“Its impossible”, said pride. “It’s risky”, said experience. “It’s pointless”, said reason. “Give it a try”, whispered the heart. –unknown quote-
The 3rd wave of pandemic Covid-19 hits Sabah first in early October 2020 and the positive cases keep escalating day by day which also means the discharged cases each day were escalating; thanks to our modern healthcare services. The burden brought by this pandemic is insurmountable to everyone. For Primary Care team, we already facing a wide range of challenges from screening, tracing, managing active cases in Low Risk Covid-19 Quarantine and Treatment Centers (PKRC), as well as Person Under Investigations (PUI) in the quarantine centres. As more evidence emerged, literatures on long Covid or post Covid complications are being published and became a huge concern to the healthcare professionals and also the public. After several discussions and in depth considerations between the ID Physician, Family Physician, and Public Health Physician; finally we decided to take up the challenge in following up patients who have been infected with Covid-19 in Primary Care or health clinics.
However, at that time, there was lack of guidelines or consensus to guide us on what to look for and what should we assess during those follow ups. How long should we follow up? How frequent? What parameters should we used to monitor? and many more questions run through our minds but none can provide a concrete answer as the evidence were still scattered and scarce. Taking the challenge thrown by our respective Sabah State Health Director, Datuk Dr Christina Rundi; a team consist of 10 Family Medicine Specialists (FMS) lead by Dr Zaiton Bt Yahya, Head of Sabah FMS, was formed and started to brainstorm using available evidences collected and formulate it as a guide for the Primary Care healthcare workers when following up the post Covid patients.
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