HanoiMr. Thang, 34 years old, in Lang Ha, has been waiting for many days for a call from the local health care provider for instructions on Covid treatment but no response.
Before that, he tested himself quickly, the result was positive. He looked for the phone number of the ward to report, and was provided with another phone number to meet the medical staff at his residence. “They continued to give me another contact number, telling me that if the phone was busy, I could call again and again. In the end, no one answered,” Mr. Thang said. The next day, he was able to connect with a medical staff, declare information about background disease, vaccination history, … but was not guided or treated because there were no PCR test results (with no results). affirmative value).
He found a place to do a PCR test himself at home. That night, he coughed a lot, had a high fever, his body was hot and cold, and tried to call the ward doctor but failed. He self-medicated with multivitamins, water, fruit and steam to treat himself. Because he is young, has no underlying disease, has received two doses of the vaccine, he reassures himself that he “will soon recover from the disease”. 5 days later, the medical team called and sent someone to set up a cord for isolation. At that time, he had less cough, no more headache, only a slight fever. The isolation period is counted from the date of medical arrival, ie an additional 5 days.
“Now that we have Covid, we can cure it by ourselves, but we can’t call forever but can’t wait. However, we still have to follow the correct process to notify us that we are F0 in order to get a certificate of recovery and peace of mind to go back to work later. this,” said Thang.
Also tired of waiting for medical support in vain, Ms. Linh’s family (living in Dong Da, 36 weeks pregnant) had to manage their own treatment at home. Her husband, one-year-old daughter, sister and mother were all infected. Every day, pregnant women constantly call the ward’s health care center, but the phone is busy. “The whole family has been vaccinated, showing mild illness but still worried because they did not receive medical instructions. Then when the test is negative, who should I call, who will issue a certificate of recovery, how to handle and clean up the waste. ..”, she shared.
The infected Linh’s friends also took care of themselves at home, without medicine or help. “It feels like being abandoned. People often call each other to share how to take care of F0 at home and encourage them to overcome illness,” she said.
F0 in Hanoi has continuously increased rapidly in a recent week. On November 14 alone, the number of cases exceeded 3,000 – increasing pressure on medical forces and overcrowded hospitals. Currently, the health stations only have about 8-10 employees serving tens of thousands of people. In addition, due to the lack of facilities and degraded equipment, the grassroots health care sector faces many difficulties, so it is “difficult to take care of everyone”.
This leads to a more anxious F0 mentality. Many people have mentality No need for medical assistance, just report the number and get a certificate of recovery when the rapid test is negative, according to workplace or local requirements.
Doctor Nguyen Minh Nguyen (Hospital for the Treatment of Covid-19 Patients, under Hanoi Medical University Hospital) said this is wrong mentality, should not. He assessed that contacting the ward’s medical staff is an important step when discovering that he is positive to receive instructions on initial treatment, nutrition, and signs of worsening. In case of severe F0, the ward medical center is the focal point and connects the hospital for timely transfer. “Even vaccinated, there is a 2-5% rate of severe, critical, depending on the condition and the time of vaccination …”, the doctor said.
In addition, the ward health department is in charge of zoning, identifying outbreaks, limiting infection, and protecting people around. This is a mandatory process that needs people to ensure to take care of their health and that of others. “Issuing a certificate of recovery is only one of the processes. Not to mention, people who already have the disease are also at risk of getting sick again, so they should not be subjective,” the doctor recommended.
According to the leader of Dong Da district, the workload at the grassroots medical station is very large and the workforce is thin. Staff both handle severe cases of disease while doing investigation and testing tasks… so it’s difficult to answer all incoming calls. In Hoang Mai district, Dinh Cong ward health station has only 9 doctors and nurses, all female, in charge of 50,000 people from taking samples for testing, F0 instructions, vaccinations…
Previously, Hanoi had established Zalo groups and groups to connect with people. The group admin can be the head of the medical station, connecting with both private pharmacies and clinics in the group for continuous support, people can consult and ask for advice, reducing pressure on the fixed medical station. . Or a network of companion doctors to support and advise over the phone. If F0 has 3-4 risk factors, the doctor will notify the local health care provider for emergency referral.
Facing the situation that many F0 patients cannot contact the medical force, leaders of the Hanoi Department of Health have asked localities to change their approach in supporting treatment of F0 patients at home, focusing on Risk management to reduce the rate of severe patient cases and deaths.
The Department directed the medical centers of the districts, and suggested that hot areas such as Hai Ba Trung, Hoan Kiem, Dong Da, Hoang Mai add phone numbers, Zalo groups, for people to easily contact; accelerate the updating of patients as well as vaccination on the software system to facilitate the management; mobilize the participation of central hospitals, ministries, branches, private health systems, retired medical staff, medical students, etc. to participate in epidemic prevention and control and management and collection. , treatment of patients.
According to the Ministry of Health’s process, Covid-19 patients at home will be lifted from isolation when they have completed 10 days of treatment and tested negative for nCoV. Testing is performed by staff or patients themselves under the supervision of medical staff directly or indirectly via remote means (quick test licensed by the Ministry of Health). The medical station where the patient is managed is responsible for confirming that the patient is cured.
In the fourth wave of the epidemic, Hanoi recorded more than 80,000 infections, of which more than 50,000 were treated at home. Experts recommend that the situation of the Covid-19 epidemic is still complicated, people need to continue to adhere to 5K, maintain masks, disinfect more often, keep a safe distance, and limit large gatherings. people on weekends, especially the upcoming Tet holiday. Trying to prevent disease as much as possible will help reduce the risk to yourself, your family as well as the burden on health and society.
When the rapid test is positive, F0 calmly contact the ward medical center to guide the handling of health abnormalities, especially the SpO2 index in the first two weeks. “Don’t just think to call the ward because of the cure, until it gets worse, you won’t be able to return,” the doctor said.