Simplified Community Based Telecare During the COVID-19 Pandemic.

Telehealth has evolved as a very comprehensive tool for treating patients with mild to moderate symptoms across the globe during the global pandemic. Adoption of Telehealth in India posed special challenges because of its diversity in languages. Lack of proper healthcare infastructure and especially poor network connectivity have affected pre-hospitalisation care. We have developed an easy to use replicable tool and shown the path to succesful telecare for affected communities. Methods MedicAidTM - an EMR software has been used along with Zoom® to quickly provide online consultations for COVID patients, individually and in groups. Results A total of 60 COVID patients were given online consultation and provided support with recovery in all. Conclusion Group based community care is safe for mass treatment of COVID.

COVID 19 Care Call-in Helpline. A Report from India.

A COVID 19 call helpline was established by a noted TV channel along with a group of consultant doctors at the height of the second wave COVID 19 pandemic in India. It helped the general public to understand dos and donts as well as long term implications. We retrospectively analysed the questions asked to get a feel of the misunderstandings and perceptions within the general public. Many quereies related to the vaccination drive.

Drug-Induced Oromandibular Dystonia Presenting as Chronic Temporomandibular Joint Dislocation: A Rare Case Report.

Approximately 15%-30% of patients receiving neuroleptic medication for a longer duration develop drug-induced dystonia. There are many variations of oromandibular dystonia (OMD), but the most common one is involuntary jaw-opening dystonia. A rare case of chronic mandibular dislocation under long-term neuroleptic therapy is reported with clinical features, diagnosis, and various treatment modalities. Chronic dislocation leads to changes in associated soft tissue and muscles. Therefore, besides alteration of bony articular surfaces (eminectomy), soft tissue remodeling is required to achieve the perfect balance for temporomandibular joint (TMJ) working and occlusion. Drug-induced orofacial dystonia presenting as chronic TMJ dislocation is rare. Therefore, in long-standing chronic dislocation cases during treatment, biomechanics of TMJ, its complex neurological system, and the physiology of the masticatory system should be considered to customize the treatment plan.