Different types of covid 19 patients and treatment
Asymptomatics: If exposed, one gets Covid-19 or one doesn’t. Of all who get it, most will be asymptomatic: they will show no symptoms, but will continue to spread it. It is likely that they may be less contagious than someone who is actively coughing, but there is no evidence to suggest that the asymptomatic patients do not spread the virus. They, however, need no treatment.
Presymptomatics and mild cases: Of the few that are symptomatic, all will first be pre-symptomatic. This is the roughly two-day interval in which they will be contagious, will spread the virus, but will not have developed symptoms. Eventually they will develop one or a combination of the Covid-19 symptoms we recognise: loss of smell or taste, cough, fever, and so on. Most of these symptomatic cases will only have mild symptoms and will also need no treatment, except what physicians appropriately call “symptomatic management”, with medications to simply manage the fever and cough and bodyaches. Home remedies may help with some of this, but there is no evidence that they alter the course of the disease.
Symptomatics, moderate: Of the remainder, some will develop moderate symptoms, and some will develop severe disease. Only these two categories need sophisticated medical intervention.
Those with moderate symptoms will benefit from oxygen therapy, and “pronation,” which in plain English, means lying on your belly, instead of your back. Doing so opens up the air chambers in the back of your lungs that are normally collapsed, thereby providing more oxygen to your blood. Early evidence shows that this helps avert the need for more aggressive intervention in some cases.
But the principal intervention for those with moderate severity is oxygen — which can be delivered through a mask and tube connected to a portable oxygen tank (which like a gas cylinder, is heavy, and must be replaced); or as piped oxygen, as is available in some hospitals, and which comes from larger tanks; or simply via a small, portable machine called an oxygen concentrator which makes oxygen from air. Many people with lung diseases have them at home. There is no clinical justification to take up ICU beds for these patients. They do not need ventilators, or intensive care specialists — especially when no city in India has enough of either, and most smaller towns and villages have neither.
Severe cases: Unlike run-of-the-mill pneumonias, we have observed that the shortness of breath in patients with Covid-19 can progress abruptly, and these patients need ventilators. These breathing machines are highly complex systems that need skilled technicians to run them, and require that patients have a flexible plastic tube advanced into their trachea (windpipe), typically by an anaesthesiologist or emergency physicians or intensivists. The patients then have to be kept sedated (asleep) with a precisely dosed intravenous medication — an overdose of which can easily kill the patient. And finally, plasma donated from Covid-19 survivors helps some of the sickest. These are the critical elements of an “ICU bed” — there is nothing special about the bed itself. more
Presymptomatics and mild cases: Of the few that are symptomatic, all will first be pre-symptomatic. This is the roughly two-day interval in which they will be contagious, will spread the virus, but will not have developed symptoms. Eventually they will develop one or a combination of the Covid-19 symptoms we recognise: loss of smell or taste, cough, fever, and so on. Most of these symptomatic cases will only have mild symptoms and will also need no treatment, except what physicians appropriately call “symptomatic management”, with medications to simply manage the fever and cough and bodyaches. Home remedies may help with some of this, but there is no evidence that they alter the course of the disease.
Symptomatics, moderate: Of the remainder, some will develop moderate symptoms, and some will develop severe disease. Only these two categories need sophisticated medical intervention.
Those with moderate symptoms will benefit from oxygen therapy, and “pronation,” which in plain English, means lying on your belly, instead of your back. Doing so opens up the air chambers in the back of your lungs that are normally collapsed, thereby providing more oxygen to your blood. Early evidence shows that this helps avert the need for more aggressive intervention in some cases.
But the principal intervention for those with moderate severity is oxygen — which can be delivered through a mask and tube connected to a portable oxygen tank (which like a gas cylinder, is heavy, and must be replaced); or as piped oxygen, as is available in some hospitals, and which comes from larger tanks; or simply via a small, portable machine called an oxygen concentrator which makes oxygen from air. Many people with lung diseases have them at home. There is no clinical justification to take up ICU beds for these patients. They do not need ventilators, or intensive care specialists — especially when no city in India has enough of either, and most smaller towns and villages have neither.
Severe cases: Unlike run-of-the-mill pneumonias, we have observed that the shortness of breath in patients with Covid-19 can progress abruptly, and these patients need ventilators. These breathing machines are highly complex systems that need skilled technicians to run them, and require that patients have a flexible plastic tube advanced into their trachea (windpipe), typically by an anaesthesiologist or emergency physicians or intensivists. The patients then have to be kept sedated (asleep) with a precisely dosed intravenous medication — an overdose of which can easily kill the patient. And finally, plasma donated from Covid-19 survivors helps some of the sickest. These are the critical elements of an “ICU bed” — there is nothing special about the bed itself. more
Viewed by 353
View all 13 comments Below 13 comments
Thank you Ms.Vinita Agrawal for sharing this useful information. Even if it is copied from articles already published elsewhere, as have been alleged by few, I do not think that there is anything wrong in sharing such useful knowledge for the benefit of all those who may have missed the article. more
Jul 05
It has something to do with the subject Mr.Jose.Tell me why one should or should not copy and paste the constitution or IPC? People who participate in these kind of sites have some minimum basic habits of reading news paper or watch TV or search for details. If a member have an opinion write that and not "copy and Paste" what some one else have said.My profile is clear and I do it even at the age of 77 with modern way of communication. If the post is "laudable" you must be a casual visitor to this web page. What is laudable? Yesterdays trash copying and pasting? And about awards being given it can be given back too (award wapsi).It is heartening to note that you have flipped through the Indian Constitution 35 years ago. Can you tell me how many amendments were introduced since then and became part of the Indian Constitution? Yes I am a technician but I follow the developments that affects the life of the people. Well, the government is bringing an ordinance stopping publication of all unauthorised, stupid, fake news about Covid-19 by any one. Out of the 135 crore Indians 95+ crore have internet facility.When even the WHO does not know how to prevent the spread of the virus, one Vinita Agarwal or Jose becomes smart alex? more
Jul 06
Thank you dear Mr Ramachandran for reminding me about reading the Constitution of India, though it has nothing to do with the subject under discussion! By the way, over three and half decades ago, as a student of law, my specialisation was iin the Constitutional Laws and I had fairly reasonable opportunity not only to merely read it but also to analytically study and research on it.
Your profile states that you are interested in "sharing knowledge with young technicians to enhance their knowledge". Unfortunately, your expressed views herein are contrary to what you declared in your profile. I reiterate that sharing knowledge with others, irrespective of its source, is laudable as has been done by Ms.Vinita Agrawal hereinabove and instead of finding fault with the same, one should have appreciated the interest taken by her in making readily available useful information to others. Needless to add that by merely sharing such information in this Circle, she is neither going to be awarded by this Circle nor will she be considered for the "Bharat Ratna" and as such one fails to understand as to why this hue & cry! more
Your profile states that you are interested in "sharing knowledge with young technicians to enhance their knowledge". Unfortunately, your expressed views herein are contrary to what you declared in your profile. I reiterate that sharing knowledge with others, irrespective of its source, is laudable as has been done by Ms.Vinita Agrawal hereinabove and instead of finding fault with the same, one should have appreciated the interest taken by her in making readily available useful information to others. Needless to add that by merely sharing such information in this Circle, she is neither going to be awarded by this Circle nor will she be considered for the "Bharat Ratna" and as such one fails to understand as to why this hue & cry! more
Jul 06
Constitution of India is also printed and published as book.I live in a free Republic and copy and paste certain pages for getting my name published. By the way have you read the constitution at least once? more
Jul 06
Sorry to say but it appears that few male members get agitated by comments from ladies; not only here but in other circles too. We should appreciate any good comments whether by men or women. The circles are meant for communication and improving sharing of information; no body should think otherwise. more
Jul 04
Comments can be made only after application of mind, not copy-paste to take credit. Immaterial whether man or woman, this habit is not good. more
Jul 04
We have several instances of Advertisements going on for Corona remedy without trials , flouting Magic Remedies Act . We have to shun such products and also seek action from the Drug Controller for violating . Particularly when people are stressed with increasing Covid19 case by the day . more
Jul 04
The definition of drug is defines as:
(b) „drug‟ includes—
(i) a medicine for the internal or external use of human beings or animals;
(ii) any substance intended to be used for or in the diagnosis, cure, mitigation, treatment or prevention of disease in human beings or animals;
(iii) any article, other than food, intended to affect or influence in any way the structure or any organic function of the body of human beings or animals;
(iv) any article intended for use as a component of any medicine, substance or article, referred to in sub-clauses (i), (ii) and (iii)
Kadha
Drink herbal tea/decoction (Kadha)made from Tulsi (Basil), Dalchini (Cinnamon), Kalimirch(Black pepper), Shunthi (Dry Ginger) and Munakka (Raisin) - once or twice a day. Add jaggery (natural sugar) and/or fresh lemon juice to your taste, if needed.
How can The Ayush Ministry propagate Kadhas and all types of Ayurvedic/Unani etc Kadhas (medicines) for any disease until they are approved by the ICMR or the like institution. The Ayush Ministry should therefore be shut. Is this your case?
Does the Drug Controller come into picture for Ayurvedic and Homeopathic preparations? There is so much propaganda of Arsenic Alb 30 being a Homeopathic medicine increasing immunity.
ARSENICUM ALBUM Arsenious Acid-Arsenic Trioxide
A profoundly acting remedy on every organ and tissue. Its clear-cut characteristic symptoms and correspondence to many severe types of disease make its homeopathic employment constant and certain. Its general symptoms often alone lead to its successful application. Among these the all-prevailing debility, exhaustion, and restlessness, with nightly aggravation, are most important. Great exhaustion after the slightest exertion. This, with the peculiar irritability of fiber, gives the characteristic irritable weakness. Burning pains. Unquenchable thirst. Burning relieved by heat. Seaside complaints (Nat mur; Aqua Marina). Injurious effects of fruits, especially more watery ones. Gives quiet and ease to the last moments of life when given in high potency. Fear fright and worry. Green discharges. Infantile Kala-azar (Dr. Neatby).
Ars should be thought of in ailments from alcoholism, ptomaine poisoning, stings, dissecting wounds, chewing tobacco; ill effects from decayed food or animal matter; odor of discharges is putrid; in complaints that return annually. Anćmia and chlorosis. Degenerative changes. Gradual loss of weight from impaired nutrition. Reduces the refractive index of blood serum (also China and Ferr phos). Maintains the system under the stress of malignancy regardless of location. Malarial cachexia. Septic infections and low vitality. more
(b) „drug‟ includes—
(i) a medicine for the internal or external use of human beings or animals;
(ii) any substance intended to be used for or in the diagnosis, cure, mitigation, treatment or prevention of disease in human beings or animals;
(iii) any article, other than food, intended to affect or influence in any way the structure or any organic function of the body of human beings or animals;
(iv) any article intended for use as a component of any medicine, substance or article, referred to in sub-clauses (i), (ii) and (iii)
Kadha
Drink herbal tea/decoction (Kadha)made from Tulsi (Basil), Dalchini (Cinnamon), Kalimirch(Black pepper), Shunthi (Dry Ginger) and Munakka (Raisin) - once or twice a day. Add jaggery (natural sugar) and/or fresh lemon juice to your taste, if needed.
How can The Ayush Ministry propagate Kadhas and all types of Ayurvedic/Unani etc Kadhas (medicines) for any disease until they are approved by the ICMR or the like institution. The Ayush Ministry should therefore be shut. Is this your case?
Does the Drug Controller come into picture for Ayurvedic and Homeopathic preparations? There is so much propaganda of Arsenic Alb 30 being a Homeopathic medicine increasing immunity.
ARSENICUM ALBUM Arsenious Acid-Arsenic Trioxide
A profoundly acting remedy on every organ and tissue. Its clear-cut characteristic symptoms and correspondence to many severe types of disease make its homeopathic employment constant and certain. Its general symptoms often alone lead to its successful application. Among these the all-prevailing debility, exhaustion, and restlessness, with nightly aggravation, are most important. Great exhaustion after the slightest exertion. This, with the peculiar irritability of fiber, gives the characteristic irritable weakness. Burning pains. Unquenchable thirst. Burning relieved by heat. Seaside complaints (Nat mur; Aqua Marina). Injurious effects of fruits, especially more watery ones. Gives quiet and ease to the last moments of life when given in high potency. Fear fright and worry. Green discharges. Infantile Kala-azar (Dr. Neatby).
Ars should be thought of in ailments from alcoholism, ptomaine poisoning, stings, dissecting wounds, chewing tobacco; ill effects from decayed food or animal matter; odor of discharges is putrid; in complaints that return annually. Anćmia and chlorosis. Degenerative changes. Gradual loss of weight from impaired nutrition. Reduces the refractive index of blood serum (also China and Ferr phos). Maintains the system under the stress of malignancy regardless of location. Malarial cachexia. Septic infections and low vitality. more
Jul 04
What is wrong even if any article shared here is a reproduction of another article. We are all getting apprised and stand to gain knowledge about the dreaded disease. Thanks for sharing Ms Vinita. more
Jul 03
If the writer was outside India, she would have understood the consequences. Secondly, could one take credit of something not written by him? Trying to show off knowledge, without possessing it. more
Jul 03
