Ujjain: The strain of the second wave of Covid exhibits multiple post-pathological symptoms such as stroke or stroke, paralysis, sudden death and also Guillain Barre syndrome in rare cases despite thrombolytic therapy and anticoagulants. SARS COV-2 makes the immune system highly compromised with lowered lymphocytes almost like HIV, resulting in attacks of any opportunistic infection.

These were the words of renowned neurologist Dr Alok Mandlia from Bombay Hospital, Indore, who spoke at the national webinar on ‘Covid Caution-Responses and Recovery’ hosted by the Tapan Chourey Foundation on the occasion of the 56th anniversary of the birth of the economist Prof Tapan Chourey.

The second speaker, Dr Siddharth Mishra from Manipal Hospital, Jaipur explained the three phases of Covid and said that RTPCR is the definitive diagnosis that works on the third day of infection when the virus enters through the nose, eyes or mouth showing early stage symptoms such as fever, body pain, diarrhea, loss of taste and smell, or mild cold and cough. Progression to the second stage leads to pneumonia and lung involvement from the sixth day of illness, with symptoms such as high fever, heavy breathing, chest pain, uncontrolled dry or wet cough, obstruction of speech and a drop in oxygen levels. Once the third stage of systemic inflammation sets in, multi-organ damage occurs which is often irreversible and fatal.

Dos and Don’ts: Dr Mishra specifically asked to refrain from using early stage steroids as they weaken the soldier’s antibodies and also lead to serious post-Covid complications. Anxious CT scan should be avoided because it can expose the body to 400 times more radiation than x-rays and is very harmful.

The third speaker, Dr Noopur Patil from ESI Delhi Hospital, discussed the lung involvement and developed the vaccination protocol. She said there were two ways to escape the disease either by staying in a perfectly protective bubble or by getting the vaccine. As the former is practically not possible and the evidence from history and from other countries during this pandemic also proves that only vaccination is the effective solution. Speaking of doubts about the safety, effectiveness and side effects of vaccination, she made it clear that infection cannot be ruled out after vaccination, but it certainly protects against complications and mortality. Dr Patil said injectable vaccines are useful in training the immune system to recognize and fight the coronavirus and that the mask is essential even for those vaccinated until herd immunity is developed. Patients with high blood pressure, diabetes, thyroid, kidney failure, common allergies, GBS, and pregnant or breastfeeding mothers can be vaccinated.

The fourth speaker, Dr Nidhi Sahu, director and board psychologist, Life Ahead Counseling Center, Bhopal, said we are fighting both the pandemic and the infodemic. Besides physical illnesses, this second wave of Covid has led to widespread trauma, panic and impotence. Besides the lack of health infrastructure, the mental unpreparedness of the population and the violation of the Covid protocol are also responsible for the devastation. The lockdown of the first wave should have been used to build our physical and mental immunity. Since the fear and anxiety pathways directly worsen the physical condition and symptoms, we must therefore work with full resilience and the will to fill our cells with life energy with healing power. In this grieving situation, we should extend a leaning shoulder or tuned soundboard and form a human chain through technology as it is not social but physical distancing. Preparation for the third wave on our part involves strengthening mental immunity through games, music, color therapy, nature and mud, activating old networks, commitments creative, breathing exercises, healthy eating, yoga, affirmative autosuggestions and involving the dynamic power of youth to spread consciousness.

The webinar was coordinated by Nitin David and Rishu Chourey. A thematic introduction and online counseling session was conducted by Oorja Tapan and a vote of thanks was extended by Kushal Chourey. Technical support was provided by Dharmesh Rathore.

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