"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...

Comments

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