2 e-Letters

published between 2019 and 2022

  • TELEMEDICINE WITH URINE EXAMINATION IN HOME SELF-DIAGNOSIS: we can monitor the kidney and other organs, as in Covid19 disease as in other challenging pictures derived from other aetiology.

    For home manage in the territorial context in which I work, the Covid19 patient is advised to have a thermometer and oximeter , possibly also check blood pressure and blood sugar (if previously monitored ).
    The simple urinalysis is not mentioned: it is cheap and can be performed at home.
    In fact, through a strip that is immersed in urine, after 1-2 minutes we can obtain about 10 parameters.
    They indicate not only kidney damage (presence of proteins, red blood cells, white blood cells, nitrites for urinary infections) but also important systemic metabolic indices.
    The values of pH, urinary density, glycosuria and ketonuria indicate whether metabolic decompensations, dehydration, etc. are in progress; finally, also bilirubin and urobilinogen, for what concerns the liver or eventual haemolytic anemia.
    I say this because unfortunately Covid19 can also compromise not only the kidney system, as well as a series of complications with a sneaky onset, not always quickly diagnosed.
    There remains the problem of the stripes packaging, not available individually, from which a single dose will have to be obtained.
    But it is probably a problem that can be overcome

  • Taiwan health department encourages video consultation during Covid-19

    Dear Editor,
    We read with great interest the paper by Clement et al. With the advancement of technology, the digital consultations got a lot of attention in a good way and become more useful during the pandemic for both patients with disability as well as the normal patients. Though, some people still prefers to see the doctor face to face for more self-satisfaction. The digital consultation still have a long way to go for its acceptance within people specifically who are not used to and just begin.

    As we know that telemedicine or video consultation can be used if you want to have look at a patient in care home, are working in a remote practice or the patient is bed bound. It saves patients an unnecessary trip to the practice, and the practitioner may have time freed up to see the sickest patients first. [1] Under the COVID-19 pandemic situation, people have to beware of the existence of such approaches to consultations, during the pandemic people were afraid to go to the hospital or clinic to have a treatment or appointment with doctor, especially for the aging population.

    In Taiwan, the COVID-19 case raised up to hundreds local cases per day since Mid of May 2021 and the situation is going up to stage 3, the ministry of the health in Taiwan announced that people should prefer to use the digital consultation or telemedicine services to prevent the patients hospital visits and infection spread. Taiwan has a well-structured Health IT infrastructure an...

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