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Harish Kotian

Paracetamol, plenty of fluids & rest
Sudeshna Sen13 August 2009, 03:00am IST
Its like being gifted a designer bag by
someone you hardly know, you dont quite
know if its the genuine article. I still
dont know if I actually had swine
flu, though my doctor insists I did. How does he
know? They didnt test me; he
was diagnosing and refusing to give me medicines
on the phone. Were not allowed
to show up at the surgery and spread it about. I
could have had measles for all I
know. It felt like any other nasty viral fever, a
week or 10 days of fever and stuff,
and then youre left feeling like youve been
flattened by a truck for another
week or so. In hindsight, its no big deal, really, ho hum.
Given the completely unnecessary palaver everyone
is making about swine flu, one
is more likely to die of sheer worry than of any
flu. It doesnt, in the least
bit help, that media, governments and health
authorities in nation after nation are
following almost identical patterns, about as predictable as the flu cycle.
Its hit Indian shores about a month after
weve been through the whole cycle
of panic and alarmism, trying to first contain
and isolate, then test and treat,
then a shortage of medicines as everyone panics
every time we sneeze, then a move
towards trying to identify only the really risky
cases and treating them, and finally
by that time everyones already had it, and
recovered. We were all given dire warnings
for weeks, so when I sneezed I just hoped it would go away.
By the time I summoned up the courage to call the
National Health Service, theyd
stopped quarantining people in their homes. No
point, its too widespread already,
the doctor said. Id been giving myself heart attacks worrying.
Heres the real dope from a survivor. Dont
panic. No, it is not fatal. Not by
itself, only from additional complications and
usually if you are pregnant, already
have other serious illnesses like heart or kidney disease, or something major.
Gas masks are useless. Its a nasty lil
virus, its extremely fast and sociable,
it transmits itself like the common cold.
Anti-virals like Tamiflu are not preventives.
Dont just pop em, even if you get hold of
them. They have to be taken in exactly
the first 48 hours after getting the infection, its useless else.
The most effective treatment is paracetamol,
plenty of fluids, rest, and chicken
soup. Thats what I was given, despite nagging
incessantly at my doctors for anti-virals.
Im not eligible for them, apparently, because
in the UK, antivirals are being
stingily doled out only to high-risk categories.
So I panicked, muttered darkly about
being stuck in a backward country, and got
someone in India to send me supplies of
Oseltamivir. I called again. My rather tetchy GP
told me not to whine, drink my soup
and it would go away in a week or 10 days.
Surprisingly, it did. By the time I was
actually allowed into the surgery, and did a
battery of tests in retrospect for any
secondary or lingering infection, it was all over.
Globally, WHO has officially abandoned any
attempts to contain swine flu the
medical strategy in pandemic hit countries is to
identify outbreak clusters because
this bug is neighbourly. Next, to identify the
most at risk patients The rest
dont need anything. Yeah, I didnt believe
the NHS when they told me that either,
but they were right. This time.
The writer is the London-based foreign editor of the Economic Times
http://timesofindia.indiatimes.com/articleshow/msid-4887827,prtpage-1.cms


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