he second wave of Cov-
id-19 has been brutal
on us all. With the ris-
ing number of cases
and increasing worry
among the citizens,
First India spoke once
again to Consultant Pulmonolo-
gist, Narayana Multispeciality
Hospital in Jaipur, Dr Shivani
Swami in an exclusive inter-
view to gain a better under-
standing of the second strain,
use of certain medicines and
drugs for treatment, the signifi-
cance of vaccine and post-Cov-
id recovery.
Among other things, she
said, “We just wake up, dress up
and show up. When a sick pa-
tient gets well and goes home
and the family is very thankful,
that is where we draw our inspi-
ration.”
In the past, Dr Swami has
worked in some of the most
prestigious hospitals in the
country like the Medanta: The
MediCity in Gurgaon and the
Fortis Hospital in New Delhi.
She specialises in pulmonology,
sleeps medicine, allergy and
immunology as well as critical
care.
Q. How is the second strain of
Covid-19 different from the
others?
A. It is way more contagious
than the first one. Many
young people are getting
very sick. Most importantly,
there is a lot of severe lung
involvement. Patients are re-
quiring oxygen sometimes as
early as the 5th or 6th day
which was not the case in the
first wave.
Q. Medicines like Azithromy-
cin and Hydroxychloro-
quine are not being recom-
mended by the doctors. So
what is the new change in
the treatment for Covid-19?
A. Drugs like Azithromycin and
Hydroxychloroquine are al-
most on their way out. As per
evidence and studies, the
new guidelines do not sup-
port their effectiveness. How-
ever, many continue to use it
because of results from their
personal experiences. Simi-
larly, as per the new guide-
lines, plasma has no role but
still, a lot of doctors are us-
ing it in the early stages.
Most of the guidelines are
based on studies done over-
seas not looking at the Indian
strain or the Indian patient.
So every doctor here is decid-
ing as per their own experi-
ence.
Q. What do you recommend
for a patient who has just
got afflicted?
A. Someone who has just gotten
afflicted should contact their
doctor and if advised get
tested. Secondly, during ill-
ness, a lot of doctors will ad-
vise you repeated blood tests
to decide the further course
of treatment. These are gen-
uinely advised and not to
make money out of the pa-
tient. Thirdly,
many pa-
tients rush
to get CT
scan done
by them-
selves in
the early
stages
which are
not recom-
mend-
ed.
You are unnecessarily expos-
ing your body to radiation.
The diagnostic test stills re-
main the RT-PCR test.
Q. What precautions should
the patient follow in the
second week? When should
the steroids be recommend-
ed?
A. In the second week you need
to keep a close watch on fever
and oxygen levels. You need
to eat well and lie prone (on
your stomach) multiple
times a day lasting 45 min-
utes to 1 hour each time. This
will help with breathing. If
you experience any kind of
chest pain or your oxygen
level drops below 92 you must
consult your doctor.
Each doctor makes a
call for their patient
when it comes to
steroids depend-
ing on the blood
tests and their
clinical condi-
tion. But for
steroids to be
given in the ini-
tial 4-5 days is
counterproduc-
tive. It should
not be taken
without medi-
cal supervision.
Q. Are vaccines
and the Covid pro-
tocols the answer to
the current Covid
wave?
A. Vaccines are
the only answer to the
Covid wave. For those
who have gotten both
shots their disease
severity is much milder and
they recover easily. It may
not be 100% effective which
it is not even claiming to be.
But, it certainly affects pre-
venting moderate to severe
disease.
Q. Do you agree that doctors
in private hospitals are not
getting enough publicity
even though they are doing
a herculean job?
A. I do not think anyone is look-
ing for publicity right now.
Nevertheless, the Govern-
ment could be more support-
ive of private hospitals.
Sometimes we have a prob-
lem in obtaining medicines
for the patients.
Q. Would you like to comment
on the overwhelmed medi-
cal infrastructure in the
country presently?
A. No country can provide
healthcare for all their citi-
zens at one go, as is the pre-
sent situation. However, we
could have been better pre-
pared considering we
have gone through
this for almost a
year and eve-
rybody ex-
pected
this wave
to come
back in
March.
Q. What
are the
post-re-
covery
Covid pro-
tocols?
A. Post-recovery
a person should focus on
their diet and lifestyle. If
they have diabetes they
should control their sugar.
They should do a lot of deep
breathing exercises or res-
piratory physiotherapy as
advised by their doctor. This
is the time they need to work
on themselves to get better
and not just lie in bed.
Q. How have you coped with
the stress and work pres-
sure of the second wave?
A. W e just wake up, dress up
and show up. When a sick pa-
tient gets well and goes home
and the family is very thank-
ful, that is where we draw
our inspiration.
10
ETC
JAIPUR | SUNDAY, MAY 16, 2021www.fi rstindia.co.in I www.fi rstindia.co.in/epaper/ I twitter.com/thefi rstindia I facebook.com/thefi rstindia I instagram.com/thefi rstindia
FACE OF THE DAY
STELL KHUT, FASHION Blogger
LEO
JULY 24 - AUGUST 23
You continue to stay fi t and
healthy and there is
nothing to worry as far as
health is concerned.
Because of limit fl ow of money, your
fi nancial condition is not stable yet.
Your hard in offi ce will bring your
recognition and appreciation from
your senior.
LIBRA
SEPT 24 - OCTOBER 22
You have a good health and there is nothing to worry as such. To prevent any monetary loss, you
should care to read your business proposal twice before taking any decision. In offi ce, you may need to persuade someone to stand in your favour but it will be worth it.
ARIES
MAR 21 - APR 20You are satisfi ed with your health and you enjoy that feeling. Money will fl ow into your life to make you
fi nancially stable. Some of you may earn good name for being consistent at work. In social life, it’s a good practice to avoid blaming others for our own shortcomings.
SAGITTARIUS
NOV 23 - DEC 22You may get motivated to plan fi nances for going in for something big. You are likely to enjoy good health as you
resolve to take up some physical activity seriously. A family member may be forthcoming in extending a helping hand, but may need a big guidance.
GEMINI
MAY 21 - JUNE 21You may go for a cheat meal all as a reward for maintaining good health. If you have been struggling
with money then that’s a thing of a past now as money will fl ow in from all the directions. In offi ce, you will support your colleague by sharing his/her work pressure.
AQUARIUS
JAN 21 - FEB 19Keep a close tab on what you eat if you want to remain healthy. You must limit your expenses to only
buying essential stuff. In offi ce, your colleagues may not like your upfront nature. Your love may not give the kind of attention you have been waiting for.
TAURUS
APR 21 - MAY 20You will continue to enjoy your good health if you stick to a proper diet and exercise regime. You may
fi nally meet your fi nancial savior who will help you put the pieces at the right place. Some of you may assist your family by organizing a function or an event.
CAPRICORN
DEC 23 - JAN 20Financially worries are set to disappear as you are about to come into big money. Chances of
winning a deal become bright through your efforts on the business front. You are likely to resolve to come back in shape and start an exercise regimen.
VIRGO
AUG 24 - SEP 23You will be able to remain in saving mode despite temptations. New contracts and deals may be signed,
but their implementation can take some more time. Focus on health will become your priority and will have a positive outcome on your fi tness.Put in extra hours on the academic front.
CANCER
JUNE 22 - JULY 23Your optimism will keep you going and you will fi nd yourself in absolute peace. The more time you invest
in a project completion, the better it will in terms of monetary gains. In social life, avoid venting your anger on some who is younger or elder to you.
PISCES
FEB20 - MARCH 20Regular workouts and eating right is your mantra for keeping fi t. Against all odds, you will be able to
manage your fi nances well. Today, you must give a thought to property issues. Academic front looks bright for those appearing for some competition.
SCORPIO
OCT 23 - NOVEMBER 22You are likely to enjoy good health by managing to keep bad habits under check. You can derive
immense satisfaction by making the home front aesthetically appealing. Constructing a house or acquiring an apartment cannot be ruled out for some.
YOUR
DAY
Horoscope by
Saurabbh Sachdeva
WAKE UP, DRESS UP
AND SHOW UP!
ANITA HADA
[email protected]
T
The gratitude of a recovered
patient is our biggest inspiration.
We just wake up, dress up and
show up. —Dr Shivani Swami