Dr Calm COVID Help

One more second. Give me a minute and then I think we should all be okay.

Yeah.

All right folks. All right everyone. Thanks for joining me. This is Dr. Kiran. Alright folks. Good evening everyone. To the people in India. I know the time around there is 6:30pm and good morning to those people who are zooming from America. The time for me here is around 6am in the morning. As you know, we are all getting together every day. Zoom calls. We are learning important things about COVID Every day we are seeing so many people dying. White fungus. Information. Doubts. So to fight the misinformation, to break any myths about COVID and the COVID related treatments. I started doing these zoom calls every day where we are discussing one or two topics each day. And then we are also asking the participant to ask questions. We are encouraging them to ask questions. So we are here to help. And today I'm very very happy to invite Ms. Ramya Agasti. She is a very well known journalist who has a lot of programs in India. And also a very good person, dynamic young lady. And I am pleased to invite her to our program today. And she's going to ask me a few questions representing the people. So please welcome her.

Thank you sir. Thank you. Thank you so much. I'll ask questions though it looks like very simple. Like everything. First half an hour. As we have understood this one hour program. Me I wanted to put in a constructive method. First 15, 20 minutes I post questions which have been into my ears from many different people. Next Dr. Garni, you can ask him and I will also listen along with you. Then sir, will it be fine?

Sure. Please.

So both the counters personal doubts. So I. I am thankful that you all brought me onto this platform. But luckily I got the chance to stand by you and do this good thing on the right time.

Thank you. Thank you very much. I really appreciate your help.

So let me start without wasting any more time. Simple scientific names. White fungus, Black fungus. Yellow. These are the Maharashtra Kaldamani. That is very simple and clear.

Right? Right. But I'll explain why people are giving all these colors. And actually what can you do to prevent these fungal infections? Black fungus. Medical terminology. Mucormycosis. So a mucus species of fungus. Black fungus and a disease fungus. Normal guy spores, fungal spore. Normal. Nasal mucosantam. Immunity. Strong immunity effect. Okay. Immunity down in a puru fungus. Oh yes. So now we have to do something simple. Okay. And it starts growing. And then as it starts growing it starts invading the tissues around the nose. Gyani Gani. E. PR blood vessels. Blood vessels. So our blood vessels break out blood supply both on the eye area. Necrosis and necrotic tissue automatically. So black fungus. Black tissue form that is in the nose, whether it is around the eyes. So initial. And it can be dangerous, especially face vision, the nose, Gyani ear ghani area low brain. It can easily penetrate the brain also and that can be very dangerous.

We have to be scared for the coming more months and days also.

Season. Okay, Next indente. Is steroids. In the country we have seen lot of cases. Lot of cases. But it was very bad here once. Once like a few months ago. January of 2020. January of 2021 and December 2020 are time low. So almost one year low. We have rarely seen any mucormycosis cases. Maybe one, maybe two. Maybe here and there. That's it. That's it.

Okay.

For example, person Akiva Chindi Mucormycosis Hospital immunity. Opportunistic infections. Under medical terminology the opportunity. That is called opportunistic infection. Medical terminology. So these calls and precautions. The main problem that we are seeing is lot of people on steroids. So some problem.

Doctor.

It's okay. You can use steroid at this dose for this problem.

Basic steroid because the name is carrying steroid.

Exactly. Control steroid creams. Yeah. Major point. Steroids. Okay. Okay.

How can a normal man divide it? But they've been loaded with loads of tablets. End of the day we are seeing them in a different phase. So how can a normal man understand?

Yeah, low dose steroids. High dose steroids. Medical terminology. Dexamethasone 6mg every day for 10 days. 10 days matram dexamethasone 6mg for 10 days. That is what is proven to help COVID patients. Especially when given during the second week. When the virus in our body immune system are fighting a lot and that leads to inflammation. Problem caused. Okay. Body immune system. They start fighting inflammation. Inflammation. Automatic.

What exactly? Inflammation.

Inflammation. Okay. Inflammation body. Low immune cells and the immune system. Low white blood cells. Okay. Like A T cells and E B cells. Any macrophages, any antibodies, even different part of our immune system. There's a lot of disturbance behind. So. Okay, I just want to make sure is everyone is muted, okay?

Yes, sir.

Okay, good. So inflammation.

Mob.

Okay. Inflammation. Okay. High fevers. Next. Difficulty breathing. So. Steroids at low dose they are anti inflammatory inflammation steroids. So steroid okay. Especially first week steroids, water. First week steroids, water especially first four or five days slow. Okay. Steroids more than 10 days high dose dexamethasone 6mg daily for 10 days later prednisone 40mg daily for 10 days later methyl prednisone 32mg daily for 10 days that is what all is needed that is what all is needed for most people. Problem Amy Raghuradu steroid immunity. Hospital slowly very high dose steroids for example Medhyl 240mg thousand milligrams India especially second we have started up mother so we have to be very very very careful Steroid. Steroids rendu Diabetes out of control Blood sugars There is another problem Fungus pores and. Prolonged icu stando icu. When a body defense system.

So.

Steroids diabetes sugars steroids so high dose steroids Problem low dose steroid yes you can manage. Okay so yeah even you got a Kalipi ICU stay Steroids, diabetes out of control. Environment.

Sir, I have a doubt There are little different diseases which are not regularly seen with many people. Immunity system.

Autoimmune disease. Autoimmune disease. I have seen lots of people, hundreds of patients so far I haven't particularly seen people who have autoimmune diseases to begin with are necessarily having more Covid or more disease. Okay, I haven't necessarily seen. They're especially at a higher risk.

Okay so Covid is normal to everybody Specific extra.

Yeah Immune system down in cancer. Nutrition immune system Immune system stress immune system dysfunction so immune system improve the most important thing. White fungus and. White fungus and TNT I think they mean candida candida candida White patches form just in the mana Oral mucus are not low White patches form just so Candida genital areas White fungus white color. So Danika treatment Chala simple white fungus or candidacy Fluconazole that can be given orally Also. Medication. So the white fungus. Pasachina so Marival. Green color rainbow color so anosranga. That will be a much better way of informing publicity.

Something to ask I guess.

Huh? Oh Aditya. Oh okay, let me see.

Thanks mom. Thank you sir. I'm sorry.

Pink fungus.

Yeah yeah yeah Pink.

Pink fungus. Pink fungus.

So that it will be much more informative.

Yeah, That will be more useful for diagnosis. So I'm not aware of any specific fungus that is called pink fungus but if she wants to join tomorrow and tell me about the symptoms I think we can take a look at it or you know they can email me. I'll be happy to take a look at it.

I'm sorry sir. Hello? Yeah yeah. So. Black fungus. I'm sorry, sir? Black fungus. Black fungus.

Yeah, yeah, black fungus. So there is a problem. The only it actually spreads anmata. And then when it spreads, it causes the necrotic tissue. So it dead tissue form just in the akara. And again the blood supply cut off. Hypodermala specific area. So black fungus siddhanta, vachina, puru. We need to act quickly. We need to act quickly. So surgery. I was from surgery. Rendu medication, amphotericin B and Japan injection amphotericin B and Namo. So our medication start treatment four to six weeks. A black fungus key or mucomycosystem. It depends on fungus. By the time they notice, it is already black. And black tissue is dead. Medical terminology though. So it is not a viable tissue. The tissue is not dead tissue. Dead tissue approved. Area of the body reconstruction. You know, for example, jaw. They do jaw reconstruction. There are plastic surgeons, ENT surgeons who do jaw reconstruction. So. But it's all complicated. It's all very complicated. The best thing. The best thing. The best thing. The best thing. You need to educate yourself about Kovid steroids. What precautions should be taken, what should not be done. What should be done. What are the myths? How to break those myths. Next one or two months family important. Total information. Okay. It's all important. It's all important. Me Prithi family member.

Sir, I say this is the right time to ask this question.

Yeah.

Step one. Step two. Step three. Medication doses.

100 timeline Covid timeline. First point, Whatever reason, Virus replication. Okay, One second. Let me mute this here. Fever, sore throat. Okay, that's okay. Five, six days immune system. Oh, yes. We need to stop this starts attacking the virus. Okay. Most of the time, almost 80 to 85% of the time automatic without getting worse. 80 to 85% people only have mild symptoms or no symptoms. Loss of smell, loss of taste. So we go on the it went we. And for them it is done. Two weeks is all over for them. Okay. 80 to 85% people in the country immune system activate control chases. Okay, you are fine. Okay. 10 to 15.

Isolated room. But still point to point. When to start medication, when to consult somebody.

Yeah.

So because most people get better by themselves. Day one in the under medication. Okay. Day one defenders. In fact, that is day one symptoms. Okay. All right. Test positive, test positive. General symptoms general. So Ivermectin, doxycycline, azithromycin, hydroxychloroquine coating waste. These are all not life saving medications. Okay, That's okay. I Can't say much about it, but okay. Especially first four or five days steroids. First four, five days.

Unless.

Inflammation. Okay, that is a different thing. Okay. Okay. Five, six days. Symptoms. You need to start steroids at that time. Okay.

Good. Use.

Medications.

But high fever, they mean to say high fever.

Paracetamol, lacapote, ibuprofenantamo, combiflam. Fevers. Okay. General fever. It is a protective mechanism. Fever. Fever is helping you fight the virus. Definite round the clock. Paracetamol. Uncomfortable. Yes. Okay. Steroids first five days. Next E. Ivermectin, doxycycline, azithromycin. Even you would have proven kadu. Proven kadu. Side effects. Okay, That's okay, you know, Worker medication. That's fine. All right. Second week. Steroids. Doctor helped to use chest conduit.

Yes. So steroids. Is it. Is it what you really frame till now, sir?

Yeah, yeah. That is very good summary. Yes, 100%. Yes.

For the next 15 minutes I want rest of the people who have joined in this. This would be more purposeful session. And so I summarized it at this point of time.

Definitely, definitely. I think. Let me see. There is.

Yeah, yeah.

Please go ahead.

Yeah. Sir. Vaccination 2, 3 months. Worker can you please tell?

Right, right.

Yeah. Antibodies body immune system react. Oh, yes. Next time. Our body gets ready. So the antibodies general at least three to six months, possibly longer. So next time. Virus components which cannot infect us, but it can make your body think. Oh, virus and I feeling body antibodies. Okay, so miru already make infection Antibodies body law. Maximum Argentica Abbasram lay time in the valley. Vaccine. Let me create the antibodies. Definite. Okay, ruled. Okay, danik. Exceptions on. Amy, Fevers, headaches because body reactant. Okay, so exception three months monochromatic antibodies. I think they should wait for three months or so before they take the vaccine.

So Ivor mectainer doxycycline.

Our medications are not necessarily useful in Covid, but vaccine. Yes, they can take the vaccine.

Black fungus informative.

That is Fight misinformation and provide right information.

That you have to more careful. Third case December. We should allow them on their own course.

Yeah. If there is someone who will have the least chance to get affected by any fungus that is kids. Kua immune system. Okay. Black fungus.

Baby. Newborn baby. One, not two, one, not four. Fever continues for four days. Last two and a half months. Is it something more danger? Well, or something. We have to take care of all the kids who are with us even or let us be on the regular course of life.

Yes, I Think that is a good point. Second wavelength. Especially India, millions of people. January, february. Social distancing part in Sukunda. Election rallies. Religious gatherings like Kumbh, Melagani, Ramzani, Gani Gani gatherings. So virus has spread freely. And when the virus infects lots of people at the same time. Volume, sheer volume. And Mata masses of people got infected. And they carried it everywhere. Yes, We had to be very careful. That is how you are going to prevent the third wave. Third wave. Definitely October low. Definitely September low. Predictions and speculations. Okay. And no one knows the future. But what can we do now? That is in our hands. That is in our hands.

Has also raised his hand. And the other video. We could see them. Just raised his hand.

Yeah.

Santosh, please.

Hi, doctor.

Hello. Good morning.

Yeah, doctor. So like, thank you so much for your support.

And like.

So Ivala.

Like doctor, my sister. Condition. Almost like 17 or 18 days. But niv, Hermit continuous maintain chest to narrow saturations and biomarkers like T dimer, crp. Normal range but still saturations and heavy.

Okay, got it. Got it. Sister around 33 years age in Kuntano. I see almost 18 days. Ct score 21. 22. 23. Okay, now 21 key. 22 key. So it's almost the same. Almost. Of course. But we always have to look at the images themselves and see what exactly they're looking like. Rendu inflammatory markers. Improve on. Improve. That is a good sign. CRP diameter. That is a good sign. Okay. They wore it in the Chevy shop. Inflammation control. Oxygen levels last two weeks, part 2. 60%. 70% F5O2 fluctuate. FiO20 oxygen levels. 90% saturation.

Yes. Yes, doctor.

Yeah. Serious condition stable. That is also a good thing. Okay.

Okay.

That is also a good thing. Time. Game time. We just need to buy as much time as we can. We have to provide as much support as we can. Okay. High flow oxygen. We're lucky. High flow oxygen. Lack of niv. Non invasive ventilation. The intubation. Generic intubation. Tracheal endotracheal tube. Trachea Loki. Upper part of lungs. Lungs. So then what happens is ventilation provides. So that is not good. It is dangerous. Definitely dangerous. It's not easy to come out.

So.

Non invasive ventilation. Machine Garlic. Okay. Oxygen. So that is helpful. I'd use Chestnut. Niv.

Yes. Yes, doctor.

Yeah, you could either use NIV or high flow oxygen. Hyperfloxine. High flow oxygen. That is even better. You have to give time. That is the only thing that I can say. It seems and choose in the medications. Could I be Heparin, Vartanaru, Ali, blood thinner, Almata. I think that is a good thing that they are doing next evolution medications. I have seen personally people taking one month, two months to get better financial burden. Hospital law, that is the main thing. I think we need to give her time. Time. We should give her time. She's only 33.

Okay, doctor.

Okay. Nama stay in touch.

Sure.

Okay. Thank you.

Thank you so much.

Yeah. Yeah. Bharat Vamsi has a question. Bharat.

Hello.

Oh yeah, please go ahead.

Actually december. Nearly six months. Five months.

Disturbances.

Sir, I help in summarizing the question. She already suffered with this corona thing. And recently she has again been attacked with some viral fever. That was what she mentioned. 99.660 Inca monocep, antibiotic. Vitamin, multivitamin, C vitamin. So. Is it the right way to help herself or anything better?

Cold, common cold.

So.

Viral feverski? General most viral feverski. Just dolo, Ibuprofen, combiflam. That's enough. And that is okay to take them? Vitamin C gaining vitamins supplier.

That was her question.

Yeah, yeah. Sorry sir.

Actually.

Stomach flow. I have the five medicines English diagnosis. Ah, yes sir. Yeah. FOS crystal center stomach, water water balloons, powder bubbles.

I think so.

Okay, let me take a look at it. Okay. Okay.

Thank you, sir. Thank you so much.

Yeah. Okay, one more thing. 98.5 temperature normal. IPND I think monosy of tablet 5 days. Continue 5 days. Generally antibiotic.

Yeah.

So maybe antibiotics. General five days. Ghani seven days. So I think in general it is good to finish the course.

Yeah.

Okay. That would be apt for him to answer your question.

Okay.

Sure ma'. Am.

Is that the right way to proceed, Sir?

That is better. Because I think it is important to know all the details before I give a more personal advice. Yeah.

Was waiting to talk to you. Mic button. That's change.

Okay, There someone else. Krishna. Krishna Kishore. Yes sir.

My father is around 76 years old and he has history of paralysis stroke in nine from 92 onward. In 92 rather.

Okay.

And past one week back he got attacked with some kind of temperature and then cough and stuff like that.

Okay.

And just yesterday I got the test done and then it was found to be code. He was found to be code positive.

Okay.

And the CRP levels are around 33. And of course the this thing a D Dimer Change D DiMera is around 0.57. Also done.

What is also done?

Also don't got. Got it done. It was on a scale of 1 to 6. It it was found to be 5 covert scale that is C is at 5 and it is the risk factor is around 9 out of 25. So he's on since more than 20 years or 25 years. He is on blood thinners as well because of the high BP and paralysis, stroke these things. So at this point in time and the temperature I'm on a Constant it's between 99 and 100. So at this point in time what do you suggest like for him God.

My father age 76. Yeah yeah 76 otherwise but otherwise is he mobile Easy bedbound. Hypertension.

High BP is there for more than 30 years. He is having high BP cancer diabetic.

Sugar control on the out of control on the.

It's under in control.

Okay.

It's last Wednesday it started off. And rpcr CPR.

Okay symptoms.

Symptoms. Cough, temperature and cough is the one which is making him to struggle. That's what temperature temperature was there since 5 days coffee cough around 3 days 4 days back it was approx.

4 days back. Okay, got it. Yeah yeah. Okay got it. So. Me father key almost one week positive on the CT scan findings lungs effectively inflammation. Yeah I would suggest starting steroids. On 6mg daily for 10 days. And can you local doctor named. Already one week IP in the gap. This is the time that we need to be careful and watch especially with his age 76 diabetes, hypertension, risk factors even like.

Okay. We are checking it approximately four hours once.

95 on the constant. Yeah okay. 95 and I think it's just at the borderline. I think. I think he needs to get started on steroids. Okay okay. I think that is important getting started on steroids.

And he is on Clavix A75 for quite for some time.

Yeah yeah. Continue that for now Covid loan problem keep living solution in general. General but it's okay for now let him continue. Nothing to worry Steroids and the water important too. Jati oxygen level monitor just could important to the girl on a doctor important to monoclonal antibodies.

Okay.

Antibody cocktail until now because your dad has the risk to progress to a more severe disease because of a risk factors essentially I think if you have the ability to get the monoclonal antibody cocktail I think you should give it to him. That is what I would do.

And what is this? And I didn't get that how it is. Is it difficult to get in the marketplace or how is it like.

Ground reality?

Yes.

Would you be able to say anything about it? Nagasara Garu. Please Mute it.

Monoclonal antibodies cocktail is available across the Andhra Pradesh and in Telangana also. Can you text it? If you can text it, I'll read for you. Don't take the risk of removing your mask. Yeah, yeah, sorry. You can text me to my.

So text. We can group chat. Monoclonal antibodies. It seems that. But this may be the time to consider that. But I want you to see your local doctor and take the advice. Because they need to see and make sure there are no contraindications. Okay. Okay.

If somebody want an answer, you can just name him. He'll respond to it, sir.

Yeah, yeah.

69, triple one. That number. He definitely know the answer date. You can buy them. Okay. On and off.

Okay. Is it okay? Is it okay?

Okay.

I have to seek Dr. Karen.

Which happened.

If you remember me when you were at Vijayawada. I met you along with Nagisaro. I was in. I am in Aisha hospitals.

Oh no.

I spent a lot of time. Gurtanda. Yes, yes, yes. Very nice, sir.

Good.

I wanted to ask you one question. You may think it it's a silly question, but there are n number of people who wanted to raise my question.

Sure.

But probably they might have not got a platform like this.

Sure.

What is the myth about this? What is called liquor, Sir, Some people are saying, you know a regular taking up for whiskey only to the limited quantities. And other things keep away this COVID virus and other things probably might be wrong or true also. How far you can clarify that, sir?

It is nonsense. Total nonsense. Alcohol has nothing to do with COVID I'll call them.

This is a taxpayer. We can feel great that we have become a true taxpayer to the government.

What is the cost of your life And.

Yeah, yeah. I don't think it is going anywhere. I'd rather keep and use it for something good.

No, no. Rather I wanted to put you. Any questions? No, I wanted to meet you. I wanted to see you, sir.

Thank you. Thank you.

Okay.

Appreciate it. Very nice seeing you.

Thank you, sir. Thank you very much.

Marketing department.

Yes. Yes. I bought to Tamba toys for your daughter. Also I ran and got. Fine, fine, sir.

Thank you. Thank you.

Wow. It's a good thing to speak something offline.

Thank you indeed.

If not, there is one last question. Blood dilutes. Heart surgery. Open bypass surgery. Lack of the brain. Brain, strokes. Vaccinations. Doses. And facts. We can wind this session.

Yeah, let's make this the last question. First word.

Heart Operational open heart surgery like any heart can. It is an operations body lobby. Specifically blood clots. Extra medications already on a blood dilute injections and tablets already Vaccines.

Okay.

Heart attack.

That is very important to know vaccine. Okay. Scientific data. Data researches in the vaccines. For example Johnson and Johnson. Okay. It is a very rare side effect. Rare side effect. Okay. Yes, maybe possible, but. Okay. The chances for you to have coronavirus right now is high. It can be dangerous. Right?

So.

Okay. Defending a coronavirus and prevent chest calls. 10 million people. Okay. I think it will be helpful to make the decision in general. As a rule, taking the vaccine is what I recommend. There is surgery, but in General, in general, A20 guidelines. If you got your surgery, let's say one week in the two weeks and you can just take it. That's okay. Even surgery immune system.

So with this still you have something?

Yeah, yeah. One last.

Okay, last question.

Okay.

DNA future. This is too early, but. DNA, DNA, human DNA.

Best educated guess or prediction is no, because this is not. The virus is not causing any mutations in our DNA.

Okay.

The virus is not causing any mutations in our DNA. The virus is mutating itself and that happens all the time. Vaccine. Survival of the fittest. The viral is thinking about survival of the fittest. Essentially all organisms are thinking the same. So Manaki human low DNA changes.

Okay.

So.

Hiv vaccine, Unfortunately, because it escapes our immune system very, very, very well. So hopefully one day.

We cannot even. That's what I got. It is really hard to get the vaccine.

Yeah, I think virus. All viruses.

Okay.

In general viruses. So immune system strength.

On the E.

Virus and if I chill.

Absolutely. Yeah.

So thank you, Adisa. Let me summer up in the right way and give time for the people to get back into their routine. So simple and simple form over doses. Second first week work Steroid doctor prescribe minimal dose if at all. If you are given a heavy higher dose, please be cautious. Be as normal as you can be. Take minimal steroid doses if at all, if necessary. First week, if at all. You can be safe, you can be still be at home, stay safe. You can be more safe and more happy.

Very good. That is a very good summary. Andy. Thank you. Thank you very much for moderating this talk and then thanks everyone who has participated today in our zoom call. And I look forward to talking to you guys tomorrow.

Let's meet for another lovely session. We'll put in the time and then we'll frame it in the right way.

Perfect, huh? Thank you very much.

Bye sir.

Thank you.

Bye.

Bye.

Good day everyone.

For your comments. Thank you.

Please take the information from Naya Saragar. Okay, thank you.

That may help you in the right time. Already accepted image also already message is something anything else I kept in that. Thank you. That may be more easy for us to talk to you.

Seems like I've missed a lot of important information but yeah luckily Internet rang and I have connected to you and anyway I don't feel bad because live session Facebook page loan I'll go through if anybody wants to watch this session on live again Dr. Kamp page low you can find that you just need to search Dr. Kam on Facebook or YouTube you can find the live session. Sure I'll share the WhatsApp Facebook page on WhatsApp group. So that's and luckily we have the live session to see.

Yeah thanks to technology. Thank you for updating. Also on the right platform let's all meet us tomorrow with all the great new things to be understood in the right way. Let's throw away the myth and understand the reality in the right way.

Thank you. Have a wonderful sleep. Bye.