COVID 19 – CONFINED BUT NOT BROKEN


>> “Hello, madam is there a bed available for a covid patient?
-->> “Sorry sir,  all beds are full.
>> “Madam please, my patient is very critical”

-->>I totally understand sir but I may not be able to help you”

This is the conversation we are hearing very frequently in the current situation. We have seen, lockdown, losing our near or dear ones, losing jobs, domestic violence, mental health issues, everything in this pandemic. We are discovering new things about ourselves, attitude toward ‘s life is changing. So many things are happening. Our future plans are shaken. The whole world has become upside down. Being a doctor I see people’s preferences for health concerns are changing.



In the middle of all of these if anyone acquires COVID 19 infection, a tsunami of thoughts, emotions starts flowing.



>> Will I be able to make it? 

>> What is about my family?

>> What should I do now?

>> What tests, medicines should I take?

As I see everyone is almost graduated in COVID medications and treatment till now. We know all information is already available on google. But before interpreting things make sure that you have an expert opinion. Briefly, I would like to talk about some important things to consider after acquiring an infection. Washing hands frequently, using sanitizer, wearing a face mask, maintaining social distancing are the cornerstone of the treatment.


For Mild to moderate Covid 19 infection, the treatment protocol generally followed is


> Cap .Omez D 20  - 1-0-0
> Tab Dolo 650  - 1-0-1  
> Tab azee 500 OD - for 5 days  
> Tab Fabiflu 200mg  on - DAY 1   9 tabs  two times a day.
> Day 2-5  - 4 tabs twice a day
> Tab Zincovit - 1-0-0
> Vit D - sachet 60k units weekly
> Tab vitalime (Vit C) 500 mg  - 1-0-0  

Investigations are advised to know baseline status and severity of disease and then to monitor the progress of infection


> Interleukin -6 level  
> C - Reactive Protein
> Lactate dehydrogenase
> Serum ferritin
> D-dimer
> Liver function tests
> Renal function tests
> Complete blood count
> HRCT

HRCT (High-resolution computerized tomography)

is one of the important investigations in assessing the severity of infection. There are mild, moderate, and severe scores in the result which decides the line of management. In severe cases Injection Remdesivir(antiviral drug) and steroids are used frequently. You must have heard about plasma donation for Covid patients. The person with past covid 19 infection or vaccinated individual has antibodies in his body that act against Coronavirus. Infusion of plasma to active cases may help in recovery.


Vaccination

is another important area of focus in COVID infection. Many people are still scared and have so many doubts about vaccination. It is completely safe and taking vaccines also results in herd immunity which will help us to get rid of coronavirus. So taking a vaccine is not only beneficial for you but for the community also.

Now let's talk about pregnancy and COVID 19 infection.

Data shows most of the cases in pregnancy are mild or asymptomatic. We haven’t noticed any in utero transmission from mother to baby. Newborns may acquire infection but it is through physical contact. The severity of infection in newborns is also mild. There is a big concern about vaccination in pregnancy. The vaccines used are attenuated, which means they do not contain live viruses. In pregnancy live vaccines are not advisable. According to the Royal College of obstetrician and gynecology, United Kingdom guidelines pregnant females at high risk of exposure to the virus and high-risk medical conditions should consider covid 19 vaccines in pregnancy. Pregnant female with gestational diabetes, BMI more than 40, healthcare workers are some of the situations considered to be eligible for vaccination. If you are eligible and have been offered a covid 19 vaccine, the decision of whether to have a vaccination in pregnancy is your choice. The benefits have to be weighed upon risks.


In the later stages of pregnancy, women are at increased risk of becoming seriously unwell with COVID-19. If this happens, it is about three times more likely that your baby will be born prematurely, which can affect their long-term health.


The benefits of vaccination include:


  • Reduction in severe disease for the pregnant woman

  • Reduction in the risk of prematurity for the baby

  • Potentially reducing transmission to a vulnerable household member


There are so many queries about taking vaccines in reproductive age group women also.


Does covid vaccine affect fertility?


The answer is NO. There is no plausible biological mechanism that can affect fertility. The only reason to consider delaying fertility treatment until after you have been vaccinated would be if you wanted to be protected against Covid-19 before you were pregnant.

After taking the vaccine if I came to know about pregnancy, is it safe to continue?

Yes, it is safe to continue pregnancy because it is not a live vaccine. Like other vaccines, we give during pregnancy Covid 19 vaccine also can be taken.


I have tried to cover up some of the salient features of Covid 19 infection, still could not include everything. As research continues our knowledge gets updated and we try more to combat the situation.


Amid the fear, insecurity of the SARS covid 19 pandemics we are trying our best to boost ourselves with positivity and motivation. Even if we are confined due to the current situation we are not broken.


Nothing in the life is to be feared, it is only to be understood. Now is the time to understand more, so that we may fear less” – Marie Curie

Thank you.

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Stay Safe Stay Healthy.



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