Q: COPD patients need long-term medication. Can the doctor prescribe more medicine during the epidemic?
Answer: Chronic patients can prescribe a full dose with a long prescription during the epidemic.
• According to the notice of the National Medical Insurance Bureau, during the epidemic period, a “long prescription” reimbursement policy will be implemented. For patients with chronic diseases such as chronic obstructive pulmonary disease, hypertension, etc. at all levels of hospitals (including community hospitals), the prescription medication can be relaxed to 3 months. , Reduce the number of prescriptions, and protect patients' long-term medication needs1.
• Patients can also buy COPD maintenance medications from pharmacies based on previous prescriptions.
• Remind elderly patients that you can ask young family members to bring the original doctor's prescription, bring the patient's medical insurance card, and go to a regular qualified medical insurance designated retail pharmacy to buy a sufficient amount of medicine.
Q: If COPD and asthma patients must go to the hospital for treatment, what should be paid attention to?
Answer: Remote consultation, knowing the medical treatment process in advance, bringing good information, and wearing a mask all the way.
• If the patient feels a slight discomfort, he can consult the doctor remotely through WeChat, phone, learning platform and other channels. If there is a change in the condition, you must seek medical treatment. It is recommended to go to the nearest non-epidemic designated hospital or community hospital that can meet the needs and have a small number of outpatient clinics. At the same time, it is also recommended that patients understand the situation of the hospital on the Internet or phone as far as possible, familiarize themselves with the layout and operating procedures of the hospital departments in advance, and minimize the time for medical treatment.
• Before going to the doctor, prepare case information in advance, including previous relevant examinations, such as chest radiographs, chest CT, lung function, blood tests, etc., previous common medication prescriptions and outpatient / hospital medical records. It is recommended to take private transportation as a priority, wear a mask during medical treatment, and pay attention to hand hygiene.
Q: It is easy to cross infection when going to the hospital. Can patients with basic chronic diseases such as COPD and asthma be suspended for a period of time?
Answer: The medicine cannot be stopped, the medicine cannot be reduced, or there will be an increased risk.
• For patients with chronic respiratory diseases such as chronic obstructive pulmonary disease and asthma, cold weather in winter and spring, haze, viral and bacterial infections are the main causes of the deterioration. The main preventive measures to reduce the acute exacerbation of the disease are adherence to standardized medication and avoiding the above-mentioned triggers.
• Standardized medications for COPD include long-term inhaled long-acting or short-acting bronchodilators, inhaled glucocorticoids, and anti-oxidant sputum drugs. Standardized asthma medications include inhaled glucocorticoids, inhaled long-acting bronchodilators, and oral leukotriene antagonists. These drugs can improve the symptoms of dyspnea, improve lung function, and improve the quality of life, while reducing the risk of acute attacks and preventing the disease from progressing to a severe stage. Chronic lung and asthma patients, once discontinued, can cause symptoms to worsen or reappear, increase the risk of acute exacerbations / onsets, and even be life-threatening.
• Therefore, during the epidemic period, patients with chronic respiratory diseases should protect themselves on the one hand, and follow the doctor's advice to adhere to standardized medication to avoid acute exacerbation / onset and even hospitalization.
Q: Are patients with chronic respiratory diseases such as COPD and asthma more susceptible to new coronavirus pneumonia? Are older patients with COPD more likely to get new coronary pneumonia?
Answer: All people are susceptible, and older people and chronic diseases are more severely infected.
• The new coronavirus pneumonia population is generally susceptible. The virus has never appeared and spread in humans. Humans do not have antibodies specific to the virus, and they can be infected at all ages. In short, chronic respiratory diseases such as COPD and asthma and others are susceptible to the new coronavirus.
• Judging from the current cases, the elderly and those with chronic underlying disease have a poor prognosis. Therefore, once infected, the prognosis of elderly patients with COPD may be worse than that of healthy young people.
Q: During the epidemic, in addition to going to the "big hospital", through which channels can patients with chronic diseases such as COPD and asthma buy medicine?
Answer: Non-epidemic designated hospitals, community hospitals, and regular pharmacies.
• If it is necessary to seek medical treatment and purchase medicines, young and strong family members in the family can also replace the patient and go to the nearest non-epidemic designated hospital or community hospital that can meet the needs and has a small number of outpatients, make appointments and prepare to minimize the time of consultation; Or a regular qualified medical insurance designated retail pharmacy prescribes a sufficient amount of medicine for a foot treatment with a doctor's prescription. It is really impossible to go out, and you can also purchase prescriptions online by issuing prescriptions online at a qualified online pharmacy.
• According to the notification from the National Medical Insurance Bureau, during the epidemic period, a “long prescription” reimbursement policy will be implemented. For patients with chronic diseases such as chronic obstructive pulmonary disease and hypertension, the doctor's assessment can be relaxed to 3 months, reducing the number of prescriptions and ensuring the long-term patient Medication needs.