COVID-19: Expert Answers All The Frequently Asked Questions On Post COVID Care | Coronavirus Outbreak

June 4, 2021 0 Comments



Black Fungus is something that is already in the environment like other microorganisms and it is living among us, explains Dr Prashant Saxena

Highlights
  • The COVID recovery depends on the type of case: Dr Prashant Saxena
  • Black Fungus does not affect healthy people: Dr Prashant Saxena
  • Pregnant and Lactating women should get COVID vaccine: Dr Prashant Saxena

New Delhi: At a time when India’s dealing with the second wave of COVID-19 pandemic, there are various questions on post COVID care in people’s minds. From what should one do, eat to how much time can it take to recover completely, to even how long should a recovered COVID-19 patient wait to get the vaccine after recovery. Banega Swasth India team speaks to Dr Prashant Saxena, Associate Director, and Head, Pulmonology and Sleep Medicine; Associate Director, Critical Care, Max Smart Super Speciality Hospital to get the answers to all these frequently asked questions on Post COVID-19 management.

NDTV: What helps in post COVID recovery?

Dr Prashant Saxena: We are asked this question a lot. There are different types of COVID cases – mild, moderate and severe and the recovery depends on the type of case. Mild cases are usually recovered in 2-4 weeks, which means you will be able to return to normalcy in this period of time. Within this span, you may experience weakness, laziness, not being able to work properly, pain in body parts, and a general feeling of not feeling well.

But in severe cases, the recovery time may be 2-3 months. This is because patients have recovered from a very stressful disease, and the medicines used to treat them is of a very high level. And they can have side effects from steroids so they have to be monitored on their pulmonary function. Some patients may have a fever and other issues. So, usually, severe patients may take upto 3 months for complete recovery.

Also Read: Opinion: At War With The Ecology- The COVID-19 Pandemic Is The Biggest Environmental Crisis Precipitated By Humans

NDTV: Sometimes, people experience fever even after recovery. There have also been instances where the patient has UTI, how can the family help in such situations?

Dr Prashant Saxena: Once the first wave of COVID was over, we came to know that even after COVID is over and there is no infection, you may still have a fever. Some patients may have a mild fever like 99 for up to 6 weeks. This is known as Post COVID Syndrome or Long COVID. One should not neglect this, please inform your doctor for any fever after recovery. Because for those patients who have been on steroids, or had diabetes, or any heart problems, their doctor needs to investigate them to be sure if they have developed any complications.

It is very common for patients who have been on steroids or had diabetes to catch Urinary Tract Infection (UTI).

NDTV: For how many days after recovering from COVID-19, can a patient catch Black Fungus?

Dr Prashant Saxena: Black Fungus is not related to the time span after COVID recovery. Black Fungus is something that is already in the environment like other microorganisms and it is living among us. But in patients who have diabetes, who are on high-dose steroids, who have cancer, who are on chemotherapy, kidney patients, cardiac patients; have a tendency, where the organisms can find access to their bodies, and may actually manifest as disease. We need to be careful about these sets of population and they need to be screened. Not everyone will catch such fungal infections.

NDTV: What are the initial symptoms of Black Fungus? What is the difference between Black, White and Yellow Fungus? What is the habitat of these fungi and how can we kill them in a general way?

Dr Prashant Saxena: As I said, these fungi survive with us, they are on desktops, walls, in any place where there is moisture. To remove it, we need to maintain very good hygiene, keeping our surroundings clean, having a clean AC, cleaning dust, throwing garbage properly. It is ultimately about hygiene.

Fungus has many colours and they are named based on their colours in which they grow. All fungal diseases are dangerous to humans, they are difficult to treat, to diagnose and the drugs used in the treatment are very expensive and taken for long-term.

A lot of COVID patients who suffered from Black Fungus were because they were on high dose steroids, or uncontrolled diabetic, and many became diabetic because they were on steroids. Steroids are life-saving, but if not used wisely, this happens. If the fungus gets glucose, like with diabetic patients, it will thrive; if it gets a chronic kidney patient, it will thrive. So these are the high-risk groups, who may develop it. Normal healthy people who get COVID and recover have no risk factors to develop Black Fungus.

NDTV: I got COVID after taking first shot, who how long do I need to wait for the second shot?

Dr Prashant Saxena: As per CDC and WHO, if you contract COVID after the first dose, you should ideally wait for 3 months before getting the second jab. I would suggest people to get their antibody level tested at the end of three months. If your antibody level is very good, then you can wait more, because the additional dose may not help at the time.

NDTV: What is the good level of antibody?

Dr Prashant Saxena: Antibody reference is different for different levels, but the rough idea is to have 3-4 times of higher limit of normal is considered as a good response. Antibodies take 2-4 weeks to develop after the vaccine.

NDTV: I delivered a baby 13 days ago, when I can take my vaccine’s first dose?

Dr Prashant Saxena: When vaccines were launched the recommendation was that pregnant women and lactating women shouldn’t take vaccines. Now the recommendation has changed, even pregnant women and lactating mothers can get vaccinated.

NDTV: How long should one take blood thinners after COVID-19 recovery?

Dr Prashant Saxena: In COVID, blood tends to become thick and clots. Important thing is to hydrate yourself, take all your prescribed medication. We start blood thinners from Day 1 because the disease can become severe or moderately severe. So, it is advised to start immediately and we continue this for 3-4 weeks after the recovery. One has to be careful with blood thinners because it has a bleeding tendency.

Also Read: New Study Reveals Global ‘Hot Spots’ Where New Coronaviruses May Emerge

NDTV: How to be safe from COVID and what is the recommended diet during the pandemic?

Dr Prashant Saxena: No matter what disease it is, a very good diet has a good role to play. Antioxidants can benefit greatly. I am a believer in nutrition and I believe our community is deprived of nutrition. We need to restrict on carbohydrates and fat and focus on high protein. There are many supplements available that can be taken. Please do not take protein powders randomly, this can lead to blood clots, kidney issues, digestive issues, etc. You need to consult with your doctor about the protein powders first.

NDTV: After recovering from COVID six months ago, I can’t taste things as it used to be. Is that normal?

Dr Prashant Saxena: Losing taste and smell happens to only 3-5 per cent of people. It is a rare symptom, it may take up to 6-8 weeks for the taste or smell to come back. This takes time. It is very unusual to get it in 6 months, one should consult their doctor in such a scenario.

NDTV: What is ‘Antibody Dependence Enhancement’?

Dr Prashant Saxena: There is a lot of research on this going on. When you take a vaccine and antibodies are produced, sometimes, these antibodies can harm you instead of benefitting you. This is called antibody dependence enhancement. This phenomenon is responsible for why we don’t have vaccines for dengue. Because the antibody was harming more than it was benefitting. This phenomenon hasn’t been seen in a lot of the population and is being investigated. We don’t want this to happen and it hasn’t happened in the case of COVID vaccines as yet.

NDTV: Can vaccine prevent Black Fungus as well?

Dr Prashant Saxena: Vaccines can help protect you from COVID infection. Before COVID, Black Fungus used to happen with patients who’re uncontrolled diabetic, or had kidney issues, or have cancer. It wasn’t a concern among the healthy patients.

NDTV: Are steroids essential for every COVID patient?

Dr Prashant Saxena: The last wave, I didn’t use steroids at all. This wave, research has come up that steroids are useful for patients who have low oxygen, patients who have moderate to severe infection and are on oxygen support. Steroids are recommended to only these sets of patients. However, all the mild patients also started taking steroids because of the fear. So this over-usage is not required, there are only limited cases that need steroids. 80 per cent of patients don’t require steroids for treatment.

NDTV – Dettol Banega Swasth India campaign is an extension of the five-year-old Banega Swachh India initiative helmed by Campaign Ambassador Amitabh Bachchan. It aims to spread awareness about critical health issues facing the country. In wake of the current COVID-19 pandemic, the need for WASH (WaterSanitation and Hygiene) is reaffirmed as handwashing is one of the ways to prevent Coronavirus infection and other diseases. The campaign highlights the importance of nutrition and healthcare for women and children to prevent maternal and child mortality, fight malnutrition, stunting, wasting, anaemia and disease prevention through vaccines. Importance of programmes like Public Distribution System (PDS), Mid-day Meal Scheme, POSHAN Abhiyan and the role of Aganwadis and ASHA workers are also covered. Only a Swachh or clean India where toilets are used and open defecation free (ODF) status achieved as part of the Swachh Bharat Abhiyan launched by Prime Minister Narendra Modi in 2014, can eradicate diseases like diahorrea and become a Swasth or healthy India. The campaign will continue to cover issues like air pollutionwaste managementplastic banmanual scavenging and sanitation workers and menstrual hygiene

World

17,21,53,816Cases

5,87,58,208Active

10,96,94,357Recovered

37,01,251Deaths

Coronavirus has spread to 193 countries. The total confirmed cases worldwide are 17,21,53,816 and 37,01,251 have died; 5,87,58,208 are active cases and 10,96,94,357 have recovered as on June 4, 2021 at 3:57 am.

India

2,85,74,350 1,32,364Cases

16,35,99377,420Active

2,65,97,655 2,07,071Recovered

3,40,702 2,713Deaths

In India, there are 2,85,74,350 confirmed cases including 3,40,702 deaths. The number of active cases is 16,35,993 and 2,65,97,655 have recovered as on June 4, 2021 at 2:30 am.

State Details

State Cases Active Recovered Deaths
Maharashtra

57,91,413 15,229

2,07,813 11,031

54,86,206 25,617

97,394 643

Karnataka

26,53,446 18,324

2,86,819 6,226

23,36,096 24,036

30,531 514

Kerala

25,84,853 18,853

1,84,699 7,869

23,90,779 26,569

9,375 153

Tamil Nadu

21,72,751 24,405

2,80,426 8,276

18,66,660 32,221

25,665 460

Andhra Pradesh

17,28,577 11,421

1,38,912 4,883

15,78,452 16,223

11,213 81

Uttar Pradesh

16,95,212 1,220

25,546 3,148

16,48,771 4,260

20,895 108

Delhi

14,27,926 487

8,748 616

13,94,731 1,058

24,447 45

West Bengal

14,03,535 8,811

61,780 8,235

13,25,834 16,938

15,921 108

Chhattisgarh

9,76,760 1,619

29,378 2,257

9,34,243 3,854

13,139 22

Rajasthan

9,43,494 1,258

27,408 5,242

9,07,527 6,456

8,559 44

Gujarat

8,13,270 1,207

24,404 1,828

7,78,976 3,018

9,890 17

Odisha

7,90,970 8,839

75,042 1,637

7,13,055 10,434

2,873 42

Madhya Pradesh

7,82,945 846

14,186 2,950

7,60,552 3,746

8,207 50

Haryana

7,60,019 980

12,688 1,980

7,38,799 2,889

8,532 71

Bihar

7,10,199 1,106

11,431 1,160

6,93,472 2,238

5,296 28

Telangana

5,85,489 2,261

32,579 800

5,49,579 3,043

3,331 18

Punjab

5,74,114 2,144

28,673 2,460

5,30,601 4,512

14,840 92

Assam

4,24,385 4,309

51,881 527

3,68,981 4,790

3,523 46

Jharkhand

3,39,930 1,015

7,537 230

3,27,372 775

5,021 10

Uttarakhand

3,32,067 589

22,530 2,836

3,02,964 3,387

6,573 38

Jammu And Kashmir

2,95,879 1,801

30,657 922

2,61,230 2,694

3,992 29

Himachal Pradesh

1,93,137 995

11,057 918

1,78,847 1,890

3,233 23

Goa

1,57,847 572

9,700 1,140

1,45,437 1,695

2,710 17

Puducherry

1,07,114 815

10,015 151

95,516 950

1,583 16

Chandigarh

60,399 111

1,135 116

58,502 226

762 1

Tripura

53,872 650

6,340 118

46,993 763

539 5

Manipur

52,899 621

8,863 172

43,187 783

849 10

Meghalaya

37,149 552

6,352 51

30,172 594

625 9

Arunachal Pradesh

28,382 364

3,843 26

24,420 337

119 1

Nagaland

22,240 168

4,711 121

17,125 284

404 5

Ladakh

18,954 113

1,505 26

17,256 137

193 2

Sikkim

16,165 289

4,184 81

11,718 205

263 3

Mizoram

13,064 205

3,415 95

9,602 108

47 2

Dadra And Nagar Haveli

10,345 14

250 32

10,091 46

4

Lakshadweep

8,479 144

1,355 112

7,089 256

35

Andaman And Nicobar Islands

7,070 27

131 12

6,820 39

119





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