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diagnosis
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2021-02-15
One of my COVID-19 Case Investigations Experiences
I work as a COVID-19 medical investigator for the Arizona county in which I live. I recently called on a monolingual Spanish speaker who turned out to be a retirement-age mother of adult children and infant grandchildren. The first time we spoke, she very politely agreed to complete our medical interview by phone, and I began working through the initial demographics section. As she answered my questions, she began asking questions of her own regarding her potential experience and that of her family, all of whom were ill by that time or presumed to be positive due to extended close contact. The pace and tone of her speech evolved as her volume increased, and her intense emotional distress required no common language to comprehend. The primary source of her concern was her adult daughter who lived at another location with her two children. Our case feared her daughter had to have immediate help to even dial a phone, much less to care for herself and her children. The case wanted to break isolation at her home to travel to her daughter' home to aid her child and grandchildren, but, with the interpreter's help, we worked through her fears, established an action plan that allowed the case and her husband to stay home, and connected her daughter with medcal professionals to evaluate her circumstances and need for urgent intervention. The case and I agreed those needs superseded the interview as she was both aware and isolated, and we agreed to speak the following day. On callback, her emotions had completely turned around in that day, her daughter had been evaluated over the phone, acquired the information and guidance she needed, and the case believed her child and grandchildren were now safe and well. Throughout the roughly 90-minute translated interview, she repeatedly expressed her gratitude for our having called and helped her family and information and guidance. Despite the number of times our patients/cases have expressed anger, outrage, suspicion, or worse at our medical investigation and contact tracing efforts, this series of calls made them worthwhile. -
2020-10-06
「オンライン診療」コロナ禍特例→“恒常化”へ(2020年10月9日) - "Online diagnosis/check-up " Exception for Corona → To "normalized" (October 9, 2020)
オンライン診療が初診から解禁される見通しです。 オンライン診療は新型コロナウイルスの感染拡大を防ぐために現在、特例的に初診であっても認められています。田村厚生労働大臣は8日に平井デジタル改革大臣と河野規制改革大臣と会談し、感染の収束後も安全性と信頼性を確保したうえで、初診も含めてオンライン診療を認める方向で合意したということです。テレビ電話など映像があることが原則となります。オンライン診療を巡っては、医療の質に影響が出ると日本医師会が慎重な姿勢を示していました。 Online medical care/diagnosis is expected to be used from the first visit. Using online medical care/diagnosis for the first visit is currently only permitted for special instances to prevent the spread of the new coronavirus infection. Minister of Health, Labor and Welfare Tamura met with Minister of Digital Reform Hirai and Minister of Regulatory Reform Kono on the 8th, and agreed to allow online medical care including the first medical diagnosis after ensuring safety and reliability even after the infection has resolved. As a general rule, there should be camera and ways to do video calls. The Japan Medical Association has been cautious about online medical care, saying that it will affect the quality of medical care. -
2020-03-03
Diagnosis and Treatment Protocol for Novel Coronavirus Pneumonia (Trial Version 7)
The author did not provide description.