We Are Swimming in an Ocean of Microscopic Enemies.

We are swimming an ocean of microscopic organisms, air and matter, and so not alone. Life on earth must follow the law of the universe, and not the ones dictated by religion, financial institution, law makers, healthcare professionals, and religious leaders.

What is happening in Sri Lanka today is a snapshot of what will happen worldwide, very soon. I am not going to beat around the bushes, and tell you what you want to hear, because I am not like the so called "Gurus", claiming to be have the knowledge. Let me explain the situation we are in and what we must do to avert a major crisis spreading around the world.

Countries In Turmoil & Impact on Humanity

Protesters celebrated, and they had a reason for Their mass demonstrations — to drive President Rajapaksa from office, and burning his home would not turn the table. Sri Lanka's economy is in free fall, and the country doesn't have enough money to buy essentials: food, medicine, and fuel.?

The economic crisis was years in the making because of greed to hoard wealth and power and control people's free will. Blaming the Covid-19 pandemic, the tourist economy and pointing fingers at the leaders will push the country to the brink. The domestic political turmoil not only in Sri Lanka, Pakistan, and Ghana but also in the UK, Europe, and the USA links back to the global instability that culminated in World Wars in the past and now in Ukraine. The mindset of people in power living under an illusion based on theoretical idealism will destroy the world.?

The Ukraine war compounded supply chain pressure in the wake of Covid-19, and imposing sanctions have squeezed agricultural exports, turmoil in the financial market, increasing the cost of basic food, water, medicine, and energy supply to manufacturers. These products can be replaced on the global market but at a cost. Fuel prices are also up, and if it costs more to buy diesel for a tractor or to transport cargo, food becomes more expensive still. Food becomes costly for poor people in rich countries, making them resort to violence.

The United States, Europe, Australia, and the UK are seeing these price shocks. The plight of people living in Pakistan, Ghana, Mozambique, Mexico, Ecuador, Uzbekistan, Afghanistan, Yamen, and even India, is one that we cannot comprehend. Food, fuel, and other essentials are getting more expensive everywhere.?

The governments imposing quarantine, lockdowns, and funding to perform tests, forcing vaccinations inflicting the fear of Covid-19 pandemic, has depleted the funds to respond to manage the 21st Century Crisis "Superbug Pandemic and How to Prevent Them".

It looks as if public health doctors, decision makers who manage pandemic, cannot see what I can, because their mind can't think. When the living standards fall in many countries, and more people will fall into poverty, superbugs start spreading like vultures waiting for the pray to die. The United Nation's World Food Program has?warned?that the number of food-insecure people has risen to 345 million; nearly 50 million people in more than 45 countries are at risk of falling into famine. I think the number of people dying every year will increase to 10 million by 2030, and not 2050 as predicted by the WHO.

They so called experts talk about Spanishflu Pandemic, because they believe the situation will change. Yes, it may have happened when the population was less than 2 billion, and penicillin was discovered, but the situation at present is different. Managing healthcare services and the supply of food and water to help eight billion, when antibiotics, drugs and chemicals do is not likely to bring the changes we expect.

Organizing street protests against the leaders and government and burning their houses to bring an end to the war in Europe is not going to get a lot to food and oil markets worldwide. A shock in Asia, Africa, and South America ripples everywhere, resulting in a crowding of malnourished people demonstrating are prone to get and spread Antimicrobial Resistant Bacterial, Fungal, and Viral infections resulting in epidemics and pandemics.

Dr. MAYA to the Rescue

In 1989, I saw how the spread of Staphylococcus aureus (normal commensal) that is colonized in on in three healthy adults and children infected a wholesome teenager. In eight hours, because the so-called "Miricle Drug" did not miraculously save his life, I started my journey to find a solution.?

The bacteria was named Methicillin Resistant Staphylococcus Aureus (MRSA) and was said to be colonized and spread in hospitals. Doctors associate this infection with old age, immune suppression, and very sick individuals and refuse to accept the disease can apply in the community. The conditions were common in the gay population in the community. Soon the doctors started identifying MRSA that spread in the community and was labeled as "Community Associated MRSA (CA-MRSA).

Scientists can now rapidly decode the basic structure and pathways of most new diseases in unimaginable ways even a few decades ago but failed to develop a strategy to help prevent the spread of infections that threaten the medical profession. We need patients to come forward to say they have a symptom that may require investigation and treatment.?

We know from experience that patients with serious symptoms are often in denial and ignore them until it's too late; they avoid seeking help from doctors because they do not want their fears confirmed. We can conquer this problem without requiring the top-to-bottom reform of public health infrastructures, which would take many years. I have developed a simple method to help people share information about symptoms, and it uses communication technology to monitor what's going on and to offer advice and treatment.?

This is How?Dr. MAYA?Can Help

John developed a rash spreading on his neck which was itchy, secreting turbid fluid. He visited a local clinic where the nurse diagnosed, and treated him for shingles. A week later, he rushed to surgery and demanded an emergency appointment to consult me.?

The receptionist did not allow him to consult me but offered an appointment 24 hours later. John was feeling weak, and tired because he was vomiting, so demanded an emergency appointment Luckily, John, knew about my Application?Dr. MAYA, and so logged in with the three symptoms, and showed the three symptoms were marked RED.?

The receptionist called me and explained the situation. As soon as I heard the three symptoms, I advised the receptionist to isolate John in a cubical and call the ambulance, explaining to them to come with PPE, to protect themselves from getting infected.

This young man was lucky because he had developed serious complications of septicemia, drifting to shock caused by bacterial infection. Had John not used the app, and did not identify the complication early, the condition could have proved fatal within six hours.?

Dr. MAYA?was developed to help protect health care workers and fellow humans and to prevent epidemics and pandemics. Based on my knowledge, and experience in reducing MRSA infection in hospital neonatal and pediatric intensive care, my mission was to create a simple tool that can reduce travel, investigations, cross infections, and save costs. As soon as the user enters three symptoms suggesting infections, the Dr. Maya app sends information to the registered doctor and advises the user to go to an isolation hospital, and not visit or rush to A&E (ER) in the hospital.

If the three symptoms are not suggesting infection, he or she will be advised to manage the illness at home (self-diagnosis), call NHS111, or ask a nurse. This screening reduces patients demanding emergency appointments by 70%. Common rashes lumps or symptoms that are not serious, and do not require face-to-face consultation will be offered to call his or her registered doctor. The user will have the option to book an appointment or referral to the hospital when the combinations are serious. This will help users, to make an informed decision, get help when necessary, and not assume he or she has a common illness, and delay consultation with the doctor.

The app is not only designed to help users (patients), but also to protect doctors, nurses, healthcare workers, ambulance services, and the public.

When a new infection like Coronavirus start spreading, doctor and people are not aware of its existence. When a patient experience the symptoms like profuse vomiting, rash, fever, or weakness, he or she demands the doctors to visit the patient at home. If the receptionists in the doctor's surgery or clinic use?Dr. MAYA?as the screening tool, the healthcare workers can be protected.?

When a new emerging infection spread in a family or community, the doctors not knowing may visit this patient. If he identifies a rash that is not familiar, Dr. Maya will help diagnose, it and so prevent the doctors to return to surgery, and being quarantined in the isolation hospital. The paramedics and ambulance crew will be advised so that they take adequate precautions to protect staff in surgery, his family, and friends.?

WHEN THERE WAS NO OPTION

Aman, a software engineer, panicked when one morning he noticed blood in his stool. At the hospital, Aman was made to undergo several blood tests and a colonoscopy. However, Aman, 22, was found to have an ordinary tear that occurs after a bout of constipation. “Had I used the app, I could have avoided spending so much on nothing,“ said Aman.?

When Mary, 50 years old, visited a doctor with a history of chest pain, she was instantly asked to go for a CT scan and referred to a cardiologist. The cardiologist, however, was shocked to find Mary having shingles on the left of his chest. She had no heart complications whatsoever.

Medical diagnostic error is now the 3rd most common cause of death in the USA and is said to cost Billions$$$.?Dr. MAYA?is the app, that will systemize healthcare, and reduce the wrong diagnosis, delays in getting treatment, complications, and death.?

Helping Communication

Emergency operation centers, infectious disease control centers, and doctors are all informed after clusters of similar symptoms have been identified. This will help mobilize services to isolate infected individuals and prevent them from traveling to healthcare centers or hospital emergency rooms, thus spreading their infection to healthcare workers and the population at large.

Also, by enabling doctors to create a database of symptoms using their local language, we can protect healthcare workers and the general public. We have spent years developing and testing a tool that is easy to use and inexpensive to implement.?

Our hypothesis is simple identify infected individuals and isolate them at home to prevent spreading in the family, community, and hospitals. We must immediately stop over-using strong combinations of antibiotics and broad-spectrum antibiotics and instead focus on preventing infections from spreading locally.

The?free?Dr. MAYA?app, can identify infected individuals early, manage basic healthcare, lower patient anxiety, and reduce consultation time, thereby stopping the spread of infection.

I created MAYA (Medical Advice You Access)?based on the knowledge and experience of using the "Paediatric Assessment Tool (PAT), which I developed to train junior doctors in 1986. Maya (Medical Advice you Access) was initially created in 2003, to help receptionists and nurses in nurse-led clinics, walk-in clinics, and after-hours emergency services to differentiate merely unwell from seriously unwell patients and to refer the latter to doctors or hospitals if required.?

Dr. MAYA?mobile phone application, but the App can be used on laptops and desktop computers. This app is also designed to identify clusters of infections in the community, hospitals, towns, and even entire countries.?

Preventing patients with contagious diseases from visiting accident and emergency departments or clinics will protect the lives of doctors, nurses, and the general population. Hospitals must use Dr. MAYA as a gatekeeper to prevent pandemics from occurring.

So how does it work in practice??

Let's imagine that a person is feeling ill and wants to know what is wrong with him. So he logs into the system where he enters his symptoms, just as you might call a medical receptionist to explain why you need an appointment.?Dr. MAYA?then evaluates the symptoms and helps the user make an informed decision, and advises the patient on what he or she must do, like a family practitioner. It does not give an?ad hoc?answer like family, friends, chemists, or receptionists.

Patients will be directed not to call, and speak to a doctor using WhatsApp, book an appointment, or rush to the hospital. The app will prevent patients with infections travel to surgery, visiting the hospital, going to test centers, or staying at home when they must not. That will reduce time-wasting consultations for non-threatening symptoms like warts, athlete's foot, allergic rashes, or fungal infections. Patients will be advised to call emergency numbers if their symptoms are serious but non-infectious.?

If the symptoms indicate an infection, Dr. MAYA will inform local infectious disease units to prevent the person from traveling and infecting others. Only patients who require clinical examination or specific tests will be advised to book an appointment, thus reducing emergency appointments by about 80 percent and allowing doctors to focus their time and expertise on patients who truly require face-to-face consultations.

By using?Dr. MAYA, patients can access specialist information provided by their doctor and communicate with healthcare professionals 24 hours a day, 365 days a year. They can make appointments, arrange video consultations, send emails, and receive prescriptions.?Dr. MAYA?can also be linked to hospital management systems, and we can help to digitize and systemize healthcare in hospitals, clinics, and government health departments.

Dr. MAYA?is a boon for doctors because it will make their lives easier and help improve their patients' care. Additionally, they can forward referral letters and sick notes and search for information using the internet while speaking to a patient. And that's not all: Patients can watch videos and see pictures, read information sheets to help manage common medical problems and reduce wasted consultations, save money, and decrease the incidence of cross-infections (sick people with different illnesses getting each other even more suffering because of unnecessary contact).

Integrating Maya with the IT revolution has created the world's first tool "Dr. MAYA" to help identify and monitor infections. Offering a powerful way to help doctors communicate, manage their patients better, and reduce the costs of running their clinics and offices will encourage them to participate. Health departments, hospitals, airlines, healthcare service providers, and doctors can create portals and offer registered users services. This tool could also reduce the number of receptionists, booking clerks, and "doctors' assistants," which greatly inflates the cost of health care.

Dr. MAYA can particularly help poorer countries because it can enable them to skip the time and expense of building already-obsolete medical communications systems.?Dr. MAYA?can also be adapted to help people communicate during times of natural calamities and wars, and pandemic disease threats.

My colleagues and I offer?Dr. MAYA?free as a humanitarian service to protect healthcare professionals and all our fellow human beings. We must act now to prevent and control the tsunami of superbugs and viruses that could wipe millions of people off the face of the planet.

I hope you share the information with like minded people, and help empower themselves, to make informed decision to protect their family, friends and their community. Stop believing the lies, seek the truth and know the truth.