We have locations chosen to assist patients, especially the disabled, with the best available parking that we can.
Please conserve testing for those at risk! (limited test kits and PPE in Australia)
Time from virus exposure to test positive = 2 to 14 days = 99.9% of cases
Median incubation period day 4-5 days
Patients potentially infectious 1-2 days prior to Sx
We have now RUN OUT of PPE for testing purposes and need to conserve stock for protection. Thanks to all Doctors and Nurses who have assisted greatly - We have swabbed many patients in our ambulance bay (drive through testing) since testing began. Unfortunately we were not successful in our submission late last week to be another testing facility in Darwin by the Government. All patients have returned NEG tests for SARS-CoV-2, however only a few have had the other viral screens returned which is understandable but frustrating - as some might have Influenza A and we don't know! All are recovering clinically however. Three patients were NOT contacted by CDC by phone of their "COVID-19" NEG results and so continued in self isolation for 24-48 Hr longer than they needed to be until I called them to follow up on them. The Telehealth billing items did not work for most of my patients and so this service was performed for free - limitations on item numbers are very frustrating. CDC have not offered to email results to patients. Many government workers that I have swabbed have been told to take 14 days paid leave - even though their symptoms have resolved AND they have had a NEG screening test AND are NOT in quarantine - mixed messages !! So be careful with the new government Telehealth item numbers as the patient HAS to have been seen by a doctor of the practice in the last 12 months to qualify - and you CAN NOT charge privately and rebate this item (IT MUST BE BULK BILLED ONLY !) Most of my patients do not fit this criteria as they were sent to me from CDC as their facility was full - so all my phone consults for this group were done for free.
The following information is ONLY if you are stuck at home for 14 days, (and / or after evidence for a ‘Royal Commission’ one day...)
“But the plans were on display…”
“On display? I eventually had to go down to the cellar to find them.”
“That’s the display department.”
“With a flashlight.”
“Ah, well, the lights had probably gone.”
“So had the stairs.”
“But look, you found the notice, didn’t you?”
“Yes,” said Arthur, “yes I did. It was on display in the bottom of a locked filing cabinet stuck in a disused lavatory with a sign on the door saying ‘Beware of the Leopard...”
“... Panic is highly contagious, especially in situations where nothing is known and everything is in flux ...”
“The average person touches their face two or three thousand times a day...three to five times every waking minute. In between that we're touching door knobs, water fountains, and each other...”
“...right now our best defence has been social distancing. No hands shaking, staying home when you're sick, washing your hands frequently...”
“...We have limited capacity for ... risk assessment, If you read the paper every day, you might see a lot of stories about people dying in car accidents. There aren’t stories about people dying of high blood pressure and heart attacks. Journalists don’t really write stories about these more mundane things...”
”... it’s terrifying and so dehumanising to hear the suffering of Chinese people... Everyone has a different socioeconomic circumstance... Everyone has their own tribal views, their own confirmation biases, and preconceived notions. But fear doesn’t make us better equipped to be rational...”
“That people are terrified of coronavirus and don’t care at all about seasonal flu comes to this large point of our inability to differentiate risk... People don’t go swimming because of Jaws but will do things much riskier than swimming in the ocean. That’s a problem for people in the public health sector, because once people become terrified, it’s hard to manage.”
“...No one is immune to fear...”
S. Soderbergh, Burns, Brilliant et. al.
”... If you believe the economics profession, human beings are rational creatures.
According to the theory, we always act in our own best interests, dedicating our lives to maximising utility, which is a fancy way of saying our own personal satisfaction. That healthy competition between individuals drives behaviour which ultimately leads to the efficient allocation of resources and supply meeting demand, thereby benefiting us all. It all sounds so civilised, so perfectly reasonable. Except, looked at another way, you could argue the theory really means we're all a bunch of greedy, conniving hedonists, scrambling to get one up on the bloke next door or the woman across the road, just to prove we're better than them. And occasionally, we'll do almost anything to achieve it, rational or otherwise...”
NOTE: Please refer to above two sites (CDNA and WHO Sit Reports) from 10 MAR 2020 as this site is not being updated regularly until further notice given the current load our clinical services.
This is from the AMA NT just now: “Patients can ring the public health information line 0889228044 and also ring their GP for advice in respect to their suitability for the Fever clinics”- The problem is- This is the CDC phone number that our Doctors call for advice! Top End Medical Centre- Stuart Park have already given out this no. on a poster outside their GP clinic causing phone line congestion...
“Fever Clinic” was a term used about 4-5 weeks ago - now ‘fever’ is NOT the no. 1 identified factor, neither officially is the term “Pandemic” - but both are being used !! Why?!
TUES 10 MAR 2020 @ 1345Hr ACST - The definition for a Suspected Case* has changed (in the NT only at this stage) to a minimum of anyone with: “…ANY international travel … with a cough…” or Clinical staff with "...fever (≥37.5) AND ... a sore throat..." !!!
The sampler needs to wear "Googles" (SIC) as PPE !! - Ref NT CDC #13 (below) - LETS ALL HOPE THAT GOOGLE DOES NOT GET A VIRUS...
Latest PDF / You Tube updates checked FEB 2020
'Dr Google' - "Social Media Coronavirus" on 22 FEB 2020
Best PHN so far:
Protection of Patients, Staff and the General PublicDear PatientAt Territory Medical Group, the health and well-being of our patients, staff & community are our number one priority, and we are closely monitoring the new Coronavirus (COVID-19) Pandemic.We request that, regardless of travel, if you are…
Thanks to RACGP. Ref: https://www1.racgp.org.au/newsgp/gp-opinion/so-you-have-been-asked-to-self-isolate-or-quaranti