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The Medical Reasons for Covid-19 Vulnerability

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The Medical Reasons for Covid-19 Vulnerability Corona virus has been in the news for over seven months, and today we hear that Russian scientists have invented a vaccine. Dr.Anthony Fauci, the American physician and immunologist is very sceptical about the Russian claim, as Russians are second to none on propaganda. Only an effective vaccine can harness the destructive reign of the pandemic. History teaches that the Spanish flu pandemic is estimated to have killed 50 million and infected 500 million people between 1918 and 1919. So far the Covid-19 pandemic has killed 800000, therefore the pandemic has not reached its potential.When we consider morbidity and mortality, the elderly bear the brunt, while children are hardly affected. Those who are over 80 years with the Covid-19, 15% are destined to die. They are also more likely to be admitted to a hospital and might end up on a ventilator. In the UK, the government guideline was to shield over 65 year old people till 01-08-2020.Other g…

Guardian Angel in the form of a co-passenger

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Guardian Angel in the form of a co-passenger
I was offered a medical officer’s job by Mr.Mbadiwe, the chief of the Community Hospital, near Orlu, Imo State, Nigeria, contract exchanged, visa to Nigeria and ticket advice sent to Air India Ernakulum, Kerala, India. Mr.Mbadiwe had promised to send a representative to receive me at Lagos airport. Those days communication to Nigeria, through phone was impossible and the postal correspondence used to take two to four weeks. I posted a letter showing my arrival details to Mr.Mbadiwe, at least two weeks prior to my departure date. My parents bid farewell at Cochin Airport and I boarded my first flight on 29/07/1976. That was a small 50 seater Fokker Friendship aircraft bound to Bombay(then). My cousin, Kochu Devassy met me in Santa Cruz airport, and I got accommodation in nearby Centaur Hotel. The Nairobi bound flight was early morning of 30/07/1976. Then I was a stranger to all the departure formalities like immigration, customs and security.…

Memory of my dreadful experience in a train journey

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Memory of my dreadful experience in a train journey That was probably in 1954, when my cousin took me back home at Cochin (then), Kerala, India by train. I was then six years old, and my cousin was over ten years older than me who took me to Irinjalakuda, 40 miles away from Cochin. The dreadful  incident happened on our way back travelling by train. My cousin was very fond of celebrating colourful  Irinjalakuda church festival. I showed my enthusiasm in going with my cousin to Irinjalakuda church festival. My cousin persuaded  my parents to allow me to go with him, as it was a unique opportunity to meet other cousins, see the fireworks and church illumination. Those days I was more interested in travelling, especially by train than enjoying church festival. They agreed, and my father gave strict instructions on looking after me. I stayed a couple of days in my maternal grandparents house in the centre of Irinjalakuda. My cousin took me to the church on Saturday evening and Sunday afte…

An appraisal of Covid-19 pandemic on an international perspective.

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 An appraisal of Covid-19 pandemic on an international perspective.
As on the 07th August 2020,in the whole world 19.6 million people were infected by the corona virus and 715,000 people have died. Country wise, the US lost the maximum at 160000 people but their per million mortality rate is only 488.53. Considering per million mortality rate,Belgium ranks the first at 863.33 per million.This is closely followed by the United Kingdom where the per million rate is 698.06, then Peru at 638.46 and followed by Spain at 609.97 as per today’s statistics. One of the countries claimed to be having no mortality or infection is North Korea bearing in mind that the regime suppress all unfavourable data. Pacific Islands are said to be without corona virus infection. Although an autocratic state, the reports from Vietnam is more credible than North Korea, where the total mortality is only10, and the per million rate is only 0.1!. If true, it is a good record, bearing in mind the country is densely …

Corona virus attacks not just the lungs!

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Corona virus attacks not just the lungs!Now we are increasingly hearing that post convalescent patients experience bizarre symptoms like inability to smell, ringing sensations in the ear, burning sensation, diarrhoea,cardiac irregularities, deep vein thrombosis, stroke,disorientation and so on. Normally, after a severe viral infection, one can get post viral fatigue syndrome causing excessive sleep and weakness of the body. In fact this RNA virus is more virulent and inflicts more tissue damage. Corona virus with its spike protein, attaches to specific receptor known as ACE2 ( Angiotensin Converting Enzyme 2) on the surface of the cell. This helps the virus to pass through into the cell. The virus turns the cell into a factory producing millions of viruses. This can be breathed out causing infection to others. One unique disastrous feature of the corona virus infection is that it does not evoke a distress response in the cell to produce antibody immediately. ACE2 receptors are not onl…

Dr.H.Adenwalla, the smile maker doctor

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Dr.H.Adenwalla, the smile maker through yearsI knew Dr.Adenwalla personally, when I worked in Jubilee mission Hospital, Trichur (then), Kerala, India through my working in general Surgery, in 1974-1975 period. He joined JMH, in 1958 as a young doctor who was then all in all, doing casualty work, setting fractures, and doing general surgical and ENT work in a restricted space and limited technical resources set up. Since then, the growth of JMH was phenomenal, and now it is a teaching hospital with many blocks of multi storey buildings. When I worked there were other two surgeons, both of them also from Bombay, and two junior doctors. Everyday he starts early at 8 am dressed in his white shots, T shirt, and with his Integral round lens spectacles. After the out patient clinics, he goes for a ward round, which is very elaborate, time consuming and one should have a lot of patience to follow him. So is the case in assisting abdominal surgical operations, and plastic surgical operations l…

How does 90 minutes Covid-19 test work?

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One of the readers of my blog would like to know more about the 90 minute rapid test for Corona virus test to be rolled out by the U.K. government.Kits are to be made by London-based DNANudge, and will be launched next month. It analyses DNA in nose swabs but saves time as the results do not need to be sent to a laboratory. I do not know how it works as the coronavirus is a RNA VIRUS with URACIL nucleobase.I understand it works by DNA polymerase.In Coronavirus RNA virus mapping Uracil (U) is one of four chemical bases that are part of RNA. The other three bases are adenine (A), cytosine (C), and guanine (G). In DNA, the base is thymine (T). The advocates of this 90 minutes test claim that unlike Polymerase Chain Reaction test (PCR) false positive and negative are fewer. Like quarantine, social distancing, washing hands, wearing masks, testing is also very important tool to track down the contacts, and isolate them. Therefore testing is the most significant ammunition to tackle the spr…