Skip to main content

"So , if I fall sick you're going to send me to a government set-up? "The physician asked . #COVID #coronaera

Heylo people!

What's on? This lockdown I have decided to make my self more aware of the things I was ignorant about... The areas of Geriatric and pediatrics... I know you guys are honing your culinary skills , but my mind just refuses to go to kitchen. Lets end the banter here.
Today's scenario

We had an elderly female 80 odd years who presented with respiratory symptoms, I was the doctor attending her. She was by protocol isolated , given basic care. My team that comprised of nurse , doctor , housekeeping all wore Personal protective equipment. 
The lady was old follow up case of the hospital for decades now. The family was very well off . Ready to do anything to keep her in good health , she was already bedridden. Her Xray Chest was suggestive of Pneumonia. The same day a rule (not on paper) was about to be passed. That all respiratory cases have to be diverted to the government setup. So the decisions with respect to the respiratory cases were taken by the hospital leadership for the day. They suggested that we divert the case.

Meanwhile, the leadership was discussing the plan of care. The treating physician walked in . He was ready to admit the patient in isolation ICU . There was resistance from leadership. 

He pointed out something that struck by , " You're sending  old patients away. What if I become a patient and have COVID . You'll send me to government setup? " There was a lot more he spoke about, chopping it  off because of obvious concerns.

Post this , I have a bunch of questions and realisations going on in my head.

1. You die the way you're destined to , whatever be your socioeconomic status.

2. Does the fear of being treated at a government setup create fear among the wealthy ?

3. Is it the major cause of under-reporting ?

4. Is it the cause that some of the physicians have just shut down their Out patient clinics?

5. Is good care and comfort as important as the definite treatment? 

6. What's your take on private hospitals treating COVID 19 in their setups? 

What are your thoughts? comment below...

So far so much...
Labels:

Comments

Post a Comment

Popular posts from this blog

Experience Based Co Design : BCT Series XXIX

  "Experience-Based Co-Design" we have all witnessed its essence unknowingly . My family home is the example I can reflect on .Growing up I didn't like how my house was designed. We (the whole extended family) wanted my dad to sell the house . Dad let his architect friend design our house and would not sell his house (for obvious reasons!). Mum had to balance out the situation so she decided to make small changes. So, it was one change idea each year .She would talk to us individually and listen to our perspective and review her sphere of influence and the impact /utility the idea had.For my siblings the colors were not welcoming while I pointed the flooring. Mum wanted the stairs to be personalised. My grandparents wanted certain conveniences around the toilets. It took her about 4-5 years to make the house a home that was acceptable . From color preferences to spatial arrangements, each family member contributed insights. The lovely thing about it was , the keystakehold...
6 comments
Read more

Parallel Universe : BCT Series XXX

  Two moments in the ED this week made me realize that I come from a parallel universe. One involved a teenage patient who had applied bronzer that I found while cleaning her skin for a IV cannula which left me surprised as I come from a part of the world where teenagers paint their skin with whitening agents to look more attractive. The second moment was during my teaching session on Organophosphorous poisoning, where I wondered if my accent was causing disengagement . However, I learned that it was simply a rare presentation of organophosphorous poisoning in this part of the world. It felt like I was narrating my adventures from a tropical trek! Have you ever had a moment where your cultural background clashed with your environment ?
Post a Comment
Read more

First Night Shift Leading: Canvas Chaos to Calm Chap: BCT Series XXV

Hello All Ever had one of those nights where everything that could go wrong seems to do just that? Let me take you on a rollercoaster of candid chaos and unexpected brilliance, as I navigated my first night leading a shift in an unfamiliar center. Picture this: Stress levels through the roof, feeling like a fish out of water, and apologizing more times than I can count. My team's glances were a mix of skepticism and judgment, and I questioned every decision I made. Forgetfulness, clumsy mistakes, and endless apologies became the soundtrack of the night, and I found myself stumbling into the wee hours, going home much later than planned. The turning point came when I spilled my chaotic night to the senior who took over from me. His two cents were a revelation – insights, strategies, and a perspective that turned my canvas of confusion into a potential masterpiece. The consultant, in a one-on-one, shared even more wisdom on navigating the intricacies of a shift leader role. Feedback,...
Post a Comment
Read more