Tag Archives: dialysis

COVID19 vaccination: 20 points to keep in mind

Go ahead and get the jab for yourself and your loved ones, says Dr Rahul Pandit

New Delhi, March 13, 2021: We have entered the second phase of the world’s largest immunization program. However, several looming questions could hamper the success of this program and weaken the fight against COVID19.

Only people who have an Anaphylaxis (allergic reaction) to any of the vaccine contents, should NOT take the vaccine.

Yes, vaccination is the most effective tool to fight the COVID19 pandemic, and help us succeed in our mission to restore normalcy! Having said that, the COVID19 vaccination drive in India has seen much momentum since day one. With an enthusiastic push from the civic bodies, we are slowly but steadily approaching our target goals. After successful round of vaccination for the healthcare providers and frontline workers, we have now moved to vaccinate and protect seniors above 60 years of age, and those above 45 years with comorbidities.

Here’s a guideline to help proceed with vaccinating yourself and your loved ones:

1.       All adults should take the COVID19 vaccine and encourage others to take it as well.

2.       You should have had your meals, and be well hydrated for your vaccination.

3.       Only people who have an Anaphylaxis (allergic reaction) to any of the vaccine contents, should NOT take the vaccine.

4.       All approved vaccines including Covishield and Covaxin have:

  • 100% efficacy in preventing death due to COVID19
  • Very high efficacy against severe COVID19
  • High to moderate efficacy (60%-95%) against symptomatic COVID19
  • Poor efficacy only against asymptomatic COVID19

5.       Vaccinating the high-risk vulnerable population – above 60 yrs and above 45 yrs with co-morbidities will bring down the mortality rate to ‘very low’, as currently, this group forms almost 90% of patients who succumb to the disease. Therefore, we must encourage people in these age groups to be vaccinated.

People with previous COVID19 infection should take the vaccine only after 8-12 weeks of recovery from COVID 19.

6.       People with previous COVID19 infection should take the vaccine only after 8-12 weeks of recovery from COVID 19.

7.       A person who has received Plasma Therapy to treat a previous COVID19 infection should wait for 8-12 weeks before taking the vaccine.

8.       Vaccine is safe in patients with hypertension, diabetes, renal failure, and heart disease, amongst those who have undergone bypass, post-angiography, and those on dialysis.

9.       In pregnant women, if the benefit outweighs the risks of the vaccine, then you may take the vaccine. For example, a frontline pregnant worker should take the vaccine.

10.   There is no data on how long pregnancy should be avoided post-vaccination. However, as it is an inactivated or dead virus it should be safe after 6-8 weeks of vaccination to conceive.

People on anti-platelet agents like Aspirin and Clopidogrel
should take the vaccine without stopping their medication.

11.   Vaccine is safe amongst those with a food allergy, drug allergy (other than the vaccine components) and common allergic conditions such as asthma, allergic rhinitis and allergic dermatitis. But consult your doctor before enrolling yourself.

12.   People on anti-platelet agents like Aspirin and Clopidogrel should take the COVID19 vaccine without stopping their medication.

13.   Patients on blood thinners like Warfarin or newer anticoagulation agents have a small risk of injection site swelling. Patients who are on these newer agents can skip their morning dose, take the vaccine and continue the next regular dose.

14.   Patients with neurological complications like stroke, Parkinson’s, dementia should take the vaccine as it is safe for them.

15.   Patients on immunosuppressant’s (i.e. patients who’ve undergone organ transplants) of any type can safely take the vaccine. However, immune response may not be complete. Check with your doctor before enrolling.

A simple Paracetamol can be taken post-vaccination if required, and most symptoms would be well controlled.

16.   It is false that alcohol is not allowed post-vaccine or that vaccine causes impotency or that vaccine will change the DNA of a person.

17.   There are currently no trials available on children, hence vaccination for those below 18 years can be delayed for now.

18.   Patients with cancer and those undergoing Chemotherapy should consult their doctor and seek an appropriate window for vaccination between the Chemotherapy cycles. Ideally, the patient should wait for at least four weeks post-chemotherapy to take their vaccine.

19.   Fever, body ache, dizziness, headaches are common symptoms post-vaccination.

20.   A simple Paracetamol can be taken post-vaccination if required, and most symptoms would be well controlled.

Do not believe in rumours, the best way to get the right information is to speak to doctors at medical centres who are offering the COVID19 vaccination. Remember, vaccine-induced immunity is as important as herd immunity. It is the current and the only way to tackle the growing menace of the virus. Let’s all come together to fight back and end the pandemic once and for all.

(The article has been authored by Dr Rahul Pandit, Director-Critical Care, Fortis Hospitals Mumbai & Member-Maharashtra’s COVID Taskforce) 

(Images from Pixabay by Wilfried PohnkeGerd AltmannAlexandra_Koch; fernando zhiminaicela)

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Dialysis Olympiad: 6 dialysis patients go riding high for a bike expedition  

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In the run-up to the second edition of world’s only Dialysis Olympiad, a first-ever bike expedition by patients on dialysis was flagged off from Ludhiana on October 9, 2017. The rally culminated with the felicitation of six bikers at the hands of Arjuna Awardee Rajinder Singh Rahelu on October 12, 2017, in New Delhi. Six bikers drove 400 km across eight cities in three states over a period of four days to give a strong message to others like them that dialysis is not a limiting factor to aim high and fly higher if they desire.

Organised by NephroPlus, a dialysis delivery network, the rally was driven by a guest-centric (as patients are referred to as guests) approach. The daring event involving those who have to undergo dialysis twice or thrice a week challenged many misconceptions and aimed to encourage many others who are suffering from a similar health condition to lead normal lives, working, traveling and having fun all through.
The youngest participant in the rally was Prikshit, 25, while the oldest was Sudhir Sehgal, 56. The others who biked all the way from Ludhiana to Delhi included Hariom (26), Sumeet Kumar (28), Balwan Nath (30) and Srikrishna (42). All participants are from Rohtak except Sumeet who hails from Moradabad.
Overwhelmed at the enthusiasm shown by these bikers, Rahelu said, “This is a great opportunity to create awareness, and I’m glad NephroPlus took this initiative. It will encourage people and help them tide over their mental block. Kidney failure doesn’t mean the end of life. In fact, one must remember such a condition is a reminder of the fact that life deserves another chance and everyone needs to live life to the fullest, come what may.”
Sehgal, who has had an open heart surgery along with kidney failure, goes through dialysis thrice a week. But unmindful of his debilitating health condition, he was quite enthusiastic about being a part of the bike rally and thoroughly enjoyed biking, from start to finish. “We were taken good care of during the expedition. Experienced and well-equipped doctors were also available around the clock for us. Participating in a competition like this made me stronger, and I’m thankful to the organisers for giving people like us a chance to shine. Dialysis is certainly not the end for us,” said Sehgal.
The others who were a part of the rally go through dialysis twice a week. Moradabad-based Kumar who runs a small-time cloth business, said, “The bike rally was a rejuvenating experience for me. It provided a much-needed break from my monotonous routine. I had biked around places in and around Moradabad, but covering a distance of 400 km was a first of its kind experience for me.”
The expedition started from Jalandhar, with pit stops at Ludhiana, Khanna, Ambala, Kurukshetra, Panipat, and Sonipat and concluded with a felicitation ceremony in New Delhi. “The longest ever bike expedition by six of us who are undergoing dialysis was meant to reinstate that with the backing of expert care, we can also dare to dream big and achieve what we aim for,” said Kumar.
The format of the expedition was a relay, with individual riders covering a pre-set distance, after which the baton was passed on to the rider at the next location. Knowling well the health condition of the participants, a team of doctors and nurses in an ambulance accompanied the bikers throughout the expedition. The bikers even went about their routine dialysis while biking without any interruption. The dialysis took place at NephroPlus centers at these locations.
Vikram Vuppala, founder and CEO, NephroPlus, said, “A lot of the people undergoing dialysis, unfortunately, believe that they cannot lead a normal life or cannot do things an otherwise healthy person can do. I am proud to say that we are creating a guest-centric culture at NephroPlus where all the 10,000+ guests are empowered to lead a normal life owing to our emphasis on holistic care. This bike expedition and Olympiad are part of our overall vision to make those on dialysis realize their full potential.”
The event serves as a curtain raiser to the second edition of world’s only Dialysis Olympiad to be held at Thyagaraj Sports Complex, New Delhi on October 29, 2017. “Dialysis is a solution to kidney failure problem, and that is the way it needs to be seen. NephroPlus is working relentlessly in redefining dialysis care in the entire country,” added Vuppala. The event will have a series of Olympics style activities like running, cycling, basketball, etc. exclusively for those on dialysis. The first edition of the event was held in 2015 in Hyderabad, and it saw participation from hundreds of champions across the country, who fought their illness to reveal their extraordinary talents.
Extending special thanks to the heroic riders for participating in this event and for their contribution towards the cause of improving the morale of people on dialysis, Sohil Bhagat, Vice President, Strategy, NephroPlus, said, “We have always resorted to innovative solutions to enhance the quality of lives of our patrons. The event revealed how courageous, determined and full of life people such people are. They can lead normal lives. We are positive that seeing fellow people on dialysis take part in this expedition will dramatically improve the confidence of kidney-disease patients across India.”
The event proves to the hilt that people on dialysis across the world can lead long, happy and productive lives if they want to because where there’s a will, there’s undoubtedly a way too.