Thread by @piyushguptadr

Was it actually insensitivity? Three among these are approved by @UPGovt for non #COVIDー19 cases. This is more because of the scare of events that follow discovery of a +ve patient having crossed path in a pvt setup. Pvt sector should be encouraged, not scared in this crisis

Confusion described here visible in reaction of administration to discovery of a #COVIDー19 case in pvt hospital. The center may be sealed, all staff may be quarantined in a remote school without even water and clean toilets. Or there may be just sanitization. Confusion prevails

Unfortunately, @MoHFW_INDIA guidelines spread more as warning, less as help. I wish @PMOIndia ensures mathematical flow chart about SOP for pvt sector. Everyone should know the risk from his action, and how to manage it. Till then innocent lives might continue to be lost.

If somebody feels this was because of any greed from hospitals, let it be clear that the same hospitals have been treating and saving such patients 24x7 before #Covid
The family was relatively well off and knocked at all good pvt hospitals of the city before finally losing pt

This compartmentalization of standalone clinics is not implementable at most of the pvt clinics. One entry and two exits plus other requirements need a lot of space in addition to money. Those with money and space will not get labour and need 15-20 days at minimum.

These forms are alright for hospital OPDs and high turnover centres. Spacing of appointments can help reduce/eliminate need of some space. Written guidelines means scope of harassment and corruption, that also in this crisis hour.
There can't be any One size fits all policy

Can't the govt make local administration sit with doctors and help latter devising ways to ensure availability of health services with maintenance of physical distancing and other precautions instead of closure of healthcare system crippling medical services in medical emergency?

Fire tender is forgiven if accident happens while rushing to a disaster site. Couldn't the @MoHFW_INDIA have shown same leniency towards so called #CoronaWarriors
Ideally regulations should be relaxed in crisis.
If labour norms can be relaxed, why not construction norms of OPD

@drharshvardhan @AmitShahOffice @AmitShah may evaluate the change in all cause mortality in this period as compared to last year. It has surely gone up even after factoring in #COVID__19
Focus on #pandemic should be undiluted but other causes also need continuing attention

A doctor has to visit his patient minimum 3 times a day. Add to it the emergency calls. Are all these precautions possible 5-6 times a day? A doctor is also worried about his life and family. Why can't we just say 'Take care of yourself'

FIR against a hospital for any act of omission or commission is the worst thing in this #CoronaPandemic
They should be provided support to help govt infrastructure handle this crisis, not scared away.
It should not be made Govt Vs Public/Pvt war. We have to fight together

Ensuing rainy season can lead to some more infections spreading. #Covid obsession should not make healthcare sector and govt ignore them.
I suggest govt to remember that Covid is not the only disease that kills. Other deadly diseases also need to be addressed in parallel

Our #AYUSH practitioners have been totally excluded from contributing to war against Covid. Was the @moayush only to tell people about sipping #Kadha twice a day?
These doctors run OPD in interiors. Can provide better information on prevalence then any surveillance. Need to open

The #AYUSH doctors however don't have big enough clinics to meet the criteria laid out by govt. So doctors will stay home, police will battle epidemic. Strange logic.
Why can't they be allowed to work with help from govt to ensure safety and distance within limited means?

#Lockdown4 announces resumption of OPD services. However, the restrictions remain unclear. I feel Govt should have two sets of guidelines for aerosol generating and non generating OPDs. Medicine is a diverse speciality. One size may not fit all.
#IndiaFightsCorona

Physicians, ENT surgeons, Paediatricians, and Chest specialists see most of the high risk patients. Risk to them, their staff and fellow patient highest in their OPDs. At the same time surgical specialities are virtually aerosol generation free. @drharshvardhan @ICMRDELHI

Appointments can be spaced and need of waiting area can be reduced or even eliminated in many specialities. Pts coming after telephonic confirmation can be made mandatory. We have to find a way to start stalled healthcare services.
@ICMRDELHI
@MoHFW_INDIA
@CMOfficeUP

Big hospitals have one OPD block attending all patients. This will lead to crowding even after all precautions. Separate floor to each speciality having outdoor/indoor at same place needs very little modification and will reduce spread from OPD.
@drharshvardhan
@ICMRDELHI

The type of PPE required should also be according to specialty. A chest specialist's OPD where every second patient is coughing will require more protection for staff/doctor/patients than an orthopaedic surgeon's chamber.
@DrVikasPadha

Efforts of @MoHFW_INDIA @ICMRDELHI should be directed towards ensuring optimal utilization of existing healthcare infrastructure, esp outside big hospitals. Guidelines should be facilitating, not disabling. Doctors deserve to be seen as #CoronaWarriors not spreaders.

Our @PMOIndia @narendramodi takes opinion of all Chief ministers. This is to ensure integration of inputs from ground level. Similarly, @drharshvardhan can regularly take inputs from doctors including #AYUSH
Those docs who don't have IMA chairs should be included somehow

Can @NamoApp have special drive to take inputs from doctors working outside big hospitals. @moayush should ensure #AYUSH doctors are allowed to see patients ASAP. They will be better than any govt effort in picking up cases simply because of their OPDs being in interiors.

One major anomaly in current efforts towards fighting #COVID__19 is inability to push entire healthcare fraternity into action. All out efforts needed to save every life, Covid or Non Covid.
#ayush_being_ignored is not good.
@ICMRDELHI
@moayush