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Originally Posted by bkc As you all know, the wave 2.0 of covid is very harsh on people. Most of the hospitals are full and the chances of getting a bed with ventilator/oxygen support is next to Nil, here in Bengaluru.
Most of them, though tested positive, can still manage without hospitalisation, as their symptoms are manageable.
However, in fewer cases, where the symptoms are very bad, the fear of losing a loved one, makes me weak.
The per day positive cases are also increasing rapidly, and is now nearing 22k per day in Bengaluru.
Request, members to post their contacts to get remdesivir for covid patients. |
Testing is liberally available now (as compared to that in the beginning of the first wave), infectivity with possible mutant variants may be higher, but definitely the mortality isn't! Hence the new positives will always be greater in comparison. What you're not being told (by your sources) is the number of recoveries, which are also much higher. Most manage even without hospitalisation, as you have seen. So, instead we should thank our luck that this wave isn't so harsh as compared to before. Don't go by absolute positive numbers, check data that gives you positives per million population and the positivity rates for the correct prospective. As yes, forget Remdesivir, if difficult to procure - it doesn't improve mortality, just reduces duration of hospitalisation.
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Originally Posted by motorworks I looked up a lot of articles on the internet and most people seem to suggest that there is immunity for the first 6 months at least. So should I be worried? Or could it be just a seasonal flu or fever due to the stomach bug? |
Each person's immune response is unique hence can't be generalized. Wait and watch, follow isolation and seek help if progressive symptoms. Even after a full recovery, it is possible to get a positive PCR for upto 6 weeks after recovery (even if you're not re infected).
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Originally Posted by drrajasaravanan Hi,
As far as I know Remdesvir is not life saving or essential to treat COVID. Yes there is one large scale study proving its effective but many small scale study doesn't replicate the same findings. Please don't go by what's shown in the media.
This time the infective rates are high and rapidity with which its spreading in my city is also alarming but I don't think the mortality rate is higher than last time and definitely not to the extent of what I saw abroad.
Just to add I am part of a team handling COVID cases and most of us in the team do not support using remdesvir for all covid patients and definitely not as a routine. |
Exactly true. Even the supposedly higher infectivity much just be attributable to increased testing. What is more important to watch is the positivity rates (but these might be skewed by selectively testing more asymptomatic than symptomatic) in the local area and positives per capita or per million rather than absolute numbers. Without a denominator, such figures are basically trash.
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Originally Posted by msdivy Surprising that the doctors don't have an alternative treatment. Recommending Ramdesvir seems to be a last throw of dice by doctors.
The point is total +ve case number is a piece of useless standalone information. |
Most viral infections actually have no specific treatment, rather they don't NEED specific treatment. Same case here. That's why over 80% recover at home without doing anything specific. What is being treated actively are just complications - and there are specific treatments for specific complications. And as is the usual scenario, any complication (of any infection) with a comorbid disease generally tends to have worse outcomes than the same complication in a person without comorbidites.
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Originally Posted by Gannu_1 To the resident docs on the forum - is it advisable to have vitamin C and Zinc tablets on a daily basis to boost immunity? |
Not really. Unless you have a pre existing documented deficiency. If not just eat healthy.
Otherwise soon we'll have a shortage of these as well!
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Originally Posted by drrajasaravanan Routine care does not include Hydroxychloroquine, Ivermectin or remdesvir. Actually with respect to Remdesvir Nov20 WHO recommended against usage. The consistent benefit has been proven with steroids, anticoagulants and antibiotics in certain subset and this is what majority are treated with. The whole media nonsense about remdesvir being life saving and shortage is ridiculous. Now I am seeing patients who don't even need oxygen with less than 10% lung involvement asking for antivirals. Roughly if I should take a guess less than 1% of positive patients need ICU level of care and in that 30% will have recovery without impact on quality of life, 30% will recover with severe restrictions and 30% will die ( This is personal and I don't have data). The problem happens in India is due to inappropriate usage of resources and greed to make more money. If you need further answers or clarification do ping me. |
Absolutely correct. People only read what they want to - why don't they read the SOLIDARITY trial. Or even read about the flaws in Gilead's primary trial! The same about HCQ, Azithromycin, Ivermectin and Doxycycline. The last 3 are being currently prescribed like sweets to the public - can it get more ridiculous? What the ICMR/MOHFW needed to do (long ago) was to come out with evidence based national guidelines, updating the same regularly, circulating them widely across all healthcare systems (incl AYUSH), and instituting a mechanism to oversee compliance with the same. Failing to issue clear guidelines causes more confusion (half knowledge is worse than ignorance), which leads to chaos and later panic. Now only in damage control mode have they issued the disclaimers on (non) effectivity of Remdesivir. And by asking manufacturers to increase production sends a contradictory message.
The same is now seen with something as otherwise mundane as oxygen. There are some guidelines, nobody follows them, people flocking private hospitals only because they can demand oxygen/certain therapies, and hospitals in turn want to be seen "doing something" to justify the treatment costs. I'm referring to the mild and borderline moderate cases, without co morbid diseases admitted in hospitals just for "precautionary reasons" who ended up misusing these resources.
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Originally Posted by INJAXN For people getting +ve report even after 14 days, do not worry much, look for the CT value in the report , if it is > 30, viral load inside your body is very less and you have recovered fully or you will get recover in couple of days. |
Don't bother with repeated tests - can be positive for weeks even after a full recovery. Clinical recovery is the yardstick rather than a laboratory recovery. Don't go by CT values either - that is affected by quality of sampling, storage, number of days post infection - and does not correlate with clinical severity anyway.