If you are worried about catching Covid while at home, you can try these simple steps to reduce your worry -
1. Use small chunks of time (15-30 min) by allocating to specific activity
2. Do not re-work plans - e.g. if you are buying grosseries once a week stay with it.
3. Stop looking for more info - avoiding crowd + closed spaces and wearing mask all the time is enough.
4. Washing hands ONCE after returning home is good enough.
5. Watch your emotions - distract yourself from worry, anger, sadness by involving in physical activity, art, music, etc.
6. Step away from Covid conversations in person and online.
7. Spend time with children doing chores at home, study etc.
8. Get exercise as possible.
9. Simple slowed breathing with long exhalations is helpful. Start with just 10-15 breaths multiple times in a day. Don't stretch concentration to breaking point.
10. Call up elderly relatives for light chat and help them remember "good old days" avoid Covid discussions with them.
11. Get good sleep by switching off screens hour or two before bedtime and take light dinner.
12. Start writing - whatever you want. May be just a written record of your free running thoughts. It helps to calm mind.
Usual caveat - this does not apply as treatment of mental health issues.
If distress continues beyond 2 weeks and affects your sleep, appetite, mood on daily basis, get help.
#Thread
Yesterday @EricTopol tweeted about @TheLancet publication reporting "trasmission of SARS CoV 2 mainly via airborne route"
Little did he know that his sphere of influence reaches a city called Nashik in India and pensioners living in my housing complex in Pune, India.
By midnight, i started receiving questions and worried messages from my relatives in Nashik quoting this.
"Now Covid is airborne! we are doomed" was universal concern.
Then a neighbor called in the morning with same concern. Messages on her whatsapp group predicted doom.
Everyone wanted to know - What to do next?
Some had already closed their windows and ventilator gills to protect themselves from "virus air".
This is peak summer in India, temperatures are nearing forties (Celsius).My relatives don't live in air-conditioned homes.
Last evening my eldest sister in law had a long chat with my wife on phone.
She asked her "how are you? This work is so difficult. How do you handle all this?"
My wife is Intensive Care Specialist. Doing Covid work since April 2020.
This is the first time anyone from extended
family asked about her well being.
She gets numerous calls everyday from multiple relatives and friends asking about medical advice, second opinion for their friends, vaccine queries, and what not.
At all times of day and night.
This is on top of her exhausting Covid work.
Whole of last year, like most of my doctor colleagues in India, she hasn't had unbroken 4 hours of sleep.
It is unimaginably difficult. Her hospital @symbiosistweets supports her really well and her own innate resilience has seen her thru so far.
Remdesivir-
As headlines scream shortage and photos of hapless relatives standing in long lines are on front page,
public impression is that scores of people are dying as this life saving elixir is in short supply.
Nothing could be further from truth.
A thread.
If remdesivir was the fabled "Sanjivani buti" we wouldn't see millions of deaths all over the world.
After initial enthusiasm in Feb/March 2020, well designed clinical trials put question mark on superiority of Remdesivir over standard care.
As even more data gathered, clinicians suspected that a small subset of patients may benefit from remdesivir. (There are enough papers to support every claim and more)
This thread is about - 1. harm caused to doctor-patient relationship due to corporatisation of healthcare 2. corruption in govt machinary and 3. laws that govern practice of medicine.
It is about my father who passed away few days ago.
Few months ago when my father was diagnosed with autoimmune vasculitis on top of his chronic kidney disease secondary to lifelong diabetes, we knew his days are numbered. He knew it too.
Doctors gave us a very clear idea about seriousness, complexity and prognosis of it all.
So when he stopped eating solid food in adequate quantity and remained in his bed all through the day, we knew where this was headed.
Two months in and out of ICU, alternate day dialysis and high level of care given to him by family, nurses and doctors wasn't going to make
Psychiatry is presently not as ostracized as it once used to be, confined to asylums.
Now a days you may even find psychiatrists invited to public functions.
A welcome change but likely to be short lived.
Why?
Read on -
#stigma has always been a huge problem for psychiatry.
We got mental health away from Shamans but managed to get stigma in the process.
Persons with mental illness were always feared and hated. Hence confined to asylum, away from sanitized life of people.
Anything perceived as threatening (mentally ill, free thinking women, disenfranchised minorities, political opponents, sexual minorities) was labelled as "madness/character flaw/unsoundness" etc and sent to asylum to spend rest of their life.