Tag: Health

  • 2020-Aug: COVID-19

    COVID-19 is somewhat straightforward to understand as an intellectual idea. There’s a new virus out there, it can infect you, make you sick, and you’ll very likely recover. However, as you start to experience symptoms it starts to become a very different experience. A rollercoaster of emotions and thoughts. I want to make a record of what my own experience has felt like.

    I got back to India about 6 weeks ago on a Vande Bharath flight from SFO to BLR. It was a surreal experience to fly across the world with empty airports, no hot foot or entertainment on the plane, and being police escorted to a hotel to quarantine. It all passed by and I was back home to do what every other millennial is doing right now, live with your parents.

    My parents run a small business which produces an essential commodity. Apart from a few people who can work from home, almost everyone in their business has to be physically present, including them. This meant, driving back and forth between two cities on a weekly basis. As I had recently come home, I tagged along with them for these journeys given I’m in a transition period in my own life and had time on my hands. We were aware of the risks of being out and about but weren’t really too worried as we were sticklers about wearing masks + face shields, sanitizing our hands, and maintaining 6+ feet in the instances where we had to interact with folks.

    We did this trip 3 weeks in a row. Then on our last trip back, we all started falling sick one by one. Initially worried by this we began isolating almost immediately. However, we tried to keep our minds from the worst case scenario. Not just because the virus is a thread but more interestingly because testing positive comes with some amount of social stigma. We let a couple days pass and things didn’t really get better. I was of the opinion that since nobody had particularly bad symptoms that required us to go to the hospital we would just recover if we stayed at home for the next two weeks. Our fevers were mild, our SPO2 levels were not out of the ordinary, and there wasn’t serious bouts of sneezing / coughing. Plus, we were worried about rumors of local diagnostic centers marking people as positive because “incentives aligned”.

    However, my sister insisted that we didn’t take this lightly and to get all of us tested right away. This is a point that I dwell on. I’ve read up so much on this. I knew it was the right decision to get tested right away, but I still managed to rationalize that we’d be fine at home without a medical opinion. I value having that outside opinion because we did get tested and all of us were positive.

    Then came the first bout of despair, how bad could this get? Would we all recover normally? Would there be any long term damage? We still don’t know all the answers here but the next few days were filled with anguish and endless calls. Calls to family and recent contacts informing them, calls to doctors from across the country on their recommendations, and to our family doctor about our medication course and symptoms monitoring. Of course this also involved marking ourselves as positive in the arogya setu app (india’s COVID tracking app) and getting permission form the local municipal authorities to home quarantine.

    We got started on some meds, taking lots of rest, and eating all the food the family began sending us. Now, a week in everyone is in positive spirits and recovering just fine. We’re now a little too happy that we’re recovering fine, buying us more freedom (likely) for at least a few months. Though very, very cognizant of the fact that re-infections are a thing.

    Now come the interesting decisions we’ll need to make about continuing to travel regularly for work. What about in the neighborhood to go on runs? I, for one, cannot wait to go on a walk outside the house again. But what’s the signal we’re sending out there. Lots of decisions to make and we’re all making it up on the fly.

    Stay positive, test negative!

  • Thinking about COVID-19

    NOTE: THIS IS NOT MEDICAL ADVICE. YOU SHOULD GET TESTED FOR COVID IF YOU CAN AND FOLLOW NECESSARY TREATMENT. THIS IS A THOUGHT EXPERIMENT AT THIS TIME OF WHAT HAPPENS IF THE SYSTEMS ARE OVERWHELMED. ITS A SCRIBBLE.

    I’m thinking through my thoughts out loud – please tell me why this is absurd to even think about.

    One of the top ideas that’s out there is to flatten the curve: which means that we should try and load balance to avoid overwhelming our health care system. This includes testing and treatment infrastructure.

    One idea I’ve been thinking about given following information / constraints is if anyone

    1) under 30 starts seeing any symptoms and

    2) are not known to be at-risk, when

    3) the country is lacking infrastructure:

    COULD it make more sense for them to start following protocol as if they’ve tested postive to manage from home instead of heading to the hospital and keeping beds and testing kits open for older/at-risk folks?

    To thinking through whether this a bad idea or not, I’m trying to find the following info / answers / account for these thoughts:

    • clearly defined symptoms:
      • read about body aches, fever, cough, runny nose, chills, and some more
    • what pre-existing conditions make you at-risk?
    • find data on mortality / recovery rate for <30 y/o folks
    • what happens when you test positive for COVID 19 and you get checked-in to a hospital? what treatment do they follow? when do escalations happen?
    • in the countries where they’re turning away people from hospitals, what’s the protocol of things they’re asking you to follow? eg. drink lots of water, stay away from people, take x,y,z medicine which are available off the counter
    • by when should you expect to recover? If not recovered by then, how to inform the hospital and get elevated care?
    • the template for informing people you’ve been in contact with that you’re taking precautions and self-isolating
    • what if this springs people who don’t even have it to start taking precautions and social distance/isolate preemptively?
    • will it cause a mass panic / hysteria if people start getting messages from people about their safety?
    • what else?

    I know a few young people who’ve had the symptoms, tried to get tested last week and couldn’t, went home – slept for a few days, some some fever & cold medicine, plan to stay isolated for 2 weeks, but feel like the worst is gone and are making a full recovery. Now, of course we don’t know if they had it or not, but it’s encouraging that they feel fit enough to stand up again. could young people staying at home even when sick save lives because nearly all of them will recover anyway assuming we have a protocol for when they escalate and head to a hospital?

    Update: It looks like the Ohio Government is recommend this policy as well. and here’s a lot of relevant links to this idea.

    Symptoms: https:/ /themillennialmind.substack.com/p/what-to-look-for

  • Simple Advice for Good Health

    The best advice is the simplest.

    The simplest advice is the hardest to follow.

    This has roughly been my take away from the last week where I’ve been in and out of the hospital 🏥 on what I need to do to deal with my situation but also most health related ones:

    • Sleep enough
    • Eat healthy
    • Exercise regularly

    Story time:

    Last Saturday night, my body broke out in rashes without an apparent cause. Something that I had never experienced before. It was annoying at first but eventually turned painful. I barely slept over the rest of the night attempted to temper the sensation by scratching my burning body.

    On Sunday morning, we went to the hospital and got some shots for an allergic reaction which provided temporary relief.

    By Monday, my body was going crazy and once again I felt extremely fatigued. Once again, I was back at the hospital getting more shots still treating it as an allergic reaction. Only this time, it made things worse.

    Yesterday, Tuesday, I woke up with my entire body red in rashes and unable to look at myself in the mirror. Back at the hospital again, the doctors were beginning to suspect more and ordered many tests and then gave me more shots. I waited for the test results to arrive which would give us clarity on whether it was something worse (viral infection, bacterial infection) or still something more benign, an allergic reaction. By the late afternoon, the test results arrived and much to my relief the doctors went back to suspecting just the latter: an allergy attack. Specifically, being allergic to food colouring and certain additives combined with my body having a very high IGe levels (~388 vs the normal cutoff being below 100) which roughly translates to when you have a reaction you’ll have a severe one. What made it worse was likely a low immunity due to poor sleeping and eating habits, and being in a new environment.

    The immediate change that was recommended was to eat only home-made food for the foreseeable future until we confirm the hypothesis and allow my body to heal.

    However, the long-term recommendations from the doctor aside from double-checking for certain ingredients was to 1) ensure I sleep enough, 2) eat healthier (and at home), and ) exercise regularly, to lead a healthier life with reduced chances of allergy attacks in the future and better chance to fight them off.

    Of course, I had another new reality about myself to live with but as I read that part of the the doctor’s advice on my way home I couldn’t help but sit astounded at the magnitude of the impact doing those three things have on one’s physical and mental health.

    The advice sounds so simple but are relatively hard to follow. One part of me worries that the reason it is so hard to follow is because it is so simple. So easy to dismiss while looking for a more complex ways to achieve healthier outcomes. This week’s episode was a great reminder for me that sometimes the best advice is the simplest and must try hard to follow it.

    As for me, I’m on medication this week and next to kickstart my body again and have been advised to only eat home-cooked meals. Excited to be back at full-health again and getting better at being looped into a healthier routine.


    Also, I feel so lucky to have been at home while this happened because I am not sure things would’ve been so smooth without the support of my parents.