[GameOfCars]

Originally Posted by Ananthang

Hi Gameofcars,
Thank you for sharing the experience. My father in law aged around 69, got infected and cured now. He has been discharged but the Oxygen saturation is around 90 from the time he is back home. Is it ok to have that saturation levels or we have to go the hospital again. We don’t want to have relapse, so thought of checking with you.

When we checked with our Doctor, he says we can put a home oxygen kit. He has no other symptoms or fever. Only tiredness and O2 saturation at around 90s.

Looking for your kind suggestions and Guidance.

Great to hear that your father in law has recovered. Going by the Oxygen saturation you have mentioned, it is low from what we consider normal, which is above 94%. Lot of things can contribute to it. I hope you don't mind me asking - Has he been a smoker? Or been exposed to second hand smoke for longer periods of time? Or if he is known to have Asthma or any lung disease. If any of the above, 90% might be his normal level of oxygen saturation.

The other thing to be aware of is, to rule out pulmonary embolism , which is basically having a blood clot in the lungs which can make one hypoxic. This is quite common with Covid. Investigation of choice would be CT Pulmonary Angiogram. The best initial investigation would be to get an Arterial Blood gas test done which will show how much oxygen he is getting in the tissues. Sometimes home oximetry can show wrong readings specially if the batteries need replacing.

If not, then this could be related to silent hypoxia which needs monitoring from your own doctor and my guess would be it should improve over the next few weeks if it is contributed by Covid19. Tiredness is a symptom of less oxygenation in the body. Home oxygen should be considered if it remains low even after ruling every other possibility out.

There are a few things that can be tried to improve oxygen saturation -

1. Quit smoking if not done already.
2. Exercise if able to.
3. Keep some indoor plants to improve the amount of oxygen in your home.

Other medicos here can add what they think about it.

[Ananthang]

Thank you GameofCars.

He is not a Smoker and Never in close proximity for passive smoking. Has no History of Asthma or lung disease. He is Diabetic, Hypertensive and his creatinine is higher at 1.8.

He used to walk for 1 hour daily in the terrace until now, but last 3 weeks he has stopped all sorts of exercise.

We will check with our Doctor regarding pulmonary embolism. We have asked our regular Doctor for a home visit.

[Aish_4761]

Hello learned people, I am a 26 year old quite healthy guy who received a call in the afternoon from the local red-cross blood bank. They are in need of blood for a specially abled person. Since they have promised that no one would be there in my proximity, if not needed and that they have made a special ward for voluntery blood donation, I agreed. However, people, can you please suggest some measures that will ensure my family's well being amidst this COVID outbreak. I am least bothered about me but my nearing 60 parents..!!
Kindly help me ASAP, as my appointment is for tomorrow. I really want to help them but want myself and my family to be safe at the same time.
Though I have done my research on it, I am still skeptical about this decision of mine.
Research courtesy:

https://youtu.be/C0Y5DPIKgTU

https://youtu.be/nXBdGeMFQR4

[GameOfCars]

Originally Posted by Aish_4761

Hello learned people, I am a 26 year old quite healthy guy who received a call in the afternoon from the local red-cross blood bank. They are in need of blood for a specially abled person. Since they have promised that no one would be there in my proximity, if not needed and that they have made a special ward for voluntery blood donation, I agreed. However, people, can you please suggest some measures that will ensure my family's well being amidst this COVID outbreak. I am least bothered about me but my nearing 60 parents..!!
Kindly help me ASAP, as my appointment is for tomorrow. I really want to help them but want myself and my family to be safe at the same time.
Though I have done my research on it, I am still skeptical about this decision of mine.
Research courtesy:

Great to hear about the amazing job you are doing. Your concerns are quite understandable. My advise would be to go ahead with the blood donation. Make sure you are wearing a proper mask and avoid touching surfaces as much as possible while you’re in the hospital. Make sure you wash your hands before leaving. On your arrival at home, head straight for a shower and put the clothes for washing. Give a good wipe to your car keys, phone, etc. I think you should be absolutely ok and keep your family safe. Cheers!

[Aish_4761]

Thanks a lot Doc. Your reply has strengthened my mind further..!!

[GameOfCars]

Don’t really know what to make of it, but got my serum antibody test done this Tuesday. Result came back this afternoon.





Given that my swab had come back positive, it was likely that I would have had some detectable antibodies by now, which I’m glad to know, there are. But, for how long and if at all they provide any immunity is yet to be seen.

Taking each and every precaution as before.

[Ananthang]

Originally Posted by Ananthang

Thank you GameofCars.

We will check with our Doctor regarding pulmonary embolism. We have asked our regular Doctor for a home visit.

Thanks GameofCars. My father in law is recovering well now and started gaining weight.

For rest of all TBhPians please find below my FIL’s experience.

My FIL aged 67 has hypertension, kidney function issues and Diabetic.

First onset of fever 14th June 2020 and severe Pain in knees and a bit of tiredness. We asked him to take rest and isolate. My wife’s sister and her 2 year old daughter and MIL stay in that house. He took a Dolo 650 and felt better.

On 15th June he felt lot better and reduced isolation in the morning hours. Only fever, no throat infection or pain, no cough and no body pain.

On 16th June, fever around 99F, and we spoke to our family Doctor. He gave Azithral and zinc tablet and was asked to isolate. But my FIL was mentally troubled with isolation, so he was not following it well and also went to the terrace for sometime

On 17th June, no fever and no isolation. Took bath but did not go out. Others isolated as much as possible.

On 18th June - Fever is back and occasional 100F when tablet loses power. Medicine every 6 hrs. No throat pain, no cough, no breathing issue, no body pain. Back in isolation and mental health started to deteriorate.

On 19th June - More fever around 100F, extreme tiredness as he was not able to go to the terrace for some air. Family doctor advised Corona test and I also believed it is Corona from that day. My SIL kid developed mild fever and we were all damn worried.

On 20th June- Fever reduced for FIL but still needed medicine. Extreme tiredness and no other symptoms. Whenever the fever is about to come he would start blabbering and shivering. Once the medicine kicks in, he will become normal and even Switch on AC, remove shirt etc. Started to blabber when it was around 7 hrs after a medicine like Dolo. Then by 8th hour he would get fever around 101F. Bought pulse Oxymeter and it read 96. Test was also taken around noon. My SIL kid had mild fever which went away with medicine and active.

Please note all these days, my SIL used to wear mask and go to FIL rooms to take temperature, give food etc. She will wear mask and sanitize herself after coming out. Kid will be in the balcony along my with MIL. MIL is the cook and never went to the room. No maid in the house and it is a independent house.Oxygen saturation 93.

On 21st June- Extreme tiredness, occasional cough, fever every 6 hrs at 100F. After medicine it would come down to 98 or 99F. My SIL got fever and was tired. FIL’s Oxygen saturation 91

On 22nd June- We were supposed to get the results but it was delayed. Fever was still there. Kid and my SIL RECOVERED. Oxygen saturation 91 or higher.

On 23rd June- The test results came back as Negative and the whole family was over joyed. But FIL was so tired that he stopped talking, always sleepy. Since he stopped talking and felt tired, we felt he needed some saline trip. So we took him to nearby clinic but it was closed. They had to carry him literally with help from neightbour. My wife and myself dropped my kids at my parents place and we went to meet our FIL. I firmly believed it was Covid, but no one trusted me. In fact my MIL stopped talking to me. Oxygen saturation 89.

Once we went there, seeing his condition we decided to admit him in any hospital. Called 10+ hospital but no one is ready to admit if someone has fever. Covid certified hospitals did not want to admit as he was Covid negative.

Luckily through a Friend we were able to admit him in a private hospital. I was sure he had Covid but no one trusted me. FIL’s Oxygen saturation was 89 and they gave Oxygen support immediately.

Antibiotics and medicines for safeguarding kidney function and Vitamins were given directly in IV. After admitting we came home, took a bath, caught a 2 hr sleep and picked our kids back. All of us moved to our FIL’s brother house as it was near to hospital and also take care of our kids together as a big family.

On 24th June- Fever whenever medicine was not given. Lack of sleep in night but sound sleep in the mornings. Blabbering at the time of onset of fever and once medicine is given and he will become normal. The night I stayed with him in the same room. I could see his breathing would be little Laboured. Occasional coughs. This was last night he had 100F fevers. He will also remove the Oxygen mask many times. The nurse even decided to tie his hands. He finally agreed to keep wearing it

On 25th June- He was well in recovery, tiredness gone. But since there was a bit of fever, during the day time, the hospital did CT of chest which came back as Covid like pneumonia. Since he was recovering well, he was wanting to go home. Real drama started here. Hospital wanted him discharge and to go to Covid certified hospital at the earliest. There were no rooms available in any Covid certified hospitals like Apollo, Miot, SRM, Global, Saveetha. With no where to go and we worried about our own exposure as a entire family, it was the toughest day for us. Luckily though references finally we got a bed and around 9 pm we shifted him to that Hospital. He was mentally very fragile and irritated if we talked about isolation. We told him a lie as he got some lung infection and needed to be treated in another good hospital under a specialist. Since ambulance was not available, I myself drove him again. Only solace is, he was actually feeling a lot better.

On 26th June - He did not have fever. With Oxygen support, his saturation was above 95. He started talking and even scolding us for isolating him all these days.

On 27th June - Good recovery and more scolding for isolation . Lot of calls and energetic.
Don’t know any personal updates or medicines given as we never able to talk to Doctor. Lot of discussion by my FIL for discharge.

On 28th June- Good recovery and oxygen support was intermittent as per call with hospital nurse. They updated him as he will be discharged soon.

On 29 June- Confirmation cal from hospital for discharge. No fever or oxygen. By Gods grace Was discharged on Monday evening. We booked him a call taxi and his brother trailed him in another car.

Isolated for 2 weeks, initially for few days the Oxygen saturation was around 91/92, but we were able to see he was energetic.

On July 15- We met him and spoke to him. From 20th July, we met him again and stopped wearing mask when we meet him.

Today - Fight is on for his favorite - spicy and salty chutneys. . He recovered well and Doctor say he might have got a very less viral load.

Thanks God and all our friends and relatives for the prayers. Even though nearly 10 of us got exposed, lucky none of us got it. But we were all terrible fear/mood for first 3 days after the Covid results came back as positive.

We are being very careful now and limiting going out as much as possible.

[GameOfCars]

Originally Posted by Ananthang

Thanks GameofCars. My father in law is recovering well now and started gaining weight.

Great to hear your Father in law is doing well and has recovered. It must've been difficult times and I'm happy that your family has come out of it much stronger. I wish him and all of you good health.

Here in the UK, I had hoped that the worst was over. But from the looks of it, there has been a surge of numbers in the last few days in some cities and the start of a possible second wave might just be brewing. We too unfortunately, in our hospital had a sudden outbreak of about 36 in-patients testing positive and therefore three regular medical wards have been sealed and isolated. All the staff members of those wards are being re-swabbed as well. On the positive side, face masks have become mandatory at most places here now. Finally, some common sense prevailing.

A quick question for all the healthcare professionals here - Is it possible to transmit the virus to others even if one has developed antibodies against it? I know this happens in blood borne viruses like hepatitis. But any study/article on Covid19 regarding this? A colleague of mine is a bit concerned. He has tested positive for antibodies recently and had a mild disease when his swab had come positive in April. He is planning to visit his elderly parents in Scotland, who are in their late sixties and is concerned that he might still give them the virus. Thanks.

[Tulok]

Hello people, glad and quiet relieved to hear such positive posts in such an unprecedented time. I am quiet sad as recently my girlfriends brother tested positive (asymptomatic), all their family members are in home quarantine and now we are very concerned about their parents who are in their late 50‘s. They have some underlying health issues such as diabetes, heart problem and high blood pressure. I’ve been trying to research whether immunocompromised patients can be asymptomatic Covid 19 positive or not and I’ve been getting mixed answers. Can someone enlighten me whether immunocompromised patients can be asymptomatic Covid 19 positive or not ?

Regards
Tulok

[GameOfCars]

Originally Posted by Tulok

Hello people, glad and quiet relieved to hear such positive posts in such an unprecedented time. I am quiet sad as recently my girlfriends brother tested positive (asymptomatic), all their family members are in home quarantine and now we are very concerned about their parents who are in their late 50‘s. They have some underlying health issues such as diabetes, heart problem and high blood pressure. I’ve been trying to research whether immunocompromised patients can be asymptomatic Covid 19 positive or not and I’ve been getting mixed answers. Can someone enlighten me whether immunocompromised patients can be asymptomatic Covid 19 positive or not ?

Regards
Tulok

Sorry to hear about your girlfriend’s family. Hope they are all keeping well. My advise would be to take all the precautions possible and minimise contact with the positive patient within the household if possible. People with underlying medical conditions are the ones having more severe disease and mortality has been shown to be higher in them, along with the age factor.

Regarding asymptomatic disease in immunocompromised patients. I guess most of the normal population has been rather asymptomatic and you would come across a few immunocompromised individuals who would not have had a very severe disease. Theory being their immune response is sub-optimal in triggering cytokines and T-cells which attack and harm the lung parenchyma. However, the general consensus remains, that these groups are high risk for severe Covid disease and mortality rates are still higher in individuals with obesity, diabetes mellitus, heart failure and chronic kidney disease.

Lots of my consultants who have underlying medical conditions above the age of 45 have been shielding for last 2-3 months and have been asked to avoid patient contact due to being at a higher risk for severe Covid disease.

On a funnier note, we have one consultant doing ward rounds via computer on wheels reviewing the patients, where a junior goes around to each patient with the consultant on Facetime via ipad which is attached to a set of wheels. Its literally like an episode of The Big Bang Theory, where Sheldon decides he has to minimise his human contact in fear of catching bugs/viruses. What times!

[Tulok]

Originally Posted by GameOfCars

Sorry to hear about your girlfriend’s family. Hope they are all keeping well. My advise would be to take all the precautions possible

Yes Sir, they’re all doing fine by Gods grace. Her brother was taken to the government quarantine centre since he’s asymptomatic and the rest of the family are in home quarantine taking all precautions. They just gave their samples for testing yesterday and it seems it will take a few days for the reports to come in.

There are no signs of symptoms with anyone whatsoever. Her brother was about to give his MCI exam that’s when they came to know that he was positive (asymptomatic) since he got tested to show his medical report to write the examination. Or else they would have not known till now. So, there are CHANCES that her parents might be asymptomatic even though they have underlying health issues.

Originally Posted by Gameofcars

On a funnier note, we have one consultant doing ward rounds via computer on wheels reviewing the patients

Haha. This will soon be the normal. Seriously WHAT TIMES!

Regards
Tulok

[GameOfCars]

Finally, got the first vaccine from Pfizer this morning. Fortunately, no immediate reactions noted. Second vaccine will be due in about 4 weeks time, although have not been given a date as yet due to frequently changing government policies here in the UK.

[Lobogris]

Originally Posted by GameOfCars

Finally, got the first vaccine from Pfizer this morning. Fortunately, no immediate reactions noted. Second vaccine will be due in about 4 weeks time, although have not been given a date as yet due to frequently changing government policies here in the UK.

Since you have already recovered from Covid, isn’t the vaccine superfluous?

[GameOfCars]

Originally Posted by Lobogris

Since you have already recovered from Covid, isn’t the vaccine superfluous?

Absolutely not. Unfortunately, the issue with Covid-19 is that even after developing antibodies against it, they will not be present for lifelong. Most estimates have been ranging between a duration of about 3-9 months only. Also, there is always a chance of contracting the virus again. The vaccine along with the booster dose will not provide a lifelong immunity either and the longevity of the same is yet to be confirmed, but i’m hoping at least it will give an annual cover, if not more.

Some more information about the vaccines can be read here -

https://www.cdc.gov/coronavirus/2019...nes/facts.html

[aan nhu mare?]

Those who were infected: how severe was your loss of taste and smell? Could you taste sweet and sour things? How long did it last?