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Various papers and textbooks plainly describe wearing level-D protective clothing against respiratory viruses, but in practice this is not a simple task. It takes at least five minutes to wear it. If you try to see a patient after wearing, it is very difficult to communicate. With the N95 respirator, basic conversation is not easy. Physical examination is also difficult to conduct. For example, can you properly auscultate a patient while wearing such heavy personal protective equipment (PPE)? Moreover, if you are wearing this heavy PPE in the summer, the heat and stuffiness are really unbearable. On suspecting novel coronavirus infection (2019-nCoV), another ordeal is encountered when a telephone call is made with the community health center to discuss patient transfer. At first it is not connected well because telephone line to public health center is busy. Even with a successful connection, the voice over there is hard to hear. And because of wearing gloves, the phone keyboard touch is not good. Sometimes the decision of the public health center is inconsistent with ours, resulting in disagreements or conflicts. Doffing (taking off ) the level-D protective clothing is more difficult than donning (putting on). Each time you take off one PPE, you will need to do a hand hygiene. So doffing takes at least 10 minutes.

The Fight against the 2019-nCoV Outbreak: an Arduous March Has Just Begun