Covid second wave: All your FAQs answered at doctors’ roundtable


As the second wave of Covid-19 Rajdeep Sardesai, editor of TV Consulting, speaks to top doctors who will answer all of your Frequently Asked Questions (FAQs). Excerpts:

Q: Is the new variant in India more contagious and therefore more dangerous? Could I be infected at home too?

Dr. Suneela Garg, Member of the COVID India Task Force of the Lancet Commission and National President of the Indian Association for Preventive and Social Medicine, New Delhi:

First, this mutant is in the air. Second, if we don’t vaccinate soon, the mutant will become vaccine resistant. It will also lower the immune mechanism and make the body resistant to various drugs we give. It is important to take care of the mutant and increase our vaccination rate. Double masking is also important when going out.

Our home environment is also dynamic and not very safe. People come and go. We are never sure if someone brought an asymptomatic infection. It is important to follow Covid-appropriate behavior at home as well. You should wear a three-layer mask and keep physical distance.

Q: Why are people in the 30-45 age group infected in such large numbers? What should they do? Is the treatment different?

Dr. Subramanian Swaminathan, Director, Infectious Diseases, Gleneagles Global Health City, Chennai:

The age group of 20 to 40 year olds is most affected. The vaccination in more than 60 people was better. It is much poorer in the 45 to 60 age group. Young people are also out and about in the community, earn a living and are more exposed to Covid.

You don’t need any other treatment. But we worry because younger people may hold the virus longer and suddenly collapse. You don’t come for treatment early enough. This is a dangerous situation.

Q: Does the virus spread faster in the lungs? What should i do if i have a lung infection? Should I use an oxygen concentrator or bottle? Should I also monitor my heart rate?

Dr. Arvind Kumar, Chairman of the Institute for Breast Surgery, Breast Onco Surgery and Lung Transplantation at Medanta Hospital, Gurugram, and Founder and Executive Trustee of the Lung Care Foundation, New Delhi:

The virus doesn’t travel to the lungs any faster. Covid pneumonia is not the result of the direct presence of the virus in the lungs. Infection induces a response in the body. Sometimes the reaction is exaggerated. The antibodies that are produced to kill the virus damage the lungs, in addition to killing the virus as part of cross-activity. The damage that occurs between the 8th and 14th day is not the result of the direct attack of the virus. This is why steroids play such an important role. During home treatment, you should monitor your temperature, satiety, and do the six-minute walk test.

When your saturation is below 94, you should start pronating, which will improve oxygenation by 6 to 8 percent in most cases. This is when you are waiting for oxygen. Concentrators can only deliver up to 5 liters or less of oxygen. For more than that, you should be using cylinders. You should also monitor your heart rate. A heart rate of 140, especially if you are over 50 years old, can be serious.

Q: What should I look for in my CT scan? Is the CT scan getting more critical?

Dr. Harsh Mahajan, President, NATHEALTH / Founder and Chief Radiologist, Mahajan Imaging, New Delhi:

Many unnecessary CT scans are performed. Do this only if your oxygen level drops below 94, if inflammation markers and blood tests are triggered, and if the patient is not in good condition. There is no need to have a CT scan just because your RT-PCR report is positive. The CT scan should be done between the 5th and 7th day.

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