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by Page » Sun May 09, 2021 1:06 am
by Kowani » Sun May 09, 2021 1:40 am
On Saturday morning, Dr Akshay Nair, a Mumbai-based eye surgeon, was waiting to operate on a 25-year-old woman who had recovered from a bout of Covid-19 three weeks ago.
Inside the surgery, an ear, nose and throat specialist was already at work on the patient, a diabetic.
He had inserted a tube in her nose and was removing tissues infected with mucormycosis, a rare but dangerous fungal infection. This aggressive infection affects the nose, eye and sometimes the brain.
After his colleague finished, Dr Nair would carry out a three hour procedure to remove the patient's eye.
"I will be removing her eye to save her life. That's how this disease works," Dr Nair told me.
Even as a deadly second wave of Covid-19 ravages India, doctors are now reporting a rash of cases involving a rare infection - also called the "black fungus" - among recovering and recovered Covid-19 patients. Mucormycosis is a very rare infection. It is caused by exposure to mucor mould which is commonly found in soil, plants, manure, and decaying fruits and vegetables. "It is ubiquitous and found in soil and air and even in the nose and mucus of healthy people," says Dr Nair.
It affects the sinuses, the brain and the lungs and can be life-threatening in diabetic or severely immunocompromised individuals, such as cancer patients or people with HIV/AIDS. Doctor believe mucormycosis, which has an overall mortality rate of 50%, may be being triggered by the use of steroids, a life-saving treatment for severe and critically ill Covid-19 patients.
Steroids reduce inflammation in the lungs for Covid-19 and appear to help stop some of the damage that can happen when the body's immune system goes into overdrive to fight off coronavirus. But they also reduce immunity and push up blood sugar levels in both diabetics and non-diabetic Covid-19 patients.
It's thought that this drop in immunity could be triggering these cases of mucormycosis. "Diabetes lowers the body's immune defences, coronavirus exacerbates it, and then steroids which help fight Covid-19 act like fuel to the fire," says Dr Nair.
Dr Nair - who works in three hospitals in Mumbai, one of the worst-hit cities in the second wave - says he has already seen some 40 patients suffering from the fungal infection in April. Many of them were diabetics who had recovered from Covid-19 at home. Eleven of them had to have an eye surgically removed.
Between December and February, just six of his colleagues in five cities - Mumbai, Bangalore, Hyderabad, Delhi and Pune - reported 58 cases of the infection. Most of the patients contracted it between 12 to 15 days after recovery from Covid-19. Mumbai's busy Sion Hospital has reported 24 cases of the fungal infection in the past two months, up from six cases a year, according to Dr Renuka Bradoo, head of the hospital's ear, nose and throat wing.
Eleven of them had to lose an eye, and six of them died. Most of her patients are middle-aged diabetics who were struck down by the fungus two weeks after recovering from Covid-19. "We are already seeing two to three cases a week here. It's a nightmare inside a pandemic," she told me.
In the southern city of Bengaluru, Dr Raghuraj Hegde, an eye surgeon, tells a similar story. He has seen 19 cases of mucormycosis in the past two weeks, most of them young patients. "Some were so sick that we couldn't even operate on them."
Doctors say they are surprised by the severity and the frequency of this fungal infection during the second wave, compared to some cases during the first wave last year.
Dr Nair says he has come across not more than 10 cases in Mumbai in the past two years. "This year is something different," he says.
In Bengaluru, Dr Hegde had never seen more than one or two cases a year in over a decade of practice. Patients suffering from the fungal infection typically have symptoms of stuffy and bleeding nose; swelling of and pain in the eye; drooping of eyelids; and blurred and finally, loss of vision. There could be black patches of skin around the nose.
Doctors say most of their patients arrive late, when they are already losing vision, and doctors have to surgically remove the eye to stop the infection from reaching the brain.
In some cases, doctors in India say, patients have lost their vision in both eyes. And in rare cases, doctors have to surgically remove the jaw bone in order to stop the disease from spreading.
An anti-fungal intravenous injection which costs 3,500 rupees ($48) a dose and has to be administered every day up to eight weeks is the only drug effective against the disease. One way to stall the possibility of the fungal infection was to make sure that Covid-19 patients - both in treatment and after recovery - were being administered the right dose and duration of steroids, says Dr Rahul Baxi, a Mumbai-based diabetologist.
He says he treated some 800 diabetic Covid-19 patients in the past year, and none of them contracted the fungal infection. "Doctors should take care of the sugar levels after the patients are discharged," Dr Baxi told me.
A senior government official says there is "no big outbreak". Yet it is difficult to say why a growing number of cases of mucormycosis are being reported from all over the country. "The strain of the virus appears to be virulent, sending blood sugars soaring to very high levels. And strangely, the fungal infection is affecting a lot of young people," says Dr Hegde.
by Nakena » Sun May 09, 2021 1:58 am
Page wrote:I had a bad reaction to the vaccine, haven't felt so shitty in 14 years, back when I had the flu. It's now about 48 hours later and I'm mostly normal again. Second dose is about a month from now. I'm going to have to acquire some things to help me though it.
I'm happy to finally have it though and that they didn't make me wait 12 weeks between doses, because then if they reopen things for vaccinated people, the whole summer would have been wasted.
by Page » Sun May 09, 2021 2:17 am
Nakena wrote:Page wrote:I had a bad reaction to the vaccine, haven't felt so shitty in 14 years, back when I had the flu. It's now about 48 hours later and I'm mostly normal again. Second dose is about a month from now. I'm going to have to acquire some things to help me though it.
I'm happy to finally have it though and that they didn't make me wait 12 weeks between doses, because then if they reopen things for vaccinated people, the whole summer would have been wasted.
Which one did you got?
by New Visayan Islands » Sun May 09, 2021 4:03 am
by Borderlands of Rojava » Sun May 09, 2021 5:29 am
Page wrote:I had a bad reaction to the vaccine, haven't felt so shitty in 14 years, back when I had the flu. It's now about 48 hours later and I'm mostly normal again. Second dose is about a month from now. I'm going to have to acquire some things to help me though it.
I'm happy to finally have it though and that they didn't make me wait 12 weeks between doses, because then if they reopen things for vaccinated people, the whole summer would have been wasted.
by Nakena » Sun May 09, 2021 5:34 am
Borderlands of Rojava wrote:Page wrote:I had a bad reaction to the vaccine, haven't felt so shitty in 14 years, back when I had the flu. It's now about 48 hours later and I'm mostly normal again. Second dose is about a month from now. I'm going to have to acquire some things to help me though it.
I'm happy to finally have it though and that they didn't make me wait 12 weeks between doses, because then if they reopen things for vaccinated people, the whole summer would have been wasted.
After I get the second dose, I've already got a list of things I will need. I know there's a possibility I'll have few or no symptoms but I'm preparing for this to come at me with force.
•Tylenol for aches, pains, and fever
•Ibuprofen if the Tylenol doesn't work
•Claritin for my nose
•A cup of coffee every 6 or 8 hours to keep me somewhat awake. I'm not planning on going to work but I need to be awake enough to do things like eat breakfast, lunch and dinner and maintain my own hygiene.
by Borderlands of Rojava » Sun May 09, 2021 5:36 am
Nakena wrote:Borderlands of Rojava wrote:
After I get the second dose, I've already got a list of things I will need. I know there's a possibility I'll have few or no symptoms but I'm preparing for this to come at me with force.
•Tylenol for aches, pains, and fever
•Ibuprofen if the Tylenol doesn't work
•Claritin for my nose
•A cup of coffee every 6 or 8 hours to keep me somewhat awake. I'm not planning on going to work but I need to be awake enough to do things like eat breakfast, lunch and dinner and maintain my own hygiene.
Nah just get Antihistamine and asperin. maybe Tylenol. The ibuprofen probably hurts you more than it helps and the caffaine will keep your nervous system on high alert and not help either with potential effect..
by Nakena » Sun May 09, 2021 5:41 am
by Borderlands of Rojava » Sun May 09, 2021 5:44 am
Nakena wrote:Borderlands of Rojava wrote:
The caffeine won't keep me more awake?
The thing is that you want to rest as much as possible if theres issues. Because when you sleep your body recovers and can deal better with side effects, be they allergic or of inflammatory nature. If you keep yourself awake through caffaine you probably delay that process.
I mean theoretically you could have both if you take Prednisolone or similar Corticosteroids. They keep down inflammation and they keep you more awake than a coffee ever could... I would not recommand that though without clear indication.
by Nanatsu no Tsuki » Sun May 09, 2021 12:06 pm
Slava Ukraini
Also: THERNSY!!
Your story isn't over;֍Help save transgender people's lives֍Help for feral cats
Cat with internet access||Supposedly heartless, & a d*ck.||Is maith an t-earra an tsíocháin.||No TGsRIP: Dyakovo & Ashmoria
by Borderlands of Rojava » Sun May 09, 2021 12:18 pm
by San Lumen » Sun May 09, 2021 2:13 pm
by Nanatsu no Tsuki » Sun May 09, 2021 6:05 pm
Slava Ukraini
Also: THERNSY!!
Your story isn't over;֍Help save transgender people's lives֍Help for feral cats
Cat with internet access||Supposedly heartless, & a d*ck.||Is maith an t-earra an tsíocháin.||No TGsRIP: Dyakovo & Ashmoria
by Xmara » Sun May 09, 2021 6:12 pm
by Nanatsu no Tsuki » Sun May 09, 2021 6:27 pm
Slava Ukraini
Also: THERNSY!!
Your story isn't over;֍Help save transgender people's lives֍Help for feral cats
Cat with internet access||Supposedly heartless, & a d*ck.||Is maith an t-earra an tsíocháin.||No TGsRIP: Dyakovo & Ashmoria
by Nanatsu no Tsuki » Sun May 09, 2021 6:30 pm
Slava Ukraini
Also: THERNSY!!
Your story isn't over;֍Help save transgender people's lives֍Help for feral cats
Cat with internet access||Supposedly heartless, & a d*ck.||Is maith an t-earra an tsíocháin.||No TGsRIP: Dyakovo & Ashmoria
by Ethel mermania » Sun May 09, 2021 6:37 pm
Nanatsu no Tsuki wrote:Nakena wrote:
Nurse Nak recommands acetaminophen. However check how much mg the pills have in question. Theres dosage limits with acetaminophen.
IIRC, twice a day (with doses of every 4-6 and every 6-8 hours) and for no longer than 3-4 days.
Harvard Health has a chart: https://www.health.harvard.edu/pain/ace ... not-afraid
by Tornado Queendom » Mon May 10, 2021 2:41 am
by CoraSpia » Mon May 10, 2021 2:49 am
Tornado Queendom wrote:I didn't want to get vaxxed, but I got the shot without my permission, and now I'm constantly trying to neutralize it.
For most of you, it's the way back to normal. For me, an EXTREME introvert, it's another case of (metaphorically and indirectly) putting chemicals in the water that turn the frogs gay.
by Vassenor » Mon May 10, 2021 2:52 am
Tornado Queendom wrote:I didn't want to get vaxxed, but I got the shot without my permission, and now I'm constantly trying to neutralize it.
For most of you, it's the way back to normal. For me, an EXTREME introvert, it's another case of (metaphorically and indirectly) putting chemicals in the water that turn the frogs gay.
by Picairn » Mon May 10, 2021 3:01 am
Tornado Queendom wrote:I didn't want to get vaxxed, but I got the shot without my permission, and now I'm constantly trying to neutralize it.
For most of you, it's the way back to normal. For me, an EXTREME introvert, it's another case of (metaphorically and indirectly) putting chemicals in the water that turn the frogs gay.
by Nanatsu no Tsuki » Mon May 10, 2021 3:03 am
Slava Ukraini
Also: THERNSY!!
Your story isn't over;֍Help save transgender people's lives֍Help for feral cats
Cat with internet access||Supposedly heartless, & a d*ck.||Is maith an t-earra an tsíocháin.||No TGsRIP: Dyakovo & Ashmoria
by CoraSpia » Mon May 10, 2021 3:17 am
Picairn wrote:Tornado Queendom wrote:I didn't want to get vaxxed, but I got the shot without my permission, and now I'm constantly trying to neutralize it.
Press X to doubt.For most of you, it's the way back to normal. For me, an EXTREME introvert, it's another case of (metaphorically and indirectly) putting chemicals in the water that turn the frogs gay.
Bring your conspiracy theories to Alex Jones, please. Not here.
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