COVID pandemic has taught us many classes. A few of them are bitter, however nonetheless, all invaluable. When the pandemic set in and the lockdown was introduced in March 2020, we did not have any concept what’s developing. As the times handed and lockdown saved on getting extended, we began to get some understanding of the scenario. The information of sickness, together with deaths worldwide, made us really feel lucky, to outlive from the wrath of this new downside however on the similar time would ship chills down the backbone considering what may occur if the illness manifested in its full potential.
Everyone knows in regards to the rising sense of consumer-centric perspective, with the medical apply being described as a service and the medical doctors being ever extra conscious of the medical legal guidelines and ethics, largely together with the artwork of ‘protected apply’. A session on phone or video name wouldn’t be thought-about adequate. Additionally, there can be questions concerning the medico-legal implications of such seek the advice of. Each the edges – the physician and the sufferers would take into account them as incomplete and inefficient. Nevertheless, throughout this pandemic, the general paradigm of doctor-patient session has modified. The medical doctors have realized that it’s not essential to all the time name the affected person in OPD, particularly for follow-up. Many of the related findings might be elicited by correctly fashioned inquiries to sufferers and by seeing them in movies or photographs. This additionally helps medical doctors serve extra sufferers on the similar time. From a affected person’s perspective, they don’t have to depart their residence for a seek the advice of. Generally follow-up sufferers, like most cancers, neurology, or cardiology sufferers dwell in different cities and their travelling might be lowered or prevented with the tele-consultation.
Secondly, there’s a rising apply of guiding medical doctors at a distant centre, the place sufferers are admitted, infrastructure could also be there however experience is missing. This apply of tele-ICU is an thrilling prospect, particularly for a rustic like India.
One other vital change is the evolution of group apply. This implies as a substitute of each physician of the identical specialty getting into (after carrying the PPE), just one physician would see all of the sufferers on behalf of different colleagues and guarantee lowering general publicity and likewise rationalize the bills of the PPE whereas sustaining continuity of care. This apply has elevated belief amongst colleagues and surprisingly, sufferers have accepted this quite nicely.
In pre-COVID occasions, we’d clarify the affected person’s situation and plan of remedy in particular person. These days, we replace the household on telephone. We do a video name to indicate the affected person and typically the opposite paraphernalia to provide them extra readability in regards to the affected person’s situation. We’ve grow to be extra tolerant of sufferers having cellphones within the ICU, as we’ve got realized that’s the solely manner for them to be in contact with their households.
Although the physician’s neighborhood was not very snug with these modifications at first, with one and half years we’re coming in time period with these new regular. We’re additionally constantly fine-tuning and enhancing the method. We’ve bought general, a great response from sufferers and households. I undoubtedly suppose this transformation in doctor-patient relation goes to be there for a very long time, even after the pandemic is gone.
The preparedness for the third wave is at a number of ranges. To begin with, our mindset is about to combat this tooth and nail. We started with uncertainty and apprehension however the medical fraternity has grown in energy and can. Most of us have had shut encounters with this illness and plenty of have suffered private losses. However this solely has made us stronger. We are actually extra ready with extra experience, and likewise extra knit as a household.
Daily increasingly more individuals get their vaccine pictures. This additionally provides a glimmer of hope a few good time to come back. We’ve to just accept the scenario as it’s and discover out methods to dwell with it, quite than win over this.
Dr. Varun Deshmukh, Advisor Important Care, Chief Intensivist, Jaslok Hospital and Analysis Centre
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