Please read and retweet (if you find this useful)

Co-created with my wife @poojaks in consultation with a number of docs and was encouraged to tweet.

NOT for critical patients TODAY but to somehow reduce FUTURE cases by acting early

1/n
@c_aashish @GabbbarSingh @somnath1978

Key principle - do NOT ignore mild symptoms- low grade fever, mild cough, body ache etc. Don't try to “shake it off”by resting a couple of days. Consider it a yellow flag immediately. While you look at getting tested for Covid, act based on symptoms
Act but don't panic
2/n

Note the day of first symptoms - that is Day 1

Day 1 - Start taking Dolo 650/ Crocin as needed along with Celin 500 (Vit C) and Zincovit/ Zinconia once a day. Also take steam 5-6 times a day. Gargle with betadine.

3/n

Check SpO2 readings periodically. A dip can be cause for alarm but decent readings not a cause for complacency
Known good practice: lie down in prone position (face down, pillow under chest) without mask and take deep breaths.

4/n

Day 3 - If symptoms persist for 3 days, you can start taking Azee and Ivermectin 12 mg. Once a day for 3-5 days. This is ‘covid light’ treatment
Please continue all the vitamins and treatments outlined above
(Some docs give doxycycline instead of Azee)

5/n

As you count from the day of first symptoms, things should start to improve from day 5-6 if infection is mild. Else it’s a cause for further action

6/n

Tests that should be done by day 5 (can be earlier too)

Blood tests - CRP, CBC, Ferratin, D Dimer.
High CRP levels - above 10- indicate infection.

Chest CT Scan
If high CRP, then CT is a must;
Many are doing CT earlier to save time, some even twice

7/n

Fever persisting post day 5, you should check with your doc about Fabiflu. Fabiflu is prescribed by doctors in cases where the fever stays high
(Most in India are talking about remdesivir, but its not a miracle drug and also hits the liver hard)

8/n

Day 7 is a good time to look at steroids depending upon age and any comorbidities. Doc intervention critical !

Dexona 6 mg (along with pan-d & ecosprin 25 or higher)

If fever is there then likely Fabiflu will be taken (1800mg twice on day 1; 800mg twice from day 2)

9/n

Oxygen levels consistently under 94 are tricky and under 90 would need hospitalisation; Oxygen cans, concentrator, cylinder can provide critical interim relief

The sincere hope (and prayer) is to minimise number of cases that get to this point