And when I shall arrive to your new place, I shall be the happiest to fill that empty embrace of yours,dear brother. We shall smile and cry,at the same time.The day awaits..
One afternoon, I find myself on a small passage of a hospital-Name unknown.I am with people I am not familiar with.I heard someone tell that Yam was just taken to the same hospital,where I was standing in.It occurred to my subconsciousness that he had already left us physically for this life time.Yet,I rush.I run,as hard as I could, to meet him.
There, he was, in a medical bed, being pulled by doctors, to shift him to another ward. The doctor who studied in the same medical school as I did, was one amongst them. He told me that my brother was alive and that his death was not true.
I saw Yam sleeping peacefully initially. Then all of a sudden, he saw me,standing besides him.He smiled at me first, then he saw my tears.I went near his bed.The bed had its head end to the East and the foot end to the West. i was standing to the right of him.I couldn’t speak. He could see that. He began the conversation with the assurance that he wasn’t dead.He informed me that he had gone to other hospital for treatment.The body that I saw,wrapped wasn’t his.The hospital sent someone else’s body and told that it was his.As we weren’t shown his face or body in Pashupatinath Temple,he asked me to trust him.
I didn’t want to remember the pain when he was all there with me.He then gently held my hands and talked as calmly as he could. ‘I have seen you in a lot of pain after the news of my demise,every moment. All the tears and pain you are going through is immense.I have always trusted your abilities and capabilities,but a lot of agony is what I see now.”, he told.
He continued, ‘Everything is fine,I am always here,besides you.You are all I have,I am all that you have.So, you are wrong to believe that I have left.’ He could sense that this conversation made me sad again.
Like in those days in ICU, he asked me some fruit salad mixed with cucumber. I rushed to bring them for him, because it was so long that I hadn’t fed him, with my own hands.
Suddenly, my eyes were wide open. I forced myself to sleep again so that we could continue our time together.
Rare, yet true, we were together,exactly in the same place where we were before. He ate, I fed,I watched, he smiled. ‘ I don’t want to see you in pain, brother.I want you to believe that all those things I’ve entrusted upon,is what you are capable of.I have no worries for anything as long as you are there-for Home,Family,Francesco and Planet.It is a long process.It will take time, but you shall accomplish all,slowly.I am always with you,like now,holding your hands.’
I was awake again. Could I fall asleep again? No.
Yet, I was extremely happy for our long time and talks. I could feel a lot of positive surge of energies,within.
Days still pass, but nights are silent and lone. I always question Destiny, “Why him? Why Yam? Why so soon? Why?”I shall always question. I always question Yam, “Why did you leave us so early?I need you,return back,not only emotionally, but also physically.I am not able to bear your departure.” I shall always question.
So, have these questioned changed after the dream? Not really. The questions are still the same.
Did the dream lift some pain that was buried deep?
To be honest, it really did.
Will I be able to walk with on those paths that he has shown to me,always? For sure,because he has promised me that he is here with me….With my words and my tears as I write.
Dear Dai, I love you.
‘Please smile! My tears signify my existence in your presence.All I am is, All you are. Lets meet again, in a better place, for a longer period…for the eternity.’
And when I shall arrive to your new place, I shall be the happiest to fill that empty embrace of yours,dear brother. We shall smile and cry,at the same time.The day awaits..
The term “Post-COVID Conditions” is an umbrella term for the wide range of physical and mental health consequences experienced by some patients that are present four or more weeks after SARS-CoV-2 infection, including by patients who had initial mild or asymptomatic acute infection.These consequences include both general complications of prolonged illness as well as hospitalization and post-acute sequelae of SARS-CoV-2 infection (PASC), which are more specific to effects of SARS-CoV-2 infection.
The frequency of long-term symptoms and conditions following SARS-CoV-2 infection varies widely in the literature, ranging from 5% to 80%.
Multiple possible onset patterns for post-COVID conditions have been identified that further exemplify their heterogeneity, including, but not limited to:
persistent symptoms and conditions that begin at the time of acute COVID-19 illness;
new-onset late sequelae following asymptomatic disease or a period of acute symptom relief or remission; or
an evolution of symptoms and conditions that include some persistent symptoms (e.g., shortness of breath) with the addition of new symptoms or conditions over time (e.g., cognitive difficulties).
Some presentations may share similarities with other post-viral syndromes, such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), dysautonomia (e.g., postural orthostatic tachycardia syndrome [POTS]), or mast cell activation syndrome (MCAS).
Types of Post-COVID Condition
Long COVID
Long COVID is a range of symptoms that can last weeks or months after first being infected with the virus that causes COVID-19 or can appear weeks after infection. Long COVID can happen to anyone who has had COVID-19, even if the illness was mild, or they had no symptoms. People with long COVID report experiencing different combinations of the following symptoms:
Tiredness or fatigue
Difficulty thinking or concentrating (sometimes referred to as “brain fog”)
Headache
Loss of smell or taste
Dizziness on standing
Fast-beating or pounding heart (also known as heart palpitations)
Chest pain
Difficulty breathing or shortness of breath
Cough
Joint or muscle pain
Depression or anxiety
Fever
Symptoms that get worse after physical or mental activities
Multiorgan Effects of COVID-19
Multiorgan effects can affect most, if not all, body systems including heart, lung, kidney, skin, and brain functions.
Multiorgan effects can also include conditions that occur after COVID-19, like multisystem inflammatory syndrome (MIS) and autoimmune conditions. MIS is a condition where different body parts can become swollen.
Autoimmune conditions happen when your immune system attacks healthy cells in your body by mistake, causing painful swelling in the affected parts of the body.
It is unknown how long multiorgan system effects might last and whether the effects could lead to chronic health conditions.
Effects of COVID-19 Treatment or Hospitalization
Post-COVID conditions also can include the longer-term effects of COVID-19 treatment or hospitalization. Some of these longer-term effects are similar to those related to hospitalization for other respiratory infections or other conditions.
Effects of COVID-19 treatment and hospitalization can also include post-intensive care syndrome (PICS), which refers to health effects that remain after a critical illness. These effects can include severe weakness and post-traumatic stress disorder (PTSD). PTSD involves long-term reactions to a very stressful event.
Assessment and Testing
Before ordering laboratory testing for post-COVID conditions, the goals of testing should be clear to the healthcare professional and to the patient. Laboratory testing should be guided by the patient history, physical examination, and clinical findings.
Medical Management
For most patients, the goal of medical management of post-COVID conditions is to optimize function and quality of life.
Ideally, healthcare professionals, in consultation with the appropriate specialists, should develop a comprehensive management plan based on their patients’ presenting symptoms, underlying medical and psychiatric conditions, personal and social situations, and their treatment goals.
Many post-COVID conditions can be improved through already established symptom management approaches (e.g., breathing exercises to improve symptoms of dyspnea). Creating a comprehensive rehabilitation plan may be helpful for some patients and might include physical and occupational therapy, speech and language therapy, vocational therapy, as well as neurologic rehabilitation for cognitive symptoms.
Optimizing management of underlying medical conditions might include counseling on lifestyle components such as nutrition, sleep, and stress reduction (e.g., meditation).
FDA-approved or over the counter medications as well as vitamin or electrolyte supplements may be helpful for indicated illnesses (e.g., headache, anxiety) or documented deficiencies (e.g., vitamin deficiency) after carefully weighing the benefits and risks of pharmaceutical interventions.
The information might change as we go on learning about COVID-19. This blog is just replicated to circulate informations on POST COVID.All the materials has been copied from CDC. For the detailed information,kindly visit the link in the source.
And then, I gently touch your motorbike. Will your motorbike replicate your presence? May be not, but it gives me a sense that you reside in here,with me, forever.
Do you feel my tender touch,dear brother?
And I touch the replica with much love,again,more than ever.It makes me a more complete Naresh, Yam’s Naresh.
I look for you,in everything. I search for you,everywhere.
I want to revive and relive all the memories, for I see no reason to believe that you have left me, alone.
Can you feel me ,dear brother,like the way I do? Can you feel that I walk beside your footsteps,those that you took when you were physically present? I walk besides them,like always and I shall walk besides them, forever.
Sooner or later, in that field of existent super energy, you shall wait for me,to guide my footsteps,when I shall reach there, exactly like the way you did for me, down here. Won’t you?
Until that journey,let’s walk together,besides each other. Me with my mortal self and you,with your immortal existence.
I love you.
Let’s smile together,dear brother. For, heaviness deep down in the chest has never been settled with those tears that we have cried,may be together,in each others’ absence.…
Please smile wherever you live now.We love you alot.
Today is the 13th Day that Yam has left us. This shall end his 13th day’s Hindu Ritual and a beginning of other rituals to follow, which shall be performed by me until we perform Aayan’s Bratabanda.
I had promised to write about his hospital stay, for I needed to thank many. The very first respondent to our health,Yam’s health was Dr.Bikram and Dr.Hema; my little family in every joy and sorrow. They had called me every time when Yam was at home and hospital; advised me medications,investigations and procedures.I shall always be grateful to this little family of mine.
After we admitted Yam, Puja’s brother Surya stayed at hospital. Thank you Sandesh to respond first with help, emotional and financial both,at very critical time. Surya brother stayed at hospital,waiting outside as visitors weren’t allowed inside COVID ward. Yam stayed in general COVID ward for 2 days. His oxygen was maintained well above 90% in high flow nasal canal of 40 liters on day 1 and 2. But, to monitor better, we shifted Yam to Intensive care unit (ICU). Yam had difficulty to breath, hence he refused HRCT chest 1st day, but on 2nd day,we asked him for HRCT Chest. When I got HRCT film on my messenger early morning the next day, it was hard for me. I was completely shattered into pieces as I could clearly see extensive infiltration, severe COVID pneumonia. I first informed Puja that Yam had pneumonia. In the lobby of Planet,I couldn’t hold any longer and broke into tears. Bishnu supported me and told not to cry as Puja might see me into tears. But, when Puja saw my face and tears, she couldn’t hold either. We cried,hiding from each other. We managed to go to hospital ,I went to ICU and saw Yam. He was in high flow oxygen. His oxygen was maintained on 1st day in ICU.His blood workup wasn’t that bad either.I fed him lunch.He asked me who were outside. I said Puja,Surya,Rabin and Rajaram. He asked me how Aayan, Mom, Grandfather and Laxmi were. He then inquired about Francesco and Silvia. I told him that everyone were fine. I hadn’t told Francesco about Yam’s HRCT and ICU admission until then.nNeither did Grandfather and Mom knew about his critical condition. He always talked about Rudra brother. He was very close to him. I stayed the whole day in ICU that day.It was very hard for me, to see him suffer though he never told me he had difficulty .We returned early that day after I fed him his dinner. He ate fruit juice,Real. He loved that.
Then, the next day, I was told by Yam that there was no oxygen supply at night. I was shaken in disbelief. I asked nurse what was the reason.She told he had difficulty to breath,so he felt that there was no oxygen.Then, I was with him. His oxygen was above 83% all the time.But, the next day, Yam told me he had severe shortness of breathe and was rescued by doctors. He asked me to stay longer tonight and not to go earlier. I know how I had felt and what i have gone through to hear that. He told there was no oxygen supply at night. I asked Rabin and Rajaram to arrange oxygen cylinders immediately. I fed him and went in search of oxygen.We had arranged one already when Yam was sick. We got it to hospital from Planet. Then we looked immensely and gathered five cylinders that day. We went to hospital and I saw Yam’s oxygen was above 85% all the times. It was past 2 am,we went home then. Silvia had asked me to tell about Yam’s condition to Francesco. So,i told everything. You can imagine how difficult it was for me to tell about my brother’s condition to an ill father with cancer. That night, neither Puja nor me could sleep. We both along with Rabin and Rajaram slept in the same room with Aayan after Yam was admitted.Both of us were in tears throughout the night that day.
We went the next morning.Yam’s oxygen was above 75% only. I asked him if he was in pain or difficulty to breath. He told he didn’t have any. He wanted fruits ,cucumber and rice along with fruit juice Real. He had difficulty to pass urine, he had no strength. I helped him, then I asked the duty doctor to catheterize him with a foley’s catheter. I told Yam not to worry about oxygen, we had arranged 15 cylinders in total for him. Thanks to family and friends for the effort. Special thanks to Marta,Massimo, Stefano, Silvia, Vincenzo, Guido and Nicoletta in this effort to arrange oxygen cylinder. Francesco, Marta, Silvia, Massimo, Vincenzo, Nicoletta, Guido, Dr Bikram, Dr.Hema, Rudra dai, Senator Kalyani , Ram Kumar dai and Army Major Santosh dai never left me alone during all these days. I am indebted to you all.
Yam’s oxygen was just around 65-70%. Doctor had suggested for intubation. I called Francesco. He was very worried, so were us. Then,I called Dr. Bikram . He asked me all about Yam’s parameter. He suggested me not to intubate and wait. We waited till 2 am. His oxygen was above 75%. Then we went home,back at planet.I was all in tears. Puja asked me to rest.I couldn’t rest. I was suffering. I was in pain. I couldn’t cry aloud as Puja wouldn’t be able to control her tears. She cried silently, so did I.
The next morning, it was a battle for me to enter the ICU. With little courage, I went in. I was very happy to see his oxygen to 92% but he was in CPAP. He asked me for his lunch. I fed him. During feeding, he was in reservoir bag,his oxygen being around 85%. He told me to let the nurse feed him as it was difficult for my left hand to grab and hold stuffs. The nurse fed him. I watched him with joy as his oxygen was maintained. He asked me about everyone,then told me about a doctor named Laura. Then he told he would talk to her once he was well. He had wanted me to talk to her initially. He then told that he shall be fine in 5-6 days and be shifted in general ward and would talk to her by himself. We talked for sometime then. Then, i let him sleep. His oxygen was maintained. I went out and told Puja that his oxygen saturation was maintained. We were both happy.
I always sent Francesco,Silvia,Vincenzo,Guido,Nicoletta and Marta updates. If I am little late, Francesco would call me in my mobile from Italy. I could understand his worries and anxiety. That is what a father does,isn’t it?
I entered again, fed him soup and then told about Francesco’s update in Facebook’s group. I told him, not to worry; that he shall be fine. He told me that the management at hospital wasn’t good. With good doctors, we also need good management for better outcome. He also told me that it was around 20 days that he couldn’t see mother and grandfather and take their blessing. He told me, The situation is difficult brother,take me back home’. I told him, I shall look for a better hospital. It was peak course of COVID in Nepal. Even though we had money, there was no ICU bed available anywhere. I was helpless, hopeless. He had always found me the best places, I could find none for him. I counseled him. I had been talking with Dr Bikram,Dr. Hema and Dr. Nimesh. They had been talking to other doctors. But there was no ICU beds,not in HAMS,Medicity,Norvic, Grande,Metro,Patan,KMCTH,Teaching,Bir,none!
The next day, his oxygen was above 85%. Yam told that he hadn’t eaten anything since yesterday. The nurse informed me that in an effort to feed,his oxygen dropped. Since Yam insisted in eating solid food, I asked on duty consultant Dr.Rujan. He told me to try in reservoir mask and feed. Yam told me that oxygen might decrease. I told him that the on-duty doctor suggested. As soon as I loosened the stripes of CPAP, his oxygen saturation dropped to around 70-60-50 %. You can imagine how a doctor and a brother felt at that moment. I then told Yam to go on for liquid food for some days. He asked me,until when? It was hard for me to be strong. I told him,you shall eat when you shall be fine,in 2-3 days. Then, from the right corner,I passed the pipe,straw and feed him soups, lentils and real juice. After that, i went out,with just half my heart.
It was painful that he wanted to eat but couldn’t. He who always fed everyone craved for solid food in his last days. I had suggested for NG feeding tube but that might cause leaking in CPAP, so the idea was dropped by on-duty doctor.
The next morning, his saturation was above 90%.I was happy. Doctors thought he was recovering, so did I. I was very happy to feed him, liquids. We talked. Then, the day was a happy day as his oxygen saturation was maintained. We also ate some food that day. At night,his saturation was 68-70% again, checked the CPAP,rearranged the setting. The oxygen saturation increased. I gave him soup,medicine and milk from the right corner, using the straw. Then,Yam asked what the time was.I told him, it was 10pm. He told me he would rest and asked me to go home. I asked him if he was feeling fine. He told me he was feeling fine. I told the nurse and doctors what to do if his oxygen dropped .I told them I shall come early next morning and left Yam to sleep with his oxygen saturation above 90%. I had asked Rajaram to check for oxygen saturation hourly and inform me. He had informed me that his saturation was 92% after an hour.
I was happy and content. We ate dinner that day,in planet, in 9 days after Yam’s admission in ICU. We were always worried and always late. Then we went to bed.
At 3 am, I got a call from Rajaram. He told Yam needed intubation and mechanical ventilation. I told him to do whatever needed, but keep my brother alive. I was unconscious then. I got another call from Rajaram, but Dr Gopal spoke from other end, he told me that Yam’s heart had stopped and they were performing CPR since 30 minutes. It was 6:28 am and the world was apart for me. I asked him to continue trying. I told Amrit,he is going, maybe in 30 minutes. Amrit broke to tears. I went home. Grandfather didn’t know Yam was in ICU. I told him about his demise. He couldn’t bear it. Laxmi was too young to handle, she fainted in tears more than 10 times that day. Mom and Puja were in the same state as Laxmi. Ayaan couldn’t see us crying. He told Puja not to cry. He requested Bishnu to help his mother stop crying. She couldn’t stop crying, how could she? Who could? No one! I stayed with Aayan. His question shattered me more. “How can dad die? He is in hospital.If he has died, whom shall I call dad? Where shall I stay? What shall we do without him? I had always asked him to stop chewing Parag? What will happen now? “and so many naive questions? I had no answers. Like him, I had lost a father,more than a brother. He tendered me like a son. Ayaan was too young to comprehend what had happened. He was too naive to understand how injustice was served to the one who always did the justice.
I posted in my Facebook-a message telling Yam to smile wherever he was. I called Francesco at around 10:30 am. We both cried, what more could we do? We went to Pashupatinath, the place where he had been hundreds of times. This time, he was wrapped in gray colored bag. We could only offer flowers from distance. We couldn’t touch him, we couldn’t see him.I knew how he was a night before in hospital. I had wished to stand looking at him forever and wished he wasn’t taken to be burnt. I had wished that he stayed with me forever. How can I believe in God when he took my brother away? Puja had always wanted to see him during hospital days. Yam had always told not to bring her inside as she shall break looking at him in that condition. She shall cry and be hurt. She won’t be able to see him suffer. I was helpless then, i am helpless now.He left her, he who didn’t want her to see him suffer left-in all the sufferings of world. How could you, dear brother? Come back if you can. He had wished Planet stand firm. His wishes and words shall be fulfilled. He shall always stay with me,w ith Puja, Aayan, Francesco,Mom,Laxmi, Grandfather and Planet’s family. He shall stay with Planet’s big family around the world, who came here as a guest and left as a family. With tears, I want to say again, to you my brother, Please Smile wherever you are now. You have given me everything,with love, always. I want to thank you for being born as my brother and if reincarnation persists, i want you to be my brother again, but with much longer life for you.
I shall be your brother again, if reincarnation exists. I would wish for your longer life then.Please come back,if you can.
With gratitude and in tears, I write and thank you to all those who have written about Yam before and after he left us.I am indebted to all of you. Please continue writing about my brother and help us stand firm again.I am proud of him and he is worth more than it. I express my sincere gratitude for all the help offered to everyone, during our hard time.
THANKYOU
YAGYA,PUJA,FRANCESCO,AAYAN,GRANDFATHER,MOM, LAXMI,SISTERS AND PLANET’S FAMILY
COVID-19 has shattered millions of families around the globe. One of them happened to be mine, or say ours, ‘Planet’s Bhaktapur’s family”. ‘Yam’ , in Sanskrit means the ‘God of Death’ but he lost his battle with Severe Pneumonia due to COVID-19.
It all began after he and grandfather went to a funeral in Terai without my awareness. Both of them were vaccinated with the first dose,Yam-Vero cell vaccine; Grandfather-COVISHIELD. Unfortunately, a relative with symptoms of COVID-19 sat in Yam’s car. Can i ever forgive that family? Bitter and harsh, but i shall write what i felt and what Yam felt,all in true words. I can never forgive the family, as this incident happened only after that. It could be incidental, but a brother can not forgive them.
Thank you dai. You will always remain with me, forever. Never said, but i want you to know, I love you forever.
On April 30, Yam called me and told me he had fever, body ache and sore throat. I told him medications but advised for RT-PCR.We went for RT-PCR on May 1,2021. That was the day when Yam posted ‘Happy Birthday Bhai’ with our picture together,his last message in Facebook for me. I was so preoccupied with COVID-19 that I couldn’t even reply with a thank you to him.But, he knew, how much I cared when he or someone else was sick. As a doctor, I was looking after COVID-19 patients online during those days.
The reports arrived at 9 pm that day, Positive for SARS-CoV-2. He was very worried. I had already bought pulse oximeter, thermometer, multivitamins and other medications as I was almost sure for his symptoms. I assured him and asked him not to worry. But, those reading this shall know Yam’s nature,he gets very worried. He couldn’t fall asleep.
On May 2,2021, I called for home collection of samples for RT-PCR as there were members of more than 15 families residing in Planet. 14 of us in total were positive for SARS-CoV-2 including me, Aayan and Puja.Yam was the one who asked us to say together,help each other, eat a lot of food, drink a lot of liquid from Day 1. He was worried for Aayan and me, as I had preexisting disease. Bitter, one of the Planet’s staffs appeared to be very insensitive and blamed Yam’s carelessness for their disease.I shall never forget the guilt that plunged in Yam’s soul at that moment. I shall never forget those words too. Yam then, said, he couldn’t resist going to funeral as he always gave a company to those who were in pain. It hurt him,deep down. Yam was always Yam. Caring and kind by nature.
Yam had continuous fever, hence I called upon Lab’s personnel at Planet to collect our blood sample. Yam’s and my blood workup were deranged, hence we began with steroids immediately. His oxygen dropped to 91%. We arranged for oxygen and then looked for hospital beds immediately. There was none available. On a relative’s assurance, we went to Civil hospital for hospital admissions. Frail and helpless, I requested for a bed for Yam and one for me, next to him, so that i could look after him. I pleaded for more than 3 hours, I couldn’t find one. Yam was in car with his oxygen, he was sleeping.
Once I told Yam the situation, he asked to take him back home. We went home pathetic. On the way, he had fever and was worried. I gave him medications then, we went back at planet helpless. I have already treated thousands of patients and admitted hundreds of them in hospital but I was unable to find a bed for my own brother. Yam, Puja, Aayan ,me and Rajaram, all of us slept in the same room with Yam. I was also having continuous fever, but i wasn’t worried for my own health as Yam meant world to me.
If anyone who has stayed the longest to him after his birth, it was me. He brought me with him when i was 9 and with illness. On that night, Puja wiped the sweat he had after his fever, and i checked oxygen and temperature. Neither Puja nor I could sleep that night. He used to make ‘Umm’ sound in sleep and that used to break my heart. It is never easy to be a doctor and a brother. My brother was the one who made me a doctor.
Next morning, we took him to Manmohan Hospital following recommendation from PM’s advisor as our lawyer, say our family Rudra brother called him. We couldn’t find a single bed in the so-called best hospitals of Nepal despite so much of calling, asking and pleading. I was ashamed of being a doctor at that moment.
The course of hospital was very harsh. Yam’s condition was never stationary. I shall write the journey of hospital soon,may be in his 13th day of Hindu ritual. Today is the 11th, 11th day is one of the longest ritual day in Hindu tradition. So, I tried to pen down, though words can never reveal all those emotions we had during those days. Also, tears can never wash way feelings. If it could, my tears should have stopped while I am typing these.
In this journey, many people had called me and wrote me constantly many times a day, from Italy and Nepal.They had asked me every moment how Yam was and always told they had prayed for him. Thank you so much. I shall write about you all in my coming days too.
I thank you all and please let me know about your memories with Yam if you haven’t written. I have read many of them. I shall read more. The more I read, the more I am proud of my brother. I love him alot.
Thank you
Loveand regards,
Yagya, Yam’s Brother
Francesco, Yam dad after Dad’s demise (many of you know that already)
Yam’s Family (Grandfather, Mom, Puja, Aayan,Laxmi, Planet’s family)
So, an event was organized to demonstrate how telemedicine services provided free of cost by Danphe Care, to rural areas of Nepal, was having an impact in people’s life.
His Honorable Prime Minister KP Oli along with Finance Minister Bishnu Paudel, Agriculture and live stock development minister Ms.Padma Aryal came, sat besides me, and watched keenly on how it was conducted.
Surprisingly, even prior to the end of history taking, he left on the gesture from a person(may be his assistant), even without talking to the Paramedic from Pyuthan, the patient or any of us (may be he hadn’t wanted to interrupt our session, which had already started an hour before his arrival).
So, I am still thinking, what could he haved understood in that 10-15 minutes sessions between the patient and me, along with other experts in live telemedicine?
In the end, the event ended (didn’t even last for a couple of hours). I completed examining all the available patients; during the same period, the first computer scientist of Nepal Muni Shakya sir,our project lead and co-medical officer were interviewed by TV channel regarding Telemedicine.
We returned, and here, we are again, providing free telemedicine services in rural area of Nepal,from Danphe Care,IMark Digital.
The formal oneMe, explaining the PM about how telemedicine takes place, before resuming the session again!Cancelling the noise and focussing on patient, again!Your team is your gem.PM,Finance minister,AGRICULTURE AND livestock minister and our team in the same frame.I love them all.
A vaccine is a biological substance that is administered to protect against specific diseases by inducing immunity against those diseases.
How does a vaccine protect us from getting the disease?
Once the component of the vaccine enters our body, it trains and prepares our immune system to recognize and fight against viruses and bacteria. If our body comes across those disease causing agents later in our life, the immune system will recognize them and destroy them quickly to prevent the disease.
What are the current vaccines approved by FDA for Emergency Use Authorization(EUA) for COVID-19 ?
Pfizer-BioNTech COVID-19 vaccine (Also approved by WHO as Emergency Use Listing)
Moderna COVID-19 vaccine
What are other vaccines for COVID-19 in our way?
Some of the vaccines in Phase 3 clinical trials are:
1.AstraZeneca’s COVID-19 vaccine
2.Janssen’s COVID-19 vaccine
3.Novavax’s COVID-19 vaccine
Will I get the COVID-19 from the vaccine itself?
No. Vaccines use inactivated or weakened viruses or viral products(RNA/DNA/Protein/Vector based) which can not cause COVID-19 itself.
Will I have side effects following vaccination?
Yes. Pain and swelling at the site of injection, fever,chills, tiredness and headaches are common side effects.
Very rare but life threatening severe allergic reactions may occur in some, which must be managed immediately.
Will current vaccines also work for the new and changing strains of SARS-CoV-2?
This is very early to answer this question. It may work, it may not. More research is needed to confirm it. However, vaccines generally provide a broader range of protection against the illness which it is prepared for.
I have been infected with COVID-19. Should I get vaccinated?
Yes. The reinfection can happen and the number of days of protection from the immunity after first infection is still unknown.
A handwritten note during the initial days of COVID-19 pandemics.
Should I continue the safety measures of using masks, hand hygiene and physical distancing after vaccinations too?
Yes. It takes some days to weeks for the vaccines to train the immune system and the question for long term protection with the help of vaccines is yet to be answered.
Tell us a few lines about India’s vaccine COVISHIELD which was recently donated to Nepal.
COVISHIELD Co-developed by the University of Oxford and British-Swedish company AstraZeneca and known as Covishield in India. 2 does between 4 to 12 weeks and stored at 2 to 8 C, prepared from a weakened version of a common cold virus (known as an adenovirus) from chimpanzees. It has been modified to look more like coronavirus – although it can’t cause illness. Several questions are yet to be answered because the manufacturer has not completed a “bridging study” of the vaccine on Indians.
This is simply a very concise list of FAQs.For more queries, you can simply comment below.
Dear friend, expectation might hurt as well ,for it is all dependent on someone else.
In the world, where our minds are hijacked by unrealistic ideas depicted in movies or series, it is not unusual for us to expect immensely-on everything, every time. For instance, let me tell you something about the recent past. ‘Contagion’, the movie which showed a real positive hope of treating the viral illness which began in a flight that affected so many Americans despite strict Quarantine and isolation, made me so much hopeful about the immediate remedy for this pandemic i.e COVID-19. Somewhere, deep inside me, I crave for Dr. House or Dr.Murphy-the good doctor, to be in the real scenario and figure it out overnight. I go to bed everyday, with the expectation to wake up with a Miracle that COVID-19 is no longer lingering around. Well,a part of my expectation has already been served with the development of vaccines, though the equitable distribution is of serious concern, more so for developing nations like Nepal.
So, Expectations!!
Let’s dive into everyday scenarios. You expect a warm hug as soon as you reach home from your love, even if you have had a harsh argument before you left home in the morning. You expect your friend to text you and catch up for some coffee, even if he or she has not texted you for months. You wish your family understands all what you are going through, even if you have always faked a smile in front of them, with all the pain within. You expect your relatives not to bother you for the lack of financial security or a stagnant career. You expect your favorite team to win every game and your favorite player to score all the points despite knowing that it won’t always happen.
You have a lot of expectations from life, love, family, relatives, society,nation, world and so on. Trust me, the inner part of you, has an expectation for you to stop expecting; for you have seen all the sufferings those expectations bring. Gautam Buddha claimed expectations as the root of all the sufferings, so why don’t you embrace this truth from ‘The Light of Asia’?
Irony, I am expecting you to eliminate the root of suffering- Expectations!
There is a lot to expect , way more beyond than what can be achieved. Somewhere,I still have contradictory thoughts against the sufferings expectations bring. In my solitude, it rings to me that expectations also give us a hope and hope is what keeps us alive. Tonight, I wish you get that warm hug, the lovely text, the support you always craved, the financial stability flooding away your past drought, the progressive career, the win of your team, the end of COVID-19, a better 2021 and the list of hope goes on.
And somewhere, let stories be shared, real sometimes and sometimes from virtual world. I want to learn, from odds and evens, in different perception.Doctor, by profession.Contact for health related querries.
