Author Archives: deemagclinic

Why COVID Patients Die Between Midnight & 3 am

Why COVID Patients Die Between Midnight & 3 am And How TN Doctors Are Addressing This A fall in oxygen saturation during sleep has led to a tweak in treatment protocol Sandhya Ravishankar Sandhya Ravishankar Jun 22, 2020, 2:41 PM About two and half months ago, government doctors in Tamil Nadu wracked their brains over […]

Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19

American Journal of Therapeutics 28, e299–e318 (2021)  Review of the Emerging Evidence Demonstrating the Efficacy of Ivermectin in the Prophylaxis and Treatment of COVID-19 Pierre Kory, MD,1* Gianfranco Umberto Meduri, MD,2 Joseph Varon, MD,3 Jose Iglesias, DO,4 and Paul E. Marik, MD5 Background: After COVID-19 emerged on U.S shores, providers began reviewing the emerging […]

COVID19-associated mucormycosis (CAM)

Fungal Infection Study Forum (FISF) recommendation http://www.fisftrust.org References 1. RECOVERY Collaborative Group. Dexamethasone in Hospitalized Patients with Covid-19. N Engl J Med. 2021 Feb 25;384(8) 2. WHO Rapid Evidence Appraisal for COVID-19 Therapies (REACT) Working Group, . Association Between Administration of Systemic Corticosteroids and Mortality Among Critically Ill Patients With COVID-19: A Meta-analysis. JAMA. 2020 […]

Hospitals महँगे है, पर किसने बनाया?

हिंदुस्तान के अस्पतालों का इवोल्यूशन सोशल मीडिया पर कुछ लोग लिख रहे हैं मालदीव्स के रिसॉर्ट्स से भी महंगे हैं दिल्ली ,एनसीआर के कॉर्पोरेट अस्पताल।बिल्कुल सही है, और होने नही चाहिए। पर किसने बनाया? 80 -90 के दशक तक ऐसा नही था। अस्पताल बहुत कम थे लेकिन उन पर अनावश्यक नियम कानूनों का , अनावश्यक […]

COVID-19 patient treatment

COVID-19 patient Mild disease Moderate disease Severe disease  Any one of: 1. Respiratory rate > 24/min, breathlessness 2. SpO2: 90% to < 93% on room air  Any one of: 1. Respiratory rate >30/min, breathlessness 2. SpO2 < 90% on room air Upper respiratory tract symptoms (&/or fever) WITHOUT shortness of breath or hypoxia […]

Anticoagulation Dosing Guideline for Adult COVID-19 Patients

Anticoagulation Dosing Guideline for Adult COVID-19 Patients Enoxaparin is the preferred first line anticoagulant for patients diagnosed with COVID-19. The incidence of HIT with enoxaparin is less than 1%. 1. 2. 3.  VTE Prophylaxis:   VTE prophylaxis will be considered for COVID-19 patients who are low risk.  Low risk COVID-19 patient  […]

A ripping write up byJustice Debangshu Basak against interference by Courts these days :

A ripping write up byJustice Debangshu Basak against interference by Courts these days : Hon’ble Lordships, There is a India beyond Delhi. This shouldn’t come as a surprise to your Lordships as many of you have practiced in different courts across the country and have been a part of various High Courts as Hon’ble Judges […]

Investigation and treatment protocol for COVID 19

Version 40 (updated 10th May 2021)   Suspect COVID when: -Fever >38 C, coryza, sore throat, cough, dyspnea -Muscle pain, chills, repeated shaking with chills, conjunctivitis, loss of taste or smell, headache, nausea, diarrhea, hepatitis, acute abdominal pain, new skin signs around toes, rash with or without enanthem, myocarditis, STEMI, ischemic/hemorrhagic stroke, encephalitis, altered […]

The central role of mitochondrial tness on antiviral defenses: An advocacy for physical activity during the COVID-19 pandemic

Redox Biology 43 (2021) 101976   Contents lists available at ScienceDirect Redox Biology journal homepage: http://www.elsevier.com/locate/redox   Review article The central role of mitochondrial tness on antiviral defenses: An advocacy for physical activity during the COVID-19 pandemic Johannes Burtschera,b,*, Martin Burtscherc, Gr ́egoire P. Milleta a Institute of Sport Sciences, University of Lausanne, […]

Covid counselling

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*Tips on Selecting the right oxygen concentrator!*

*Tips on Selecting the right oxygen concentrator!* Please read through before buying any concentrator. The most important is to understand Covid patients may require 90% Oxygen concentration at 1 to 5Litre flow and above 10L when they are suffering with acute respiratory discomfort. *90% oxygen concentration is the most important point here.* 1. We can […]

Lot of queries around CT chest

Lot of queries around CT chest Clarification for a few 1.When CT chest ? 5th to 7th day from the onset of symptoms Or when the patinet is dyspenoeic or in happy hypoxia 2.I had fever 5 days back – now I m ok – no dyspnea – do I need a CT ? NO […]

Role of ivermectin in the prevention of SARS- CoV-2

PLOS ONE    a1111111111 a1111111111 a1111111111 a1111111111 a1111111111 OPEN ACCESS Citation: Behera P, Patro BK, Singh AK, Chandanshive PD, S. R. R, Pradhan SK, et al. (2021) Role of ivermectin in the prevention of SARS-CoV-2 infection among healthcare workers in India: A matched case-control study. PLoS ONE 16(2): e0247163. https://doi.org/10.1371/journal. pone.0247163 Editor: Muhammad […]

*Covid Update-152

*Covid Update-152* *When to get vaccinated after Covid 19 infection?* 🌹 *What various agencies have to say?* *CDC* The US’ Centres for Disease Control and Prevention (CDC) recommends that a covid recovered person should get vaccinated but CDC does not frame any time line. Though CDC clarifies that *If you were treated for COVID-19 with […]

Covid-19 Vaccines: What We Know So Far!

Covid-19 Vaccines: What We Know So Far! (By Dr Vipin M. Vashishtha, MD) Global Scenario: 1-Ten different Covid-19 vaccines have shared their Phase III data; 2 based on mRNA, 4 on viral vector, 3 on inactivated & 1 on protein subunit platform 2-After 4 months of their trials, now there is a definite gradient in […]

COVID-19 Management with New Protocol Prof. Soumitra

COVID-19 Management with New Protocol Prof. Soumitra Ghosh MD (Cal), FRCP (Edin), FACE (USA), FACP (USA), SCOPE (UK) MD, FRCP (Edin), FACE (USA), DTCD, FICP MSc. Diabetes (UK), PG.Dip Diabetes (UK), DTCD (Cal), FICP Professor of Medicine Head, Obesity & Lifestyle Diseases Division Institute of Post-Graduate Medical Education & Research SSKM, Belle Vue & Nightingale […]

How to Reduce Prednisone Withdrawal Symptoms

Determining the Appropriate Tapering Strategy By Carol Eustice Medically reviewed by Grant Hughes, MD on July 21, 2019 Table of Contents Table of Contents Why Taper? Withdrawal How to Taper What to Expect Alternatives Prednisone is a synthetic steroid with potent anti-inflammatory effects that is used to treat inflammatory types of arthritis and other conditions.1 […]

SARS-CoV-2 triggered ‘PANIC’1 attack in severe COVID-19

Part I. SARS-CoV-2 triggered ‘PANIC’1 attack in severe COVID-19 Elliot M. Frohman, Nicole R. Villemarette-Pittman, […], and Teresa C. Frohman Additional article information Abstract article-meta The coronavirus disease 2019 (COVID-19) pandemic has produced a world-wide collapse of social and economic infrastructure, as well as constrained our freedom of movement. This respiratory tract infection is nefarious […]

Psychosocial Support during the COVID-19 pandemic

 A Training Manual for Counsellors April 2021  Rahbar A Field Action Project of the School of Human Ecology Tata Institute of Social Sciences In collaboration with National Disaster Management Authority   Psychosocial Support During The COVID-19 Pandemic: A Training Manual for Counsellors April 2021 By Rahbar A Field Action Project of the […]

The Impact of COVID-19 on Recovery and Rehabilitation

Bouncing Back From COVID-19 Your Guide to Restoring Movement 1  The Impact of COVID-19 on Recovery and Rehabilitation As COVID-19 attacks the body and mind — our rehabilitation e orts aim to restore the whole person, helping you return to your previous quality of life. Common impairments of COVID-19 include weakness, fatigue and shortness […]

An overview of the MATH+, I-MASK+ and I-RECOVER Protocols. In covid

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*Should we combine methylphenidate and guanfacine? *

Fact no. 1: Even though stimulant medications are very effective for ADHD in children and adolescents, only about half the patients get full improvement in the ADHD symptoms. Even with energetic and careful optimization of the dose of the stimulant in the MTA study, only 56% of children with ADHD reached symptom remission. Fact no. […]

Why oxygen shortage in India

Because the number of cases are huge. Simple. Cases were falling right from 71660 in October to 16110 around end of February. As cases fell, demand for Oxygen fell and nobody thought twice about restocking. When the cases surged, they surged too fast and the Oxygen stocks in states where cases are surging is getting […]

Why india exported the vaccine when it is in short supply

This man karan Thapar hates modi. He is intelligent enough to understand that SII vaccine is a contract between Poona wala and those who funded him and the company whose research the SII is using. Nothing was freely distributed. Because the vaccine is not indegenously developed, SII has contractual obligations to fulfill with regard to […]

WHO updated the criteria for discharge from isolation as part of the clinical care pathway of a COVID-19 patient.

Updated recommendation New recommendation (published on 27 May 2020 as part of more comprehensive clinical care guidance1) Within the Clinical Management of COVID-19 interim guidance published on 27 May 2020,1 WHO updated the criteria for discharge from isolation as part of the clinical care pathway of a COVID-19 patient. These criteria apply to all COVID-19 […]

IRIA PRESS STATEMENT on CT SCANS

IRIA PRESS STATEMENT (05-05-2021) The Indian Radiological and Imaging Association is shocked and disappointed at the recent comments by Dr Randeep Guleria, Director AIIMS on the use of CT Scans in the evaluation of Covid 19 patients, which has been widely circulated by the press and social media. The statement given by Dr Randeep are […]

Running fever. What to do

Looking at overall confusion and panic in the society, and even doctors, we a group of AIIMS-trained doctors have tried to summerise what seems reasonable. *Consensus guidance of AIIMS-trained specialists (AIMS2Health.com) on treatment of COVID 19* Q-1: I am running fever for three days, should I go for RT-PCR/Rapid Antigen Test/CBNAAT? In the current situation […]

*Fever in Covid- How to treat difficult cases?*.

*Covid Update-149* Fever is seen in about 78% cases of Covid. *Most patients (45%)will have intermittent fever in range of 100.5 to 102°F* especially young *About one-third patients may have low grade fever upto 100.4°F especially in old age* In only 15% cases fever crosses 102°F. About 15% cases can have fever with chills. Fever […]

Essentials of Psychiatry for Dermatology and Aesthetic Practice

      Essentials of Psychiatry for Dermatology and Aesthetic Practice Editors Dr. Ashwini P.K. Associate Professor Department of Dermatology JSS Medical College & Hospital JSS Academy of Higher Education & Research Dr. Kishor M. Associate Professor Department of Psychiatry JSS Medical College & Hospital JSS Academy of Higher Education & Research […]

Prof. Kapila

Prof. Kapila 83 years of age had history of Diabetes and CAD S/P stents. He had received 2 doses of mRNA vaccine a month before leaving for India. During his visit he contracted COVID-19 and was hospitalized for 4 days but signed out against medical advice. Thereafter he was admitted to a different hospital where […]

INDIAN MEDICAL SERVICES

  REPORT ON INDIAN MEDICAL SERVICES PREPARED BY NATIONAL WORKING GROUP (Indian Medical Association, New Delhi) Dr. Rajan Sharma Dr. R.V. Asokan National President Hony. Secretary General  INDEX CHAPTER NO. CONTENTS PAGE NO. 1. PROLOGUE 01 2. HISTORICAL PERSPECTIVE 04 3. THE FOUNDATIONS OF THE SERVICE 10 4. NEED 13 5. POST INDEPENDENCE […]

*आवश्यक मेसेज* कोविद बीमारी

सभी यह information पढ़े और शेयर करें। *शरीर में ब्लड प्रेशर.* *120 / 80 — Normal * *130 / 85 — Normal (Control)* *140 / 90 — High थोड़ा बढ़ा हुआ* *150 / 95 — Very High बहुत ज्यादा* *Oxygen Leval)* *ऑक्सिजन लेव्हल* ऑक्सिजन ऑक्सिमीटर से चेक करने पर.. *94 – Normal * *95, 96, […]

The COVID-19 adaptive risk predictor (SCARP), an algorithmic tool

The COVID-19 adaptive risk predictor (SCARP), an algorithmic tool, can estimate the risk of progression to serious disease or death in adult patients (18 years and older) hospitalised with COVID-19 on a 1-day and 7-day basis. Given the current crisis, this calculator can prove to be an indispensable tool for Indian clinicians in the front […]

Covid treatment and sudden death

COVID-19 treatments, QT interval, and arrhythmic risk: The need for an international registry on arrhythmias Lia Crotti, MD, PhD and Elena Arbelo, MD, PhD, MSc Additional article information In December 2019, the Chinese public health authorities reported several cases of acute respiratory syndrome in the city of Wuhan caused by the novel severe acute respiratory […]

*Tips on Selecting the right oxygen concentrator.*

The most important is to understand Covid patients require 90% Oxygen concentration at 1to 5Litre flow and above to 10L when they are suffering with acute respiratory discomfort. *90% oxygen concentration is the most important point here.* 1. We can break down oxygen concentrator into small (5 to 10 kg) oxygen concentrator suitable for COPD […]

*Covid Update-130*

COVID SECOND WAVE *Guiding Principles* 1. RT-PCR may be negative-(read ORF/Rdrp and N/E gene as S gene may not be detectable). 2. Diagnosis (If RT-PCR negative) Clinical symptoms, Serum Markers CT Chest. 3. Loss of smell is equal to RT-PCR 4. Virus stops replicating after 9 days. 5. Around15 minutes of exposure is required to […]

Military hospitals for civilians during Covid

Finally a Good News : To Counter scarcity of Covid ICU Beds in India (Second Wave ) ADGPI – Indian Army today announced opening up of its all Military hospitals for civilians during Covid. The medical staff of the Army is being made available to various State governments also and the Indian Army is setting […]

Fauci. What’s to be done

NO nation likes to lock itself down but an “immediate” shutdown for a “few weeks” could put an end to the cycle of transmission in India, Dr Anthony S Fauci, one of Covid’s most trusted global voices, told The Indian Express. That will provide a window, he said, to take critical “immediate, intermediate, and long […]

Covid mild cases

The coronavirus is here to stay — here’s what that means

NEWS FEATURE 16 FEBRUARY 2021 A Nature survey shows many scientists expect the virus that causes COVID-19 to become endemic, but it could pose less danger over time. Nicky Phillips ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share on Twitter Share on Twitter ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share on Facebook Share on Facebook ?xml version=”1.0″ encoding=”UTF-8″ standalone=”no”? Share […]

Non‐Alzheimer’s and Atypical Dementia

 Non‐Alzheimer’s and Atypical Dementia Edited by Michael D. Geschwind, MD phD Memory and Aging Center Department of Neurology University of California, San Francisco San Francisco, CA, USA Caroline Racine Belkoura, phD Department of Neurological Surgery University of California, San Francisco San Francisco, CA, USA           […]

*आज चिकित्सा और स्वास्थ्य को भी नौकरशाही से आज़ाद करें….……

*रायपुर, 28 अप्रैल, 2021।* नौकरशाहों और डॉक्टरों के बीच लंबे समय से अप्रत्यक्ष द्वंद्व चल रहा है… कोई कलेक्टर, कमिश्नर या उसके किसी डॉक्टर को झाड़ लगा दे तो डॉक्टर ये मजाक कर खुद को तसल्ली देते हैं कि यह आईएएस मेडिकल इंट्रेंस टेस्ट में पक्का फेल हुआ होगा, इसलिए अपनी खीज मिटा रहा। हालांकि, […]

Krishna-Bharat Biotech

On the border between Tamilnadu and erstwhile Andhra , lies the temple town of Thiruthani, one of the six famed abodes of Lord Muruga. Krishnamurthy Ella was born in 1969, in an agricultural family to middle class parents. No one could have imagined his trajectory. Perhaps because of his background, Krishna wanted to study agriculture. […]

DON’T use CAMPHOR or Ajwain or Tulsi in ICU

From Dr. Devashish Palkar When I took the round of my ward at 12.30 am he was maintaining spo2 of 95 percent on 12 litre Oxygen supply through NRBM mask so I was quite shocked when sister suddenly came running to inform me at 1.30 AM that this patient X was having severe coughing. I […]

Tips on Selecting the right oxygen concentrator.

Tips on Selecting the right oxygen concentrator. The most important is to understand Covid patients may require 90% Oxygen concentration at 1 to 5Litre flow and above 10L when they are suffering with acute respiratory discomfort. *90% oxygen concentration is the most important point here.* 1. We can break down oxygen concentrator into small (5 […]

Combination of piroxicam and colchicine is really helping in improving in oxygen saturation

Zycolchin 0.5 mg TDS for 5 days followed by 0.5 mg BD for 5 days Piroxicam DT sublingually stat Absolutely no harm in giving these as oral steroid during first five days is really not advisable for all practical purposes Pirox DT sublingual 20 mg OD for 2 days Then on alternate days or twice […]

Are sleep apnea devices usable for the treatment of COVID-19 pneumonia?

The oxygenation module – the missing link in using sleep apnea devices to treat COVID-19 pneumonia Dmitrijs Bliznuks 1, Jevgēnijs Teličko 2, Vadims Geža 2, Ģirts Zāģeris 2, Artis Svaža 4, Emil Syundyukov 4, Svjatoslavs Kistkins 5, Mārtiņš Purenkovs 5, Dana Zeme 5, Solveiga Jēkabsone 5, Dace Žentiņa 5, Valdis Pīrāgs 5, Immanuels Taivans 5 […]

25 Covid Centres Dehradun

25 Covid Centres Dehradun COVID Health Center / DCHC Abhishek Baluni (9758069202) 0/ 0 0/ 49 0/ 16 27/04/2021 22:04:18 DEHRADUN AIIMS RISHIKESH Dedicated COVID Hospitals / DCH PRO Office (8475000144) 1/ 20 9/ 300 0/ 134 27/04/2021 22:00:41 DEHRADUN ARIHANT HOSPITAL Dedicated COVID Health Center / DCHC Ranaji Arihant (6399444000) 0/ 0 4/ 34 […]

COVID-19: Treatment Guidelines for Kerala state

 COVID-19: Treatment Guidelines for Kerala state Version 3, 25th April 2021 Table of contents 2 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Introduction 3 Case definition 4 Clinical categorization 5 Treatment algorithm 7 Anticoagulation 19 Convalescent Plasma 23 Remdesivir 29 Tocilizumab 33 Adult critical care guidelines 36 Paediatric […]

*VMAT2 inhibitor? What’s that?* Valbenazine (Ingrezza) is a selective inhibitor of vesicular monoamine transporter 2 (VMAT 2). In April, 2017, it was approved by the FDA for the treatment of adults with tardive dyskinesia. It is the first medication ever to be FDA-approved for the treatment of tardive dyskinesia. What is VMAT 2? VMAT2 sounds […]