“There’s never been a time in modern human history when every person is seriously worried about the same thing at the same time. And there’s never before been a ubiquitous threat that can be so instantly broadcast to a world of 7.8 billion people.”
— David Ropeik, consultant on risk management and former instructor in risk communication at the Harvard School of Public Health
A couple of weeks ago Barb called the clinic where our GP practices (part of the MU Health Center) to report a persistent cough. None of the other symptoms but she wanted to play it safe. The nurse she spoke with explained they were using video visit for initial screening and sent her to the MU Health Care website. She was able to get online with a physician who quickly determined she wasn’t experiencing COVID-19 symptoms. (Even had her use the light on her iPhone to let the doc look at her throat.)
This service was provided by a third-party entity with whom the med center had contracted to take some of the load off their physicians. And it was well done, in Barb’s (former ICU nurse) opinion. Today we received a notice from MU Health Connect, the med center’s online portal:
“For patients who prefer to avoid public places or traveling during this time, we offer virtual care as a secure option. Using Zoom software, appointments can be completed from your phone, tablet or computer.”
Hmm. They were not using Zoom when Barb had her consultation. Since then, Barb has used Zoom almost daily, like a bunch of people. What’s going on? Are MU docs now doing “video visits?”
They are. According to my well-placed source, the feds modified their billing guidelines, so MU docs can do a zoom call and charge like a regular visit. That was a big barrier in the past. AND, all the other MUHC administrative friction disappeared quickly with COVID.
My brother’s work takes him to China and Southeast Asia seven or eight times a year. (The China travel has been halted for the foreseeable future) During our phone chat last night he mentioned he has not missed a day of work (for illness) in the last five years. A good trick considering how much time he spends in airplanes. The secret, he claims, is a combination of Clorox Disinfecting Wipes and small travel bottles of Lysol spray.
He immediately wipes down the seat-back tray, the seat arms, and other surfaces he’s likely to touch during his fifteen hour flights. Surfaces in the restroom get a wipe-down. And he never touches one of those blankets they give you. Surfaces that don’t lend themselves to a disinfectant wipe (in the plan or hotel room) get spritz of Lysol.
As I write this I’m sitting in my favorite coffee shop where the tables get a wipe (usually) between customers but I don’t see any disinfecting going on.
Washing your hands is always a good idea but my chat with my brother has me thinking about all the surfaces we touch in a day that were touched by hundreds of others. All those coughing, nose-wiping, hand-sneezers are not washing their hands.