Kasaragod, Apr 19: Kasaragod, Kerala's COVID-19 hotspot, is the only district in the southern state lacking adequate health infrastructure.
In spite of treating the highest number of COVID-19 patients in the state with meagre infrastructural facilities and even without the support of a medical college in the north Kerala district, no deaths have been reported due to coronavirus.
The state health department views the performance of M Kunhiraman and his team, consisting of Janardhana Naik and Krishna Naik, at the General hospital in Kasaragod as a success story.
"Not only did they control the situation quickly with minimum infrastructure, they also started turning out a large number of negative cases within a few weeks and creditably ensured zero mortality.
This can be showcased as a best global model," Chairman of the Information Education and Communication (IEC) Committee and Project Director Kerala State Aids Control Society, R Ramesh said.
Recalling the ordeal, Janardhana Naik said his first major challenge was the physical examination of a patient with suspected COVID-19.
"Even with the PPE kit, nobody knew how effective they were and it took a whole 30 minutes to wear them properly.
But as time passed, we got accustomed to it," he said.
The traditional method of dealing with a patient involved knowing his or her history, observation and physical examination.
For hundreds of years, the hands-on body approach has been the soul of the doctor-patient relationship -- taking the pulse, tapping on and listening to the chest, feeling lumps.
With the onset of COVID-19 all that has changed.
"In fact, the whole exercise was fraught with grave risks because everything connected with COVID-19 was new.
Doctors have to keep a distance even though the physical examination wearing a Personal Protective Equipment (PPE) is difficult.
Sounds from the body are inaudible, vision is blurred through the smog-covered goggles and a stethoscope seldom has any use," Janardhana Naik said.
It was from March 15 that the hospital started receiving COVID-19 patients, primarily from Dubai.
By the time the first person came, the hospital was ready for him.
Soon, patient numbers began to swell and in a couple of weeks they reached about 91.
From then on, it was teamwork.
Committees were formed for each and every task, including the help desk, IT, treatment, medical board, training, food, waste disposal and data maintenance.
Initially, patients had many misgivings about the hospital.
"Some were disillusioned and even aggressive. Some were not happy with the facilities the hospital had to offer.
But gradually through good treatment and counselling by a psychiatrist, who visited the hospital on alternate days, the confidence and mood of the patients changed and they became friendly with the staff," Naik elaborated.
Counselling was also given to the concerned family members of the patients.
Besides treatment, the medical staff had to spend a considerable amount of time clearing the doubts of patients.
When they got discharged some patients insisted on seeing the faces of the medical staff, who till then were anonymous entities covered from head to toe.
Some even wanted to take selfies with them.
However, the medical team politely turned down their requests and preferred to remain hidden in their work attires.
The mood of the patients also rubbed off on the doctors and hospital staff.
All the physicians and hospital staff are now more confident of dealing with contagious diseases after treating COVID-19 patients.
"Our previous experience of treating H1N1, Chikungunya and Dengue cases helped us a lot.
Words of encouragement from the Health Minister K K Shailaja, Health Principal Secretary Dr Rajan N Khobragade and Health Services Director Dr Sarita R L gave us the impetus to build up confidence.
Moreover, the field health workers did a wonderful job in containing the viral spread," Naik added.
As the number of coronavirus cases rose, the state government on April 5 deputed a 26-member medical team from Thiruvananthapuram to set up a COVID-19 hospital in the district.
They turned a block of the under construction Government Medical College as a hospital-like facility, setting up a 200 bed facility to treat coronavirus patients.
Comments
I'm a Gujrati Brahmin settled in Bangalore. I come from a family which has been in the RSS for three generations. Being from RSS, I and my family were big supporters of the Modi Government when it came to power in the early 2000. We are middle class people, my father being the owner of a small printing press in Amdbd. We had Muslim employees working in the press. All of them were killed in 2002. This openned my father's and my eyes to the reality of BJP, RSS and Modi. My father winded up the business and by 2004 we quit Gujarat and settled in Bangalore. RSS is the most fascist organization in India. BJP is the most corrupt party. Gujrat model is nothing but a web of lies corruption and photoshop. Forget Hindus, Modi will harm the business class too. Modi only works for a few selected business houses rest all should fend for themselves. Living in the considerably freee and cosmopolitan environs of Bangalore I've realized that there is no progress if it is limited to a caste, a religious majority or minority or any other group. Progress has to be for all. RSS and its cronies will not last long. Country is getting sick and tired of their threats and abuses. Their inciting of riots at the drop of a hat. Woe to them when the 80% of the population take a leaf out of their book and hunt them down like dogs that they are.
@ SUNIL RAO
FRIST NEED TO CLARIFY IS BHARATH IS MATHA OR PITHA MALE OR FEMALE ....
THEN WE WIL DECIDE WHAT TO DO KILL HER OR SEND HER
RSS STARTED TO ATTACK THE GRILS ALSO THEY HAVE VERY GOOD REASON SLOGAN PAKISTAN ZINDABAD,
FILE CRIMINAL CASE OR BAN RSS
Typical Sanghi behaviour. It will be absurd if people think that the justice will be done to that girl. In any case, Doomsday for VHP and its allies is coming soon...
and #ModiLovesKarachiBiryani.
India Zindabad, Pakistan Zindabad, And whole world Zindabad
What is the problem in wishing everybody's welfare.
Are we loosing anything. Should we be jealous in others prosperity.
Narrow minded never develop nor allow others to develop.
First govt should ban ABVP kind, this group is really threat to our society.
These are Anti nationals who always will take law in hands ....and claim to be the protectors of LAW....only way is to shake the base....that is RSS
this abvp people dont have any work if she want to call anything let her call it is her karma of death, why are we simply Popularizing such a kind.
Pakistan Zinadabad, I am not saying this one your own swami, sri sri...something like that said...go and beat him too if you have guts...
Bharath Mata Ki Jai, Kill her she must not be allowed to enter india.
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