Private medical facilities allowed to recommend Home Isolation

[webfact]

 

By Praphorn Praphornkul

   

BANGKOK (NNT) - The Department of Health Service Support (HSS) is working to remedy the issue of private medical facilities turning away people seeking COVID-19 tests, due to not having enough beds, by declaring a new approach to care.

 

HSS Director-General Dr. Tares Krassanairawiwong outlined today that the new “2021 Care, Prevention, Control and Forwarding of COVID-19 Patients by Medical Facilities declaration” allows private hospitals and clinics that identify green level COVID-19 patients, to recommend such individuals undertake Home Isolation. Previously, the declaration obligated the facilities to immediately admit them and coordinate the forwarding of these patients, but the requirement led to many places turning away people seeking tests.

 

Facilities that place patients in Home Isolation have to provide them with temperature scanners, oxygen gauges, pharmaceuticals, and food and engage in regular video calls with them so that prompt action may be taken if their condition deteriorates. The new declaration takes retroactive effect from July 9, and medical facilities are asked to resume COVID-19 testing.

 

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone. They must submit of their own free will to the approach, and have their capacity evaluated by a physician.

 

Yellow or red level patients, or those unable to isolate at home, must be declared to the Public Health Service Center in Bangkok or their provincial public health office. Information on the changes can be found by calling the National Health Security Office hotline 1330.

 

-- © Copyright NNT 2021-07-16

 

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[ukrules]

Looks like they're beginning to accept the inevitability of what's coming.

[impulse]

50 minutes ago, webfact said:

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone. They must submit of their own free will to the approach, and have their capacity evaluated by a physician.

 Good luck with that.  Hope you've got lotsa beds...

[ThailandRyan]

Private hospitals finally able to do what the Government hospitals could do a little while ago.  Alas I fear that even with those without symptoms and asymptomatic being able to isolate at home under the new guidelines, the hospitals both government and private, are and will still be at saturation with the CCU's and ICU's filled to capacity.  It does not take a rocket scientist to see what is unfolding, and yet have we truly seen the absolute of this yet?, I fear not, and yes full hospitals are but only one metric, you still need to test out in the public to get ahead of this, or else it just will keep going full circle with those who are infected not knowing and then infecting others, some of whom may never become pre-symptomatic or end up with symptoms.  It is just a vicious cycle of rinse and repeat, and where are the vaccines? who the hell knows, continual lies and deflection are just ludicrous.

Edited July 15, 2021 by ThailandRyan

[internationalism]

" The new declaration takes retroactive effect from July 9"

why is it worded that way?

 

[TallGuyJohninBKK]

5 hours ago, webfact said:

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone.

 

I'm guessing that last condition among others is gonna be a killer for participation in this program -- that's assuming of course, that the hospitals actually follow the rules as laid out, and don't just start sending COVID positive patients home regardless of their circumstance.

 

 

Edited July 16, 2021 by TallGuyJohninBKK

[ThailandRyan]

8 minutes ago, internationalism said:

" The new declaration takes retroactive effect from July 9"

why is it worded that way?

 

Because until now the private hospitals had been sending people into home isolation, but now they are covered for that time period should something occur. Ergo retroactive.

[DrJack54]

18 minutes ago, TallGuyJohninBKK said:

 

I'm guessing that last condition among others is gonna be a killer for participation in this program -- that's assuming of course, that the hospitals actually follow the rules as laid out, and don't just start sending COVID positive patients home regardless of their circumstance.

 

 

They can write anything they like to make it sound all fluffy.

At our condo we have a positive couple.

First up they are in isolation together.

Think about it. Individual isolation would be impossible.

They have symptoms all be it mild. However must be worrying enough for our hotel management to call hospital more than once to be told .....no beds available. Initially the couple reported to hospital for testing.

As for food etc, it's the condo management that's taking care of it along with some supporting tenants.

 

This next comment is only anecdotal. My social media guru (gf) tells me that in her groups there are many situations that mirror our current experience. 

Edited July 16, 2021 by DrJack54

[TallGuyJohninBKK]

16 minutes ago, DrJack54 said:

 

This next comment is only anecdotal. My social media guru (gf) tells me that in her groups there are many situations that mirror our current experience. 

Thailand is great at coming up with fancy sounding policies...

 

But as the incomprehensible vaccines rollout shows, they're not nearly as good at translating policies into reality.

 

Rinse and repeat 100 times over on almost any government-involved issue you want to pick here.

 

 

 

Edited July 16, 2021 by TallGuyJohninBKK

[hotchilli]

6 hours ago, webfact said:

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone. They must submit of their own free will to the approach, and have their capacity evaluated by a physician.

Best of luck with that.

[DrJack54]

10 minutes ago, hotchilli said:

Best of luck with that.

As I stated above earlier. The positive couple in our condo DO have symptoms and are isolating in ONE room together.

The hospital more than once has refused care on the basis of no beds.

Might add zero help re meals etc from agencies. The condo is taking care.

These protocols are smoke and mirrors.

[jojothai]

I dont see any information or advice on what medication they give to people.
If people have clear symptoms but not very serious, what do they do to help prevent it getting more serious?

 

They are not supposed to go out of the abode, so they cannot go to the temple to pray. 

[Surelynot]

6 hours ago, webfact said:

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone. They must submit of their own free will to the approach, and have their capacity evaluated by a physician.

So a nice little money spinner for the likes of Bumrungrad.....all they need to do now is limit testing to under 60's who are fit and healthy.

[John Drake]

7 hours ago, webfact said:

 

Facilities that place patients in Home Isolation have to provide them with temperature scanners, oxygen gauges, pharmaceuticals, and food and engage in regular video calls with them so that prompt action may be taken if their condition deteriorates. The new declaration takes retroactive effect from July 9, and medical facilities are asked to resume COVID-19 testing.

 

Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone.

Cash cow.

Edited July 16, 2021 by John Drake

[connda]

9 hours ago, webfact said:

“2021 Care, Prevention, Control and Forwarding of COVID-19 Patients

Let me pare this down to the key words:
"2021...Control...of COVID-19 Patients" act.

Previously that meant forcefully incarceration of all PCR positives.  That was and turned out to be a hospital killer.
Only 15 to 17% of all PCR-positives display serious enough symptoms to warrant hospitalization¹.  But Thailand being Thailand?  Make hospitals into literal medical prisons and make health care workers into guards instead of concentrating on being caregivers.  And make sure the hospitals are full as that guarantees cash-cow revenue streams.

That was destine to fail - it did.  To a point.

 

Their criteria for forced incarceration is still ridiculous.
^{"Patients assigned to Home Isolation must be younger than 60 years of age, in good health, not present any symptoms of the virus, not be obese or suffering from a chronic illness and be able to isolate in an abode alone."}

They still plan on forcing medical incarceration on the majority or as many as the hospitals can handle. 
What they'll end up doing it milking those with no or mild symptoms while killing those who desperately need hospitalization.  They are still screwing this up.
Remember:  "2021...Control...of COVID-19 Patients" act.

Smell that?  Smells like money.

1. EBioMedicine Published by The Lancet, Volume 68, June 2021, 103410
SARS-CoV-2 elicits robust adaptive immune responses regardless of disease severity, Stine SF Nielsen, et.al

Edited July 16, 2021 by connda

[connda]

2 hours ago, jojothai said:

I dont see any information or advice on what medication they give to people.
If people have clear symptoms but not very serious, what do they do to help prevent it getting more serious?

What do you do when you get the flu?
Rest, drink fluids, take NSAID or Tylenol, feel like **** for a few days to a week, allow your immune system to kick in and handle the infection.

The current "marketing" campaigns seem to have convinced a large portion of the population that they no longer have a functional immune system and that only hospitals, drugs, and vaccinations can save them and keep them "safe."  Which is complete tosh.  The vast majority will kick Covid just like they kick the flu and could recover at home.
"But my TV says that is not so."
Throw away your TV.  You'll be happier and less worried.

[connda]

deleted

Edited July 16, 2021 by connda

[jojothai]

7 minutes ago, connda said:

What do you do when you get the flu?
Rest, drink fluids, take NSAID or Tylenol, feel like **** for a few days to a week, allow your immune system to kick in and handle the infection.

The current "marketing" campaigns seem to have convinced a large portion of the population that they no longer have a functional immune system and that only hospitals, drugs, and vaccinations can save them and keep them "safe."  Which is complete tosh.  The vast majority will kick Covid just like they kick the flu and could recover at home.
"But my TV says that is not so."
Throw away your TV.  You'll be happier and less worried.

Up to you to put yourself at risk of becoming one of the unlucky ones.
I trust you have also thrown away your computer that gives you most of the so called "marketing".
But that is obviously not the case.
Best for you to follow your own advice.