Watch and Wait in Medicine and Earthquake

April 8, 2017 – afternoon – I experienced an earthquake situation while I was attending a lecture in Asian Institute of Management.

One of my insights is on Watch and Wait.

Watch and wait, watchful waiting, wait and see and wait and watch are phrases one sees in the Internet.  They carry the same concept. They are applicable in medicine and non-medicine setting.

In the medical setting, watch and wait, watchful waiting and the like is an approach to a medical problem in which time is allowed to pass before medical intervention or therapy is used.

In the non-medical setting, wait and see, wait and watch, and the like is an approach to a problem in which one wait to find out what will happen before doing or deciding something.

In the earthquake that I experienced on April 8, 2017, in the midst of the lecture, we saw the slide on the screen quivering (I saw it moving up and down rather than sideways). We initially though it was due to a computer or LCD glitch.  After a few seconds, we felt the earthquake or shake.  The earthquake stopped for a while.  After a few seconds, we felt another shaking of the building and also we saw the quivering of the slide.   Note: This was slide that quivered.

IMG_4880.JPG

During the second shake, some participants were thinking of ducking until a table. However, there was only one table (there were about 50 participants).  I decided to stand up and duck under the frame of the door.  After the second shake, the group decided to vacate the building and went to the open ground outside the building of AIM.  After 30 minutes, the facility building officer declared safe to return to the building.

So, essentially, during the earthquake, the group did watch and wait or wait and see. During the second shake, the group was deciding to duck under a sturdy structure. After the second shake, the group decided to vacate the building, went to the open ground and waited for the building officer for advice.

Watch and wait, watchful waiting, wait and see and wait and watch carry the same concept.  They are applicable in medicine and non-medicine setting.

What are important to know are that there should be very closed watch or monitoring to enable timely and hopefully correct action and that this approach is not foolproof (does not guarantee 100% good outcome but it is most practical at best – as the building may collapse while doing wait and see or in the medical setting, the patient may suddenly develop severe complication during watchful waiting which may not be controlled anymore).

Links:

Watchful Waiting as a Treatment Modality for Medical Conditions

https://rojosonmedicalclinic.wordpress.com/2016/03/23/watchful-waiting-as-a-treatment-modality-for-medical-conditions/

ROJ-TPOR@17apr9

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