Sheba Leading the Way in Coronavirus Care

Sheba Leading the Way in Coronavirus Care

In Jerusalem, Israel, and throughout the world, ‘Pandemic’ was used a lot this past week.

COVID-19 has spread fear from Wuhan around the globe.

After initial missteps, healthcare systems are learning to meet the challenge.

Two men in protective wear spraying a playground in Israel

In Israel, increasing restrictions on movement to slow down the spread of the contagious virus have been announced. Dr. Asher Salmon (Shalmon) Israeli Ministry of Health – Head of International Relations has stated Israel has been watching the novel coronavirus since the middle of December.

Last week I joined a mHealth Israel Webinar with medical and technology experts from the US, Germany, Singapore, and Israel to hear what has been learned and recommended best practices.

Most of us are suffering from an ‘Infodemic’ according to Dr. John Whyte, Chief Medical Officer, WebMD. We are being bombarded by information. There was a 6700% increase in internet searches of sore throat and fever. In a Google search, however, he stressed to the international participants, information can be misleading, top-ranked sources are not as important as trusted sources for information.

In Jerusalem, a couple of quick examples of misinformation were from viral Facebook posts. One was supposedly a wedding in a supermarket. It was really a wedding photoshoot and the wedding was held elsewhere.

Much more serious was a series of photographs, supposedly of Jerusalem’s Mamilla Mall parking lot being prepared as an emergency COVID-19 hospital. If you looked carefully at the multiple images, it was obviously NOT Mamilla, and NOT in Jerusalem.

Sheba Hospital image of entrance to new CCCU unit

It was the underground parking in Tel HaShomer – Sheba Hospital, which has now been transformed into a 40 bed Corona Critical Care Unit – CCCU.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center presented what was being done to meet the challenge of COVID-19. Much of her presentation seemed like science fiction. I have gone to dozens of evenings where Israeli startups have presented. It was wonderful to see some Israeli tech advances being put to use.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide for EarylSense

For example, EarlySense, where medical professionals can monitor a patient’s condition without physical contact.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide for Tyto care

And Tytocare, a physical examination without contact.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide for Robot

In the hospital, a robot allows less physical contact and closer observation of the patients.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide for ward with glass wall

Sheba is on to Stage 2 in the fight against the coronavirus. They have transformed an internal medicine ward into a CCCU. The goal is to protect staff from the virus and provide close observation of their patients. A glass wall was installed, as Dr. Barkai said, like an “aquarium.”

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide of level of care COVID-19

Planned Stage 3 for COVID-19, is to have only the sickest patients hospitalized and less severe cases monitored at home.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center level of home care

Telemedicine requires self-examination of temperature and Oxygen level, 3 times a day.

A daily video visit is by an Internal medicine specialist, with a doctor on call 24/7 to answer questions.

Dr. Galia Barkai, Head of Telemedicine, Sheba Medical Center slide for home care level 2

Level 2, has twice a day video visit, and remote physical exam by Tyto.

Globalisation COVID-19 slide Webinar mHealth

Sharing information, said Dr. Zubin Daruwalla from Singapore, is important to share insights, experiences, and lessons learned. Globalization has been a buzzword for some time.
But Glocalisation is essentially the ability to think globally and act locally.” Principles remain, but approaches may need to vary in different cultures.”

Clinical advise for COVID-19

The best summary of COVID-19 expert advice these 6 simple steps.

On Thursday night, March 19, 2020, Israelis came out of their homes for 2 minutes to applaud, to show their appreciation for medical personnel. Hard at work, putting themselves at risk, to treat those affected by the novel coronavirus COVID-19, and say a collective “Thank You!”

Updated: More about Sheba Medical Center  HERE

1000 Real Jerusalem Streets

1000 Real Jerusalem Streets

Rain.

Rain and more rain in Jerusalem, Israel.

Trying to decide what to share this week,

I revert to the weekly Torah portion of Mishpatim, Laws.

לֹ֥א תִשָּׂ֖א שֵׁ֣מַע שָׁ֑וְא אַל־תָּ֤שֶׁת יָֽדְךָ֙ עִם־רָשָׁ֔ע לִהְיֹ֖ת עֵ֥ד חָמָֽס׃

Not to share the false things you hear. 

Thus no fake news, but on The Real Jerusalem Streets – not all is good.

Cherry tree in bloom in Jerusalem Israel

The rain was good for the cherry trees in bloom.

Jerusalem Israel street repaved

Continuing construction on Jerusalem streets not so good for residents.

I will spare you the images of stopped traffic and ripped up concrete.

Spelling mistakes in English on Hebrew signs in Jerusalem Israel

However, this sign posted on the Jerusalem corner is a new favorite.

This is post number 1000 from the Real Jerusalem Streets.

This is a milestone post –

a time to remember for International Women’s Day and Israel Apartheid Week:

Israeli Apartheid?

Nine years ago it took off and went viral, best RJS days of views ever.

Shame I was such a newbie, in Eilat, and did not follow up.

The next year, in 2012, also for International Women’s Day,

15 Real Photos of Arab Girls was published.

Those girls keep on going with over 25,000 views in the last 3 years.

Sign for Jerusalem Washington Street.

Another year, and the US Presidents Day and Conference of Presidents Leadership Mission have come and gone, but Washington Street in Jerusalem remains and its sign is lit up at night, a popular image to share.

Presidents was an early post and needed heavy editing to share.

The Jewish Agency Board of Governors is meeting only in Tel Aviv this year.

No jokes about rocket science or scientists.

Mars exploration scientist in Jerusalem

NASA’s Mars exploration scientist Nagin Cox was in Jerusalem at the American Cultural Center and concluded with the news that the countdown to the next launch is underway.

Mars exploration robot images

These NASA images of Mars look like they were taken in the Negev outside of Eilat.

Jerusalem King George Street hotel construction

While back in Jerusalem, new hotels under construction are changing the skyline.

Muslim women shopping in Jerusalem Mamilla Mall

The shops in Mamilla Mall have changed over the years, but the Arab women and girls are a regular sight, shopping and eating in the cafes.

So much has changed over the years on the Jerusalem streets.

So much has remained the same.