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India’s Covid-19 recovery now over 64%, 16 states have higher rates

The recovery rate of Covid-19 patients in India has been rising continuously and in the past week recoveries clocked more than 34,000, the health ministry said.

“There has been more than 34,000 recoveries a day in the past week. The recovery rate has shown positive trends. It was 7.85% in April and today it is 64.4%,” Rajesh Bhushan, secretary, ministry of health said at a briefing on Thursday.

Attending To Emergency Dental Procedures During COVID19 Outbreak

 Various dental associations around the world have asked dentists to suspend any dental procedures unless emergency in their dental clinics. Most dentists around the globe are therefore only carrying out emergency procedures which need to be carried out immediately. The precautions to be taken by any dentist (and member of staff present during the treatment procedure) who is treating a patient are as follows:

Place multiple advisories and     signs within and around the clinic to educate patients about hygiene     practices such as hand wash procedure, coughing or sneezing etiquette,     disposal of used tissues etc.

Always ask the patient about recent travel history outside or within the country. Include this in the patient records.

Watch out and question regarding the various symptoms of COVID19, however mild it may be and record this in the patient chart.

 Take a note of all vitals of the patient including body temperature and re-schedule the appointment if a COVID19 infection is suspected from the history, symptoms or clinical findings. Immediately inform the concerned governing authorities in case of a suspected patient.

Get detailed contact information of the person and record this in their charts.

Physical barriers such as a glass partition should be installed in the reception, waiting areas, doctor’s cabin etc.

Wear the appropriate PPE (Personal Protective Equipment) . This includes a surgical or N95 mask , eye protective goggles, face shield, disposable gown etc.

Use a rubber dam isolation wherever possible. This will reduce chances of exposure to infectious agents.

Always use a high speed evacuation to get rid of the aerosols produced during the treatment procedure.

Autoclave sterilize all your instruments and hand piece following a dental procedure.

Prior to commencing a treatment, make the patient rinse their oral cavity with 1.5% of hydrogen peroxide

Fumigate the clinic after the procedure when possible and thoroughly disinfect all surfaces in the clinic including the public waiting area, door knobs or handles, side tables, dental chair etc using a regular disinfectant.

Also remember that

Any patient with a suspected     COVID19 infection SHOULD NOT be treated for any dental emergency without     involving the patient’s treating doctor and informing the concerned     governing authorities. These patients will have to be treated in     controlled environments such as a COVID19 treating hospital which has the     necessary resources and precautions in place.

Any staff or doctor showing     mild  to severe symptoms of the infection SHOULD NOT report to work     and should seek medical assistance.

Immediate, safe disposal of any     used PPEs, tissues, patient drapes, patient blood, saliva, extracted tooth     etc using clinical waste disposal protocols.

Strict hand wash and hand     hygiene protocols before and after treatment.

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New Post has been published on https://www.chiangraitimes.com/doctors-nurses-at-state-hospitals-in-thailand-chronically-overworked.html

Doctors, Nurses at State Hospitals in Thailand Chronically Overworked

BANGKOK – Doctors and nurses at state hospitals in Thailand are chronically overworked, according to the Department of Medical Services, which is tabulating the results of a survey that found about 60 per cent of doctors work more than 80 hours per week and 90 per cent had to take shifts even when ill.

Evaluation of the poll results would be completed this week, said department chief Dr Somsak Akkasilp, and solutions proposed next week to Public Health Minister Dr Piyasakol Sakolsatayadorn and the ministry’s permanent secretary, Dr Sukhum Kanchanapimai.

Somsak said a team led by Medical Law Office deputy director Dr Methee Wongsirisuwan was assigned late last year to assess the workloads of doctors, nurses, pharmacists, medical technologists and radiology technicians, who all work night shifts.

The goal was to gather information on which solutions could be based.

Somsak said solutions would first be implemented to benefit the more than 10,000 medical personnel at 31 hospitals under the ministry. They account for 70 per cent of 18,000 staff overseen by the department.

Initial findings indicate that about 60 per cent of the 1,000 doctors polled work more than 80 hours a week – double the Medical Council’s recommended limit of 40 hours. Somsak said all factors |contributing to the discrepancy would be studied and solutions sought.

More than 50 per cent of doctors were examining more than 100 outpatients a day on top of their hospitalized patients.

Working even when Sick

Dr Methee wrote on Facebook page that the poll uncovered 30 per cent of physicians working more than 100 hours a week.

Another 15 per cent said they |had worked shifts every day of the week and 90 per cent reported taking shifts even when they felt ill because there was no one to replace them or they felt “compelled” to |do so.

Seventy per cent of the doctors had worked shifts even when a parent, spouse or child was ailing, leaving them unable to care for their own family members, Methee wrote.

More than 50 per cent of doctors were examining more than 100 outpatients a day on top of their hospitalised patients.

Recently revised standards for medical exams require a doctor to spend at least 10 minutes tending to new patients and at least five minutes with repeat patients.

More than 55 per cent of the doctors surveyed claimed to be treating nearly 70 emergency cases per day, Methee said.

Ninety per cent said mistakes were possible in treatment because of their work overload and sleep deprivation.

Park Yong In, Kwon Soon Il – No Way (Doctors OST Part 1) | English Lyrics, Romanization

Park Yong In, Kwon Soon Il – No Way (Doctors OST Part 1) | English Lyrics, Romanization (more…)

You might want to read on though because my God is very interesting, and can be entertaining. He can also leave me alone to flounder, sometimes … like this summer.

Or maybe, if truth be told, he didn’t leave me alone.

I left Him. Not let, left, but put other things before Him.

This is the door to me. The one that believes, yet questions … not so much God, but the mankind he created. Good Helena, I am not so sure the word “kind” necessarily goes with the word, “man.”

Nevertheless, what brought me to spill the tea leaves is that today, I am finally feeling like I am not in phlegm or muscle pain brain.

And, I had my Pandora on while cooking around with taking a few photos, and there it was, “Nearer My God to Thee,” Which took me first to the Titanic, and then to God.

I picture those musicians standing on the deck of the Titanic, playing their instruments, as the ship slipped inch by inch, into the frigid waters of the iceberg scattered water.

Can you imagine what went through their minds as they played and played, watching men and women wait for death, as they awaited their own death?

I wonder, would I have panicked? Would I have done what Gorge Constanza would have done … climb on women’s shoulders to save himself? Would I have bargained to God, like I have done so many times in my life? Would my life have flashed before my eyes? Would I have stayed with Nick and gone into the afterlife with Nick? Would I have looked at the good I had done in life or would I have focused on all that I have done wrong, which is plenty.

When whatever hit me this summer, a nasty virus in my leg muscles and then a cold, I didn’t pray to God. I just thought, oh crap.

This isn’t about the crud I had, but how I dealt with it. I withdrew a bit. Hunkered down. I watched TV. French, Italian, British … movies spoken in a different language, and subtitles.

Chipper moi wasn’t so chipper. Having the crud does that.

I always feel like writing, but even that desire was less than just trying to feel better.

It is as though sometimes my body attacks itself. I have a funky immune system. It started with mono in high school and has made itself known through different variations of things throughout the years.

But that isn’t the point, either. Everyone has their “things.”

How we deal with them? Ah … there is the rub.

And this time, I didn’t look at life through God’s eyes, or ask for His guidance to help me figure it out. I just turned into toad.

It was more difficult because of a couple of things. One is that we were in between doctors. The other is that because of our high-deductible insurance, I didn’t want to go even if we had a doctor.

I think my “fever” broke, so to speak, yesterday, after I spent a few minutes being hateful.

Yes, hateful.

One of my daughters caught me. She called and asked what we were doing. I laughed and said, “Being hateful.”

I don’t think I have ever said that.

But I was so angry at a doctor bill I got, and the last 6-months of dealing with the Unaffordable Care Act and the turmoil it is causing to our finances.

This bill was for $655.00. It was for a 15 minute appointment. Yes, there was an x-ray and a shot, but still.

I spit so many nails I am sure I could have attached drywall to a whole new house.

I didn’t turn to God and pray for strength or a windfall or anything. I vented my wrath.

The difference is, after venting my wrath, I still didn’t feel better. I actually felt like an ou of control asshat.

So, again, instead of praying for guidance, I did what everyone else does in such circumstances.

I cleaned my stove and over.

There is something in me that wants to keep our stove and over looking new. So that is where I worked out hostility … scrubbing.

The stove looked magnificent.

But I still felt yuck.

Anger doesn’t feel good.

This morning, I called the doctor’s office and told them that I thought the bill was really too much for the service that was rendered. I was very nice. Very rarely do I shoot a messenger.

My cold doesn’t have me in its grip today. The virus in my leg muscles is easing up, as I suspected it would do.

The world is still a cockamamie mess, and natural disasters are wreaking havoc on Italy. Mankind still gives me the vapors. But God is back in my life, after a brief time-out.

There are so many things in life we can’t change … one is history. No matter how many times we watch the movie, “Titanic,” it still sinks. I will still have my arguments with whatever powers that be. Some days I will see beyond my nose.

And some days, I won’t.

Susan