Health News

Functional Endoscopic Sinus Surgery in Polyps: Breath Easy! #BlogchatterA2Z

By Dr.Amrita Basu(MBBS,MS) on April 6, 2020 7

FESS is a short form for functional endoscopic sinus surgery. It’s a minimally invasive method of removing nasal mucosal disease, most often polyps. One of my first surgical cases as a private practitioner was a FESS patient.

It’s a graceful surgery. The surgeon uses endoscopes(Metallic tubes with special magnifying lens at the end) attached to the camera, to look deep into the nasal cavity, the sinuses. A good visual field helps in preserving normal tissues and selective removal of the disease. This helps the nose breathe again.

When adults have polypoidal masses coming out of both nasal cavity, its often ethmoidal polyposis. In case it’s in a child and involves one nasal cavity, its often Antro choanal polyp.

Ethmoidal polyps :How do they look

The appearnce is classic.Swollen, hypertrophied nasal and sinus mucosa, which looks like a bunch of bluish-grey grapes, is the commonest presenting feature in my practice.

It is smooth, mobile, generally painless, and doesn’t bleed on touch. These are the nasal and sinus membrane, filled with discharge, secretions and inflammatory cells, causing it t become swollen.

It is common in males. It can be infective, allergic, or a combination of both. It has an association with cystic fibrosis.

Kartagener’s syndrome

Kartagener’s syndrome is a disease of immotile cilia(primary ciliary dyskinesia). It often presents with ENT symptoms like chronic sinusitis polyposis, bronchiectasis, cystic fibrosis, infertility and situs inversus. It is a rare autosomal recessive genetic disease. That means both your parents must carry this genetic trait for you to have this syndrome.

Cilia is the fine hair cells in your mucosa which helps to clear up secretions. Cilia also help sperms move and reach the ova during fertilization. One cause of male infertility is Kartagener’s syndrome.

Symptoms of sinusitis with polyposis

Nasal obstruction nasal discharge

History of snoring and poor sleep

History of nose blowing

Decreases sense of smell hyposmia

Sneezing and symptoms like allergic rhinitis

Hyponasal voice

Mouth breathing

It can be associated with a deviated septum and inferior turbinate hypertrophy

Nasal bleeding in case of infection and forceful nasal cleaning.

Tests you need before Sinus Surgery

Routine blood test including checkup for blood sugar and absolute eosinophil count, coagulation profile and more as needed.

The investigation includes CECT Nose and PNS,a diagnostic Nasal endoscopy.

A biopsy is done sometimes if your doctor suspects a fungal polyp or neoplastic lesion.

Computed Tomography or a CT scan is needed before Sinus Surgery

Is Surgery the only treatment for Sinusitis?

Treatment involves medical management, which can consist of oral and /or intranasal steroids with or without antibiotics and antihistamines. Both preoperatively and postoperatively medicines and nasal sprays help improve nasal functions.

After maximal medical therapy of three months, if the response is not adequate, FESS is done. In the case of allergies being the cause behind polyps, there is a need for continuing proper precaution for allergic rhinitis and Sinusitis.

FESS: Functional Endoscopic Sinus surgery

Functional Endoscopic Sinus surgery is the endoscopic approach to nasal surgery. Its commonly used to treat nasal polyposis and Sinusitis not improving with medicines.FESS is also used to do many other nasal surgeries, which I have mentioned later in this post.

A series of fine endoscopes with different angulation to their lens, like zero thirty degrees, forty-five degrees, is used for surgeries of the nose. The size of the adult and pediatric endoscopes are different. A full Endoscopic setup is needed, including a camera, monitor and a trained anesthetist.

The best part about FESS is it’s minimally invasive.No external cuts are made, and no sutures are needed. Tissue removal is done to improve the physiological pathways of nasal drainage.No aggressive debridement is done. Histopathological test of tissue is done and also stained for fungal debris.

In the case of fungal polyposis, systemic Antifungals may be needed and is a potentially severe condition.

Postoperatively patient needs a nasal pack, most often Merocel to prevent bleeding. Strict bed rest for some time, depending on the extent of disease and surgery.

What are the Risks of Endoscopic Sinus Surgery?

It depends on the extent of disease and patient conditions. But major complications include persistent nasal bleeding, visual disturbances, and intracranial complications.

Will the polyps come back?

Recurrence is far less in the case of FESS and 90% of patients have improved quality of life. Postoperative follow up with medicines is often needed for long term disease-free life.

Other indications of Sinus Surgery

Chronic rhinosinusitis not improving with medicines,

Sinus mucocele,

Allergic fungal sinusitis,

Nasolacrimal duct obstrution,

Cerebrospinal fluid leak,

Severe nasal bleeding,

Tumors of the mose and sinuses,

Transnasal surgical approack for skull base lesions .Have you heard about this type of surgery ?Let me know in the comments below.

How can I permanently cure Sinusitis?

DiabetesThe treatment depends on the type of sinusitis allergic,bacterial or fungal .It also depends on whether its of a long duration of less than 3 months (acute) or prolonged duration (chronic).Whether patient has Diabetes will affect the course of disease

Treatment options for Sinusitus are

Nasal wash
Steam inhalation
Antibiotic/Antifungal depending on type.
Nasal steroid sprays
Allergy treatment (if allegic)
Surgery like FESS
Oral steroids for brief period preoperative or specific cases.

ALLERGIC RHINITIS: WHAT YOU NEED TO KNOW (Part 1)

Test and Treatment for Allergic Rhinitis (Part 2)

6 Things you can do to Fight Indoor Allergy

Functional Endoscopic Sinus Surgery in Polyps: Breath Easy!

COVID 19

Swine Flu: Symptoms

Everyday practices to prevent Swine Flu

Cold and Flu

Featured post

How is the Health of the Nation: The report is an eye-opener!

Health of the Nation Report — Apollo Pro Health

References:

How to Stay Home (during New Corona Virus threat) under Home Quarantine #StayHome #LockdownIndia

By Dr.Amrita Basu(MBBS,MS) on March 26, 2020 33

The New Coronavirus health care problem is a battle none of us saw coming when 2020 celebrations were happening. Except, maybe China. They probably knew or guessed.

15 to 20% of the common cold is caused by different types of Coronavirus, this new Coronavirus / COVID 19 / Wuhan virus whatever you call it, COVID19 is no rose. It’s a plot straight from the medical thriller that Robin Cook would be proud of. But the reality is often wilder than fiction, and now we need to get ready to fight this battle the right way.

Here are a few precautions that can aid us during this critical time: #StayHome #LockdownIndia

If you go outside for supplies, wear a mask. If you don’t have the right kind, make your own.
Remember you need an N95 mask for adequate protection against this virus. But other masks will at least stop you from instilling it from a surface onto your nose or face or eyes.
When you come back home, wash your hands, and spectacles. Disinfect your wallet phone cover, phone, and belt bag with sanitizer
Take a warm water bath with soap and water and then wear fresh clothes before sitting anywhere at home after coming back.
Don’t enter the room with children or the elderly without cleaning up
Don’t sit here and there before you wash
Have a separate area for keeping your outside stuff like a tray or bucket before you have a chance to sanitize them.
Stay home as far as possible

At this time, when we are waiting to get the COVID 19 vaccine and effective treatment having the right health insurance covering Coronavirus treatment will be beneficial.

Featured post

How is the Health of the Nation: The report is an eye-opener!

You must know about the Coronavirus signs and symptoms which are covered by your health insurance, and for this, you can reach out to your own insurance provider to know more .

6 Myths about the Wuhan Coronavirus COVID19

It has nothing to do with China.

It was Wuhan in China, where it first started and they kept it a secret.

2. It’s going away when summer comes.

We can all hope for that, but there is no conclusive evidence for it.

3 Herd immunity will work.

Herd immunity will require many people to get infected, which means many people can lose their lives. It’s also not even sure that herd immunity will even work.

4 One person can infect only one person, and more people cannot be affected.

One person can infect one or many depending on his contacts and his virus load. It’s zoonotic, which started from an animal, and jumped to humans. We don’t know where it can jump again. Since it’s a new strain of virus showing high infectivity and ability to adapt, we need to be very careful.

5 Social distancing is stupid and doesn’t work.

Social distancing works by reducing the number of people a potentially infected person can infect. It works. That’s how China could reduce the caseload.

6 Home quarantine means I sit and chat with my family.

No, it means you stay in a separate room preferably one with a door which can be closed and which can be separated from the rest of the house

Use separate utensils.

Communicate at least with a 1-2 meter /3-4 feet distance. With speech cough sneeze we risk making droplets airborne which can travel horizontally 100cm and vertically 50 cm. No unnecessary chit-chat.In some studies , the distance covered by the virus seems to be more than 11feet.

Wear a mask if you are potentially in contact with an infected person or have traveled from a place with positive COVID19 cases in India or outside India.

If you are in home isolation as asymptomatic COVID 19 or recovering

The person must stay in a separate room with a separate bathroom facility.

Prevent your room’s door from being opened all the time.
You can research DIY sites, for creating a negative pressure room(this is not tested).
Wear the mask which you have. Dispose of it properly. Never touch the outer surface of the mask while wearing it.
Take care to wash your hand with soap and water frequently.
Medicines are being tested, prophylaxis is planned, and Vaccines are under trial. We need to sit tight, stay at home, and stay safe.

The utensils for food etc should be separate. He should always be wearing a mask during any interaction.

A distance of 11 feet (that’s the maximum, the aerosol can travel horizontally according to data) must be kept while talking to someone else.

Keep entertainment options in the room.

Only one person wearing gloves and mask will be a caregiver and occasional companion. The room should be well ventilated with preferably windows opening outwards. No interior windows.

Central AC is to be avoided.

Good cough hygiene, and hand hygiene to be maintained at all times.

Stay hydrated, and talk to a healthcare setup dedicated to COVID in your locality. Stay indoors. In case of difficulty breathing call the emergency number. All protocol of government needs to be strictly followed.

How you can help?

Coronavirus is causing havoc on the lungs and heart. The myocarditis and the failure of lung function are making survival difficult without a ventilator and an ICU setup.

The problem is for a highly infectious disease like this requires a negative pressure ICU.

We need responsible behavior from citizens. Without that, nothing will work.

For makeshift quarantine facilities and isolation ICU, you need sound HVAC systems, which will create a negative pressure room to avoid contamination and cross infection. If you are an engineer, you can help ideate about making quicker test kits, protective gear masks, negative pressure systems for isolation rooms and quarantine facilities, and portable ventilators. You could help the Government by staying at home too, donating, or sharing your ideas.

Staying Home during New Corona Virus and Health Insurance #StayHome #LockdownIndia

When did Stay Home or lockdown phase one officially start in India?

It started on 24th March 2020. Now it’s in its fourth phase as of May 19th, 2020. Officially the lockdown is being continued till 31st May 2020.

Why do you need to stay home according to the rules?

The stay home guidelines is to help you stay safe. It helps prevent the risk of community transmission. Sometimes younger people get affected and could unwittingly be the vehicle of spread, to more at-risk individuals like the elderly. Staying home keeps you and your loved one safe.

Know more about Health Insurance .

Insurance is a subject matter which is personal and should only be taken after full perusal of all information provided by the service provider. Healthwealthbridge and Dr.Amrita, doesn’t claim to be a financial expert and is only sharing her personal experience in this matter. All financial decisions should be taken after reading the offer document carefully.

“Better Sleep, Better Health, Better Planet” is a conversation we need to have now!

By Dr.Amrita Basu(MBBS,MS) on March 13, 2020 26

“Better sleep, Better Health, Better Planet” is a conversation we need to have now. This year, the World Sleep Day on the 13^th of March has this theme. But I have written about the need for good quality of uninterrupted deep sleep, duration, and its relation to the quality of life for a very long time.

Featured post

How is the Health of the Nation: The report is an eye-opener!

Even though you feel better after a good night’s rest, sleep is the first casualty in a busy life. You would rather give up on sleep than late-night coffees and the office dinner parties. The problem of sleep debt is real and it never goes away. Healthcare professionals suffer from chronic sleep debt. That’s probably the biggest reason why, conversations about eight hours of sleep, get lost in the wind.

Sometime back, I wrote a blog post about the five mistakes even smart doctors make about their health. Sleep deficit is one of the most common mistakes made by doctors. Worldwide, almost 45 % of people suffer from sleep problems and less than one-third seek help.

The truth is sleep is essential for your health.

It regenerates your brain, boosts your immunity, protects cardiovascular health, and makes life better. It also makes your planet better. When you sleep, you use fewer resources, less power, your body emits a lower amount of heat and carbon dioxide.

What about snoring and sleep?

Most people snore, right? Snoring is standard, right?

Many people snore a little when they have a stuffy nose due to a cold, but it’s unlikely that they snore all the time. Snoring is closely related to metabolic disorders like diabetes, hypertension and hyperlipidemia.

Stopping snoring is vital for good health.

Some people start snoring after they gain weight, and this results in the deterioration of their sleep quality. The first step to the management of snoring is a detailed history with an ENT surgeon who has experience with sleep problems. Your health history helps your doctor find out the missing links in your snoring health.

Then comes a test called Polysomnography, which helps us grade the snoring. This helps to see whether the snoring fits the criteria of obstructive sleep apnea/hypopnea syndrome. This is a condition wherein the snoring causes your brain to go into a state of oxygen deprivation several times a night.

If someone is diagnosed with OSAH, a full check-up is done to find out other coexisting conditions.

What is Obstructive Sleep Apnea/Hypopnea?

OSAH a severe condition where snoring causes your airway to close. This means all your cells and organs (including heart and brain) are deprived of oxygen.

The main problem is, you are often caught unaware. You don’t know whether you are having this problem. Your family and spouse are the best people to let you know. Then it would help if you visited your doctor. Your doctor will listen to your symptoms or clues and may ask you to do some tests.

Apnea: complete breath-holding for ten or more seconds.

Hypopnea: Partial breath-holding.

Symptoms of Sleep apnoea

Snoring
Fatigue
Witness breath holding
Gasping and choking
EDS
Fragmented sleep
Unrefreshing sleep
Reduced alertness
Poor quality of life in general
Mood changes
Nocturia

Statistics:

Health Survey in India showed a 22.0% of total population self-reported having Snoring Disorder.

OSAH is highest in the age group 50–59 (21.7%).

Males 14.8%

Sleep Apnea prevalence with other conditions

Drug-resistant hypertension 80%
Obesity 77%
Pacemakers 59%
Congestive heart failure 50%
Atrial fibrillation 50 %
Diabetes 50 % of sleep apnea leads to insulin resistance. Over 50% of type 2 diabetes patients have been shown to have sleep apnea
Other effects
Fatigue-related motor vehicle and work accidents
Decreased quality of life
Depression
Impotence
Hypertension 35%
Coronary artery disease 30%

When people sleep for eight hours a day, they not only improve their own health, increase their productivity but also help reduce their carbon footprint and make the world greener. There really is no excuse for you not to sleep for your health and the world.

What is the best practice if you find out you have sleep apnoea after testing?

Your doctor will give you holistic sleep management, which will address your immediate sleep quality with a device such as the CPAP machine, sleep aids like pillows

CPAP (Continuous Positive Airway Pressure) machines, manufactured by healthcare companies such as PHILIPS Respironics, is an effective treatment for sleep apnea. In the treatment, a CPAP machine is given to the patient for use. The CPAP machine is a special kind of device, with a humidifier and mask. This prevents the upper airway from getting obstructed during sleep. It will provide a gentle flow of air through the upper airway, allowing the patient to breathe freely while sleeping. The brain is not deprived of oxygen, and the overall health improves. The initiatives by healthcare companies like PHILIPS Respironics in providing meaningful solutions for sleep disorders is appreciated.

Reduce weight and other coexistent conditions
Manage surgically correctable issues if present
Sleep hygiene best practices to sleep well.

The important thing is the treatment will need immediate help and a long-term solution and your commitment to making it work. So, what are you doing to take care of your sleep? The free tool to help you live life to the fullest!

BETTER SLEEP ,better health and better planet is the need of the hour #WorldSleepDay — BETTER SLEEP, better health, and better planet is the need of the hour #WorldSleepDay

Better Sleep Better Health Better Planet #DontSleepOnIt

How Hope and Optimism comes with Sasakawa

By Dr.Amrita Basu(MBBS,MS) on February 7, 2020 18

Their work with the children of patients, affected by leprosy is a beacon of inspiration.

Hope and Optimism with Sasakawa

Leprosy is curable with timely diagnosis and treatment. But even now there is a problem of inclusion. That’s where Sasakawa is trying to help the children of patients affected by leprosy to live normally.

The joy they feel on finding opportunities for studying, working and living like every other person makes the impact of Sasakawa even more important.

The social isolation in relation to Hansen’s disease makes the psychosocial effect of Leprosy extremely distressing. Depression, anxiety, suicidal ideation is common. With the right kind of social support, these can be combatted. When children from this background are accepted, the impact is immense.

We can help them more by creating awareness regarding the right facts about leprosy. That leprosy is curable with multidrug therapy. It is not a genetic disease. With early treatment, the disfigurement can be prevented. Social acceptance and a helping hand and preventing stigma is a big help to make these children become a part of the mainstream.

How is Sasakawa foundation supporting Children's education?

Sasakawa is helping with the education of these children

They are helping them become financially independent and find ways of livelihood with dignity in many ways like:

Nursing training

The Sasakawa-Indian Leprosy Foundation’s nursing scholarship is helping 75 girls this year from leprosy-affected families for pursuing a Degree/ Diploma in Nursing. These scholarships will help them become economically independent and help make their future bright.

H.H Dalai lama & Sasakawa scholarship fund

This financial help is given to children of people affected by leprosy from Delhi, Uttar Pradesh, Bihar, Orissa, Madhya Pradesh, Maharashtra, Jharkhand, Chhattisgarh, West Bengal for pursuing professional courses for higher Professional Education- Masters courses and Professional Bachelors courses. The youth of people affected by leprosy in particular states can apply, for professional courses by recognized institutes that lead to employment.

Skill development of youth- Supported by National Skill Development Corporation

This program helps create sustainable livelihoods for drop-out and unemployed youths through skill development training.

The Sasakawa Foundation has written to the Prime Minister on 22^nd January, to commemorate the Anti-Leprosy Day on the 30th of January and bring forth amendment in the discriminatory laws against the people affected by leprosy. That will go a long way in ensuring a reduction in the stigma and discrimination faced by those affected by leprosy.

It will also create social awareness that leprosy is not to be feared and those affected, and their families are not to be stigmatized. Ending this stigma will help the people affected by leprosy, to regain their dignity and self-esteem.

Featured post

How is the Health of the Nation: The report is an eye-opener!

Sasakawa’s work to remove fears and misinformation and open roads is unparalleled.

A few stats which will make you smile

Under Education Program Sasakawa -India Leprosy Foundation (S-ILF) has reached nearly more than 3000 youth/children in 15 states.

HH Dalai Lama Scholarship: 99 enrolled out of 12 placed and 7 drop out. 1 has gone for higher studies.

After School Learning Centre: 348

Digital Literacy Program: 60

Non-Formal Education Centre: 50

Skill Development Program: 833 out of which 795 were placed with a monthly salary range of Rs 6000-Rs 20,000.

Mr.Yohei Sasakawa’s book: No Matter Where the Journey takes me

Mr.Yohei Sasakawa’s book No Matter Where the Journey takes me is a guide for us. It is also a poignant look at what started this journey to remove the stigma of Hansen’s diseases. Mr. Sasakawa describes how his father (Ryoichi Sasakawa) compassion for those with leprosy begun, when a beautiful young girl he liked, vanished. That she was affected by leprosy, was later understood and that left a lasting impact on Ryoichi Sasakawa.

Mr. Yohei Sasakawa is a Japanese philanthropist. He has been a key activist in the global efforts against leprosy, both as head of a private foundation and as the World Health Organization’s ‘Goodwill Ambassador for Leprosy Elimination’. He has received the ‘Gandhi Peace Prize 2018’ by Hon’ble President and Hon’ble Prime Minister of India for his work in the field of leprosy.

30th January, was Kushth Nivaran Divas. Sasakawa Foundation is doing its part. You can share this post and help create awareness. Help someone today.

What you need to know about Leprosy

New #Coronavirus outbreak: What you need to know #nCoV2019

By Dr.Amrita Basu(MBBS,MS) on January 22, 2020 17

The New Coronavirus attack sneaked up on the world. On 31^st December 2019 when the world was busy celebrating the coming new year, a cluster of Pneumonia broke out in Wuhan China.

But the first case was apparently detected on 17th November 2019.The whistle blower doctor was one of the first to succumb to the disease.The Chinese authorities had left no stones unturned to stop information. In fact over the next several months they actively spread misinformation .

They even kept WHO in the dark.When the world wanted to stop people from traveling to China ,they talked about racism.The damage was already done though and Italy payed the price of the famous “hug me ” campaign.

700 people in 2002 and 2003 had died of SARS in China. The new Coronavirus is suspected to be of the same family.

#COVID UPDATE

There is a steady increase in the recovered patients & a decline in the number of active cases in the country

⏺️Actual caseload of #COVID19 patients is 3,31,146

⏺️Actual caseload is about 1/3rd of Total Cases

⏺️More than 6.1 lakh Recovered Cases @MoHFW_INDIA pic.twitter.com/hyhxC28dLS
— Dr Harsh Vardhan (Modi Ka Pariwar) (@drharshvardhan) July 16, 2020

#IndiaFightsCorona #CoronaVirusUpdates

Continuous decline in daily growth rate of #COVID19 cases from 31.28% in the beginning of April to 3.49% in mid-July. pic.twitter.com/dYun5CD9Ee
— Ministry of Health (@MoHFW_INDIA) July 17, 2020

Decline in Daily growth rate of cases for COVID 19 #IndiafightsCorona.

April 2020 31.28% to mid July 3.49%.

India 658 cases per million Data and Image credit Ministry of Health India

India Trend

Fresh New Coronavirus India Update

Total cases COVID 19 as on 20/11/2020

93.6%-cured,discharged,migrated 8428409

Active cases 4.93% -443794

1.47% Deaths 132162

Ministry of informsation and Broadcasting #IndiafightsCorona India November data

India has 658 cases per million COVID 19 cases. It stands 106th worldwide.(in April). The case rate is four to eight times lower than in European countries.

17/07/2020

India Active case load 331,146

Actual case load one third of total cases.

Total recovered 6.1 lakh

Rising Recovery Rate India 63% in mid July COVID 19 #IndiafightsCorona Data and image credit Ministry of Health India

22/06/2020

Confirmed cases 4.25 lakh

29/05/2020 8am-Confirmed cases 1,65799.Active case:89,987.Cured/ dischared/migrated:71,106.Deaths:4706

03/04/2020 ‐2088 Active cases.156 discharged/cured. 56 death.1 Migrated

17/03/2020– 142 cases,3 deaths

Andhra 1

Delhi 8

Haryana 1

Karnataka 11

Kerala 24

Maharashtra 36

Orissa 1

Punjab 1

Rajasthan 1

Tamil Nadu 1

Telengana 3

Jammu and Kashmir 3

Ladakh 6

UP 14

Uttarakhand 1

West Bengal 1

12/03/2020:60 Cases

34 Indian and 16 international tourists are confirmed cases in India. India suspends all visas till April 15th effectively quarantining itself. This is a good call b to contain the situation now. Except for Diplomatics visas, no other will be entertained now.

06/03/2020

31 cases in India now.16 Italian nationals tested positive while visiting India.1 Indian traveling with them tested positive for Covid19.

1 Case in Gurgaon who is a PayTM employee.

Reports of cases from Delhi, Rajasthan, Agra, Telangana.Gurgaon.

Agra:7 relative of the case in Delhi.

No mortality reported in India.

Listen to the Podcast

The cases have been reported across China and the western part of the United States of America. The first case in the US has been reported. He is in quarantine after arriving at the Seattle-Tacoma International Airport on January 15, before any health screenings for the Wuhan coronavirus began at US airports.

Soon airport health screening for people flying in from Wuhan may be started. Health screening will probably include temperature checks and observation for symptoms such as a cough and trouble breathing.

Statistics

22nd January: In the last few days, 453 cases of coronavirus infection and 17 deaths have been reported. Worldwide 460 cases confirmed.

24th January: 876 cases of Wuhan Coronavirus confirmed nationwide with 26 deaths.46 new cases were confirmed since Thursday midnight.95 in critical condition.

26th January 2020: 56 lives claimed in China

#Update: 571 people have been confirmed infected with the new coronavirus in China; among which 95 in critical condition, 17 have died #nCoV2019 https://t.co/L6I0iQEhyM pic.twitter.com/zptsznDw1P
— Global Times (@globaltimesnews) January 23, 2020

27.01.2020 Update:80 cases reported dead. More than 2500 confirmed cases.

30.01.2020:100 people reported dead in China.

3rd February 2020:

More than 17000 confirmed Corona Virus and around 361 people dead in China.

6.02.2020

More than 28000 reported affected and at least 563 dead.

09.02.2020

37000 confirmed cases worldwide.

More than 800 mortalities exceeding SARS horror.

The virus has spread to 17 other countries in the region

Japan, South Korea, Thailand, USA, Taiwan, Macau, Hong Kong, France, Australia, Malaysia, Canada.UAE reported its first case on 29th January.

The second case of Wuhan Coronavirus was confirmed in Japan on Friday 24th January.

According to research compiled by researchers from the University of Southampton in the UK, Thailand, Japan, and Honk Kong are the top three most at-risk countries from this 2019 novel Coronavirus. India is 23rd on this list.

There are around 700 Indian Medical students in Wuhan, who will be coming back or may already have come back to India.No case has yet been reported in India.

China announced on 21^st Jan that it was taking Class A prevention classically taken for cholera, typhoid outbreaks. Expect quarantine and lockdown of affected regions.

There have been deaths reported outside China, in the Philippines and Hong Kong.

09.02.2020

2651 people in China have been discharged from hospitals in China after recovery.

13.02.2020

China reported a rise in fresh infectious cases after a new method of diagnosis was used. Worldwide around 45000 confirmed cases. More than 1300 people have died.

16.02.2020

1770 deaths in China.

70,548 confirmed cases in the Chinese mainland.10,844 discharged from the hospital.

The new Coronavirus COVID-19 is now in 68 countries and territories around the world and 1 international conveyance (the Diamond Princess cruise ship harbored in Yokohama, Japa

02/03/2020- China 80,026 total cases. 2,912 deaths.

Total recovered -44,522

CoronaVirus total case Worldwide
89,077
Deaths: 3,043

40,878
Currently Infected Patients
33,503 (82%)
in Mild Condition

7,375 (18%)
Serious or Critical

Hospital Recovered: 45,146 Hospital

06/03/2020 Today the number of confirmed coronavirus cases around the world has reached 100,000.

Source: https://worldometers.info/coronavirus/

02/03/2020-Total cases in India till date 6

3 in Kerala.1 in Delhi and 1 in Telengana.Kerala patients recovered -3.

03/03/2020- 1 Italian has tested positive in Rajasthan .

USA reported its second Coronavirus death.

South Korea has the highest number of affected outside China. South Korea reports 476 new coronavirus cases, total at 4,212.

Italy is the worst affected country in Europe.

China has imposed strict quarantine and lockdown measures to isolate and contain the infection .

According to newspaper reports Universities with foreign students who are still in China are having their temperature checked daily and are under strict lockdown to prevent the disease from spreading.

Australia declared they are operating as if its a pandemic and taking all necessary precautions.

17/03/2020

China 80800 death 3226

Italy :31000 case,2503 deaths

USA 5700 cases ,Death 97

UK 1959 Case, deaths 71

Iran 16169 cases 988 deaths.

04/04/2020

Global #COVID19 #coronavirus recoveries have passed 200,000.

That’s more than 4x the number of deaths.

There are 950,000+ confirmed cases worldwide.

Globally 200000 recovered.That’s 4 times more than number of live’s lost.(source @JohnsHopkins) #COVID19Pandemic

Current world wide confirmed case load 10,00,000.

Air travel suspended:

India has suspended all visas till the 15th of April.The USA bans all travel from European union except the UK.

Many national and private carriers are suspending flights to and from China.

Indigo and Air India have announced the suspension.

Others include British Airways, Indonesian’ s Lion Air Group, Cathay Pacific, United Airlines,.Air Canada.Many citing lower demand due to the Coronavirus outbreak.

As on 3rd February 2020,, India has suspended all previously approved e visas for travel to and from China.

What India is doing?

Three confirmed New Coronavirus patients are reported in Kerala as on 3.02.2020.

India has brought back its 323 citizens & 7 Maldivians stranded in China. They are currently in quarantine according to risk levels.

India has started thermal screening for fever at 7 airports currently. More may be added to the list.

Delhi, Mumbai, Kolkata Chennai, Bengaluru, Hyderabad, Cochin.

As of 26.01.2020 21 airports have thermal screening of passengers.

Ahmedabad, Amritsar, Coimbatore, Guwahati, Gaya, Bagdogra, Jaipur, Lucknow, Trivandrum, Tiruchi, Varanasi, Vishakhapatnam are some more airports were advisory will be seen.

The Union Health Ministry has asked people to use Helpline 24/7 011-23978046 for queries related to respiratory infections.(Source the Statesman)

Any flight or connecting flight coming from China including Hong Kong will have in-flight announcements requesting, passengers to self-declare at the port of arrival.

If they have a history of fever, cough, cold and travel history to affected region contact with the affected person. Forms may need to be filled up and airline staff would have to guide them as well as airport signage will be placed prominently to help those who need.

06/03/2020: The government now starts universal screening for all passengers flying into India from abroad.

Testing centers in India

Pune, Alleppey, Bengaluru, Hyderabad, Mumbai initially and now in several more than 50 labs.

Visit the Ministry of Health and family welfare page for more details .

According to WHO and CDC reports this is what you should know

11/03/2020: WHO declares the COVID19 as a pandemic.Interesting that initially WHO was saying the exact opposite.When it comes to China everyone seems to be fighting a shadow war.

Chinese officials have advised against traveling to Wuhan. But with the Chinese New Year coming many will be traveling, to visit their families and that could be a problem in containing the outbreak. Close space contact like during train or air travel can cause the rapid spread of the virus.

Symptoms of New Coronavirus infection as mentioned by WHO

Asymptomatic to Mild to moderate upper respiratory tract illness, like a common cold.
Fever -98%
Cough-76%
Myalgia /fatigue -44%
Hyposmia/anosmia unable to smell
Runny nose
Sore throat
Headache
Shortness of breath and breathing difficulties-55%
Severe cases: pneumonia, acute respiratory syndrome, kidney failure, and even death.
Other symptoms updated by CDC (updated on this blog June 2020)-skin rash, nausea, vomiting, diarrhea.

This study reviewing scientific studies in 148 countries found persistent cough and fever is the classic symptom of COVID 19. Other major symptoms include fatigue, reduced smell sensation, breathing difficulty.

Of the 24,410 cases, the study found:

78 percent had a fever. vary across countries. ( 72 percent of fever reported by patients in Singapore and 32 percent in Korea.
57 percent had a cough. Varying across countries,76 percent of patients reporting a cough in the Netherlands while only 18 percent in Korea.
31 percent fatigue.
25 percent -lost the ability to smell.
23 percent – difficulty breathing.

Mortality rate of 2019-nCoV infection is around 3%

Transmission of the Novel Corona Virus 2019-NCoV

TRANSMISSION RATE (Ro) :2 – 3
(2 – 3 newly infected from 1 case)

It is highly infectious and transmittable during the incubation phase ranging from 2 days to two weeks.

More updates about #WuhanCoronavirus – #China’s National Health Commission said one big difference between #WuhanCoronavirus and #SARS is that the new virus is transmittable during incubation period. Additionally, it took SARS 3-4 months to become an epidemic but … pic.twitter.com/hmZw3BObnm
— William Yang (@WilliamYang120) January 26, 2020

Animals and people transmit coronaviruses.

It’s a zoonosis, so most likely initial point of contact was an animal. But now the new Coronavirus from China can spread by human contact has been confirmed by reports. In one instance, 14 doctors and nurses operating on a patient unknown to be infected were all affected(source). This makes the possibility of the virus spreading easily likely.

It is suspected to spread through the aerosols from respiratory tract But the exact modes of transmission are still under research.

The Wuhan strain is suspected to have links to a city market selling seafood and live animals including wild species. SARS has a similar history of relation to the transmission through a city market selling, Civet cat a delicacy in some parts of China.

Its spread through fomites, human to human and aersol transmission is confirmed.

A South China post reports about evidence regarding aerosol transmission of the virus.These droplets are less than 5micrometers in diameter and could be cause for concern.

Study was done by researchers from University of Nebraska Medical Centre, National Strategic Research Institute at the University of Nebraska.They collected air samples from 11 rooms where 13 confirmed cases of #COVID19 were being treated.

A new study has found evidence that hints at the possibility of airborne transmission of #covid19, reports the South China Morning Post. In spite of its findings, however, the researchers have insisted that this “does not confirm the airborne spread” of the deadly virus just yet.
— The Weather Channel India (@weatherindia) April 2, 2020

Viral genetic material was found both inside (63.2%) and outside the rooms (66.7%).The highest concentration was at 2 meters from the patient inhaling oxygen through nasal tube.

What is the Diagnostic test for 2019-nCoV

Real-time reverse transcription-polymerase chain reaction (rRT-PCR)assay is the test being done by CDC in the USA.

Prevention

Coronavirus treatment

No specific antiviral treatment is recommended yet for 2019-nCoV infection.

Supportive treatment for cold, steam inhalation and gargling could help. Application of PVP-I with 0.23–1% concentration, for 1–2 min reduced SARS-CoV virus infectivity from 1.17 × 106 TCID50/ml to below detectable levels in a study by Kariwa et al. Studies for shorter contact times are not available.

Fluids, rest and sleep are very important for preventing complications

Consult your doctor for the best advice regarding your symptoms. Definitely inform him in advance about your travel history.

Symptomatic supportive treatment for respiratory and other vital organ functions are often the mainstays of treatment.

In India,Rajasthan ,treatment with a combination of a certain antimalarial and anti- retroviral drugs have good result.

Vaccine trial has started in USA

Washington: A clinical trial has started with a vaccine designed to protect against the new coronavirus on 17/03/2020 .
The National Institutes of Health is funding the trial.It is taking place at the Kaiser Permanente Washington Health Research Institute in Seattle.

It will take a year to 18 months to fully validate any potential vaccine. Says US Govt Official
http://dhunt.in/8U3rb?s=a&ss=pd
Source: “News18” via Dailyhunt

Corona virus vaccine and treatment New Update May 2020: what’s happening?

The New Coronavirus COVID 19, CCP virus Wuhan virus, SARS COVID 2 -the names of this virus are as many as the number of entities making a vaccine for it.
Probably more of the latter. The good news so far is
Oxford University started the vaccine human trial in April 2020 and our very own Serum institute Pune is ready to roll production of this vaccine by September.

Covaxine by Bharat Biotech also has potential to be India’s first COVID-19 vaccine by Hyderabad’s Bharat Biotech.It has been given DCGI clearance for human trials.(Updated 30/06/2020).This is India’s first indigenous anti COVID19 vaccine.This was developed in collaboration with ICMR and NIV.The official release says the vaccine has shown an effective immunological response and safety.

Many other COVID vaccines are being developed by various other Indian company and Internationally in collaborations across the globe.

May the best vaccine win!

The article in Lancet about the Hydroxychloroquine controversy has several study bias. Most importantly its an observational study and secondly it’s funded by pharma giants producing more expensive treatment protocols for COVID 19 treatment. Under all circumstances, both treatment and vaccine trials should strictly follow a transparent disclosure policy regarding funding and bias if any.

The Lancet paper has also made WHO stop the HCQ study .The paper was funded by all other trial drugs which is a direct conflict of interest in this case.It was not published by people who use the medicine,that looks like a bias.The Paper was then retracted.

This pandemic has made biological threats a present day problem.

The problem with viral vaccines:

The virus keeps mutating and you need a yearly shot like the Influenza /Flu vaccine. The mutating capacity of this virus is an unknown quantity
The pandemic is still very much alive.It’s wait and watch time guys.

How can you prevent infection and overwhelm by COVID19?

How to Prevent Corona Virus infection and Overwhelm?

Avoiding close contact with people suffering from acute respiratory infections;
Practice frequent hand-washing and cough etiquette.Hand washing the WHO way is useful for at least 20 seconds. Use soap and water for handwashing and an alcohol-based sanitizer if soap not available.
Soap and water are best.
Avoid touching face, eyes, nose and mouth with unwashed hands.
Coverup with tissues when you cough or sneeze and dispose it properly afterward.
Frequently used objects and surfaces need to be disinfected regularly.
Wearing an appropriate surgical mask is recommended, and protective gear as available should be used in the presence of known cases of 2019-nCoV.But panicked overstocking will not help anyone.
It’s better the case who is affected offered the mask first, to avoid the spread of infection.Wearing a mask may protect against inadvertent touching of face eyes, nose and other mucosal surfaces which causes virus transmission,
Strictly avoid close contact with alive or dead farm or wild animals. Avoid visiting slaughterhouses. Avoid touching surfaces in slaughterhouses and raw flesh, blood of animals.
Older travelers and those with underlying health issues may be at higher risk
If you traveled to Wuhan or any of the affected regions or have been in contact with a sick person, and feel sick with fever, cough, or difficulty breathing, you should visit your nearest healthcare facility. Informing about your recent travel in advance can be useful. Use a mask to prevent transmission at all times.
Don’t travel while sick. Avoid going to the office or sending children to school if they are having a fever.
Maintain social distancing
Atleast 3- 6 feet distance to be maintained to avoid contracting infection.
Spitting in public is a healthcare hazard
Don’t spit in public .Avoid paan ,tobacco,gutkha chewing habits as they make you hypersalivate and spit.
Self Quarantine strictly if in home quarantine.
Read my post and follow the tips.But in case you don’t have access to a seperate room,its best you stay in a Government quaramtine facility.
Don’t forget routine immunizations for kids

Even during COVID19 pandemic you need to continue healthy habits,preventive healthcare practices
Practice wellness for improving mental health
I am a passionate balcony gardener and during the COVID19 pandemic my gardening activities helped me lower stress and focus on now .
Do’s for elderly in lockdown
Eat healthy and keep moving.Do housework regularly for maintaining mobility according to age.Exercise ,meditate,garden,sing .take medicines as prescribed regularly.Pray and maintain inner strength and positivity.

Corona Virus in simple terms: An interview with Blogchatter to spread awareness

Quarantine,Self isolation and social distancing are all different ways to prevent inadvertent contracting of infection.

Responsible behaviour is needed to manage this disease .

What we know about Coronavirus attacks

Coronaviruses are a family of respiratory RNA viruses. They have a crown-like appearance and can infect a wide variety of animals. They are responsible for 10-35 % of common cold depending on the season like late fall, winter, early spring. They cause diseases ranging from the common cold to the Middle-East Respiratory Syndrome and the Severe Acute Respiratory Syndrome (SARS).

The novel coronavirus (2019-nCoV) is in the same family of infections as severe acute respiratory syndrome (SARS) and the Middle East respiratory syndrome (MERS). It shares an 80% genetic similarity with SARS CoV. Its most closely related to a bat virus and therein lies the catch!

Middle East Respiratory Syndrome, or the MERS virus, reported in 2012 in the middle East. It causes severe respiratory symptoms. According to CDC four out of every 10 patients infected with MERS died. Trials for a MERS vaccine are also underway. Unlike SARS, isolated cases of MERS are often heard.

Severe Acute Respiratory Syndrome, commonly known as SARS. First identified in the Guangdong in south China. According to WHO, it causes respiratory problems, diarrhea, fatigue, shortness of breath, respiratory distress and kidney failure. Depending on the patient’s age, the death rate with SARS ranged from 0-50% of the cases, with older people being the most vulnerable.

To add to the woes, another lethal #VirusOutbreak of #BirdFlu has also been detected in poultry in China.
— The Weather Channel India (@weatherindia) February 3, 2020

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Risk factors for severity

Age more than 50 years

Comorbidities like Diabetes, Cardiovascular disease, Hepatitis.

Important dates for COVID19

Feb 11th named COVID19
India travel ban for all international borders closed 14th .
OIC Indian visas cancelled till April 15th .
National emergency declared on 14th March 2020 USA.
WHO declared 30th Jan public health emergency of International concern.
March 13th pandemic declared by WHO.

International cooperation

The video conference on Sunday with SAARC members, Prime Minister Narendra Modi proposed setting up a COVID-19 emergency fund. India committed USD 10 million initially for it. He asserted that the best way to deal with the pandemic was by coming together and not growing apart.USA, Australia, and many other countries have demanded a transparent investigation of the cause and sequence of events.

USA has banned flights to and from China starting from 16^th June.

Strict measures to make China accountable seems to have started.

Government of India COVID19 Challenge

The Indian Government has invited technology innovations for fighting COVID19.Submit your ideas here and you could save lives and win too!

https://innovate.mygov.in/covid19/

Defense Research and Development Organisation (@DRDO_India) develops bio-suit with seam sealing glue to keep safe health professionals fighting #COVID19

The Arogyasetu app is helping you know, whether you are safe or not.But there is a lot of confusion about how the data is handled through the app.

India is now in Lockdown level 5 and is trying to ease lockdown gradually to improve the economic activities.

More than 2550 Tablighi Jamaat members and foreign nationals have been banned by MHA from travel to India for misuse of travel visas. The ban is for two years. This was declared on 5th June. Tablighi’s work has been now cited under conditions of general VISA violations.

IndiaFightsCorona

PPE suit made by DRDO using special sealant and nanotechnology.

Defence Research and Development Organisation (@DRDO_India) develops bio suit with seam sealing glue to keep safe health professionals fighting #COVID19 #IndiaFightsCorona

Details: https://t.co/je9D8D1EBX pic.twitter.com/THJ8N1jGOD
— PIB India (@PIB_India) April 2, 2020

What Francis Boyle said about #COVID19

https://www.express.co.uk/news/weird/1253778/coronavirus-chinese-lab-leak-bioweapon-wuhan-institute-virolgy-francis-boyle-spt

An article supporting a natural origin https://www.nature.com/articles/s41591-020-0820-9

Irrespective of the origin, we need to stay safe and practice prevention. We also need to help the Government to fight this.

You mamust read article about China’s Global Lockdown propaganda

Allergic Rhinitis and COVID 19 difference.

Allergic Rhinitis and Allergic Pharyngitis will have a predominant complaint of itching of nose, throat, sneezing but no fever. It is not contagious. They will have a previous history of allergy of the same or different type. They will usually have a family history of allergy.

COVID19 will usually have fever.A persistent cough and fever are the most common symptoms Other major symptoms are fatigue, losing the ability to smell and difficulty breathing.

But there are also reports of afebrile and asymptomatic cases of COVID19.

About Rapid Antigen Test

The Corona virus has several protein molecule on its surface as antigens.When a nasopharyngeal swabs is applied on a test kit (it’s a paper strip with antibody layer ,enclosed in a plastic),there is a visual representation of the antigen and antibody complex, if antigen is present in certain amount.

Takes around 30 minutes for the reagent

The antigens are expressed when the virus is multiplying. Thus best for acute infection

Pros of the test:

Cheaper.Doesn’t need sophisticated set up .

When higher viral load if the Rapid test says positive ,it means positive.

Cons:

According to most guidelines it will be used in containment zones or hotspots and hospital settings only.

Reliability depends on kit quality,handling and temperature at storage and use .

Those who test positive are considered positive

Those who test negative needs a sequential RT PCR to rule out COVID 19.

ICMR Website gives a comprehensive list of all rapid diagnostic kits, RTPCR and Antibody testing.

https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/antigen-tests-guidelines.html

https://www.icmr.gov.in/ckitevaluation.html

FDA Authorizes First COVID-19 Test for Self-Testing at Home (Update 17th November 2020)

The Lucira COVID-19 is an All-In-One Test Kit test. Its been authorized for home use with self-collected nasal swab samples in individuals age 14 and older who are suspected of COVID-19 by their health care provider.But it now has limited availability and can only be accessed with health care provider referral.

COVID 19 Vaccine News November 2020

COVID 19 Vaccine Updates are happening everyday.

The COVIshield by Oxford university and Astra zeneca may have a limited emergency release in December. Talks are on with the Government.If the UK trial results coming in at the end of November is good ,the next steps can be taken.Its expected the healthcare workers and elderly will get it by February 2021 and gradually by April 2021 ev

India will need 300 to 400 million vaccine doses by July 2021.In the race for vaccines this is one of the front runners.

Its stable at 2 to 8 degree celsius.

Other vaccine news include the Moderna and the Pfizer vaccine.

The Pfizer vaccine and BioNtech both have claimed 95%efficacy of the vaccine .

20/11/2020- Bharat Biotech’s Covaxin’s stage three trial in India was kickstarted by Haryana Health Minister Anil Vij

What is China still doing? Arresting citizen journalists for COVID reporting,spreading misinformation and waging war and proxy wars

Screen shot from BBC news.https://www.bbc.com/news/amp/world-asia-china-54969682/

Getting the COVID 19 vaccine.

Updated May 6th 2021

For any emergency in West Bengal due to suspected COVID ,admission to any of the below mentioned hospitals is possible even without RT PCR test result in hand.

আপৎকালীন প্রয়োজনে সর্বমোট ৬১টি হাসপাতালের নম্বর একত্রে রইল। পশ্চিমবঙ্গ সরকারের গতকালকের নির্দেশিকা অনুযায়ী কোভিড রিপোর্ট হাতে এসে না পৌঁছনো রোগীরাও উপসর্গ গুরুতর হলে যে কোনও কোভিড হাসপাতালে ভর্তি হতে পারবেন।

Hospital_Numbers for West Bengal for COVID Help :

NRS Hospital
(Nil Ratan Sircar Medical College and Hospital)
033 2286 0033,
033 2265 3214,
033 2265 3215,
033 2265 3216,
033 2265 3217
Calcutta Medical College
033 2255 1621
Chittaranjan National Cancer Institute (CNCI)
033 2476 5101 033 23245010
033 23245011
033 23245013
033 23245014
COM & Sagar Datta Hospital
033 2583 4277
033 2523 9058
80132 78169
ESIC Medical College and Hospitals
(ESI-PGIMSR Medical College and Hospital)
033 2467 1764
M R Bangur Hospital
08820702070
Al Amin Gopalpur Nursing Home
033 2357 6000
All Asia Medical Institute
3340012200
AMRI Hospital, Mukundapur
033 6680 0000,
AMRI Hospital, Salt Lake
033 6606 3800
APEX IMS
03371256666,
03324164643,
03324164555,
1800123101666
Apollo Gleneagles Hospital
03323203040,
03323202122,
18605001066
B P Poddar
9007032832
B.P. Poddar Hospital & Medical Research
033 4022 6000,
Belle Vue Clinic
3322872322
Bhagirath Neotia New Town ( Covid Suspects)
3366405000
Bharat Sevashram Sangha Hospital
90733 68550,
90733 68556,
90733 68563,
98312 80177
Bibhuti Nursing Home
03215 255090
Calcutta Heart Clinic, Salt Lake
3323585735
Centenary Hospital
3371003643
Charnock Hospital
033 4050 0500,
033 4050 0900
Charring Cross
3323598353
CMRI
3340904090
Columbia Asia Hospital Salt Lake
033 6600 3300,
033 3989 8969
Dafodil Hospitals
3340505555
Desun Hospital, Kolkata
090517 15171
Divine Nursing Home
03340156788,
03340156789
Dream Land Nursing Home
033 2555 3216,
033 2555 3217,
98303 28500,
98300 59535
EEDF Medicare Centre (Sri Aurobindo Seva Kendra)
03340171717,
03340171522,
03340171526,
03340171573
Ekbalpur Nursing Home
033 2449 4514,
033 2449 5248,
033 3091 0909,
03324495151
Fortis Hospital
03366284444
Mission Of Mercy Hospital
033 66352000
Genesis Hospital (Covid Suspects)
03322424242
GNRC Medical
1800 345 0022,
033 2584 7005,
033 2584 7006
ILS Hospital, Dumdum
03340315000,
03340315001,
9830400443
ILS Howrah
3340880000
Ispat Cooperative Hospital
03218260006,
8001257528,
967448346
J N Ray Covid Hospital
90732 12223,
Jagannath Gupta Medical College & Hospital
033 2482 3500
Kothari Medical Centre
033 4012 7000,
91521 54575
Maa Durga Nursing Home
97326 25505
Marwari Relief Society Hospital TB Unit
033 2274 3722,
033 2274 3725,
033 2274 4725,
93397 25243
Medica Super specialty Hospital
70330 93400,
85848 58678
033 6652 0000,
03366560171
Megacity Nursing Home
62903 37393,
033 2552 6319,
033 2552 5069,
033 2562 7701
Nabajiban Hospital Pvt. Ltd.
90516 19016
Nehru Memorial Techno Global
033 6630 3030,
033 2593 0099,
033 2592 0145,
033 2592 9922
Nightingale Hospital
033 2282 7969,
033 2282 7971,
033 2282 7465,
98743 76667
North City Hospital
033 6605 0999,
033 6632 8555
OHIO Hospital
033 6602 6602,
82404 85537
Peerless Hospital
033 4011 1222,
033 4033 3333,
033 2432 4989
R. N. Tagore IICS
1860 208 0208,
80675 06860,
80675 06803
Remedy Hospital
91633 25269
033 2435 6479
033 2435 1057
Royd Nursing Home
033 4601 6536,
033 2227 1666,
033 3354 7000
RSV Hospital
033 3001 3000,
91521 37423
Ruby General Hospital
033 6687 1800,
033 6601 1800,
033 3987 1800,
89103 05946
Sahid Khudiram Bose Hospital & Diagnostic Centre
033 2544 3250,
033 2544 8408,
98311 96190
Shusrusha Nursing Home
033 2362 8863,
98744 10298
Spandan, Teghoria
033 4004 5511,
033 2570 0112,
99039 94645
Sterling Hospital
70038 23692,
98307 07516
Subodh Mitra Cancer Hospital
033 2335 2515,
98301 59832,
98315 98502
SVS Marwari
033 3061 2200,
033 4023 3030,
98365 84467
Tata Medical Centre, Newtown
033 6605 7000,
033 6605 7222,
033 6500 9639
The Calcutta Medical Research Institute
033 4090 4090
The Sahararhat Nursing Home
94340 37116,
03174 225316
Woodlands Multispeciality Hospital
033 4033 7032,
033 4033 7033,
033 2456 7075
Zenith super specialist Hospital
033 2544 4390,
033 2544 4391,
76050 98084
Zodiac Medicare Pvt. Ltd.
0334068 6161,
84200 12809

How to stay Home and not stress out in Lockdown

Taiwan Fights COVID 19

All about the COVID 19 vaccines in India:What’s hot what’s not

Home testing Kit for COVID 19

Travel in COVID times:Guide for Pregnant Women

10 Tips for Small Home Gatherings in COVID times

10 Most Effective Tips for Unlockdown India

All my posts on COVID 19

Apparently there was

Dr.Amrita Basu, MBBS, MS ENT has published over 700 articles, authored several books, reviews, and scientific abstracts both online and offline.

References

https://www.mohfw.gov.in/

WHO

CDC

Harrison Textbook of Internal medicine

This is a live blog and will be updated as more data is known.

Nose bleeds in Adults: What you must Know

By Dr.Amrita Basu(MBBS,MS) on January 7, 2020 12

Nose bleeds is a very common ENT problem that causes people to visit the emergency room. Nose picking is easily the commonest cause of nose bleeds in children. But it happens in the case of adults too. What happens when you are fifty years old and have a use bleed when you have never picked your nose?

You must get checked by a professional.

Can nosebleeds be caused by high blood pressure

Yes, that is common in older hypertensive adults and often causes more of posterior epistaxis, where you have blood trickling down your throat like a postnasal drip. Nose bleeds can be due to a local cause or something more generalized like hypertension. It’s often a warning in case undiagnosed high blood pressure and acts to prevent other cardiovascular problems like heart attacks, strokes.

In Dengue, leukemia and any condition which causes poor clotting, bleeding can occur.

Nose bleeds can occur frequently

Local causes like sinusitis, septal hematoma, nasopharyngeal angiofibroma and other tumors of nose and sinuses can present with nose bleeds. A chronic post nasal drip in a hypertensive, diabetic fifty-year-old needs a full checkup.

The important thing to remember is early diagnosis and management are best for the management of nose bleeds.

Remember

In the elderly age, group hypertension must always be ruled out.

If sinusitis is present in older age groups them diabetes mellitus is screened for, to ensure better management.

In the case of kids, nose-picking must be ruled out.

What causes nose bleeds in adults:

Hypertension

Trauma

Septal spur, deviation, septal perforation

Septal angioma/haemangioma

Rhinosporidiosis

Chronic sinusitis

Tumors

Fungal infection of nose and sinuses

Cocaine use

Extreme temperature

Barotrauma

Blood dyscrasias and leukemia

Infections like Dengue Haemorrhagic fever

Certain medications(NSAIDS, Warfarin, Aspirin, Clopidogrel)

Alcoholism and other causes of liver dysfunction

Certain Granulomatous diseases

Others.

Frequent nosebleeds are cause for concern

In all cases, in-person consultation by an ENT surgeon is needed for a full evaluation. The doctor will do a local examination of your nose, oral cavity oropharynx.

What your Doctor may ask

History about previous nasal bleeds or bleeding from other sides is important. Comorbidities like hypertension, diabetes, allergies, blood dyscrasias, fever need to be ruled out. Any history of forceful nose blowing or nose picking is vitally important and the nasal examination gives clues about the latter.

A family history of nose bleeds needs to be asked for and in the presence of fever, several more questions are asked.

The systemic examination will include measuring your BP and checking for any bruising petechiae and a few other things which are beyond the scope of discussion here.

Investigation

In case of acute nasal bleeding which is recurrent, persistent to not stopping needs urgent visit to an Emergency facility of a well-equipped hospital.

Computer tomography (CT scan) with or without contrast may be needed for the nose and Paranasal sinuses. A CT of the brain may also be needed to rule out any associated intracranial bleed.

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A detailed blood workup, ECG is carried out to screen for infectious diseases and systemic causes.

Nasal endoscopy may be carried out as a diagnostic or therapeutic tool depending on the condition.

Nose bleed treatment often needs a hospital setup and is best done by a professional. Read about some of the ways of nasal packing in this post.

Health News

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Kartagener’s syndrome

Symptoms of sinusitis with polyposis

Tests you need before Sinus Surgery

Is Surgery the only treatment for Sinusitis?

FESS: Functional Endoscopic Sinus surgery

What are the Risks of Endoscopic Sinus Surgery?

Will the polyps come back?

Other indications of Sinus Surgery

How can I permanently cure Sinusitis?

Treatment options for Sinusitus are

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References:

Sharing is good Karma!

Here are a few precautions that can aid us during this critical time: #StayHome #LockdownIndia

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6 Myths about the Wuhan Coronavirus COVID19

If you are in home isolation as asymptomatic COVID 19 or recovering

How you can help?

When did Stay Home or lockdown phase one officially start in India?

Why do you need to stay home according to the rules?

Sharing is good Karma!

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What about snoring and sleep?

What is Obstructive Sleep Apnea/Hypopnea?

Symptoms of Sleep apnoea

Statistics:

Sleep Apnea prevalence with other conditions

What is the best practice if you find out you have sleep apnoea after testing?

Sharing is good Karma!

Yohei Sasakawa and the Sasakawa foundation have shown the positive psychological impact of social support.

Hope and Optimism with Sasakawa

Sasakawa is helping with the education of these children

H.H Dalai lama & Sasakawa scholarship fund

Skill development of youth- Supported by National Skill Development Corporation

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A few stats which will make you smile

Mr.Yohei Sasakawa’s book: No Matter Where the Journey takes me

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India Trend

Fresh New Coronavirus India Update

Listen to the Podcast

Statistics

Air travel suspended:

What India is doing?

Testing centers in India

According to WHO and CDC reports this is what you should know

Symptoms of New Coronavirus infection as mentioned by WHO

Transmission of the Novel Corona Virus 2019-NCoV

What is the Diagnostic test for 2019-nCoV

Prevention

Coronavirus treatment

Vaccine trial has started in USA

Corona virus vaccine and treatment New Update May 2020: what’s happening?

The problem with viral vaccines:

How can you prevent infection and overwhelm by COVID19?

What we know about Coronavirus attacks

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Can nosebleeds be caused by high blood pressure

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