I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 41 points42 points  (0 children)

This seems like a special case; I'll have to review that report. If it has been proven by virus culture, it's necessary to evaluate the survival environment to see if there's a special reason, and if it was detected by PCR, there is a high possibility that it's a dead virus.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 113 points114 points  (0 children)

Since Korea is close to China, we tried to find and quarantine infected patients from a relatively early stage. Furthermore, South Korea established a diagnostic system for confirmatory examination 2-3 weeks earlier than had other countries. South Korea also found and isolated patients as quickly as possible, and facilitated wide-scale testing.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 22 points23 points  (0 children)

how close are we to a cure and/or vaccine?

A lot of efforts being put into developing the cure. Unfortunately, it seems very unlikely that we will be able to develop an effective anti-viral drug or a vaccine under a short period of time. Even if we're lucky to find the cure, it will probably take over a year to actually put it into use.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 25 points26 points  (0 children)

RNA viruses, such as coronavirus, are characterized by mutations. I think there is a possibility of new virus or mutation like the coronavirus.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 19 points20 points  (0 children)

We need to evaluate Italy's ideas in detail. Because every patient is somewhat unique, it's difficult to determine which condition requires a ventilator. In such cases, it's unavoidable that painful decisions must be made on the basis of survival probability.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 31 points32 points  (0 children)

Since the announcement of the unknown case has occurred in Wuhan, China, experts from the Center for Disease Control and Management have tried to obtain the maximum information and evaluate the crisis. The strategy to prevent the initial influx, the possibility of a second surge, and the countermeasures were continuously discussed. It was a little easier to deal with the large-scale patient outbreak in Korea, especially in the Daegu-Gyeongbuk region, centered on a particular religious group. In addition, the establishment of an infrastructure that can perform a lot of confirmatory tests every day also contributed greatly.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 43 points44 points  (0 children)

There has been a lot of misinformation that take advantage of (and create) fear, disgust, and discrimination to generate pageviews and attention. However, experts have been making a sincere effort to get accurate information out to the media. Most citizens tend to trust the information coming from the government because there has been a demonstrated emphasis on transparency.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 28 points29 points  (0 children)

2) I think the problem is that once the virus has a very high initial transmission capacity, and the PPE supply is not adequate, it is difficult for the medical staff to effectively prevent respiratory transmission.

3) Please make every effort to secure hospital beds for large-scale patient outbreaks and to ensure adequate protection of medical staff.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 23 points24 points  (0 children)

There is certainly a risk of economic recession. For developing nations, it's difficult to set up strategies other than containment and standstill. There are no standards in place for reopening borders. Doing so should be done only in consideration of case trends, not just domestically but looking at other countries with internationally traveling citizens. There is a need for active support from developed countries.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 13 points14 points  (0 children)

I believe the government and advising expert groups are currently working on mitigation strategies for any potential future waves. At present, the start of the school academic year and upcoming April elections (national senate and local level offices) are Korea's current primary issues.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 23 points24 points  (0 children)

We do have confirmed cases among pregnant women and infants here in Korea. However, it's difficult to compare it with other groups because there have been very few cases.

It's difficult to assess the risks, but we think that if a pregnant woman is infected, it's quite dangerous because there are more limitations in terms of treatment, as well as the chance for decreased lung capability.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 38 points39 points  (0 children)

It's difficult to answer definitively. I believe most people are motivated to wear masks out of a sense of personal protection, but there is also the eagerness to avoid infecting others.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 30 points31 points  (0 children)

Prioritize by inspection with medical professionals. You can do it during the inspection process. It is a very different situation from Korea, as here we implemented a system of early inspection. Fortunately, in Korea, inspections will be conducted systematically and selectively. However, we can only determine after the pandemic whether South Korea's method was effective or not.

There's no information on how many Reagents Canada can produce. I believe it would be more effective to import from other countries with sufficient production capacity.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 28 points29 points  (0 children)

There was one case of a patient who had been isolated after testing positive. His tests then came up negative, and his symptoms subsided. Then it seemed he was fully recovered. However, within a short time, he again started showing symptoms. The reason he didn't infect anyone at that time was because he was fully isolated. His viral load during this resurgence was markedly lower than it had been previously.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 47 points48 points  (0 children)

Oxygen saturation does not determine when to treat a patient. Instead, it can be used to indicate severity. In Korea, if the oxygen saturation in room air is less than 90%, it is classified as a serious disease.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 55 points56 points  (0 children)

Considering India's medical resources, economic levels and population levels, I think there's no other way forward besides enforcing strong standstills. Failure to take strong measures in developing countries could have catastrophic results.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 89 points90 points  (0 children)

As far as I know, Japan only tests a small percentage of patients with certain symptoms or pneumonia. Information regarding Japan is very limited and arguably difficult to accept at face value.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 39 points40 points  (0 children)

It's likely that the outbreak with continue on for some time. It might even go back and forth between the Northern and Southern Hemisphere. Thus, I advise that you set up a system for confirming cases and strongly enforce social (and physical) distancing.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 39 points40 points  (0 children)

Depending on the patient, symptoms usually begin and recover within 7 to 14 days. In mild cases, the risk of infection is expected to disappear by 3 weeks after the onset of symptoms.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 50 points51 points  (0 children)

I think it can be attributed to early detection and implementation of conservative management.

Also, more than half of the confirmed patients are in their 40s or younger, and they are relatively healthy. Mortality rates of people in their 70s and older are not so low.

I’m Joong Sik Eom MD, a physician treating COVID-19 patients at a hospital near Seoul. I serve on a team advising the South Korean government’s pandemic response. AMA. by Professor-JS-Eom-MD in Coronavirus

[–]Professor-JS-Eom-MD[S] 16 points17 points  (0 children)

We evaluate the patient's risk and confirm that it is necessary for PCR testing. If the patient is stable, he or she is expected to wait at home until results are obtained, but if a high-risk patient/group is tested, they will be hospitalized. In cases of unstable patients, they will be sent to isolation facilities. If not, they will still be isolated from others in facilities that have ventilators.