considered invasive and
       the surgeries themselves inherently put a patient at risk
       especially an elderly loved one therefore  compromising the
       immunity of the patient.  Furthermore with today's rising
       concern about the long term repercussions of viruses especially
       relatively novel viruses such as long covid,what practices are
       taken by Dr Edmisten and his team and the hospital  to ensure
       complete success and recovery of patients who receive surgery?
       Thank you,
       Richard Easley The Masked Man
       LINK:
  HTML https://www.youtube.com/watch?v=RarN9X_sX-A
       ...By the way, my loved who is about to receive surgery lost a
       cousin to covid who had surgery at a hospital in West Virginia..
       he contracted covid infection during his hospital stay and took
       covid home with him and died from complications of covid. Let’s
       learn from that and not have a repeat performance.. let’s take
       more precautions not less for the next patient.
       I'm so serious about this I wanna be in the same room in my mask
       making sure everybody is masked. I would just sit in the corner
       and observe I don't care what it smells like or what blood in
       gore is involved I just want everybody to be masked so I can
       sleep better at night knowing the patient is safer…at least let
       me sit by the door to ensure those who enter are masked!
       I have absolutely nothing to lose by asking meaningful questions
       in public as to if particular doctors and nurses mask around
       patients that are having gall bladder surgery and I have
       everything to lose by not asking and could regret it for the
       rest of my life if I never asked.
       .
       #Post#: 4633--------------------------------------------------
       Re: PUBLIC STUDY Whether Dr. Edmisten and Hospital Staff will MA
       SK or not & Treat Immunocompromised Patients Differently
       By: Masked Man Date: December 24, 2025, 10:22 pm
       ---------------------------------------------------------
       Observe common sense…
       Here’s what most people agree on:
       “How long to delay surgery after influenza?
       RECENT ILLNESS [bronchitis, covid-19, croup, flu, pneumonia, or
       RSV] •For patients diagnosed with bronchitis, covid-19, croup,
       flu, pneumonia, or RSV, elective procedures may be scheduled 4-7
       weeks after diagnosis and the patient must be symptom free for
       at least 4 weeks“
       Therefore Masked Man thinks a surgeon who is about remove a gall
       bladder shouldn’t perform surgery from a patient while she has
       influenza and should also make efforts to prevent influenza from
       occurring right before surgery ,obviously.
       Everyone agrees patient shouldn’t be exposed to illness by
       anyone be they family or friend doctor or nurse everybody agrees
       patient shouldn’t be exposed to illness before during or after
       their surgery if at all possible.
       Therefore Masked Man believes we should advise and instruct
       patients who are to have surgery to make efforts to avoid
       getting infected  by airborne illness and airborne disease right
       before, during and after surgery. Advice to patients would be
       avoid acquiring airborne illness and if you must go out in
       public wear N95 mask to prevent airborne illness such as
       influenza prior to surgery
       People who are in patient’s household pose a risk and should
       therefore wear N95 mask around patient
       Therefore people should be instructed to mask around patient
       prior to surgery to prevent airborne illness and airborne
       disease
       .. this is best for the patient and will ensure the most success
       for patient so they will be strong free of illness and recover
       well from surgery.
       … so everybody needs to mask around the patient prior to surgery
       , and also during and after surgery to reduce the possibility of
       the patient getting infected by airborne illness and airborne
       disease …
       .. all this seems intelligent, reasonable and responsible to me
       , the Masked Man. So how do I get this across to the medical
       profession.. how do I ensure everybody at the hospital will wear
       masks around my loved one the patient to ensure complete success
       for patients recovery from surgery?
       A doctor, nurse, caregiver, etc. incapable of wearing the mask
       which is a scientifically proven medical apparatus that
       significantly reduces the chances of infecting the patient with
       an airborne illness or airborne illness simply poses a risk to
       the patient.
       Exposing a patient to an airborne illness who is to receive
       surgery or is in surgery in reality could cause a great deal of
       harm to the patient and could inflict a great deal of suffering
       for the patient and even prove fatal for the patient.
       .
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