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Dentists continue services via teledentistry and with tighter protocols

first_imgThis article is part of The Jakarta Post’s “Forging the New Norm” special coverage series, on how people are forging their lives anew to adjust to the new realities of COVID-19 in Indonesia.Dentists and dental clinics in Indonesia are attempting to minimize the high risks they face amid the COVID-19 pandemic by embracing telemedicine and tighter health protocols in order to continue treating patients and to keep their businesses afloat.Dental procedures frequently generate formations of droplets and fine water particles in the air that can carry the novel coronavirus that causes COVID-19, which may end up on the clothes of, or be inhaled by, both dental healthcare personnel and patients. Read also: Indonesian dentists walk on tightrope as practices forced to close due to COVID-19The Indonesian Dentists Association (PDGI) has advised the public not to see dentists unless for emergency or serious dental problems, such as oral bleeding or severe dental pain during the COVID-19 pandemic. In April, the PDGI reported that six dentists had died of COVID-19 after treating patients.“Patients can understand their degrees of urgency by consulting the dentists virtually. It has never been more obvious that dental organizations must embrace teledentistry,” PDGI chair Sri Hananto Seno told The Jakarta Post on Thursday.Take pictures Many patients, including Intan Kurnia Marka, have decided to postpone going to the dentist. Intan, herself a 24-year-old dental student in Yogyakarta, has skipped her routine braces checkups during the outbreak. “A loose bracket is a common problem for people with braces but it doesn’t need emergency care. I fear the COVID-19 transmission more,” she said.Hananto said that patients nowadays might want to communicate with dentists online, especially if their dentists have established good relationships with them. Hananto, for example, asks his patients to take several pictures of their mouth and send them through WhatsApp so he can analyze the problem.“This is the closest we can get to solving the dilemma of whether to continue to work and keep earning or to reduce the risk of COVID-19 transmission,” he said, adding that in outbreak epicenter Jakarta, the COVID-19 situation had prompted nearly 70 percent of dentists to stop practicing and lose their source of income.Hananto said the PDGI, which has 272 branches across the country, was also starting to collaborate with telemedicine apps such as Klikdokter and Halodoc so that dentists could register easily.Limited servicesDentistry, however, has yet to settle on an established new normal. Dentists and clinics are still grappling with how best to serve needy patients and the results are either a limited service or a costly one.Artist Yustiansyah Lesmana told the Post that his wife, whose gums had swollen, went to RE Martadinata Dental Naval Hospital in Central Jakarta on May 8 where she was asked to cover the cost of personal protective equipment (PPE) for the medical workers in order to obtain emergency treatment. They did not use the national healthcare system BPJS Kesehatan because that system requires the patient to go see their nearest dentist first before being treated as a dental emergency in the hospital.“My wife was expected to pay Rp 500,000 [US$ 33.50] outside the treatment fees. We declined to see the dentist eventually,” he said. The couple spent hours, calling several dentists and clinics, to find a dentist that could treat Yustiansyah’s wife’s problem. Finally, they went to the University of Indonesia clinic in Salemba, where she left her number and was called and treated remotely by a dentist because the dental clinic was closed to visitors.RE Martadinata Dental Naval Hospital head Col. Agus Gamal Mulya said the policy of patients buying PPE for dentists applied to general patients, to partially cover the cost of PPE given the scarcity of protective gear in the first weeks of the outbreak and subsequent skyrocketing prices.“We needed to procure protective gear but were unable to do it without aid from other parties. A set of PPE cost around Rp 500,000 per staff member. Meanwhile, a patient with an emergency case is treated by two personnel, a doctor and a dental assistant. We decided to charge the patient for the PPE at half the cost if they agreed,” Agus told the Post on Tuesday.He added that the policy did not apply to patients covered by the Health Care and Social Security Agency (BPJS Kesehatan).Atika Nurmalia was also only able to obtain a limited dental service recently. Unable to bear the incessant pain from her swollen gums, the 24-year-old woman from Kudus regency in Central Java, decided to see a dentist, despite her fear of contracting COVID-19.When she visited the clinic, she went through a body temperature check and was told to maintain physical distance. However, she was surprised when she saw the dentist only wore a surgical mask and did not examine her mouth at all.“I was not told to open my mouth, I didn’t even remove my mask. I understand that must be dangerous to do especially as the dentist only wore a mask but what’s the point then of visiting the dentist?” she said. Her experience demonstrated the necessary shift in dental practice as some procedures may be now carried out without visiting a hospital or clinic.Tighter protocolsEndodontist Rio Suryantoro, who owns a clinic in Tebet, South Jakarta, said he had been conducting assessments regarding COVID-19 through WhatsApp as a routine procedure.“If a patient needs emergency care, we must first assess their condition and travel history in the last 14 days before agreeing to an arrangement. Meanwhile, all kinds of nonemergency practices should be postponed,” he told the Post.Rio added that even with such precheck measures, the risks were still high as long as the patients were not tested for COVID-19, especially as some COVID-19 patients could be showing no symptoms.“Now is a good time for dental professionals to learn about and improve infection control. All this time, both dental patients and staff could be exposed to various viruses and bacteria through direct or indirect contact with fluids, but even the standard precautions are often overlooked,” said Rio.The standard precautions in dental practices include hand hygiene, use of PPE such as gloves, masks and eyewear, safe injection practices, sterile instruments and a clean and disinfected environment.In the future, patients may expect to see all dental staff wearing gowns, masks, face shields, gloves and boots. Hananto of the PDGI said this protective gear was an absolute condition for any dentists who wanted to work during this pandemic.Hananto added, however, that not all dental healthcare personnel could afford protective gear. The PDGI has received 5,000 PPE items from the National Disaster Mitigation Agency (BNPB) and distributed them to several regions. This amount is far from enough to cover all 34,000 dentists across the country, according to Hananto.“Without an effective vaccine, the pandemic will last but we can’t stop working forever. The way to work is by wearing full protective gear,” he said.Topics :last_img read more

The Latest: Hurricanes ask employees to take time off

first_imgHe says the league is thankful only two players have tested positive for COVID-19 so far and is hopeful weeks of isolation will prevent more from contracting the virus. Players and staff have been told to self-quarantine until at least April 4.There is no timeline for when players might be able to start working out in small groups or report to team training facilities. Meeuwisse says the trajectory of the coronavirus outbreak in the U.S. and Canada will determine when that might be possible.Varying recommendations and lockdown regulations across the league’s 31 markets could impact how the NHL proceeds. Meeuwisse and deputy commissioner Bill Daly are still unsure whether fans would be allowed in for potential games when they resume.___Aqueduct has extended the suspension of live horse racing through at least April 5 because of the impact of the new coronavirus in New York. The National Hockey League has postponed its scouting combine, awards ceremony and draft that were scheduled for June. It did not provide new dates for the events.With the NHL season on pause since March 12, the postponement of these events did not come as a surprise. The league is still working on scenarios of what hockey would look like if it is able to resume this season.___Organizers of the European Championships in track and field still hope to stage the event in Paris in August despite France being locked down during the coronavirus pandemic.European Athletics says it asked officials in Paris for a feasibility study for the Aug. 25-30 championships. Fox5 in Las Vegas first reported the news.Mortenson-McCarthy says the area of the stadium where the worker was assigned and the surrounding vicinity were immediately shut down and sanitized. Work in other parts of the stadium has been unaffected and the stadium is still scheduled to be completed this summer.The Raiders are set to begin play in the $1.9 billion stadium this fall.___USA Diving will keep its Olympic trials in Indianapolis when the event is rescheduled. Kim Pegula says she and her husband Terry wanted to provide immediate assistance to “those in need and fighting on the front lines.”Money from the teams’ charitable foundations will got to the newly formed Western New York COVID-19 community response fund supporting the region’s non-profit agencies.Money also is going to several local food banks and assistance for health officials in purchasing protective gear and medical equipment.___Rio de Janeiro’s soccer body has extended its prohibition on professional matches in the state to the end of April. The initial suspension is valid until the end of March. In an interview with The Associated Press, team president and general manager Don Waddell said the request was “the best avenue to take for the next 10 days.” The team had announced this week that it would temporarily close its offices as of Tuesday while employees work remotely.Waddell said the decision would be on a week-to-week basis, though it doesn’t affect employees working under contracts. It comes as Wake County commission Chairman Greg Ford said the county plans to soon issue a stay-at-home order for residents similar to other areas of the state.The News & Observer of Raleigh first reported the plan, citing an internal email that stated employees would go without pay if they had used all allotted time off. Waddell clarified that later, telling the newspaper: “Everyone will get paid and we’ll figure it out after that.”“Everybody’s got full benefits, everybody’s getting paid this week,” Waddell told the AP. “We haven’t laid one person off. We haven’t cut one person. We haven’t cut any benefits.”The Hurricanes had previously announced plans to compensate arena and team-event staff for lost wages for remaining home games on hold with the NHL regular season suspended. The family of majority owner Adrian Hanauer is making a $500,000 initial investment to the fund, which will be aimed at individuals, non-profits and small businesses in response to the COVID-19 pandemic.The MLS team says the fund is intended to support a range of needs, from groceries to rent assistance and monetary packages. The priorities of the fund will go toward individual shift workers and service providers that work in and around the stadium when the team has home matches; small businesses in the area to help them stay open; and non-profits that support individuals and businesses in those neighborhoods.“The Sounders were born here in Seattle over 40 years ago, and we wouldn’t be the club we have become without the support we’ve always found in this amazing and vibrant community,” Hanauer said in a statement. “Now, as our world faces the new and unprecedented challenges presented by COVID-19, it’s our responsibility to step up and give back to the community in a meaningful way.”___Claressa Shields’ fight against Marie-Eve Dicaire has been postponed. NFL Commissioner Roger Goodell has instructed the 32 teams to close their facilities to all but a select few employees by 6 p.m. Wednesday. In a memo to teams, Goodell said restrictions meant as a safeguard against the new coronavirus will be in force until at least April 8. Then the league will re-evaluate, using advice from medical experts and health authorities. The few exceptions include trainers and doctors treating players, security and technology personnel.The NFL has gotten some pushback for not postponing the draft scheduled for April 23-25 while the rest of the sports world is largely shut down. The league is developing a new format because it has scrapped the public events set for Las Vegas. ___More AP sports: https://apnews.com/apf-sports and https://twitter.com/AP_Sports,Tampa Bay Lightning advance to face Dallas Stars in Stanley Cup finals, beating New York Islanders 2-1 in OT in Game 6 The companies say they intend to restore jobs and compensation “once our business resumes to its normal state from this unprecedented stoppage.”The Bruins were the last team in the NHL to offer help to gameday employees who lost work because of the coronavirus pandemic — and then only if postponed games aren’t made up. The team is owned by Jeremy Jacobs, who is the chairman of the NHL board of governors and a member of the Hockey Hall of Fame. According to Forbes Magazine, the Jacobs family is worth $3.3 billion.___Golden State Warriors star Stephen Curry is teaming up with Dr. Anthony Fauci for a question-and-answer discussion about the coronavirus.Curry, a two-time NBA MVP, will host the chat on his Instagram account Thursday — (at)StephenCurry30. Fauci is Director of the National Institute of Allergy and Infectious Diseases. March 25, 2020 Woodward said his wife isn’t currently working in a hospital. She finished a nursing contract at the end of February in Arizona, where they live, and is going back to school for another license.The Woodwards are also joining Rangers general manager Jon Daniels and his wife, Robyn, to provide meals to health care workers at Medical City of Arlington and Dallas.___The United Center is going to be turned into a logistics hub to help with Illinois’ response to the novel coronavirus.The United Center and the surrounding area will be used for front-line food distribution, first responder staging and collecting medical supplies. “Maybe if they said everybody could have 12 on-field sessions,” Swinney said. “So that means we would get only three just to make it equitable. But some of these schools who got none, they could get 12.”___Texas Rangers manager Chris Woodward and his wife Erin, a trauma nurse, have recorded a message thanking first responders and health care workers.The message was sent to the Texas Hospital Association and Medical City of Arlington and Dallas.“We’re just trying to say thank you to all of these people on the front lines,” Woodward said Wednesday. “The first responders are first on the scene to a lot of these things. … The doctors, nurses, everybody, they’re putting themselves at risk for all of us.” The proposed full-face visors are made of plastic and contain anti-fogging material.With non-essential businesses ordered closed in Quebec, the company is awaiting authorization from the provincial government before going into production.___A construction worker at the new Raiders stadium in Las Vegas has tested positive for the new coronavirus.Mortenson-McCarthy Builders said Wednesday the worker had not been in close contact with any other project worker and had been off site since last week. The worker is self isolating for 14 days and won’t return to work until cleared. The club’s statement Wednesday says that postponing the two-week grass-court tournament would not come “without significant risk and difficulty” because of the surface.Playing without fans has been ruled out. Wimbledon hasn’t been canceled since World War II.___NASCAR says in a memo to teams that one of its employees at Atlanta Motor Speedway two weeks ago tested positive for the coronavirus. The employee was not identified and NASCAR said the individual has been receiving medical care and all potentially exposed have been told to self-quarantine. ___Canadian hockey equipment manufacturer Bauer is offering to modify its production line to make protective visors for doctors, nurses and first responders.The protective equipment to help deal with the COVID-19 pandemic would be produced at the company’s innovation center in Quebec.Bauer’s vice president of products, Dan Bourgeois, says he has already received calls from Montreal police, firefighters and hospitals interested in the products.Bourgeois says the company decided to adapt its hockey visor production after hearing Premier Francois Legault say manufacturers in Quebec could have a role to play if supplies of protective equipment run low. NASCAR was at Atlanta scheduled to race March 15 without spectators. But two days prior to the race, NASCAR postponed Atlanta and last weekend’s race at Homestead-Miami Speedway, which instead was converted into a virtual iRacing event broadcast on Fox Sports 1 with 35 drivers. NASCAR has suspended its season through May 9 and will race at least five more iRaces, televised on Fox, during the stoppage.___The NHL’s chief medical officer expects the coronavirus pandemic to get worse before it gets better.Dr. Winne Meeuwisse says the virus is “really just entering the rapid acceleration phase” in North America. That makes it unclear when hockey might resume. French officials reported their work has been “severely compromised by France’s national shutdown of non-essential activities” during the health crisis. However, European Athletics says “many athletes are keen” to see the championships go ahead as planned. It shapes up as the main medal target for European track and field athletes in 2020 after the Tokyo Olympics were postponed until next year.The European track body’s ruling council next meets May 7-8 by video conference.___The owners of the NFL’s Buffalo Bills and NHL’s Buffalo Sabres are committing $1.2 million to supporting local charities and health officials dealing with the new coronavirus pandemic.center_img The 2012 gold medalist and four-time world champion said he was disappointed when he found out the Tokyo Games would be postponed because of the coronavirus pandemic. He considers it a setback, not a deal-breaker.He turns 32 in July. “When I walked away from Rio medal-less in 2016, I contemplated retirement,” he tweeted. “Not because I couldn’t do it anymore, but because I knew that it would require another four years of tremendous work to get back. I was unsure if I was willing to dedicate another four years of my life to reach that stage.“Yet, here we are, and there it goes. The race that I was once afraid to embark on because of its length just moved its finish line a little further. But I’m still in the race.”Burroughs’ aggressive wrestling style and success has earned him a worldwide following. Rio is home to defending Copa Libertadores winners Flamengo.Brazil has more than 2,400 confirmed cases of the new coronavirus, and 57 people have died.___The Boston Bruins say they are putting 68 full-time employees on temporary leave and cutting the pay of 82 others who work for the team or Delaware North, which owns the TD Garden.The moves — which the Bruins called “temporary business stabilization measures” — are effective April 1. Share This StoryFacebookTwitteremailPrintLinkedinRedditThe Latest on the effects of the coronavirus outbreak on sports around the world:___The Carolina Hurricanes are asking full-time employees to take vacation or personal days off next week with limited operations due to the coronavirus. Curry posted his plans on his Twitter account with an invite to all to submit questions. ___Clemson coach Dabo Swinney is open to the NCAA allowing more football practices after spring ball was cut short because of the coronavirus pandemic.The Tigers got in nine sessions after starting practice Feb. 26 before all spring activities, including their Orange and White scrimmage, were canceled.Swinney is not in favor of extending fall camp, instead suggesting a sort of NFL-style mini-camp depending on how many spring workouts the team got before spring activities were canceled. Associated Press He won his first world title in 2011 and took gold in his Olympics debut in London the next year. He was favored to repeat as champion at 74 kilograms in 2016 in Rio de Janeiro but finished ninth. He won the world title in 2017 and was third the last two years.___Churchill Downs has suspended the final three racing dates at Turfway Park following Kentucky Gov. Andy Beshear’s “Healthy at Home” executive order out of concern for the COVID-19 pandemic.The Florence, Kentucky, track’s winter meet was scheduled to end Saturday. Turfway’s backside area will remain open because it falls under the “life-sustaining business” category by providing “food, shelter and other necessities of life for animals.”___ As a result, the $750,000 Wood Memorial has been postponed. No make-up date has been determined yet for the major Kentucky Derby prep that was to be run on April 4.Last Thursday, the New York Racing Association suspended racing at Aqueduct after confirmation that a backstretch worker who lived and worked at Belmont Park tested positive for COVID-19. The Belmont backstretch is home to 585 workers who tend to the daily care of more than 1,300 horses stabled on the property.The pandemic has affected other prep races for the Kentucky Derby, which itself was postponed from May 2 to Sept. 5. The Sunland Derby in New Mexico and Blue Grass and Lexington stakes in Kentucky have been canceled, along with the UAE Derby. The Arkansas Derby was pushed back from April 11 to May 2. For now, the Florida Derby on March 28 and Santa Anita Derby on April 4 are still scheduled.___ At various times, she held the American record in the shot put in the women’s 65-69, 70-74 and 75-79 age groups. She also was once the nation’s top-ranked thrower and ranked eighth in the world in the weight throw in the 75-79 age group.___Argentine cyclist Max Richeze has been released from a hospital in the United Arab Emirates, where the UAE Team Emirates rider spent 18 days after testing positive for the coronavirus following the cancellation of the UAE Tour.Richeze wrote on Instagram that two tests for COVID-19 had come back negative and he was discharged Wednesday.That status of Richeze’s teammate, Fernando Gaviria, remains unknown after he also tested positive for the virus. Two staff members for UAE Team Emirates also tested positive, and the entire team remains in voluntary quarantine. “On behalf of the Chicago Bulls, Chicago Blackhawks, our athletes, our front offices and our dedicated United Center personnel, our thoughts and support are with the people of this great city and state,” a spokesman for the United Center said in a release. “Together, we will get through this.”___Mary Roman, a world-class senior athlete who held numerous national age records in track and field, has died of complications from COVID-19, the mayor of Norwalk said. She was 83.Roman, who also served for 20 years as Norwalk’s city clerk in Connecticut, died Monday night at Norwalk Hospital, Mayor Harry Rilling said.A childhood polio survivor, Roman began competing in senior track events in 1989 and won hundreds of medals, mostly in the throwing disciplines. The Latest: Hurricanes ask employees to take time off The second edition of the UAE Tour, a major early season stage race, was canceled with two stages left. Riders and support staff for all 22 teams were isolated, though nearly all of them now have been cleared to leave the country.___The All England Club says it is still evaluating whether to postpone or cancel Wimbledon because of the coronavirus pandemic and plans to make a decision next week.That’s when the club’s main board is scheduled to hold an emergency meeting.Main-draw play at Wimbledon is slated to start June 29 and preparations for the tournament are supposed to begin in late April. Shields and Dicaire were supposed to have a 154-pound unification bout May 9 in Flint, Michigan. Salita Promotions announced the postponement, citing the coronavirus pandemic. Salita Promotions said it would monitor the situation and work to announce a new date at some point.“Unfortunately, the real fight is outside the ring right now,” promoter Dmitriy Salita said in a statement. “Once our invisible opponent is beaten, we can get back to watching two undefeated champions and the two best super welterweights in the world vie for the undisputed world title as Claressa Shields continues to build her incredible legacy in female boxing.”___Wrestling star Jordan Burroughs has no plans to retire, announcing he is going to compete for a spot in the Olympics in 2021. With the Tokyo Olympics postponed until 2021 because of the coronavirus outbreak, USA Diving formally called off the trials scheduled for June 14-21 at the IU Natatorium on the IUPUI campus near downtown Indianapolis.The governing body said it will work with the U.S. Olympic & Paralympic Committee and the Indiana Sports Corp to reschedule the event, though that decision can’t be reached until the International Olympic Committee comes up with new dates for the Tokyo Games.All tickets that had been purchased for the U.S. diving trials will automatically be shifted to the new dates once a decision is reached. Any hotel reservations that were booked through USA Diving’s site will be canceled.___The Seattle Sounders have established a relief fund to help support individuals and businesses in the Seattle neighborhoods of Pioneer Square, SoDo and the Chinatown-International District near the team’s headquarters and home stadium of CenturyLink Field. ___Aaron Gordon of the Orlando Magic has added his name to the list of NBA players helping out during the global coronavirus pandemic, announcing he has made a donation to the Homeless Education Fund for schools in Central Florida.School closures mean many children in the Orlando area are missing out on the free or reduced breakfast and lunch meals that they usually count on daily. Gordon has helped with causes directed toward helping vulnerable kids before, and says he’s hoping his gift can help “our most precious resource.”Several Magic players, including Jonathan Isaac, Nikola Vucevic and Mo Bamba have made donations to various causes in recent days. The DeVos family, which has owned the Magic for 29 years, is also backing a $2 million fund that will pay hourly employees of the Magic, Lakeland Magic, Orlando Solar Bears and the Amway Center who would have otherwise been missing out on income during the sports and entertainment shutdown.“Potential is universal; opportunity, not so much. That’s where we come in,” Gordon said. “Now is a great time to wrap our arms around our kids’ communities.”last_img read more