Singaraja –Wednesday, 11 August 2021 Poliklinik Sahabat collaborated with TBM Abhinaya Sagraha to present a seminar entitled “Live ISOMAN Smartly and Enthusiastically” as a form of education and support for Covid-19 survivors who are undergoing self-isolation or centralized isolation. As we know, the COVID-19 pandemic is still experiencing an increase in the number of active cases, especially in the Bali area. Therefore, people who suffer from COVID-19 must also undergo self-isolation or centralized isolation to prevent the spread of the virus. However, there are also many people who are unfamiliar with what they need to prepare for undergoing isolation. Therefore, this webinar was held to provide education as well as open discussion regarding self-isolation and centralized isolation. The speaker at this webinar is Dr. Putu Arya Nugraha, Sp. PD is an educator at Sahabat Clinic and a lecturer at FK Undiksha. Doctor Arya was also accompanied by Ni Made Dwi Satyawati, an active member of TBM Abhinaya Sagraha who served as moderator today.
The event opened with the presence of webinar participants which started at 09.00 WITA, then continued with the opening ceremony which consisted of a Performance, singing the songs Indonesia Raya, Mars Undiksha, and Mars PTBMMKI, then praying together and continued with remarks by Dr. Ni Luh Kadek Alit Arsani, S.Ked., M. Biomed as Deputy Dean 2 of FK Undiksha who also opened the webinar event. Next, the event continued with the main agenda which began with reading the presenter’s CV and continued with a presentation of the material.
The presentation of the material began with an introduction to the coronavirus. The coronavirus is a virus that has been around for a long time. There are several types of coronaviruses that have become endemic, starting from SARS (2000), MERS (2010), SARS-Cov-2 (2019), and most recently the delta variant of the coronavirus that we are currently facing. Next, Dr. Arya also added that to create community immunity, 70% of the population must be exposed to the virus either naturally or form artificial immunity produced by vaccination.
Covid-19 has several degrees and symptoms that can appear in sufferers. The degree of COVID-19 is categorized from no symptoms, mild symptoms, moderate symptoms, to severe or critical symptoms. The symptoms caused by COVID-19 are grouped into respiratory symptoms (anosmia, shortness of breath, cough with phlegm, etc.), non-respiratory symptoms (diarrhea, muscle pain, tingling, etc.), as well as symptoms associated with comorbidities such as impaired sugar control. , asthma recurs more easily, and so on.
To find out whether someone is exposed to the SARS-Cov-2 virus, there are several tests that can be carried out, including the rapid antibody test which is a rapid test that has the weakness of not being specific in recognizing the coronavirus, the rapid antigen test which is currently used for confirmation. beginning or tracking Covid-19 patients, then the Genoese test which is a new innovation, but is not specific in identifying the coronavirus, and is also the most accurate PCR test in confirming whether someone is infected by SARS-Cov-2. Currently, PCR tests are available in Buleleng Regency.
If someone is confirmed positive for COVID-19, then they must be isolated with the aim of avoiding the spread of the coronavirus and preventing contact with people at risk. People without symptoms do not require special treatment, but must still be isolated, while people with mild symptoms are given medication according to the complaints that arise, and for moderately severe or critical symptoms, sufferers are required to be hospitalized and given antivirals, comorbid therapy if any, administration of medication. advanced (anti-inflammatory, biological agents), and convalescent plasma therapy. If self-isolating, patients must always monitor for shortness of breath and check their oxygen saturation regularly. If oxygen saturation is less than 94%, the patient must undergo hospitalization. Respiratory checks are also carried out periodically, where the normal breathing frequency is 10-16 times per minute, if it is above 20 times per minute then it is categorized as shortness of breath and you must immediately consult a doctor. Therefore, currently, there is telemedicine being organized by the Ministry of Health for patients undergoing self-isolation to facilitate consultations with doctors.
Patients undergoing isolation must also do several things, such as maintaining adequate nutrition, compensating with light exercise (15-20 minutes of leisurely walking), breathing exercises to overcome symptoms of shortness of breath due to long covid, and sunbathing because vitamin D plays a role in increasing immunity. Apart from that, try to sleep 6-7 hours and take a nap of 30-45 minutes. Then keep communicating with family, friends, and relatives. As well as pursuing hobbies during isolation, consuming positive media, and establishing good communication with health workers, the COVID task force, and the surrounding environment.
Apart from that, COVID-19 survivors can share experiences, provide direct support for isolated patients, and donate convalescent plasma provided they have not received a vaccine dose to form sufficient antibodies and this is done within 3 months after recovery.
The presentation of the material was completed and then continued with a discussion session. The first question came from the participant on behalf of Radha, Radha’s mother complained of anosmia and coughing after going to mourn, Radha then took her mother to the community health center to undergo a test and was waiting for the results. It is also known that Radha’s mother has comorbid Diabetes Mellitus and currently the family lives with Radha’s children and grandmother. Radha asked what to do while waiting for her mother’s test results. Then Dr. Arya suggested trying to prevent mothers from having contact with children, the elderly, and people who have not been vaccinated, apart from that, always washing their hands and wearing a mask when at home, then Dr. Arya also suggested giving medicine to the mother’s comorbidities only (metformin) and if the cough symptoms bother her, she can give over-the-counter cough medicine. Then, if you have a fever, you can give paracetamol 3 times a day. Then giving vitamins is an option and if you wish, you can take part in centralized isolation at the nearest health center because there is comorbid Diabetes Mellitus.
The next question is from I Gusti Ayu Yudiani who asks whether it is necessary to give a third dose of vaccine, and if necessary, when is it best to give a third dose of vaccine? Dr. Arya then answered that booster or giving the third dose of vaccine is currently prioritized to be given to health workers, especially health workers who work in Covid isolation rooms or Covid referral hospitals. However, if you have been infected before, you must wait 3 months after being infected to be given a booster, because after exposure naturally high levels of antibodies are formed.
The discussion session then continued with questions from participants on behalf of Widia. Widia is known to be undergoing self-isolation. Widia has been feeling sick since Thursday afternoon. Wdidia asked whether therapy during insomnia with antibiotics alone was enough. or need to add antiviral therapy? Widia’s condition has improved, only sometimes her breathing feels a bit heavy. As for Dr. Arya, antivirals are not really necessary, antibiotics can play a role in preventing secondary infections but they must be administered on a doctor’s recommendation, and to manage anxiety and shortness of breath you can take part in online therapy by the Friends Clinic every Saturday. When infected by the coronavirus, our bodies produce inflammatory agents. These inflammatory agents then cause complaints of joint pain, fever, etc. To eliminate symptoms, you can drink water regularly and move around to speed up the excretion of antigen and antibody complexes formed during infection through the excretory system.
The next question was submitted by the participant on behalf of Mastika Putra. Mastika is a COVID survivor with moderate symptoms because her oxygen saturation was below 80%. Currently, Mastika no longer experiences symptoms, but her breathing sometimes feels heavy, even though her oxygen saturation is above 97%. Apart from that, Mustika also experienced difficulty sleeping, Mustika asked how to handle her complaint. Then he also asked if he could meet his son at this time. Dr.’s answer to Arya is as follows, classic signslong covid one of which is sleep disturbance and ongoing shortness of breath. To practice breathing, you can do walking exercises more often and practice online with the Friends Clinic. To overcome sleep disorders, at 5 pm you can do several movements until you sweat. Then at night try to do activities that are quite tiring such as reading, watching TV, etc. Try to sleep after 10 or 11 at night, if that doesn’t work, you can help with medication. Currently, it is safe for Mustika to gather with her family without the need for further isolation because basically after 10 days of being infected, if she experiences mild symptoms, there is no need to be tested again, except in cases of severe infection, the CT value needs to be checked.
The participant, Tia Adnyani, then asked. After reading an article on the internet that discussed the symptoms of COVID-19, one of the symptoms that was a little unusual was diarrhea. What is the mechanism by which the virus that causes Covid-19 can cause diarrhea? Then the second question from Tia, if we test positive, are there certain types of food or drinks that must be consumed during self-isolation to speed up the body’s healing? Dr. Arya then answered, that in the intestine there is an ACE receptor that recognizes the coronavirus antigen, the antigen then binds to the ACE receptor in the intestine so that symptoms occur in the digestive system. Then for the second question, there is no particular food that is a cure for COVID-19, just maintain balanced nutrition, namely 4 healthy and 5 perfect.
The next discussion session continued with questions from Edy. Edy’s brother is undergoing isolation in Jinengdalem and was given a medicine package consisting of vitamins, antivirals, and symptom relievers. Meanwhile, his older brother is an OTG who does not need drug therapy. Edy also asked what his brother needed at the moment. Then Dr. Arya answered that Edy’s brother underwent isolation only to be separated, not for therapy because his status was only OTG. Therefore, Edy’s brother only needs to take vitamins from the medicine package, and actually, there is no need to do a re-examination after isolation, but collaboration is still being carried out with the Buleleng Regional Secretary to change the requirements when he finishes isolation.
Then from the YouTube platform, the participant, Sugandini Ardana, asked questions regarding the anxiety management program schedule and breathing exercises carried out by the Friends Clinic. Dr. Arya answered that the program was held online every Saturday at 15.00. The access link will be shared via Doctor Arya’s personal Facebook or via broadcast to the Whatsapp group in the morning.
The final question came from Ruby Firdaus who asked whether the vaccination that had been carried out was able to overcome the delta variant. So how is the delta variant spreading in the Buleleng area? Dr. Arya also answered that the delta variant had entered Buleleng. Many factors influence the efficacy of vaccines against the delta variant so vaccines are never 100% effective. Because the delta variant has mutated from the previous virus, there is still a basic structure of the virus that has not mutated so it is hoped that the vaccine can also handle the delta variant. People who have been fully vaccinated usually have mild symptoms or only become OTG, while those who have not been vaccinated will have more severe symptoms.
With this final question, the discussion session was closed and continued with reading the conclusion by the moderator and ended with a documentation session which marked the end of the webinar this morning. With this webinar, it is hoped that the public can receive useful knowledge to apply during the current isolation period and can pass it on to their friends and close relatives. (TFK)
