family physicians’ association, vadodara · dr pragnesh shah, mbbs, pgdcc (dip. cardiology)...
TRANSCRIPT
FPA Beats
Editor: Dr Pragnesh Shah
Clinical Cardiologist.
Issue: June 2020
Family Physicians’ Association, Vadodara
Dr Pragnesh Shah, MBBS, PGDCC (Dip. Cardiology)
Editor,
FPA Beats,
Family Physicians’ Association, Vadodara
Dear Friends,
“Local is Vocal”
“સ્વદેશી અપનાવો, દેશ બચાવો”
“આત્મનનર્ભર ર્ારત”
It is very much patriotic and pleasant to hear but what is the reality?
Triple layered masks during first lockdown were sold at the rate of 15-20
rupees which were earlier sold for 1 or 2 rupees and N95 masks were sold at
250 rupees instead of 30-40 rupees. People are making 500 - 1000% profits in
this CORONA era. We need to change this mind set.
Dear all, future of medical field will be around life style diseases and viral
diseases. Both can be easily beaten by fitness and immunity booster activities,
body and mind nutrition status, love, devotion, meditation and inner
happiness. So we need to revisit our original culture i.e YOGA, healthy food
habits, old school games, joint family culture etc.
व्यायामात् लभते स्वासं्थ्य दीर्ाायुषं्य बलं सुखं।
आरोगं्य परमं भागं्य स्वासं्थ्य सर्ाार्ासाधनम् ॥
( व्यायाम से स्वास्थ्य, लम्बी आयु, बल और सुख की प्राप्ति होती है। निरोगी होिा
परम भाग्य है और स्वास्थ्य से अन्य सभी कायय नसद्ध होते हैं ।)
Dear all, surely this time will also end soon but it is a great learning phase for
all of us. Let’s start investing in health. Cont...
I define health as below:
Have 7 to 8 hours of sleep.
Enjoy regular vacation with near & dear ones
Add daily 45 minutes of exercise in your routine.
Leave smoking, alcohol etc.
Take adequate water & nutritive food.
Hour of happiness daily (with friends, family, hobbies & your religion.)
Jay hind, Jay bharat.
Though of the month: “निरोगी होिा परम भाग्य है!”
Yours,
Dr Pragnesh Shah, MBBS, PGDCC (Dip. Cardiology)
Clinical cardiologist,
Vadodara, Gujarat.
Email : [email protected]
Contact : +91 9426336422
Presidential Address
Dr Ketan Shah
President,
Family Physicians’ Association, Vadodara
Friends,
As all of you know that the situation due to corona virus is getting
worse day by day and all of you agree that everyone has to follow
government guidelines and to improve our individual immunity is the
top priority for us now a day’s please do regular exercise and keep
yourself fit.
At professional level we have already informed you all about the
government's stand for our professional duty. They have given us a
figure of remuneration and urge our members to come forward and
give our services. But somehow no one from our association is ready
to serve because of panic situation arising due to covid pandemic.
Although we have asked government to give our doctors duty to
covid care centres only. We are planning to have meetings with
government and our respected senior members. We are not having
full proof method of protection but still the best we can use under the
circumstances. So we have started to give tailor made double layered
masks and then surgical masks plus face shield to our members. I
think that will be useful for extra protection of our members.
Dr. Pragnesh is trying hard to give our members updated guidelines.
Friends, take care and careful for the coming months.
Thanks.
Dr Ketan Shah
President,
FPA Vadodara
Secretary Address
Dr Rikul Shah
Hon. Secretary,
Family Physicians’ Association, Vadodara
Dear members,
As we all aware, we are facing COVID-19 pandemic nowadays.
More than 60 lakhs people infected worldwide and nearly 2 lakh
persons in India. As on today we have no definite treatment or
preventive vaccine for the same. So we have to follow all preventive
steps like social distancing, wearing protective mask, hand washing
and use of sanitising techniques.
We doctors are facing more challenges as we have to treat patients
with all risks. So, please follow preventive steps and wear
appropriate PPEs and do our social duties.
Take care of yourself, your family and society.
Dr Rikul Shah Hon. Secretary,
FPA Vadodara
Kindly note that views expressed in article are author’s views. FPA,
Vadodara does not endorse author’s views.
Let’s live with the corona virus. - My views.
Dr Jayesh M. Parikh, MBBS
Family Physician, Vadodara
Being a medical professional many of my patients have asked me a
common question – “how do we come back to our normal life, what
should we do?” This question seems to be very simple and till now
many of us know much about its answer; but still thought of putting
down my views for general awareness ------ hope that my effort will
be helpful to the community.
Not going into details, let us briefly understand the common mode of
transmission of this virus. Just a small thing to add – as this is a virus
it require a living cell to multiply itself and as it can survive on
surfaces for varied span of time, once thrown out of the body of the
infected person . Now here it is very important to understand that the
infected person means a person having the virus in his body… may
be a carrier, may be asymptomatic person or may be a
patient…..depends upon so many factors. Having understood this
basic fact --- let us now understand - how transmission occurs; as
when we know these we can take precautionary measures required to
prevent the entry of virus in our body.
Commonly there are three major routes of transmission:-
1. Droplets having the virus --- this occurs when some infected
person expels out droplets while any act which involves
expelling of saliva or respiratory secretions. Like talking,
singing, crying, coughing, sneezing, shouting….etc.
2. Contact transmission --- it occurs when a normal person comes
in direct contact with the body part or any surface infected with
the virus. Here it depends upon the varied time span depending
upon the material of the surface /body part and also the most
important fact that – a person gets infected only when his own
hands or the objects having virus ( may it be transmitted by the
contact) touches any of the area like eyes, nose or mouth.
3. Air borne transmission --- this occurs when we are in the close
proximity (less than 3 – 6 feet ) of the infected person and the
virus thrown out from an infected person, again via coughing,
sneezing, singing shouting can directly enter our respiratory
system along with the normal breathing process.
Having understood the ways of transmission, let’s try to understand
and frame the ways of prevention – what we call precautionary
measures --- it will be better to go point wise taking the points of
routes of transmission.
1. For droplets:-
a. Wearing a double or triple layered cloth mask will prevent the
transmission of virus expelled, beyond the mask.
b. Compulsorily wear mask yourself and make others around you
to wear mask ---- do not go near to a person who does not have
mask on face while in public.
c. The mask should fit tightly and should cover your nose, mouth
and should go and rest below your chin (so that any drooping
from the mouth or nose stays within the mask; and the touch
protected). Do check the tight fitting of the mask by blowing
the air after wearing the mask – the air flow should not be felt
on eyes or cheeks if it is properly fitted.
d. Have 3 pairs of washable masks ---- after using it keep aside
for 1 or 2 days (without touching) then wash with any
detergents and dry in sun heat. For additional protection one
can iron it before using.
e. Discard the mask immediately if it is loosely fitting or spoiled
by our mouth secretions.
f. Avoid touching the outer exposed surface of the mask ----
remove it by holding the strips or rubber string.
g. Avoid adjusting the mask; if at all required adjust or lower
down by side borders --- but strict no for touching outer
exposed surface.
h. For the protection of eyes must wear eye glasses and avoid
touching your eyes. If going in meetings or having table work
where people come to you then advisable to wear face shield
over and above mask and eye glasses.
2. For contact transmission :-
a. Wear a cap while going out.
b. Wear washable hand gloves to cover the entire exposed part of
your hands. Same as with masks have 2 to 3 pairs and follow as
written above for masks.
c. Avoid touching publically used surfaces as far as possible. If
need to touch, try touching with other body parts and not with
hands as far as possible. Like…. You can open the door with
foot, can press lift buttons by your elbow…. The basis is to
prevent hands from getting virus transmission as we touch our
face by hands. Virus transmitted on other parts – if at all – will
get destroyed after few hours and till that time we are surely
not touching our face with that.
d. Do not touch the exposed surface of the gloves or cap with
bare hands while removing them. Always remember to remove
cap first (from back side) with the gloves still on hands…… for
removing gloves….. First fold the glove at wrist side of one
hand a little by the other hand ….. Pull it to expose the inner
side out once removed…… place the finger of your bare hand
inside the glove at the wrist side…… pull it from with in so
that the inner side is exposed and you do not touch the outer
used side.
e. Do sanitize or wash your hands every time you remove mask,
cap or gloves. Best is to sanitize by hand sanitizer while
removing these and when you are done – wash your hands
thoroughly and liberally with soap and water before touching
any surface or any person of your house. You need to open the
tap for washing hands – either other person can open it for you
or if you open it yourself then while soap is still applied over
your hands – wash the tap with the soap applied on your hands
– wait for 20 to 30 seconds and rinse tap first and then your
hands --- now tap is safe to be closed.
f. Keep a small hand sanitizer with you in your purse or pocket,
which can be used every time to sanitize the hands (with
gloves) when in public. As far as possible never wear and
remove the gloves or mask frequently while still in public.
Once wore make sure that you will remove it only after
returning home.
g. Make maximum use of small and disposable things like tissue
paper, tooth picks, match sticks….. For touching public
surfaces and immediately dispose it off properly once its usage
is over.
h. If you require to go with children, all precautions listed above
need to be followed and be extra watchful and extra careful for
the young ones as out of their ignorance they happen to touch
here and there. Also, control your emotions of expressing your
love towards them physically.
i. While returning from outside, suspect that each of your body
part, cloth material and belongings which were exposed has
had the transmission of virus ---- thus, steps to be followed
while returning home….
i. Call your family members before returning and instruct
them to keep the door open. If no one at home you can
open the door with your back or elbow or shoulders.
ii. Do not touch anything or any one until you have
sanitized yourself properly.
iii. Keep the things you have brought or you took with you
either in a corner of the room or outside your house
where no one happens to touch for 2 -3 days.
iv. Remove cap, mask, gloves …. Etc. Following proper
steps of removing and sanitizing.
v. Better if you keep a portable sprayer filled with liquid
hand and body sanitizer solution (available in market).
Tell someone to spray the same on whole of your body
front and back ---- now your outer surface gets sanitized
and no harm if you happen to touch anything. (you can
spray it yourself if no one is available)
vi. Wash your hands.
vii. Take a shower bath.
viii. Dip all your cloths in hot water having washing
detergent. It’s ok if you wash it next day.
ix. All cloths should be ironed before wearing them while
going out.
x. Foot wear left outside.
j. Avoid public transport as far as possible.
k. Maintain social distancing always.
l. When calling your supportive staff for work in house hold…..
i. Instruct them to carry bare minimum objects with her.
ii. Mask and gloves must while coming from their home;
the same asked to remove and kept outside our house.
iii. Foot wear outside our house.
iv. Hands, feet and over all body sanitized with spray
sanitizer before allowing her to enter inside.
v. Mobile and keys… etc to be kept in one corner and not to
be touched by us.
vi. Fresh mask should be given to her whom has to be worn
all throughout her stay and to be discarded by her when
she leaves our house.
vii. Social distancing maintained with her always.
viii. No one to enter the room where and while dusting and
brooming is going on.
ix. She must not touch any surface upon entering the house
and asked to wash hands immediately upon entering the
house.
x. Do not give or receive any thing (including cash) by
means of direct touch.
xi. Washing hands is must if handling cooking or caring for
the elderly.
xii. Washing of all the utensils with good quality detergent
and rinsed thoroughly is must.
xiii. Keep the utensils to be used by workers separately. That
should not be used by any of the family members ----
better to use disposables and discard the same.
xiv. Properly disinfect toilet if the worker has to use that at
your home. Avoid using the same for few hours if
workers have used.
xv. Make sure all her work is complete so that she should not
come back once she leaves our house.
xvi. Instruct them to use tissue paper /match stick for
operating lifts and to discard after usage.
m. Do not share your food or drinks even with your loved ones.
n. Make habit of frequent hand washing by any soap and water;
more so before and after handling food, eating and after usage
of toilet blocks.
o. As far as possible avoid usage of public toilets.
3. For air borne transmission :-
a. Maintaining social distancing is the most important preventive
measures.
b. Avoid running air conditioners in public places or going to
places having air conditioning as the virus travels for long
distances and also can survive longer in air conditioned
atmosphere.
c. Must to follow cough and sneeze etiquette. (Coughing or
sneezing in your folded hands – folded elbows).
In one sentence; if all wear mask properly, maintain safe social
distancing, avoid unnecessary touching of objects – transmission of
the virus can be prevented to a larger extent.
Proceeding further, suppose even after taking all possible precautions
still the virus enters our body……… then comes the second step of
defence --- our immunity.
Few points on boosting our immunity -----
1. Good general, overall health.
2. Balanced diet, high in fruits and vegetables.
3. Yoga and regular exercise at home.
4. Certain breathing exercise to improve the strength of lungs
and heart.
5. Strongly positive attitude towards life.
6. Adequate and peaceful sleep.
7. Maintain your hydration level.
8. Take food rich in vitamin c and antioxidants. (apple, carrot,
orange, lemon, grapefruits, grapes, tomatoes, watermelon, are
few ).
9. Alma and lime are richest in vitamin c.
10. Always eat freshly prepared food served hot.
11. Taking proper measures to avoid any other infection as any
disease reduce our immune levels.
12. Keep your stress levels to minimum. Indulge in all happiness
giving activities.
13. Seek medical advice immediately on having any complaints
what so ever. Let your doctor decide the treatment plan for
you for any disease --- do not self medicate.
14. Maintain adequate hygiene and cleanliness at surroundings.
15. Prefer to stay in well ventilated rooms. Let sun light enter
your room as it is a natural protection against germs and also
provide vitamin d.
What if you fall prey to the corona virus ----
1. Having slightest doubt, immediately contact government
helpline or take advice from your family physician ---- stitch
in time saves nine.
2. Follow the advice given by the covid 19 treating doctors
strictly.
3. Isolation / quarantine is the modality to protect you and your
loved ones. More over it increases the quality of care
provided to the patients.
4. Do not panic at any level.
As a responsible citizen I emphasize upon and request all to be
updated and follow government guidelines for the fight against
corona.
Let us not panic…..let us be informed……let us act wisely…….let
we learn to stay safe and healthy .
Wishing good health.
હ ેમાધવ, ત ુઆવી જા....
કમભનો ધમભ માનવ સમાજે નવસરાયો છે,
સ્વાર્ભ જ ચારેકોર આજે પર્રાયો છે,
"જાત જ પ્રર્મ" નનયમ સ્વીકારાયો છે.
હ ેમાધવ, ત ુઆવી જા....
તારી હાજરી કમૅયોગીને પ્રેરશે જરૂર,
સારા દુયોધનો ધમભ તરફ વળશે જરૂર,
ધમભ સ્ર્ાપના કાજે ફરી તારી છે જરૂર.
હ ેમાધવ, ત ુઆવી જા....
કમભની મહત્તા એકવાર ફરી સમજાવી જા,
જે કાાંઈ નનષ્ક્રિયતા છે, પાછી સધુારી જા,
હ ેનમત્ર, બહ ુર્યુાં ત ુહવે તો આવી જ જા.
હ ેમાધવ, ત ુઆવી જા....
ડૉ પ્રજ્ઞેશ શાહ, MBBS, PGDCC (Dip. Cardiology)
કલીનનકલ કાર્ડિયોલોજજસ્ટ,
વડોદરા.
CORONA gives us following messages
Close nose & mouth by mask
Obey government notification
Rest adequately
Observe social distances
Nourish your body and mind properly
Aware society and accept challenges
For during and after CORONA era