Hot Deal Is it Covid??

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Entertainer
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Hello bhailog
One of my friend was suffering from fever, body pain, vomiting, strong headache. She went to the hospital with her negative covid rapid antigen test report. The doctor asked her to go through different tests like widal, MP, CBC, CT scan of the head, test related to intestine infection, etc but all came negative. These all cost her around 9k and per day 6k charge for a bed. Now doctor again asked her to go through an HRCT chest test for covid (cost was around 6500).
The report came and the doctor said she has virus-like covid rolleyes
He didn’t interpret clearly so I am attaching the report here, anyone kindly interpret and tell what she should do further. As she doesn’t have any covid symptoms (tasteless, No smell, pulse down, etc)
She already spent 30k in that hospital, her fever and headache, vomiting is normal now. Should she discharge and follow home covid treatment??
Also, share your valuable inputs for home treatment. TIA


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Aajkal ke doctor bhi na , jabtak manchaha dawa and test na likh de unhe khana nahi pachta.

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titamazon wrote:

Aajkal ke doctor bhi na , jabtak manchaha dawa and test na likh de unhe khana nahi pachta.

Kuchh doctors to bas dhanda kar rahe hai. Sale ne 15000 k to only test kara liye imp

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You didn’t mention anything about RTPCR  test so I’m assuming those tests weren’t done. Ask doctors if that tests were done. Rapid antigen can give false negative lots of time.

It could be double mutant or triple mutant virus. Which are lot harder to detect

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Total_Fun wrote:

You didn’t mention anything about RTPCR t test so I’m assuming those tests weren’t done. Ask doctors if that tests were done. Rapid antigen can give false negative lots of time.

It could be double mutant or triple vi mutant virus. Which are lot harder to detect

For RT-PCR test she has to go to govt. hospital as they don’t conduct RTPCR. She has weakness so can’t go to govt hospital

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Score above 15 means there is severe lung involvement most likely due to covid

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CT score indicates lung infection. Better consult another doctor for alternate opinion if you are in doubt.

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neehesh wrote:

Score above 15 means there is severe lung involvement most likely due to covid

doctor said its medium level

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raghupro wrote:

CT score indicates lung infection. Better consult another doctor for alternate opinion if you are in doubt.

that is the only doubt i have, whether its lungs infection due to covid or anything else?

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The initial symptoms she had can be due to COVID but can also be there in many other conditions.
The chest CT shows lungs infection. Again it can be COVID or any other cause.
The definitive diagnosis can be made only with RTPCR. Rapid antigen negative has no diagnostic value.

See if somehow RTPCR can be arranged. If it is not available in her area, someone can send her the sampling kit and the local doctor can take the sample and send for testing.

As you said that she does not has any symptoms at present, she can be discharged after proper evaluation.
It is important to check and keep monitoring oxygen saturation levels at rest and after 5-6 mins normal walk and compare. If it is below 94% at rest or if it drops by 4 or more after walking or she feels breathing difficulty/chest tightness, she needs further care which MAY include oxygen support and/or steroids.

If she has no symptoms, and saturation is also good, she can be managed at home. Do the following
1. Strict isolation for 14 days from symptoms onset
2. Regular oxygen sat monitoring & charting 2-3 times a day
3. Adequate fluids. Can take ORS
4. Adequate rest and proper sleep.
5. Deep breathing exercises, pronation and moderate walks inside the room only.

NOTE – This is just advice, NOT A CONSULTATION.

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Moderator
batguy143 wrote:

The initial symptoms she had can be due to COVID but can also be there in many other conditions.
The chest CT shows lungs infection. Again it can be COVID or any other cause.
The definitive diagnosis can be made only with RTPCR. Rapid antigen negative has no diagnostic value.

See if somehow RTPCR can be arranged. If it is not available in her area, someone can send her the sampling kit and the local doctor can take the sample and send for testing.

As you said that she does not has any symptoms at present, she can be discharged after proper evaluation.
It is important to check and keep monitoring oxygen saturation levels at rest and after 5-6 mins normal walk and compare. If it is below 94% at rest or if it drops by 4 or more after walking or she feels breathing difficulty/chest tightness, she needs further care which MAY include oxygen support and/or steroids.

If she has no symptoms, and saturation is also good, she can be managed at home. Do the following
1. Strict isolation for 14 days from symptoms onset
2. Regular oxygen sat monitoring & charting 2-3 times a day
3. Adequate fluids. Can take ORS
4. Adequate rest and proper sleep.
5. Deep breathing exercises, pronation and moderate walks inside the room only.

NOTE – This is just advice, NOT A CONSULTATION.

Where are u practising batguy?

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Now day there is loot everywhere i was searching for remdesivir injection in kanpur and found that there is lots of fraud there people are selling injection bottle filled with distilled water and they are selling it for 12000 to 20000 depending on person’s need
You must confirm with good doctor then only do anything on your own because nation wide health system is collapsed

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cm4444 wrote:

If you need an uptodate subscription for free, let me know. Cheers!

Thank you very much!
Sure I’ll ask you. grinning

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The CT findings are suggestive of Covid. Not specific only to Covid, but in this current situation, its more likely to be Covid than the other causes.
So proceed accordingly.

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mas143forever wrote:

Bina tests ke kaise pata chalega?

Test karana important hai but iska matlab ye nahi duniya k sare test karale. Matlab jaydad thodi likh denge unke naam rolleyes

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Wander-lust wrote:

That particular hospital denied to do RTPCR. Not mentioning all private hospitals

Still, priority should be to get RTPCR done by exploring avenues available whether through sample collection or some other way.

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cadence wrote:

Still, priority should be to get RTPCR done by exploring avenues available whether through sample collection or some other way.

Yes bro finding the same

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Wander-lust wrote:

That particular hospital denied to do RTPCR. Not mentioning all private hospitals

Aaj hi RTPCR test karaya hai maine Apollo se home collection.

Check if it’s available in her area.

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Wander-lust wrote:

That particular hospital denied to do RTPCR. Not mentioning all private hospitals

Then there is something fishy about it. If they don’t have in house RTPCR testing facility then sending samples of patient who tested negative in rapid antigen test is the medical protocol. If Your patient had tested positive  they might have skipped RTPCR. But not  when she’s negative.

They might be trying to exploit you financially. Or it could be a case of gross negligence.

Talk to hospital administration. And file written complaint. Threaten them with complain against them in your state health ministry,  and involve police and  social media if necessary.

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Total_Fun wrote:

Then there is something fishy about it. If they don’t have in house RTPCR testing facility then sending samples of patient who tested negative in rapid antigen test is the medical protocol. If Your patient had tested positive  they might have skipped RTPCR. But not  when she’s negative.

They might be trying to exploit you financially. Or it could be a case of gross negligence.

Talk to hospital administration. And file written complaint. Threaten them with complain against them in your state health ministry,  and involve police and  social media if necessary.

https://cdn0.desidime.com/attachments/photos/679755/medium/7564252images-24.jpg?1619002410

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