Covid-19: How to monitor your symptoms at home and when to seek help


Gillian Duncan
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Knowing when to seek help is crucial to a patient’s chances of making a full recovery from Covid-19.

But there are many symptoms of infection, and about a third of people have none at all.

Others manage to shake it off after suffering little more than a runny nose or heavy cold.

But a significant minority of people suffer a relatively mild illness initially that deteriorates rapidly. Doctors say knowing when to visit the hospital is key.

The National explains the signs to watch out for:

When do symptoms start to deteriorate?

It varies from person to person.

“We have had patients deteriorating within three days or four days,” said Dr Ravi Arora, an internal medicine specialist at NMC Specialty Hospital in Abu Dhabi.

Deterioration is linked to the severity of the virus, the doctor said.

“If someone is able to mount a response, they won’t get many symptoms,” he said.

“But if they are overwhelmed by the viral load, or if they are not able to fight it out, they can deteriorate. That can happen up to 10 or 12 days as well.”

One way to judge how well a person is improving is by monitoring body temperature. If it falls, the person is “well on the road to recovery,” Dr Ravi said.

A pulse oximeter can be used by the patient to monitor Covid-19 symptoms at home. Imran Mukhtar / The National
A pulse oximeter can be used by the patient to monitor Covid-19 symptoms at home. Imran Mukhtar / The National

What signs suggest someone’s condition is getting worse?

The most important symptom is shortness of breath.

If they have any difficulty breathing, they must seek help immediately, Dr Arora said.

At this point, the next two or three days are critical.

“People who are having difficulty breathing might be on the edge. They might recover after a dip or they might further deteriorate,” Dr Arora said.

It is not always clear which one it will be, which is why anyone suffering from shortness of breath should seek urgent care.

“In case there is a deterioration, you can be attended to. The earlier we intervene, the better the outcome,” Dr Arora said.

“If we give them high-flow oxygen they may be able to avoid a ventilator.

What should a person do to monitor their condition at home?

Doctors recommend buying a pulse oximeter.

This small device helps monitor how well oxygen binds to a person’s red blood cells, which flags when someone is suffering from low oxygen.

They are available from pharmacies or popular online shopping outlets.

Once the level drops below 94 per cent, the person must go to hospital.

“Most patients are using a pulse oximeter at home,” said Dr Brijesh Bharadwaj, a specialist in internal medicine at NMC Royal Hospital in Dubai Investments Park.

“If there is a fall in oxygen saturation, it means their lungs are extensively damaged due to pneumonia.”

Something else to check is the respiratory rate, which is the number of times a person breathes each minute. If it rises to 30, it is time to visit the hospital, even if the oxygen level is 94 or slightly above.

“If you are breathless and have a respiratory rate of 30 and respiratory rate is 94 or 95 per cent, you should go to the hospital,” Dr Bharadwaj said.

Who should one call for help?

The health department in the emirate they live in, such as the Department of Health – Abu Dhabi, or Dubai Health Authority.

They will be able to advise where to go next and what steps to take.

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TERMINAL HIGH ALTITUDE AREA DEFENCE (THAAD)

What is THAAD?

It is considered to be the US's most superior missile defence system.

Production:

It was created in 2008.

Speed:

THAAD missiles can travel at over Mach 8, so fast that it is hypersonic.

Abilities:

THAAD is designed to take out  ballistic missiles as they are on their downward trajectory towards their target, otherwise known as the "terminal phase".

Purpose:

To protect high-value strategic sites, such as airfields or population centres.

Range:

THAAD can target projectiles inside and outside the Earth's atmosphere, at an altitude of 150 kilometres above the Earth's surface.

Creators:

Lockheed Martin was originally granted the contract to develop the system in 1992. Defence company Raytheon sub-contracts to develop other major parts of the system, such as ground-based radar.

UAE and THAAD:

In 2011, the UAE became the first country outside of the US to buy two THAAD missile defence systems. It then stationed them in 2016, becoming the first Gulf country to do so.

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  • Individuals must register on UAE Drone app or website using their UAE Pass
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Log4j breach: December 2021; attackers exploited the Java-written code to inflitrate businesses and governments

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Name: Dhabia Khalifa AlQubaisi

Age: 23

How she spends spare time: Playing with cats at the clinic and feeding them

Inspiration: My father. He’s a hard working man who has been through a lot to provide us with everything we need

Favourite book: Attitude, emotions and the psychology of cats by Dr Nicholes Dodman

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