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Published on: Jul 10, 2021
1 minute read
By: Raj Dwivedi

The Hybrid Way - Telehealth !

Covid 19 has transformed our lives in so many ways. The reality is that most likely, the pandemic will not end suddenly, and we’ll be dealing with some version of it for years to come.

As we slowly adapt to our new normal, we’ll embrace some changes and reset our lives in many ways. We have noticed some of the shifts in our personal lives and the world around us.

Health care has gone through a complete digital revolution: As the pandemic intensified, more and more providers have switched from in-person visits to telehealth appointments over video chat. Globally in April 2020, telemedicine services increased by more than 35,00 percent, and nearly half of every consultation visit was delivered virtually. Of course, this was a welcome change. Virtual visits have prevented excess COVID-19 exposure and saved others—especially those in rural areas—from a long commute to the doctor’s office.

The increase in remote and telehealth was driven by general fear of infection. Lot of telehealth consultation took place in areas of substance abuse recovery and mental health as well.

What was meant to be a temporary solution worked surprisingly well, at least once they tackled tech barriers? Some clients relied on their own devices before the dedicated platforms and purpose-built suites were launched. For people without smartphones or data plans to support these services, virtual care was out of reach before the suites arrived.

Post-pandemic many clients will prefer to return to face-to-face services. Yet in most cases, virtual visits would make it easier for his clients to access health care. For instance, lack of transportation could stand in the way of someone making their appointment, but that concern goes away with virtual meetings.

Appointment cancellations will be reduced. More Hybrid models will replace the existing singular OPD model. OPD will have two elements and one will be remote and then followed by in person. What happens in an actual scenario that a typical non-life-threatening issue comes up at work or home which needs medical attention. The appointment with the doctor and time off at work combined defers the visit most of the time to next week. This delay has its own downside and risk. In some instances, the problem sorts out by home remedies. Telehealth solves this problem and takes care of issues that never need to be treated and looked at in-person saving everyone financially.

We have watched this play out during the early months of the pandemic. The pandemic has flipped the switch for patients who had grown accustomed to traditional doctors’ visits. But now that many people have tried out virtual care, some are reluctant to give it up. This will force providers to change the model and be ready to service the hybrid way.

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Tuberculosis Symptoms and Treatment: Early Signs, Diagnosis, and Recovery

Tuberculosis (TB) is one of the oldest known infectious diseases and continues to be a major public health concern, especially in developing countries. India accounts for a significant proportion of global TB cases, despite advances in diagnosis and treatment. The good news is that tuberculosis is preventable, treatable and curable when detected early and managed properly.

Understanding tuberculosis symptoms and treatment is critical for reducing disease spread, preventing complications and achieving complete recovery.

What Is Tuberculosis?

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It primarily affects the lungs (pulmonary TB) but can also involve other parts of the body such as:

lymph nodes
bones and joints
kidneys
brain

TB spreads through the air when an infected person coughs, sneezes or speaks.

Why Tuberculosis Remains a Major Health Issue

According to the World Health Organization and ICMR data:

millions of new TB cases are reported annually
delayed diagnosis increases transmission
incomplete treatment leads to drug resistance

Early detection and treatment are key to TB control.

Common Tuberculosis Symptoms

TB symptoms often develop gradually and may be mild in the early stages, leading to delayed diagnosis.

Persistent Cough

A cough lasting more than two to three weeks is a hallmark symptom of pulmonary TB.

The cough may:

be dry or productive
worsen over time
sometimes produce blood

Fever and Night Sweats

Low-grade fever, especially in the evenings, is common.

Night sweats that soak clothing or bedding are a classic TB sign.

Unexplained Weight Loss

TB increases metabolic demand and reduces appetite, leading to significant weight loss.

Fatigue and Weakness

Persistent tiredness and reduced stamina occur due to chronic infection.

Chest Pain

Chest discomfort or pain may occur during coughing or breathing.

Symptoms of Extra-Pulmonary TB

When TB affects organs outside the lungs, symptoms depend on the site involved and may include:

swollen lymph nodes
bone or joint pain
headaches or neurological symptoms
urinary issues

Why TB Symptoms Are Often Ignored

Many TB symptoms resemble common infections or general weakness.

This leads to:

delayed medical consultation
prolonged transmission
disease progression

Awareness improves early detection.

How Tuberculosis Is Diagnosed

Diagnosis involves a combination of:

sputum tests
chest X-ray
molecular tests such as CBNAAT
blood tests and imaging for extra-pulmonary TB

Early and accurate diagnosis is essential for effective treatment.

Tuberculosis Treatment Explained

TB treatment involves a combination of antibiotics taken over a fixed duration.

Standard TB Treatment

For drug-sensitive TB, treatment typically lasts:

6 months

The regimen includes multiple antibiotics taken in phases to ensure complete bacterial clearance.

Importance of Treatment Adherence

TB bacteria are slow-growing and resilient.

Stopping treatment early can result in:

incomplete cure
relapse
drug-resistant TB

Completing the full course is essential.

Drug-Resistant TB

If TB bacteria become resistant to standard drugs, treatment becomes longer and more complex.

Drug-resistant TB requires:

specialised medications
longer treatment duration
close medical supervision

Prevention of resistance depends on correct treatment from the start.

Side Effects of TB Treatment

Some individuals may experience side effects such as:

nausea
loss of appetite
mild liver enzyme changes

Most side effects are manageable with medical guidance and do not require stopping treatment.

TB and Public Health

TB is not just an individual health issue but a community concern.

Effective TB control requires:

early diagnosis
treatment adherence
contact tracing
public awareness

India’s national TB elimination programmes focus on these strategies.

Preventing Tuberculosis

Preventive measures include:

early detection and treatment of active TB
improving nutrition and immunity
adequate ventilation in living spaces
screening close contacts

BCG vaccination offers partial protection, especially in children.

Living With and Recovering From TB

With proper treatment:

symptoms gradually improve
infection becomes non-contagious
normal life can be resumed

Regular follow-up ensures complete recovery.

When to Seek Medical Help

Consult a healthcare provider if experiencing:

cough lasting more than two weeks
unexplained weight loss
persistent fever or night sweats
blood in sputum

Early action saves lives and prevents spread.

Long-Term Outlook After TB Treatment

Most individuals who complete treatment:

recover fully
regain normal lung function
return to daily activities

Long-term complications are rare with timely care.

Conclusion

Tuberculosis symptoms and treatment must be understood clearly to combat this preventable and curable disease. Persistent cough, fever, night sweats and weight loss should never be ignored. Early diagnosis, complete treatment adherence and regular follow-up are essential for curing TB and preventing transmission. With proper medical care and public awareness, tuberculosis can be effectively controlled and eliminated as a public health threat.

References

Indian Council of Medical Research (ICMR) – Tuberculosis Epidemiology and Treatment Guidelines
World Health Organization (WHO) – Global Tuberculosis Report
National Tuberculosis Elimination Programme (NTEP) – Government of India
Lancet Infectious Diseases – TB Diagnosis and Treatment Outcomes
National Family Health Survey (NFHS-5) – Infectious Disease Indicators
Statista – Global Tuberculosis Burden and Trends

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