[drrajasaravanan]

Originally Posted by jayguar

Even after taking ample precautions, I've got Covid positive. I have fever for a week, just fever. Cough comes just before fever and when fever reaches a high, cough goes off. No other symptoms. Last couple of days, the frequency of fever kept increasing even after taking medicines. Yesterday, confirmed through scan, it's positive. I was told it's between moderate and severe.

Hi,
Don't just go by the scan reports. Your clinical progress should and will guide the treatment. If you have already been with fever for 7 days in all probabilities you should be improving in the next 7 days. Couple of pages earlier a simplified guidelines has been shared by another bhpian use it as a template to guide you. Good luck, I am sure you will breeze thro this.

[aniyo]

Originally Posted by sachin2612

Need advice from past experience patients and professionals.

I have been found covid positive on 16 of april with body acne’s and sleepy eyes as sign of symptoms. My CT value of RT-PCR test was 16. Have been taking fabi flu and vitamin C tablets since then. From the past three days i have been having continuous fever of around 100 to 102’C. (Taking paracetamol 3 times a day still the fever continues after 3 to 4hours). My blood reports are within normal limits with Crp below 6. My oxygen level stays above 96. I have no cough or runny nose only symptoms are back pain and fever. Today is my 8th day of isolation. What should i do to reduce back pain ? Is ibrufen safe to take while taking dolo 650? And doc is advising remedisivir if fever continues tomorrow also.

Any advice would appreciated. Thanks in advance.

Note : i am 25 years old with mild obesity.

Don't panic. CT value of 16 indicates high viral load, that is why fever is not subsiding. Fever is a sign body is actively fighting infection.
I would go with what doc says but a word of caution remdesivir is not proven and even by WHO study it is not know to show great result.
My FIL benefited from it so it is purely a matter of chance. Also note that remdisiver needs to be followed up with steroid of some sorts esp if inflammation is high. It must be on your report.
Stress causes more harm to body. Regular monitor and being calm helps. Unless your spo2 falls close to 90 I would not advice getting admitted

[Sreesh1009]

The situation is getting worse day by day here in Bangalore. While all my CBSE and ISC friends have their board exams postponed, I'm going to have to write my exams from the 27th of May. Looking at the current situation and how things have gone topsy-turvy, not sure how things are going to pan out.

I know that necessary precautions will be taken but from what I've seen, my peers remove their masks and some of them don't even care to wear them properly ����*♂️. I'm really stressed and waiting for an update from Dept of Pre University Education (DPUE).

Here's sending a prayer to all those people who've been affected and wishing them a speedy recovery!

[charanreddy]

Originally Posted by mayankk

This is enough to put to rest the hungama, if any, in south India about oxygen shortage.
The hungama is real and deadly in Delhi NCR for sure. This is not based on news reports, but ex-colleagues in the health ministry.

It’s not a myth. I had symptoms of severe weakness and headache and hence the doctor treating me suspected COVID. Thanks fully other than my CRP all other tests came negative (RT PCR, CT Scan). But the doctor who I know fairly well was saying that only 20% of the oxygen needed is being supplied and he had to shift patients to other hospitals. See below links.

https://fb.watch/53jW5BvBc5/

https://timesofindia.indiatimes.com/...w/82125435.cms

Don’t take it lightly especially in Bangalore. I wonder why industries could not have been asked to start producing oxygen earlier and not wait for these dire straits. Similar for investing in bumping up vaccine production, which was too late. I have seen private hospitals use make shift beds, physiotherapist rooms etc. for patients. People are worried that if they don’t get admitted , then when they need they won’t find beds. Govt. needs to figure out a way to solve these issues for good.

[vivek95]

General public is anxious regarding availability of beds because they are highly misguided by the media and all the proponents of fear and paranoia, including the highly educated ones, some in this very forum too sadly. Watch this recent video showing three eminent Doctors of India - Dr. Devi Shetty ( NH, Bangalore ), Dr. Naresh Trehan ( Medanta, Delhi ) Dr. Guleria ( AIIMS Delhi ) clearing misconceptions regarding admissions and oxygen and Remdesivir. Concentrate especially on Guleria, he has been vocal about many such myths and misconceptions since the beginning. I am glad my thoughts are the same as them.

-Dr. Vivek

https://youtu.be/awXovTfHX3I

[srishiva]

Originally Posted by vivek95

General public is anxious regarding availability of beds because they are highly misguided by the media and all the proponents of fear and paranoia, including the highly educated ones, some in this very forum too sadly. Watch this recent video showing three eminent Doctors of India - Dr. Devi Shetty ( NH, Bangalore ), Dr. Naresh Trehan ( Medanta, Delhi ) Dr. Guleria ( AIIMS Delhi ) clearing misconceptions regarding admissions and oxygen and Remdesivir. Concentrate especially on Guleria, he has been vocal about many such myths and misconceptions since the beginning. I am glad my thoughts are the same as them.

-Dr. Vivek
https://Youtu.be/awXovTfHX3I

Agree about the panic part. Its not going to help and I am seeing well to do people getting admitted in the hospital even for mild pneumonia. Given the trust deficit in our system if something were to happen later, they are trying to cover it.

Its the same reason where in our country we need UPS, multiple water tanks and other things to cover up inadequacy pre-emptively. Lots of people dont even have a family physician who can guide them. But not sure if they can get them a bed if required. Fatalities due to lack of oxygen is a fact. I know many people who have hired oxygen supply at 15000 rupees per month after doctor's advice (all elderly, I think its better than clogging the hospital resources)

My brother is a doctor and many cousins and I can see how they are overworked as are everyone other healthcare worker. Really feel for them too.

About the video above, wish if people really follow the experts since they would have seen or heard the same things multiple times. Its not he doctors or experts that they dont trust. Its the system within which they too have to operate.

[rascalangel]

Need advice from the doctors in house. On 21st I had slight temperature of 100.1 with wet cough and lower body ache. I took paracetamol and continued with it every 4 hrs since the temp was going up every 4 hrs. The same day at night I consulted a doctor who did the antigen test that came out to be negative. After that he prescribed a 5 day course of Amoxicillin, paracetamol, and supplements to be taken at breakfast and dinner. I'm isolating since then and had no other symptoms (no loss of smell, taste, spo2 always>97%)

Since 22nd morning I have had no fever between the medications. (12 hrs cycle). However there is little cough in the morning when I get up. I do have stuffy nose for which I take Nasivion and I'm good for 6-8 hrs post that. I haven't done a RTPCR test yet which I'm planning to do after tomorrow. This is bacause I read that in the first 4 days there is 60% chance of negative results.

Now my questions are the following:
1) if the test comes negative, how long do I carry on with the isolation?
2) one of my family members has SLE so it's important I do not pass on the infection so point one is crucial. How long does it take for a person to cease to be a source of infection to others?
3) how will I know I cease to be a source of infection?

Thanks in advance!

[carboy]

Originally Posted by rascalangel

This is bacause I read that in the first 4 days there is 60% chance of negative results.

This is first 4 days after exposure. The virus incubates for some days after the exposure. If you are already symptomatic, then the 4 days after exposure have probably long passed.
I am not a doctor.

[Abdeali]

We are all aware that covid-19 has a very high transmissible rate but very low mortality rate, much like Influenza. Moreover between 90% to 95% of people are able to fight this virus with the help of their own immune system as it is the case of thousands of viruses and bacteria...

Then why don't we have a flush of doctors advising us on how to keep our immune system at the best level? Why no research in this matter? Simple things such as natural Vitamin C, D and a little amount of Zinc could and would save lives!

[drrajasaravanan]

Originally Posted by rascalangel

Now my questions are the following:
1) if the test comes negative, how long do I carry on with the isolation?
2) one of my family members has SLE so it's important I do not pass on the infection so point one is crucial. How long does it take for a person to cease to be a source of infection to others?
3) how will I know I cease to be a source of infection?

Thanks in advance!

Hi,
RTPCR is highly sensitivebprovided the sample has been taken properly. Even.if its negative consider yourself as probable positive.
1. Usually in medical fraternity 10days is the cut off post covid as most of us have to get back to the ICU. In your case self isolate for 14 days since you are not at risk but you can shed the virus. 14days from the day of onset not after symptoms subside.
2. SLE itself means the person is likely to be on steroids and their immunity will be impaired. I would use a N95 mask outside my isolation area inside house and follow COVID appropriate behaviour for 7 more days. Majority stop being infective by then. There are sporadic case reports where people were still contagious for more than a month.
3. RT PCR can continue to be positive for up to 3months post COVID and is not reliable for identifying spreaders. I would decide on the side of caution. Use N95 at home as you feel appropriate.

[warrioraks]

Last year when unlock process started - I had guessed that our country considering the size will enter into a rolling lockdown scenario. Meaning that localised lockdowns will be enforced as cases within specific areas rise, whereas the rest of the country keeps open as normal. Obviously that did not happen.

Even now when the situation is war-like, we see a great hesitation of the centre and nearly all state governments to impose a lockdown to break the chain. What we instead get is stupid (IMHO) measures like night curfews.
I am not pro-lockdown or anti-lockdown but just thinking - is there a threshold beyond which lockdown becomes necessary. Something like - if the number of daily cases in a district stay above 70% (or X%) of Covid beds in that district, then government is advised to impose the lockdown. Coming up with something like this has two benefits in my opinion:
1. Some consistency across the country in how things are being managed
2. Political hot potato decisions like lockdowns can be based on something concrete rather than heuristics

There might be a lot of downsides/pitfall to this as well but I am just wondering if something like this has existed for Covid or another pandemic in the past which the governments can use for decision making.

[poloman]

Originally Posted by warrioraks

Even now when the situation is war-like, we see a great hesitation of the centre and nearly all state governments to impose a lockdown to break the chain. What we instead get is stupid (IMHO) measures like night curfews.
I am not pro-lockdown or anti-lockdown but just thinking - is there a threshold beyond which lockdown becomes necessary. Something like - if the number of daily cases in a district stay above 70% (or X%) of Covid beds in that district, then government is advised to impose the lockdown. Coming up with something like this has two benefits in my opinion:
1. Some consistency across the country in how things are being managed
2. Political hot potato decisions like lockdowns can be based on something concrete rather than heuristics

.

We need political unity for that. I saw some twitter posts expressing glee with a fake NASA picture of India from space lit with pyres. Some people are rejoicing at the deaths.

We had complete lock down last year. What was the situation that time. The twitter trends then were heartless govt, migrant sufferings, livelihood affected, GDP down 8%.

Damn if you do damn if you don't.


Do all these people have a magic formula to deal with the situation? Rather than talking on hindsight, can they predict what is going to happen in the future? Will there be 3rd wave?

And on Govt side, why on earth they allowed congregations like Kumbh, rallies, farmers protests. What was the need for elections if things were so grave? What were the policy makers doing when there were signs of cases going up early March? If you can conduct elections for over 20 Crore people, you could do a vaccination drive for atleast so many people.

Whether it be govt, or the opposition stop politicizing things should be the first step. We need task force headed by eminent doctors like the three in above video, not some niti aayog bureaucrats who dish out non sense.

[Gaur]

We had rented Philips oxygen concentrator for my dad when he was recovering from COVID induced lung damage last year, has now recovered mostly and doing good.

From my search and as suggested by our doctors we were recommended to preferably use Philips O2 concentrator.
Apart from it we also had a small portable aluminium O2 cylinder for emergency.
O2 concentrator as already clarified in an earlier post are mostly 5-10l p.minute flow capacity also oxygen purity is low compared to cylinder oxygen.

I have personally observed difference in dad's O2 saturation between concentrator and cylinder, cylinder showing higher value due to much pure oxygen.

Concentrator was used non-stop for 10-12 hrs and given 1-2 hrs rest, heating of concentrator can reduce O2 quality we were told (experts in group can confirm).

Another thing I would want people to be aware of a fungal infection called Mucormycosis, it is a very deadly infection with upto 50% mortality of infected.
COVID recovered patients who have low immunity (being given steroids) and diabetic are under extreme risk category.
If you have any recovered patient in your family or friends please advise them to be cautious and avoid exposure to unhealthy environment.

[warrioraks]

Originally Posted by poloman

And on Govt side, why on earth they allowed congregations like Kumbh, rallies, farmers protests. What was the need for elections if things were so grave? What were the policy makers doing when there were signs of cases going up early March? If you can conduct elections for over 20 Crore people, you could do a vaccination drive for atleast so many people.

Although I agree with your sentiment fully Poloman, the intention of my post was not to start an open ended discussion on the fallacies of the government.
My reason of posting the idea was that I am curious on why there are no early warning systems for the government and general public. The idea that I proposed sounds simple enough and I am thinking the experts can critique on why something like this hasn’t been developed till now. Or maybe there are systems and I am not aware. Either ways, it was more of an intellectual question for my knowledge rather than a rhetorical question.

[Zen2001]

Lessons to learnHow Kerala is managing its medical oxygen supply.

https://www.thenewsminute.com/articl...-supply-147579

Judicious usage, a little bit of foresight and anticipation is all that is required. You don't start digging a well when your dying of thirst! No use blaming oxygen manufacturers and suppliers - they were going their job as per the "historical demand" anyway.