Saturday, 21 March 2020

COVID 19 diary



28 January, 2020
Returned to work after a wonderful Australia Day long weekend in Adelaide. First time during my 10+ years of career as a GP in Australia where I had to wear a surgical mask! This is because our clinic is in Eastwood, a suburb with a high population of Chinese people. This busy suburb has just turned very quiet... looks like it's gonna be a cruisy week at work?


4 February, 2020
Seems like some people are started come back to Eastwood… At least the car park is no longer empty.

7 February, 2020
First time trying out the N95 and goggle combination gear (usually just consulted in a surgical mask)! Man, this thing is supposed to be really tight so there is a good seal... felt totally deoxygenated and became dark in the face! Wore it for less than 10minutes! After taking it off it left imprints on my nose bridge and cheeks!




1 March, 2020
People started panic buying toilet papers. Some people started exhibiting violent behaviour, requiring intervention by police.

6 March, 2020
Levelling up on eye protection today using a dentist’s face shield I borrowed... on the brighter side, lobsters are cheaper in some restaurants like the Taste of Shanghai (but not in the Fisherman's Wharf Seafood Restaurant).

7 March, 2020

A GP in Melbourne with mild cold-like symptoms who don’t even fit the criteria for coronavirus testing tested himself for the sake of completeness actually tested positive! His name and his clinic got written all over the news and he got abused by politicians who exclaimed that they were “Flabbergasted.” This type of abuse will just discourage GPs from testing their patients or themselves for coronavirus.

9 March, 2020
Pathology labs are getting so busy with coronavirus testing that it takes a few days just to wait for an appointment to get the swab done, and 3 more days for results to come out. People are meant to self-isolate if they go for testing. Looking at how slow the testings are being done, people might as well just self-isolate for two weeks! Furthermore, the current Medicare testing criteria doesn’t cover for mild community acquired cases anyways, and these people will just slip through the system undetected.

10 March, 2020
Things are getting quite hectic in the highly multicultural city of Ryde, which is the epicentre of the coronavirus community outbreak. There are 100 confirmed cases in Australia today, with 55 being in NSW! The Ryde Hospital doctor who caught the coronavirus actually tested negative twice. However, his symptoms had been so severe that they tested him a third time, and the third test was positive! We had lots of people flooding in on Monday panicking about their cold-like symptoms. It’s a bit better today. I don’t wear glasses but need eye protection during consultations. If I must spend money on buying goggles, I should just buy a face shield instead. Still contemplating on whether to freeze my gym membership for a few weeks or not.

11 March, 2020

Tom Hanks and his wife tests positive for coronavirus, making him the first famous actor to be diagnosed with this disease. Hmm, I was just watching Contagion with my husband two days ago. He quizzed me about who the main character male actor was. I knew it was Matt Damon but the words “Tom Hanks” came out of my mouth. A gift of prophecy? 

13 March, 2020
Froze gym membership.
My middle school classmate shares his experience in the epicentre of Korea:
My husband thought it would be good to buy some stuff from the supermarket. He also starts going OCD about charting coronavirus trends on the graph.

14 March, 2020
People started emptying supermarkets. In retrospect, I was lucky to have made a visit to the supermarket the night before. The thing about panic buying is, all these panicking people squeezing into confined spaces are just gonna increase their chance of catching the virus! It will become a self-fulfilling prophecy: they are really going to need those things they buy very soon.

15 March, 2020
A sudden jump in numbers of infected people in Australia: 100 overnight.

16 March, 2020
More coronavirus clinics open up in the public hospitals. Panicking people crowd into hospitals because they want to get tested. Doesn’t all that crowding just increase people’s chance of getting infected?
Just got told that our clinic will run out of face masks very soon. My husband’s company allowed him to work from home. He is a lateral thinker and decided to go to a paint store to see if there could be some face masks. Turns out there were plenty! He bought two painters respiratory kit with replaceable dust filters. In other words, these are reusable. They look ridiculous, but I guess they could be useful if we really do run out of face masks.
Eastwood is now crowded with people, all wearing masks. Maybe people feel safer in masks?
Went to the graduation ceremony for my MDiv. Completed my MDiv April 2019 and waited nearly a year for the once yearly graduation ceremony. They had to modify the ceremony quite a fair bit due to the coronavirus: no worship singing, no shaking hands, etc.

19 March, 2020
First attempt to do body pump exercise in my room. The space is too small and I don’t feel very motivated.

Hospitals don't let staff wear masks:
A RN from Ryde hospital nervously told me hospital pathology wouldn't let her get the COVID19 test when she had mild cold-like symptoms in early March, because they think she “didn’t have any symptoms.” She mentioned that when the nurses tried to get the masks, the NUM angrily threw the whole box of masks on the floor and went hysterical. Now, the city of Ryde is the epicentre of the community spread COVID19 in Australia, and many hospital staff got infected. I think I am lucky to work in a private clinic, because there's no one stopping us from wearing masks, and no one in our clinic got infected so far.

20March, 2020
Australia has shut its borders. From 9pm tonight, only Australian citizens, permanent residents and their immediate family members will be allowed to enter the country (note: "immediate" meaning spouses, dependents and legal guardians, not parents who are non-dependent of you!). There are now 756 people infected in Australia.
Unfortunately, the death toll in Italy surpassed that of China as of today, even though the number of people infected is only half of China. Many Italians regretted laughing at people who wore masks.



I believe the best way to protect yourself is to avoid touching your mouth, nose and eyes. Be very conscious of what your hand has touched and wash your hands frequently. Avoid crowded enclosed spaces: if you must go to a place like this, it’s better to have masks (surgical, N95 or P2) and eye protection. It’s also important to live a healthy lifestyle to keep up your immunity: sleep and wake early, eat healthily, do some aerobic exercises to increase your lung capacity, take vitamin C. And if you develop cold like symptoms, then stay at home and don’t spread it to other people. And remember to get your flu vaccine.

Telehealth services will be available to:

people isolating themselves at home on the advice of a medical practitioner, in accordance with home isolation guidance issued by the AHPPC, and people who meet the current national triage protocol criteria for suspected COVID-19 infection after consultation with either the national COVID-19 hotline, state COVID-19 hotlines, registered medical or nursing practitioner or COVID-19 trained health clinic triage staff.
1) Travellers from overseas with onset of respiratory symptoms or fever within 14 days of return
2) Close contacts of confirmed COVID-19 cases with respiratory symptoms or fever within 14 days of last contact
3) Healthcare workers with recent onset of respiratory symptoms AND fever irrespective of travel history. Healthcare workers who have fever OR respiratory symptoms should be assessed for testing on a case by case basis
4) Patients admitted to hospital with acute respiratory illness or unexplained fever
5) Patients with acute respiratory illness or fever in high risk settings such as hospitals, aged care facilities, residential care facilities, boarding schools, cruise ships
6) Patients with acute respiratory illness or fever presenting with reported links to settings where COVID-19 outbreaks have occurred
7) Patients with unexplained respiratory symptoms or fever in Aboriginal rural and remote communities.

Vulnerable people:
1) people aged over 70
2) Aboriginal and Torres Strait Islander people aged over 50 
3)people with chronic health conditions or who are immunocompromised
4) parents with new babies and people who are pregnant.

People in isolation or quarantine for COVID-19 can see any eligible health provider through new telehealth items.
Patients in vulnerable groups can additionally see a health provider via telehealth for a non-COVID-19 matter if they have seen that provider face-to-face at least once in the previous 12 months.


The criteria listed above comes from the official information from the Australian Health Department Area Health Network, which is general in nature, and not individual medical advice.


For those living in Australia needing individualised medical advice, please call Health Direct 1800 022 222 or contact a doctor locally:

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