Covid Second Wave in India
Covid Second Wave in India. Neurosurgeon Dr Arun L Naik discusses symptoms, signs and treatment of second covid 19 wave in India. Covid symptoms are headache, loss of smell, weakness and fever. Covid signs are anosmia and fever. Covid treatment in India is as per the protocol of many health agencies. Remdesivir treatment in covid is discussed. Tocilizumab treatment in covid is discussed. Corticosteroid injections in covid are effective. Covid vaccines will reduce the illness. Covid home isolation protocol is discussed. RTPCR test in covid is valuable. LAMP PCR test is a rapid test. Throat swab is taken in all cases. HR CT Chest is done in doubtful cases.
What to do if you feel sick?
Watch out for headache, loss of smell and shortness of breath. As of now any fever is considered COVID unless proven otherwise. Isolate immediately soon after the first symptom. get tested on days 3-5 of illness as prior to this period, test will not pick up virus. After the test isolate yourself till your report comes.
What test? Throat swab RTPCR. Nowadays report takes 2-3 days. There is a new rapid RTPCR LAMP test (Loop-mediated Isothermal Amplification) available in some hospitals which takes under 10 minutes to report. This is also very sensitive test but is little expensive and reserved for our emergency cases where I need to take up these patients for emergency brain surgeries. This season we have seen many patients first testing RTPCR negative and after a few days becoming RTPCR positive. in such highly suspect cases I do a HR CT thorax which will pick up lung patches due to COVID. I find this test very reliable in some cases. So leave the choice of tests to your doctor.
What to do if you are tested positive.
first thing to do is to stay calm. report yourself to the authorities and they tell you what to do. all you need to procure is a good quality pulse oxymeter which measures oxygen in your blood and it is the most important factor in this disease. also make sure you have paracetamol tablets of 500 or 650 mg strength and a good thermometer to record your temperature. pulse oxymeter records your oxygen levels in a number format like 95 or 97. Also some oxymeters measure your pulse rate in smaller fonts, usually 60-100 or more if you have fever so big fonted number is oxygen and small fonted number is heart rate, dont get confused. normal oxygen saturation should be above 95. anything below 94 is should be taken note of and less than 90 is serious and you should call your doctor and inform.
always wear mask and isolate yourself in one room. you should be the only person in that room. if you do not have a separate room, then you can opt for a covid care center or a hospital so that you can isolate yourself. maintain good hand hygiene.
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