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
ASH Mangalore rightly said ...............HUNGRY IN KSA ? Impossible
Food is very very cheap in KSA
and No one allow you to be hungry if he is aware ....
Madam Sushma Swaraj done great job by sending delegates to Saudi Arabia. Thank you Sushmaji for your great work. We need woman like you to improve our great country India. Please ask other goondas and sanga parivars to stop attacking poor people of the country in the name of Cow.
Cow is an animal and no one will pray for that. It is created by God and it should not be god or Gomatha. Please try to understand the reality of the religion.
Madam you have done lot of good work in your tenure. This is my humble request please stop the attacker and bring the new judiciary of punishment for this attacker in name of Cow.
Hope take the initiative step soon madam.
There is misconception that Indians hunger in KSA. None here without food, those who created this mess only because company issue and pay issue. Wheat have subsidy in KSA and very cheapest in the world so none can hunger.
Appreciate Sushma's initiate but those who going back India will be trouble because no job secure and none will take care those who return to India. They have better life here than India.
People take credit through social media and no one will aware there after life who returned to India.
Thank you Sushmaji for your effort. Great work. India need more candidate like you.
Media is spreading lies about Saudi Arabia....In Saudi Arabia, you don't need to spend much money for food...within few riyals you get nice lunch with good pieces of beef...what a country....these stranded employees will find good jobs around....King gave them full freedom to choose companies and transfer their sponsorship....
A sign that cheddi govt and cheddi members never appreciate. and never do themselves big help which saudi govt did and I remember they do here many times to the stranded jobless expats.
Cheddi and their news liars should stop spreading lies and start praising the Good works which may not be in seen the parliament or in the news channels in the future days.
Alhamdullillah...
That's the decision of the king... the most generous king in the world. Can Indian govt expects such a generosity form any other govt in the world? Saudi has provided jobs to over three million Indians, who are sending home billions of dollar to India every year. Am truly inspired by this divinely inspired generosity.
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