Got #covid ? Don't worry it's not a death sentence.

Step 1: Isolate and monitor

I assume u must have started isolating even before you tested + , if not, do so immediately. Get the others at home tested ASAP. Monitor your temperature and oxygen saturation.

1/n
Step 2: Managing Co-morbidities

If u have any co-morbidity continue to take the meds you were already on. Don't STOP meds for ur diabetes or hypertension or thyroid d/o.

2/n
Step 3: Managing fever

Fever is a very common symptom. Please dont panic. Take a paracetamol. An adult may take upto 3gm/day i.e ~650mg 6 hourly. Continue to monitor your oxygen sats every 4-6 hrs.

3/n
Step 4: Saturation is โฌ‡๏ธ what to do?

Don't PANIC. How low is low? 92-94 % is acceptable. Proning helps i.e lying on ur belly. Continue to monitor sats frequently. Consult a doctor. Get the tests they ask you to. Eg CRP/ D-dimer/ ยฑHRCT chest.

4/n
Step 5: SURPRISE ๐Ÿคทโ€โ™‚๏ธ๐Ÿคทโ€โ™‚๏ธ U DONT NEED DOXY/ IVERMECTIN/ FAVIFLU !!

There is enough evidence these medicines DON'T work. They are still in protocols coz ๐Ÿ‡ฎ๐Ÿ‡ณ isn't exactly a fan of evidence based medicine. The doctors are better at reading medical literature. Let them do that.

5/n
Step 6: Monitor again and Rest

Almost 90% will have only mild symptoms and will be taken care of by your immune system just like other viral illnesses. There is nothing that โฌ†๏ธ your immunity. PLEASE DONT TRUST WHATSAPP FORWARDS. U don't need to take vit d/vit c etc

6/n
Step 7: Vaccination post #COVIDใƒผ19

Now that you have fought covid, get the vaccine if u haven't already. U need to wait ~4 weeks post recovery to get the #vaccine. Vaccines definitely prevent severe disease & death.

7/n
Summary:
๐Ÿ’ช๐ŸปISOLATE as soon as symptomatic
๐Ÿ’ช๐ŸปDON'T WAIT for a + RT-PCR
๐Ÿ’ช๐ŸปMONITOR temp/02 sats
๐Ÿ’ช๐ŸปDON'T stop meds u are already on
๐Ÿ’ช๐ŸปDON'T take ivermectin/doxy/Faviflu
๐Ÿ’ช๐ŸปTAKE the #vaccine 4 wks post recovery
๐Ÿ’ช๐ŸปTRUST doctors, not whatsapp
๐Ÿ’ช๐Ÿป Encourage others to do so too

End

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More from @nihardesai7

9 Oct 20
#MedTwitter how often do you use ๐๐ซ๐จ๐œ๐š๐ฅ๐œ๐ข๐ญ๐จ๐ง๐ข๐ง ?

A thread on ๐๐ซ๐จ๐œ๐š๐ฅ๐œ๐ข๐ญ๐จ๐ง๐ข๐ง for those interested ๐Ÿ˜‰

#MedEd #MedStudentTwitter #oncology #hematology #tweetorial
โšก๏ธProcalcitonin as the name suggests is a precursor of the hormone calcitonin

โšก๏ธCoded by the CALC 1 gene on Chr 11,its a 116AA peptide

โšก๏ธPrePCT >> PCT >> Calcitonin

โšก๏ธBact inf=โฌ†๏ธIL6โฌ†๏ธTNFaโฌ†๏ธIL1b=โฌ†๏ธProductn of PCT
โšก๏ธNormal PCT in health <0.1ng/ml

โšก๏ธIn patients with bacterial infections PCT โฌ†๏ธ corelates with severity of infection

โšก๏ธPCT starts toโฌ†๏ธ3-4hrs following an infection,
peaks at ~12 hrs post infection.
Read 11 tweets
20 Jul 20
Humanity has always struggled to fight #viruses , best exemplified by the ongoing #Covid_19 #pandemic ,so I thought of doing a thread on a #virus which frequently troubles #hematology patients

It's called #CMV or #HHV5
It wrecks havoc #posttransplant

#MedTwitter @BloodJournal
โšกDNA virus ,1 of the MC infections post SCT

โšกIt has the largest genome of any known human virus [230kb /200 genes]

โšกMost humans harbour latent CMV, infection MC aquired in childhood.

โšกSite of latency in humans- Not Known
In murine models - hepatic sinusoidal cells
โšกThe risk of reactivation depends on CMV sero status and is as follows:
D-/R+ > D+/R+ > D+/ R- > D- / R -

โšกThe other risk factors are
1๏ธโƒฃ T cell depletion
2๏ธโƒฃ HaploSCT
3๏ธโƒฃ UCB SCT
4๏ธโƒฃ GVHD requiring Rx

โšก So why not give prophylaxis to these patients ??
Read 10 tweets
28 Jun 20
So how safe is #Ibrutinib ?
A very relevant question given that it needs to be administered indefinitely.
41% discontinuation rate in the "real world", most d/t toxicity.

Thread [1/12]
So what are the major adverse events anyway ?
1. A fib
2. โฌ†๏ธ Risk of bleeding
3. โฌ†๏ธ Infections
4. Arthralgias
5. Htn
6. Diarrhoea
7. Pneumonitis

[2/12]
A very common concern is tox no.1 and 2 .
โฌ†๏ธA .fib = anticoag for stroke prophylax. but that's when tox no.2 comes into play.
Very difficult to โš–๏ธ it out .
In RESONATE trial >grade 3 afib in 3% of pts.
Most events occur within 3 mts of starting #ibrutinib

[3/12]
Read 13 tweets

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