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.
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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.
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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.
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Step 5: SURPRISE ๐คทโโ๏ธ๐คทโโ๏ธ U DONT NEED DOXY/ IVERMECTIN/ FAVIFLU !!
There is enough evidence these medicines DON'T work. They are still in protocols coz ๐ฎ๐ณ isn't exactly a fan of evidence based medicine. The doctors are better at reading medical literature. Let them do that.
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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
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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.
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Summary:
๐ช๐ปISOLATE as soon as symptomatic
๐ช๐ปDON'T WAIT for a + RT-PCR
๐ช๐ปMONITOR temp/02 sats
๐ช๐ปDON'T stop meds u are already on
๐ช๐ปDON'T take ivermectin/doxy/Faviflu
๐ช๐ปTAKE the #vaccine 4 wks post recovery
๐ช๐ปTRUST doctors, not whatsapp
๐ช๐ป Encourage others to do so too
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
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๏ธA .fib = anticoag for stroke prophylax. but that's when tox no.2 comes into play.
Very difficult to โ๏ธ it out .
In RESONATE trial >grade 3 afib in 3% of pts.
Most events occur within 3 mts of starting #ibrutinib