Highlights from Covid-19 discussion with Dr. V Ramasubramanian, India's leading infectious diseases specialist - A thread
1. First line of defence-
a) Regular home cooked food, nothing exotic
b) 7-8 hours of good sleep
c) Staying positive
d) Mask, wash hands, social distancing
1. First line of defence-
a) Regular home cooked food, nothing exotic
b) 7-8 hours of good sleep
c) Staying positive
d) Mask, wash hands, social distancing
2. Common sense > panic
a) Plasma, HCQ, Zinc, Vit D etc not proven to protect against covid19
b) CT scan not for everyone. Doc will specifically ask if needed. Same with steroids. Currently rampant misuse
c) Drugs like Remdesivir, Tocilizumab required only post hospitalisation
a) Plasma, HCQ, Zinc, Vit D etc not proven to protect against covid19
b) CT scan not for everyone. Doc will specifically ask if needed. Same with steroids. Currently rampant misuse
c) Drugs like Remdesivir, Tocilizumab required only post hospitalisation
3. If you have symptoms
a) Isolate first to prevent spread.
b) Get RT-PCR done if your symptoms aggravate over the next 2-3 days.
c) Less than 20% of symptomatic patients require hospitalisation, 3-5% develop severe symptoms.
a) Isolate first to prevent spread.
b) Get RT-PCR done if your symptoms aggravate over the next 2-3 days.
c) Less than 20% of symptomatic patients require hospitalisation, 3-5% develop severe symptoms.
4. Home Isolation -
a) keep adequate physical distance, stay in well ventilated room
b) If symptoms resolve in 7-10 days, then you can come out of isolation.
c) Once an RT PCR comes positive, do not repeat it. It can come positive for 8-9 weeks even after resolution of symptoms.
a) keep adequate physical distance, stay in well ventilated room
b) If symptoms resolve in 7-10 days, then you can come out of isolation.
c) Once an RT PCR comes positive, do not repeat it. It can come positive for 8-9 weeks even after resolution of symptoms.
5. Vaccines work - for everyone
a) including those on immunosuppressants
b) pregnant, lactating women take it after discussing with doc. Benefit outweighs risks
c) Take both doses and safe to take during periods too
d) can get infected even after vaccine but severity prevented
a) including those on immunosuppressants
b) pregnant, lactating women take it after discussing with doc. Benefit outweighs risks
c) Take both doses and safe to take during periods too
d) can get infected even after vaccine but severity prevented
6. Kids -
a) even if they contract covid, very small chance of severity and passing the infection
b) No schools and social interactions taking a toll on their overall well-being
c) consider restarting schools - with shifts, distancing, smaller batches
a) even if they contract covid, very small chance of severity and passing the infection
b) No schools and social interactions taking a toll on their overall well-being
c) consider restarting schools - with shifts, distancing, smaller batches
7. To survive the pandemic -
a) Know that the info-demic of misinformation and fear more damaging than the pandemic.
b) Stockdale paradox - Accept that reality is grim, but keep an optimistic bent of mind
c) Don't let go off common-sense. Stick to basics. This too shall pass.
a) Know that the info-demic of misinformation and fear more damaging than the pandemic.
b) Stockdale paradox - Accept that reality is grim, but keep an optimistic bent of mind
c) Don't let go off common-sense. Stick to basics. This too shall pass.
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