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Vinci Ho

Vinci Ho

  • GPs set to diagnose Covid-19 face to face in 'hot hubs'

    Vinci Ho's comment 02 Apr 2020 11:03am

    Another prerequisite apart from PPE(with quality and quantity issues), is testing of these clinicians working in these hubs ( probably more than once) .
    Yes , if the testing is going to develop further into both detecting active infection(e.g. antigen ) as well as status of immunity (IgM or even IgG if the similar science applies to Covid-19), one can possibly then declare safety for certain clinicians to work there .
    Bottom line is , the system and authorities must provide enough assurance of protection to these clinicians.

  • Lack of PPE is becoming a scandal

    Vinci Ho's comment 01 Apr 2020 7:30pm

    My same old question,
    Is NHS England fit for purpose ?

  • GPs trying to access NHS England’s ‘emergency’ PPE told to buy their own

    Vinci Ho's comment 01 Apr 2020 5:21pm

    I have kept my satirical comments to the minimum ever since I called for collectivism for this war. But I have to repeat the same question I have long been asking , ‘Is NHSE fit for purpose?’ , as this is about safety for all colleagues at the frontline.
    Is ‘very optimistically’ an evidence of incompetence or just arrogance ?
    I am afraid that the difference between me , as an ordinary GP , and the deputy CMO being arrogant is huge .

  • GPs to start getting tested for coronavirus from this week

    Vinci Ho's comment 31 Mar 2020 0:24am

    ’’GPs have long expressed frustration with high-profile figures such as the Prime Minister, health secretary and Prince Charles testing positive for the virus when they were largely denied tests.‘’

    Frustration ? Seriously?
    Has the English dictionary got no better word to use in here ?
    What about ‘rage’ , ‘anger’ , ‘disgust’ , ‘humiliation’ , ‘denigration ’ , ‘devaluation’ etc Many more words to choose

  • Health secretary and Prime Minister test positive for coronavirus

    Vinci Ho's comment 27 Mar 2020 2:01pm

    Well
    Zero social distancing in House of Commons .
    What else can you expect ?
    I expect herd immunity developed amongst all MPs if they survive

  • GPs and hospital doctors 'will die' without proper PPE, BMA warns

    Vinci Ho's comment 26 Mar 2020 7:29am

    (1) At this stage of the pandemic, it is a no brainer that we will not do face-to-face consultation without PPE(any form is better than nothing ). Hence , no PPE , no FTF. So is to apply to home visit .
    (2) Search and buy your own supply from abroad if you can find any way .GPC and RCGP should help colleagues to search these sources of supply . Of course , carry on putting pressure on the system but I think we all know what the reality is . This is no longer a time to be politically correct but to save ourselves together as a cohort . We will do the calculation for accountability AFTER on our government and its health secretary.
    (3) Testing all frontline health professionals must happen and this provides answer in various scenarios, for instance, a family member of a professional develops symptoms and he/she can be ‘cleared’ by the test , sent to a specific hotel , so as to carry on working on the frontline( instead of isolation at home for 14 days )

  • Prime Minister announces UK lockdown starting tonight

    Vinci Ho's comment 21 Mar 2020 2:21pm

    On the subject of PPE specifically, I only have one message to the prime minister and health secretary:

    I hope you have read carefully and thoroughly the tragic story of Dr Li Wenliang in China and his ignominious treatment leading to his death from Covid-19 by the Chinese government.
    There is only one message :
    ‘ A government must listen to all frontline healthcare colleagues and act accordingly.’
    And please do not give me the excuse that this kind of injustice would only happen in a totalitarian, autocratic regime .

  • PPE problems 'completely resolved' for hospitals 'and other care workers'

    Vinci Ho's comment 21 Mar 2020 2:18pm

    On the subject of PPE specifically, I only have one message to the prime minister and health secretary:

    I hope you have read carefully and thoroughly the tragic story of Dr Li Wenliang in China and his ignominious treatment leading to his death from Covid-19 by the Chinese government.
    There is only one message :
    ‘ A government must listen to all frontline healthcare colleagues and act accordingly.’
    And please do not give me the excuse that this kind of injustice would only happen in a totalitarian, autocratic regime .

  • PPE problems 'completely resolved' for hospitals 'and other care workers'

    Vinci Ho's comment 21 Mar 2020 9:57am

    A collection of well-balanced arguments if you still have time to read and not exhausted by Covid-19🧐😎

    Coronavirus: What could the West learn from Asia?
    https://www.bbc.co.uk/news/world-asia-51970379

  • PPE problems 'completely resolved' for hospitals 'and other care workers'

    Vinci Ho's comment 21 Mar 2020 9:55am

    (1) This is one of the few times I have to agree with the prime minister politically . Collectivism is the only hope in here . Nature is sending us a message(more a lesson actually) that certain ways we have been conducting our lives have to be changed ?? Perhaps this is natural selection , perhaps not?And we , human beings , obviously have some genuine soul-searching when this is over , whenever it is over .
    (2) We are where are . It is irresponsible and meaningless to carry on arguing against each other whose ‘theory’ is correct about Covid-19 e.g. where did it come from in the very first place ? Does face mask work ?
    The fact is we are still learning about the behaviour of this ‘perfect virus’ and we can only adhere to the phenomena we can all see globally . Nothing more , nothing less . At this point of the story, all countries are converging eventually to two words ‘lockdown’ and ‘isolation’ regardless of liberal or autocratic political system .
    (3) The phenomena we all can witness in China and Italy is beyond denial . Whether we were early or late in our responses, is now irrelevant as far as moving forward is concerned. We can only utilise the resources we have in our hands right now and try the best to help each other provided that we have not been ‘struck down’ . That is why I referred to a war mentality and of course , many of us including myself ( 55 years old ordinary citizens)are still young to have real life experiences compared to our parents .
    (4) Yes , more will die not just because of those directly caused by Covid-19 , but also the collateral damages as our NHS is inundated by these critically ill Covid-19 patients confined in hospital beds , while patients with other serious medical conditions have no where to be treated .
    Primary care and general practitioners has undoubtedly a vital role in saving the country in this crisis . But the government and its senior NHS leaders must climb down their high horses and provide all the means we need on frontlines unreservedly to help all vulnerable patients who will be thrown into a ‘jail sentence’ for at least 3 months . The complications of this drastic measure is far-reaching , pervasive and omnipresent, saying the least .
    (5) If the financial tsunami in 2008 was a consequence of extreme neoliberalism and globalisation rebuked by reflexive populism and protectionism( so we have Mr Trump , Brexit), Covid-19 has naturally triggered an ‘inevitable’ protectionism and isolationism(ironically instigated by China , one big beneficiary of globalisation pushing One Belt , One Road )swinging the pendulum further to an unimaginable end with desolation and decimation . The virus has clearly no political preference.
    Perhaps the irony has reminded us once again , we human beings do not really want to the lessons.
    Perhaps , this is the unique ,historic time and opportunity to set aside our differences and disputes fuelled by arrogance and bigotry to stop these ‘actions and inactions’ against each other .
    Perhaps , there is a brave new world with a ‘New Order’ beyond this crisis .

    I apologise that if this is too long a comment but this will be the single , most serious challenge in my whole medical career when I look back at the end of life . Cannot say this more lightly

    And for all my honourable and brave colleagues,
    Valar morghulis
    Valar dohaeris
    May the force be with you
    Every effort one gives will count ...........
    So say we all .........

  • Prime Minister announces UK lockdown starting tonight

    Vinci Ho's comment 21 Mar 2020 9:50am

    A collection of well-balanced arguments if you still have time to read and not exhausted by Covid-19🧐😎

    Coronavirus: What could the West learn from Asia?
    https://www.bbc.co.uk/news/world-asia-51970379

  • Prime Minister announces UK lockdown starting tonight

    Vinci Ho's comment 21 Mar 2020 9:45am

    (1) This is one of the few times I have to agree with the prime minister politically . Collectivism is the only hope in here . Nature is sending us a message(more a lesson actually) that certain ways we have been conducting our lives have to be changed ?? Perhaps this is natural selection , perhaps not?And we , human beings , obviously have some genuine soul-searching when this is over , whenever it is over .
    (2) We are where are . It is irresponsible and meaningless to carry on arguing against each other whose ‘theory’ is correct about Covid-19 e.g. where did it come from in the very first place ? Does face mask work ?
    The fact is we are still learning about the behaviour of this ‘perfect virus’ and we can only adhere to the phenomena we can all see globally . Nothing more , nothing less . At this point of the story, all countries are converging eventually to two words ‘lockdown’ and ‘isolation’ regardless of liberal or autocratic political system .
    (3) The phenomena we all can witness in China and Italy is beyond denial . Whether we were early or late in our responses, is now irrelevant as far as moving forward is concerned. We can only utilise the resources we have in our hands right now and try the best to help each other provided that we have not been ‘struck down’ . That is why I referred to a war mentality and of course , many of us including myself ( 55 years old ordinary citizens)are still young to have real life experiences compared to our parents .
    (4) Yes , more will die not just because of those directly caused by Covid-19 , but also the collateral damages as our NHS is inundated by these critically ill Covid-19 patients confined in hospital beds , while patients with other serious medical conditions have no where to be treated .
    Primary care and general practitioners has undoubtedly a vital role in saving the country in this crisis . But the government and its senior NHS leaders must climb down their high horses and provide all the means we need on frontlines unreservedly to help all vulnerable patients who will be thrown into a ‘jail sentence’ for at least 3 months . The complications of this drastic measure is far-reaching , pervasive and omnipresent, saying the least .
    (5) If the financial tsunami in 2008 was a consequence of extreme neoliberalism and globalisation rebuked by reflexive populism and protectionism( so we have Mr Trump , Brexit), Covid-19 has naturally triggered an ‘inevitable’ protectionism and isolationism(ironically instigated by China , one big beneficiary of globalisation pushing One Belt , One Road )swinging the pendulum further to an unimaginable end with desolation and decimation . The virus has clearly no political preference.
    Perhaps the irony has reminded us once again , we human beings do not really want to the lessons.
    Perhaps , this is the unique ,historic time and opportunity to set aside our differences and disputes fuelled by arrogance and bigotry to stop these ‘actions and inactions’ against each other .
    Perhaps , there is a brave new world with a ‘New Order’ beyond this crisis .

    I apologise that if this is too long a comment but this will be the single , most serious challenge in my whole medical career when I look back at the end of life . Cannot say this more lightly

    And for all my honourable and brave colleagues,
    Valar morghulis
    Valar dohaeris
    May the force be with you
    Every effort one gives will count ...........
    So say we all .........

  • NHS to offer staff hotel rooms if members of their household show virus symptoms

    Vinci Ho's comment 19 Mar 2020 6:48pm

    That is exactly where the argument of targeted testing lies

  • GMC asks 5,000 unlicensed GPs to return to work in coronavirus crisis

    Vinci Ho's comment 19 Mar 2020 6:39pm

    Una Lane, director of registration and revalidation at the GMC, said: ‘We expect the UK Government to ask us to grant temporary registration to doctors living in the UK who are not currently in practice. We know many will be keen to help, but we also understand that many will have questions and concerns.

    First , would expect the most senior person to give a statement of this kind.
    Second , would expect more sincerity and attempts to raise morale . This is against a backdrop of a GP retention and recruitment crisis . GMC should be humbled by this once in a lifetime pandemic crisis . The prime minister has already been.
    Third , yes , we would put aside differences and serve the nation in time like this . Like Jaimie wrote , the judgement and revolution can only be visited after this national emergency is over .

  • PCN service specifications delayed until after coronavirus outbreak

    Vinci Ho's comment 19 Mar 2020 3:25pm

    The Trojan Horse is now also infected by Covid-19.

  • Ban on Chinese exports of coronavirus PPE restricting supplies to UK

    Vinci Ho's comment 19 Mar 2020 10:24am

    And I support more testing but has to be within the limit of resources .
    This BBC analysis described the dilemma well :
    Pragmatic analysis why we cannot test , test , test in UK
    https://www.bbc.co.uk/news/health-51943612

  • Ban on Chinese exports of coronavirus PPE restricting supplies to UK

    Vinci Ho's comment 19 Mar 2020 10:21am

    We are where we are
    (1)I personally am not totally against ‘herd immunity’ but it has to be an outcome rather than the coping mechanism at this rapid upstroke of the curve .
    (2) The vaccine will come only later and this is reality . Hence, ‘delay’ strategy is the only natural way we can adopt . Protecting/Shielding the vulnerable ones so as to ensure we have enough hospital facilities to cope with the 20% infected needing hospitalisation , is vital .
    (3)Remdesivir and Chloroquine are certainly promising in treating these severely affected and critically ill patients in hospital . Many of these will have ( over 65%) will have ARDS which literary the reason why many died . Mechanical ventilation is necessary .

    Think about measles , German measles or chicken pox happened first time on this earth when nobody has immunity . The more I read about Covid-19 , the more I see more similarities. My opinion .

  • Ban on Chinese exports of coronavirus PPE restricting supplies to UK

    Vinci Ho's comment 19 Mar 2020 9:39am

    I have said repeatedly to my staff and colleagues,’ collectivism does not usually work in politics but this is one of the few times in human history collectivism will help .’😑

  • Ban on Chinese exports of coronavirus PPE restricting supplies to UK

    Vinci Ho's comment 19 Mar 2020 9:35am

    While I can understand the ongoing controversy of whether everyone should wear face masks ( how many a day ?), there is no more argument about frontline healthcare workers ( including in social care) should wear PPE at this stage of ‘the upstroke of the curve’ in this pandemic.
    We finally have a Covid-19 interim guidance for primary care on 18/3 . Please read it carefully
    As I wrote , this is The Blitz 2.0 , at least for primary care and general practice . The country will not survive( politically , economically, socially and medically)without our efforts in primary care .
    After all , it is not just about the majority (80%) who will recover from mild illness of Covid-19 , but far more importantly the 20%( the vulnerable ones) who need hospitalisation and advanced , intensive care .

  • Good luck, everyone

    Vinci Ho's comment 19 Mar 2020 9:19am

    I have said repeatedly to my staff and colleagues,’ collectivism does not usually work in politics but this is one of the few times in human history collectivism can help .’😑