From quarantine room: Physician perspective

Abstract

This write-up is a brief reflection of a rural doctor couple, Dr. Himmatrao Saluba Bawaskar (HSB) and Dr. Pramodini Himmatrao Bawaskar (PHB), working in the remote area of Maharashtra state of India during COVID-19 pandemic. During the pandemic, rural doctors are routinely exposed to symptomatic COVID-positive cases in the outpatient as well as indoor setting. The authors, both husband and wife, were in compulsory quarantine for twice at home and experienced social stigmas attached to a positive case. Here is a report the details of COVID-19 pattern and its management learned from the published scientific papers on COVID-19, and severe acute respiratory syndrome due to SARS-CoV-2 from December 2019 and their own experience in rural setting and the current literature shared in the form of personal narration. Apart from the personal experience of patients experience regarding quarantine period, COVID-19 is discussed in detail for the benefit of rural practitioners.

Keywords: COVID-19; quarantine; severe acute respiratory syndrome-SARS-CoV-2.

Figure 1

Bilateral ground-glass appearance with pneumonia. This patient died

Figure 2

Diffuse bilateral infiltration

Figure 3

Fruit bag left out in front of door

Figure 4

Bilateral pneumonia, this patient recovered at Mahad Hospital arrow shows bilateral pneumonia

Figure 5

Himmatrao Saluba Bawaskar in PPE kit treating the severe respiratory failure patient of Figure 4 – X-ray

Figure 6

Bilateral peripheral diffuse ground-glass appearance patient had hemiplegia and died of respiratory failure (courtesy of Dr. Rathod from Mangaon) arrows show the peripheral ground glass appearance

Figure 7

Diffuse bilateral peripheral lesion with ground-glass appearance typical bronchial tree infiltration

Figure 8

Ground-glass appearance in computed tomographic scan of the chest

Figure 9

Bilateral extensive ground glass shadows 54 M Covid + Breathless Meropenum,ivermectin ,steroid ,Remedesivir,tocilizimab , heparin, BIaPap. Oxygen 20 liters

Figure 10

Nebulisation of methylene blue (blue color)

Figure 11

Remarkable improvement in lungs shadows SPO2 maintained 96% without Oxygen after daily for three days doses of methyl blue nebulisation 1:4 dilution