Tag Archives: routine

Even in a pandemic, continue with routine health care and don’t ignore a medical emergency

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Serra Ivynian, University of Technology Sydney; Caleb Ferguson, Western Sydney University, and Michelle DiGiacomo, University of Technology Sydney

As we continue to navigate the coronavirus pandemic, many hospitals and health services are actually less busy than usual.

Fewer patients are presenting to emergency departments and primary care services in Australia and around the world.

They might be choosing to stay away for fear of catching coronavirus, or because they don’t want to put pressure on the health system at this time, or both.

But particularly if you’re someone with a chronic health condition, it’s essential you continue to seek medical care routinely, and especially in an emergency.

Delaying or avoiding necessary medical care could lead to preventable deaths.



Read more:
How we’ll avoid Australia’s hospitals being crippled by coronavirus

Anxiety and fear

Delaying or avoiding medical care despite health problems is not a new concept. People often downplay the severity of their symptoms, believe they will resolve on their own or perceive they can manage themselves at home.

This reasoning is now compounded by fear of becoming infected with COVID-19 as well as overburdening the health-care system.

Hospitals remain well-equipped to care, particularly for time-critical events like heart attack and stroke. So in an emergency, don’t delay.
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Some people living with chronic conditions such as heart failure, lung or kidney disease may be more concerned about contracting COVID-19. This is justified. People with chronic conditions tend to get sicker than the overall population if they catch coronavirus, and are more likely to die.

Concerns about overburdening the health-care system, which people already perceive to be stretched, has been a common reason for delayed care-seeking, even before the current pandemic.

But constant reports of overflowing hospitals and scarce resources during the coronavirus crisis may serve to validate this concern for people who are considering whether or not to seek medical care.



Read more:
Why are older people more at risk of coronavirus?

While it’s too early to have definitive statistics, Australian estimates suggest attendance at hospitals and general practices could be down by as much as 50%.

Why it’s important to continue to seek care

People with chronic health conditions may need to seek medical care for a range of reasons. This could be routine care for a chronic disease such as chronic obstructive pulmonary disease (COPD), asthma, diabetes, cancer, bowel or heart disease.

They may need to seek unscheduled care if their condition flares up. For example, for a person with chronic heart failure, it would be important for them to seek timely health care if they were experiencing symptoms such as breathlessness, fatigue, or peripheral oedema (the accumulation of fluid causing swelling, usually in the lower limbs).



Read more:
How to recognise a stroke and what you should know about their treatment

Importantly, if people delay seeking care for chronic illnesses, we may see an increase in preventable deaths.

For example, for people with heart disease, untreated symptoms could lead to long-term heart damage, need for intensive care, and death.

It’s also possible if a large number of people avoid seeking treatment now, hospitals will find themselves overwhelmed when the pandemic is over.

You can go out for medical care

While the global public health messaging urges people to stay home to save lives, it’s important to understand one of the key exemptions is medical treatment. And this doesn’t apply only to people with COVID-19 symptoms.

Regular GP or specialist appointments

People with chronic conditions may already be receiving advice from their health professionals about how regular appointments will be conducted.

To minimise risks to staff and patients, many health services are offering telehealth appointments (via phone or video conference). It’s best to contact your GP or specialist by phone prior to your appointment to see whether this service is available and appropriate.



Read more:
What can you use a telehealth consult for and when should you physically visit your GP?

There will be times when a telephone or video-conference is not suitable, such as when your doctor needs to perform a physical examination, administer therapies including medications, or you need tests such as blood tests or x-rays.

If you do need to attend a clinic or hospital in person, you should be assured they’re taking additional precautions to prevent the spread of infection during this time.

If symptoms flare up or in an emergency

If your symptoms get worse, you should still contact your GP or specialist if this is your normal course. This is important even if you don’t think your symptoms are urgent.

And it remains critical that in life-threatening circumstances – like if you believe you’re having a heart attack or stroke – you seek medical attention immediately by calling triple zero (000).

These are medical emergencies and our hospitals are well-equipped to respond, even during COVID-19.

Hospitals have extra procedures in place to minimise the risk of coronavirus spread.
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Some practical tips

The Heart Foundation offer the following advice for people living with chronic conditions during COVID-19:

  • keep looking after your health and stay connected with your doctor

  • get your annual flu vaccination

  • practise physical distancing and good hand hygiene

  • stay active and eat a healthy diet.

And most importantly: don’t ignore a medical emergency.



Read more:
For older people and those with chronic health conditions, staying active at home is extra important – here’s how


The Conversation

Serra Ivynian, Research Fellow, Faculty of Health, University of Technology Sydney, University of Technology Sydney; Caleb Ferguson, Senior Research Fellow, Western Sydney Nursing & Midwifery Research Centre, Western Sydney Local Health District &, Western Sydney University, and Michelle DiGiacomo, Associate Professor, University of Technology Sydney

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Plinky Prompt: What does your Fitness Routine Consist of?

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Dumbbell

My fitness routine – ha ha ha. Actually, I do have one, or at least will soon have one again. It has been difficult to get back into that following my car accident 3 years ago.

Currently it consists of a lot of ‘cardio’ via my job. I also cycle to and from work each day (5 days a week) and the bike is also my means of transport about town (I don’t have a car).

I’m about to get back into the weights with my home gym set up. I have a regime that I’ll be following 4 nights a week.

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Death threats await Christians in West Bengal

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More than a year after a sudden outburst of persecution drove them from their village, a group of 14 Christians in West Bengal, India, still can’t go home, reports Gospel for Asia.

In July 2008, the Christians agreed to meet with a group of other villagers for what they thought was a routine gathering. However, the villagers turned out to be violent anti-Christians who immediately attacked the believers, threatening to murder them if they didn’t leave.

The beaten-up men and women made it to safety in a nearby village, where they found shelter with two Gospel for Asia–supported missionaries. Since then, the missionaries and their GFA leaders have been trying to work out the situation with village leaders and police. A local political party tried to help negotiate for the displaced believers to be allowed to return home.

Finally, on December 20, the Christians thought it was safe to return. So they cautiously went back, only to be called that very night for another village meeting. The memory of their last meeting was vivid, and the Christians approached hoping that this time, it would be different.

But just as before, the villagers waited to harm them. They beat the Christians mercilessly, forcing them to run once more for their lives.

Currently, the political party that tried to help the persecuted group is providing shelter for them and trying to find a permanent solution.

The GFA-supported missionaries and the believers urgently ask for prayer that God will work in this situation, and that His love will soften the hearts of the anti-Christians.

Report from the Christian Telegraph 

Massive ‘Reconversion’ Event in India Aimed at Christians

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Hard-line cleric leads campaign in Maharashtra, ideological capital of Hindu nationalism.

MUMBAI, India, October 27 (CDN) — Hundreds of tribal Christians and adherents of aboriginal religion from villages in Maharashtra state were reportedly “reconverted” to Hinduism yesterday in the Mumbai suburb of Thane at a ceremony led by a Hindu nationalist cleric.

Swami Narendra Maharaj’s goal was to “reconvert” 6,000 Christians in the so-called purification ceremony, reported The Hindustan Times, which put the number of “reconversions” at around 800. Hindu nationalists believe all Indians are born Hindu and therefore regard acceptance of Hinduism by those practicing other religions as “reconversion.”

Maharaj, a Hindu cleric known for opposing proclamation of Christ, has allegedly led anti-Christian attacks in tribal regions. On March 15, 2008, his men reportedly attacked two Catholic nuns, Sister Marceline and Sister Philomena, from the non-profit Jeevan Jyoti Kendra (Light of Life Center) in Sahanughati, near Mumbai.

The attack took place in a camp to educate tribal women on HIV/AIDS, which also provided information on government welfare programs, according to Indo-Asian News Service. The assault in Sahanughati, Alibaug district was followed by a mass “reconversion” ceremony in the area on April 27, 2008, said Ram Puniyani, a well-known civil rights activist in Mumbai.

Rightwing Hindu groups are mostly active in tribal areas. Hindu nationalists attack Christians in tribal areas because they provide social and development services, regarded as competition by rightwing Hindus seeking to woo tribal voters, said Anwar Rajan, secretary of the People’s Union of Civil Liberties (PUCL) in Maharashtra’s Pune city.

Kandhamal district in the eastern state of Orissa, where a massive spate of anti-Christian attacks took place in August-September 2008, is also a tribal-majority area. At least 100 Christians were killed, 4,600 houses and churches were burned, and over 50,000 people were rendered homeless in the violence.

Sociologists maintain that India’s tribal peoples are not Hindus but practice their own ethnic faiths. Hindu nationalists run Ekal Vidyalayas (one-teacher schools) in tribal regions to “Hinduize” local villagers and repel conversions to other faiths. These schools are operating in over 27,000 villages of India.

Dubious Claims

An anonymous spokesman of Maharaj said the plan for yesterday’s event was to “reconvert” 6,000 Christians to achieve the larger goal of “bringing back” 100,000 Christians, according to the Press Trust of India (PTI) news agency.

The rightwing spokesman in Maharashtra, a western state where Hindu nationalism originated decades ago, claimed that Maharaj and his followers had overseen the conversion of more than 94,000 Christians “back to their original faith” and plan to complete the target of 100,000 in the next two years.

Maharaj, whose followers call him Jagat Guru (Guru of the World), told PTI that those who “reconverted” were not coerced.

“We are not having a religious conversion here – it’s a process of purification,” Maharaj was quoted as saying. “We taught them the precepts of the Hindu religion, and they decided to convert to Hinduism on their own after repentance. They were not forced.”

Many reports of “reconversions,” however, have been found to be false.

In 2007, Hindi-language daily Punjab Kesari reported that four Christian families in Nahan town, in the northern state of Himachal Pradesh, had “reconverted” to Hinduism. But a fact-finding team of the All India Christian Council revealed that none of the members of those families had ever converted to Christianity.

The Hindustan Times reported yesterday’s ceremony included rituals involving cow’s milk, seeking forgiveness from ancestors, installation of idols of the Hindu gods Ganesh and Vishnu, and an offering ritual performed by priests from Ayodhya, in the northern state of Uttar Pradesh. Ayodhya is believed to be the birthplace of the Hindu god Rama.

Home of Hindu Nationalism

The basic philosophy of Hindu nationalism was expounded by Vinayak Damodar Savarkar, popularly known as Veer Savarkar, in 1923 through the publishing of a pamphlet, “Hindutva: Who is a Hindu?” Savarkar, who is from Maharashtra, argued that only those who have their ancestors from India as well as consider India as their holy land should have full citizenship rights.

A follower of Savarkar, Madhav Sadashiv Golwalkar, also from Maharashtra, further developed the Hindu nationalist philosophy through a book, “A Bunch of Thoughts,” in 1966. He claimed superiority of Hinduism over other religions and cultures of the world.

“In this land, Hindus have been the owners, Parsis and Jews the guests, and Muslims and Christians the dacoits [bandits],” he said.

The emergence of Hindu nationalist ideology from Maharashtra came in reaction to the politics of social justice by Dr. Bhim Rao Ambedkar and Mahatma (Jyotirao) Phule, said Irfan Engineer, director of the Institute of Peace and Conflict Studies in Mumbai and an expert on religious conflicts. Phule led a mass movement of emancipation of lower castes, mainly Shudras and Ati-Shudras or Dalits, in the 1870s. Ambedkar, known as the architect of the Indian Constitution, began movements against “untouchability” in the 1920s.

Also born in Maharashtra was the Rashtriya Swayamsevak Sangh (National Volunteer Corps, or RSS), India’s most influential Hindu nationalist conglomerate. It was founded in 1925 in Nagpur by Dr. K.B. Hedgewar.

Hindu society has traditionally had four castes or social classes, namely Brahmin, Kshatriya, Vaishya and Shudra. While Shudras belong to the lowest caste, Dalits were formerly known as “untouchables” because the priestly Brahmin class considered them to be outside the confines of the caste system.

During British colonial rule in the Indian subcontinent between 1858 and 1947, sections of the Brahmins felt the British were sympathetic towards the Dalit reformist movement, said Engineer of the Institute of Peace and Conflict Studies. Mahars, Maharashtra’s largest Dalit people group, have been very organized and powerful since then.

The PUCL’s Rajan said that the Brahmins have long portrayed minorities as enemies of Hinduism.

“Since the Dalit reformist movement is essentially against the Brahmin hegemony, the Brahmins had to react and get organized,” Rajan said. “As a part of their strategy to weaken the reformist movement, Brahmins projected minorities as the ‘real’ enemies of all Hindus, including Dalits and other lower castes, diverting attention away from the atrocities they meted out on them.”

Most of the founding leaders of Hindu nationalism, including Savarkar, Hedgewar and Golwalkar, were Brahmins. Since communal troubles benefited Hindu nationalists politically, the use of divisive issues became routine for them, Rajan added.

After two successive defeats of the Bharatiya Janata Party, political wing of the RSS, in general elections in 2004 and 2009, differences between the moderate and extremist sections within the Hindu nationalist movement – which blame each other for the party’s downfall – have deepened to unprecedented levels.

In frustration, the extremists have accelerated their activities, especially in Maharashtra, the ideological capital, said Dr. Suresh Khairnar, a well-known civil activist from Nagpur.

Report from Compass Direct News 

BRITAIN’S GOT TALENT: Great Dance Act

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Here is a great little dance routine by a Greek father and son act. The father is 40 and the son is 12. The two Greeks do an Irish jig. Well worth a watch.

PAKISTAN: POLICEMAN TORTURES, PARALYZES CHRISTIAN

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Disabled Christian waits in 9-year legal limbo, sent to prison for ‘kidnapping.’

ISTANBUL, December 23 (Compass Direct News) – A Pakistani Christian boy’s quarrel with a Muslim policeman’s son has led to his father’s imprisonment, torture, paralysis, and five-year prison sentence.

The father’s health condition has become so fragile that he was temporarily released from prison and sent to a Faisalabad hospital on Sunday (Dec. 21). Emanuel Masih, 43, is now in stable condition, his attorney told Compass.

Masih, of Faisalabad, a father of six and a former street sweeper, is trying to commute his prison sentence after police officer Omer Draz tortured him and had him imprisoned on trumped-up charges originating from a quarrel between their sons nine years ago.

The situation began in 1999 when his son Saleem, 9 at the time, was involved in a dispute with Draz’s son at the childrens’ Muslim-majority elementary school. The next day to protect Saleem, Emanuel Masih and his brother-in-law Amin Masih accompanied Saleem to a bus station, along with Saleem’s brothers, to subdue the police officer. Draz, however, attacked Saleem and Emanuel Masih’s other sons.

Following the incident Draz conspired with his housecleaner Zaniran Bibi, a Christian, to have Emanuel Masih arrested. She claimed that Emanuel Masih was responsible for the kidnapping of her son, who had gone missing some time earlier.

There was no evidence to link Emanuel Masih to the kidnapping, his attorney said.

Police arrested Emanuel Masih along with Amin Masih, who was also falsely implicated in the kidnapping, without possibility of bail. The two men were tortured for a month, according to a report from the Centre for Legal Aid Assistance and Settlement (CLAAS) advocacy group.

Draz had a regular routine of torture for Emanuel Masih and his brother-in-law: He gathered them together, dragged them outside the police station and beat them with iron rods. A month of these beatings paralyzed Emanuel Masih’s arms and legs.

“They took (them) to a private house and beat them there,” said CLAAS lawyer Akbar Durrani to Compass. “They used a separate house because they are afraid of the courts.”

Emanuel Masih was then sent to judicial lock-up since he was too weak to attend a court hearing. The prison superintendent was so surprised at his condition he called on Emanuel Masih’s younger brother, Jabar Masih, to provide him physical care.

Emanuel Masih is also illiterate. Due to his injuries he could not work and had to rely on donations from charity groups. He has regained partial use of his legs but still cannot use his arms. He has been unemployed since 1999.

The two men were eventually released on bail. In the intervening nine years, Emanuel Masih and Amin Masih continued to attend court hearings. But on May 24 they were arrested and given a five-year prison sentence along with a fine of 25,000 rupees (US$320). Lawyers appealed the decision in September at a Faisalabad court.

 

Trying to get out

Emanuel Masih could be released from prison due to an article in Pakistan criminal law that requires proper facilities for an incapacitated person. If they are not available the prisoner can be released without a court order.

In September Durrani filed a petition of release to Pakistani Home Secretary Madhukar Gupta, who is in charge of the country’s internal security. Without the use of his arms, Emanuel Masih could not survive in prison unless Amin assisted him.

“His brother-in-law feeds and washes him,” Durrani said. “That’s why he has been able to survive until now.” 

Gupta requested a medical examination of Emanuel Masih, which declared him incapacitated. The final decision to let him go rests with the jail superintendent, who received the report from the home secretary in early December.

Faisalabad is located in Punjab, near the Indian border. Radical religious elements in Punjab have become active in carrying out Islamic terrorist acts outside Pakistani borders. Two of the nine identified gunmen in the Nov. 26 attacks in Mumbai that killed 188 and injured 293 were from this city of 2.6 million.

On Wednesday, Dec. 17, Muslims set fire to a church in a nearby village as its parishioners were decorating for Christmas. The attackers left behind a letter telling the Christians they would be damned to hell if they did not become Muslims, according to International Christian Concern.

Parish priest Yaqoob Yousaf has called for security forces to arrest the culprits quickly, for fear of similar attacks on the congregation during its Christmas Day services.  

Report from Compass Direct News

SOMALIA: CHRISTIAN AID WORKER BEHEADED FOR CONVERTING FROM ISLAM

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Anti-Christian violence spills into Kenya as Somali Muslims attack in Nairobi.

NAIROBI, Kenya, October 27 (Compass Direct News) – Among at least 24 aid workers killed in Somalia this year was one who was beheaded last month specifically for converting from Islam to Christianity, among other charges, according to an eyewitness.

Muslim extremists from the al Shabab group fighting the transitional government on Sept. 23 sliced the head off of Mansuur Mohammed, 25, a World Food Program (WFP) worker, before horrified onlookers of Manyafulka village, 10 kilometers (six miles) from Baidoa.

The militants had intercepted Mohammed and a WFP driver, who managed to escape, earlier in the morning. Sources close to Mohammed’s family said he converted from Islam to Christianity in 2005.

The eyewitness, who requested anonymity for security reasons, said the militants that afternoon gathered the villagers of Manyafulka, telling them that they would prepare a feast for them. The people gathered anticipating the slaughter of a sheep, goat or camel according to local custom.

Five masked men emerged carrying guns, wielding Somali swords and dragging the handcuffed Mohammed. One pulled back Mohammed’s head, exposing his face as he scraped his sword against his short hair as if to sharpen it. Another recited the Quran as he proclaimed that Mohammed was a “murtid,” an Arabic term for one who converts from Islam to Christianity.

The Muslim militant announced that Mohammed was an infidel and a spy for occupying Ethiopian soldiers.

Mohammed remained calm with an expressionless face, never uttering a word, said the eyewitness. As the chanting of “Allah Akubar [God is greater]” rose to a crescendo, one of the militiamen twisted his head, allowing the other to slit his neck. When the head was finally severed from the torso, the killers cheered as they displayed it to the petrified crowd.

The militants allowed one of their accomplices to take a video of the slaughter using a mobile phone. The video was later circulated secretly and sold in Somalia and in neighboring countries in what many see as a strategy to instill fear among those contemplating conversion from Islam to Christianity.

Unconfirmed reports indicated that a similar incident took place in Lower Juba province of Somalia in July, when Christians found with Bibles were publicly executed. Their families fled to Dadaab refugee camp in Kenya, and such killings are forcing other Christians to flee to neighboring Kenya, Ethiopia and Djibouti.

 

Somalis Attacking Somalis

Somali refugees to Kenya include Nur Mohammed Hassan, in Nairobi under U.N. High Commissioner for Refugees asylum. In spite of the protection, two weeks ago five Somali Muslims broke into Mohammed Hassan’s house and beat him and his family, he told Compass.

“On Oct. 14 five Muslims entered my house around 10 o’clock in the night and forced us out after beating us indiscriminately,” Mohammed Hassan said, adding that the youngest of his eight children suffers from a liver disease. “Thank God the police arrived immediately and saved our lives. For two days now we have been sleeping outside in the cold. We have been receiving police security, but for how long will this continue?”

Mohammed Hassan now lives in Eastliegh, Nairobi with his wife and children. He had fled Mogadishu after Muslims murdered his sister, Mariam Mohammed Hassan, in April 2005, allegedly for distributing Bibles in the capital.

“We are nowadays no better than our fellow Somali Christians inside Somalia who are killed like dogs when discovered to be Christians,” Mohammed Hassan said. “We are not safe living here in Eastleigh. The Muslims killed my sister in Mogadishu, and now they are planning to kill me and my family.”

The last three years in Nairobi, he said, he has suffered many setbacks at the hands of other Somali immigrants.

“Indeed the situation for the Muslim Christians in Kenya and Somalia is disastrous and horrifying – we are risking our lives for choosing to follow Christ,” he said. “My family is in danger. No peace, no security. We are lacking the basic necessities of life.”

One of the most dangerous countries in the world, Somalia is subject to suicide bombings, sea piracy and routine human rights violations. Islamic militants object to foreign troop intervention, especially those from neighboring Ethiopia. Christians and anyone sympathetic to Western ideals are targeted, with foreign aid workers especially vulnerable in the past year.

Aid groups have counted 24 aid workers, 20 of them Somalis, who have been killed this year in Somalia, with more than 100 attacks on aid agencies reported. In their strategy to destabilize the government, the Islamic militants target relief groups as the U.N. estimates 3.2 million Somalis (nearly a third of the population) depend on such aid.

Somali Islamic clerics such as Ahlsunna Waljamea have condemned the killing of aid workers in Somalia.

Report from Compass Direct News