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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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Monkeypox Virus Symptoms: Early Signs, Disease Progression, and When to Seek Care

Monkeypox, now commonly referred to as mpox, is a viral infection that has gained global attention due to outbreaks beyond traditionally affected regions. Understanding monkeypox virus symptoms is essential for early detection, timely isolation and prevention of further spread.

According to the World Health Organization and Indian public health authorities, awareness of symptom patterns plays a critical role in controlling outbreaks and protecting vulnerable populations.

What Is the Monkeypox Virus?

Monkeypox is caused by the monkeypox virus, a member of the Orthopoxvirus family, which also includes smallpox. While generally less severe than smallpox, monkeypox can still cause significant illness and discomfort.

The virus spreads primarily through close physical contact.

Incubation Period of Monkeypox

After exposure, symptoms typically appear within:

5 to 21 days
most commonly 6 to 13 days

Individuals may feel well during this period but can become infectious once symptoms begin.

Early Monkeypox Virus Symptoms

Fever

Fever is usually the first symptom and may be:

sudden in onset
moderate to high grade
accompanied by chills

Fever signals the start of systemic infection.

Headache and Body Aches

Patients often experience:

severe headache
muscle aches
back pain

These symptoms resemble many viral illnesses.

Fatigue and Weakness

Marked tiredness and low energy levels are common and may limit daily activities.

Swollen Lymph Nodes

Swollen lymph nodes are a distinguishing feature of monkeypox.

Common sites include:

neck
armpits
groin

This helps differentiate monkeypox from chickenpox or smallpox.

Development of Monkeypox Rash

The skin rash usually appears:

1 to 3 days after fever onset

It may begin on the face or genital area and spread to other parts of the body.

Stages of Monkeypox Rash

The rash progresses through well-defined stages:

Macules

Flat red spots on the skin.

Papules

Raised, firm bumps.

Vesicles

Fluid-filled blisters.

Pustules

Pus-filled lesions that are painful.

Scabs

Lesions crust over and eventually fall off.

Complete healing occurs once scabs detach.

Distribution of Rash

Rash commonly affects:

face
hands and feet
mouth
genital and anal areas

The number of lesions can vary widely.

Pain and Discomfort

Rash lesions may be:

painful
itchy during healing

Pain severity differs between individuals.

Other Possible Symptoms

Additional symptoms may include:

sore throat
cough
nasal congestion

These reflect upper respiratory involvement.

Duration of Illness

Monkeypox symptoms typically last:

2 to 4 weeks

Recovery occurs gradually as lesions heal.

Who Is at Higher Risk of Severe Illness?

Higher risk groups include:

children
pregnant women
individuals with weakened immunity
people with chronic illness

Early care is crucial in these groups.

Complications of Monkeypox

Though uncommon, complications may include:

secondary bacterial skin infections
dehydration
pneumonia
eye involvement

Prompt medical guidance reduces risk.

How Monkeypox Is Transmitted

Transmission occurs through:

direct skin-to-skin contact
contact with lesions or bodily fluids
respiratory droplets during close contact
contaminated clothing or bedding

Understanding transmission helps prevent spread.

When to Seek Medical Care

Seek medical evaluation if:

fever is followed by rash
lymph nodes become swollen
rash appears in genital or facial areas

Early diagnosis supports isolation and care.

Diagnosis and Testing

Diagnosis may involve:

clinical examination
laboratory testing of lesion samples

Public health authorities guide testing protocols.

Prevention and Control Measures

Preventive steps include:

avoiding close contact with infected individuals
maintaining good hand hygiene
isolating during illness
following public health guidance

Vaccination may be recommended for high-risk groups.

Role of Public Awareness

Awareness of symptoms:

enables early detection
reduces stigma
supports timely care

WHO emphasises community education in outbreak control.

Conclusion

Monkeypox virus symptoms typically begin with fever, body aches and swollen lymph nodes, followed by a characteristic rash that progresses through defined stages. While most cases are self-limiting, early recognition, medical evaluation and isolation are essential to prevent complications and reduce transmission. Staying informed and acting promptly protects both individual and public health.

References

World Health Organization (WHO) – Mpox (Monkeypox) Clinical and Public Health Guidance
Indian Council of Medical Research (ICMR) – Emerging Viral Infections Reports
National Centre for Disease Control (NCDC), India – Monkeypox Advisories
Lancet – Clinical Features and Outcomes of Mpox
NITI Aayog – Public Health Preparedness and Infectious Disease Control

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