1 Private hospitals all prepared to help out in pandemics since EARLY 2020, to take over non-covid patients as CSR corporate social responsibility program
Thus,there is NO need for darurat in 2021 to nationalize private hospitals
2 Rumors: Reason to open up private hosps for covid19 patients was enable VVIPs (read: Ministers) & supertycoons who not keen to be admitted to public hosp or quarantine centre ie MAEPS
Not all GHs are filled up fully by covid patients
Many GHs just turned hybrid lately
3 To fight pandemics,TWO keys strategy is
IDENTIFY &
CENTRALIZED ISOLATION
Thus,having a few patients spread all over all private hosps are DISPERSION, resulting in a few times increased usage(wastage) of PPEs and manpowers plus increased risk of outbreaks
4 Not all people died of covid, there are many urgent diseases such as heart attacks,stroke,cancer,etc
Hence, best solution is
All GHs = covid hosp
All private hosps = noncovid hosp
5 Docs familiar with covid (physicians,ID specialists,intensivists) from private hosp helps out in GHs while
Other docs fr GHs treat noncovid pts in private hosp which provides boarding,facilities,nursing probono
Resources pooled&shared between all hosps
Essentials meds at GHs
6 This also can reduce public fear of going to hospitals
"Dont go hospital if not necessary" not only deter visitors to hosp,it also deter those with severe symptoms but delayed their visit to hosp dt fear of contracting covid
Higher morbidity in noncovid patients for sure!
7 IDENTIFY:RAMP UP testing& contact tracing is ESSENTIALS
Thats was how Korea&China were successful in containing infection
Rope in civil servants from other gov depts for manpower
Nationalize private labs to increase testing capabilities
Consider pool testing
8 Private docs are self sustained contractors & if contracted the virus will be out of income for at least 2 weeks&max few months dt covidiscrimination by patients
While GHs docs can take MCs & income continues as usual
Then, why obstetricians are more inclined to do Caesarean Sections rather than conduct Normal Deliveries or some docs totally stop seeing pregnant patients?
1 Unpredictable hours of childbirth
Preggies can go into labor at anytime and deliver at anytime, even at 2-3am at night as compared to elective preplanned CSection
And when in labor,docs need to hang around in the hosp or extremely nearby (locked up personal time)
2 Ultrasound,antenatal test & in labor CTG cardiotocogram are NOT reliable in determining baby's health
Hence,moms who refused genetic check may end up hvg genetically handicapped baby but blamed it on birth process
In court,lawyer will ask "Why CSection wasn't done earlier?"
After Trump stepped down, Bernie is the famous one!
Meme is no joke!
Bernie's reaction?
“I was just sitting there trying to keep warm, trying to pay attention to what was going on.”
“What was really nice is the woman who made the mittens lives in Essex Junction, Vermont, she is a schoolteacher and a very, very nice person." #Berniememes
But first, morning walk with my usual morning symphony
The huge shady old big trees along the road was massacred yesterday
The fresh sawing wounds were clearly seen
This road is secluded and only used by less than 10 residents of houses here
Took a many years to grow a tree
One day to chop it down
Penang City Council, why?
Blinking back:
Today's @blinkist Blink's about Trevor Noah's "Born A Crime"
He maybe a straightfaced famous standup comedian to you but his childhood and life is an amazing tale of a survivor of an apartheid regime as a mixed child