Meanwhile, one must also realise that the mind and our breath have albeitР’В small but a significant role to play in our recovery. This technique is called proning or prone breathing technique. This helps oxygen level to lift and one can breathe easy. Until doctors take over, if one feels short of breath, lie on your stomach instead of on the back. Depending on the symptoms, the doctor may advise the use of supplementary oxygen therapy, experimental drugs to reduce inflammation or block the virus from causing more damage. Therefore, it is important that while one is in home isolation in the initial period, one stays in touch with the medical care provider, keeps tracking all symptoms (even if it does not feel worse than before) and act as the doctor suggests. Serious cases need hospitalisation and proper care. Timely action on the symptoms, detection, and quickly taking the next steps is important. The severity of the infection can seriously hamper a person's recovery. So what to do if symptoms worsen around Day 6-10? So it is important for all persons to stay alert and get timely chest scans, X-rays and crucial blood work done as and when the doctor advises it. In the second wave in India, there are reports of early-stage lung involvement even in young and healthy patients. Persons suffering from high cholesterol, diabetes, obesity, immuno-suppression medication (due to transplant or auto-immune disorders etc), immuno-compromised due to previous infections (like HIV etc) run the risk of being hit by these Phase-Two complications in this coronavirus-driven disease.Р’В But that is not the cardinal rule. Patients with known or unknown comorbidities are likely to develop cytokine storm conditions more. Which set of patients is likely to suffer this storm? Hypoxia, the critical condition when oxygen levels go too low without other visible symptoms could also occur in the second phase of infection. Oxygen level begins to dip, delirium and shooting fever, fever that won't go down for long after an antipyretic, distressed breathing, extreme discomfort, heaviness etc set in. There are warning signs that make one feel it is time to seek hospitalisation and treatment in person. What symptoms should one be on the lookout for? This late phase involves a РІР‚Сљcytokine stormРІР‚Сњ (also called macrophage activation syndrome), as observed in various infectious and non-infectious diseases, i.e., an excessive inflammatory response caused by a dysregulated host immune response. The brainstem autonomic network allows SARS-CoV-2 to trigger a neurogenic switch to hypertension and hypoventilation. Suddenly, the illness that seemed to be plateauing or stabilizing around the end of week one, begins to take a turn for the worse, leaving everyone baffled.Р”Р„ccording to a research paper from the US Library of Medicine, the symptomatology of COVID-19 indicates that lethal outcomes of infection rely on neurogenic mechanisms. This is the actual beginning of the battle for many people.

However, in the second part of this illness (Day 6 or 7), the immune system in some persons' cases gets over-stimulated and produces a large number of antibodies to root out the infection, flooding the body with fluids and inflammation.

The first days post the onset of symptomsР’В could feel differently for different people and are generally considered a reaction to the viral infection. The period of illness and recovery from COVID-19 in general terms needs to be split into 3 sections of Day 1-4, Day 5-10, Day 11-14. It canР’В also hint at the actual severity of the infection.

Experts say that this section of your 14-day isolation period can shedР’В light on the likelyР’В complications one may suffer post-COVID. It is only through day 5-10 that the actual nature or severity of the infection can be determined, say doctors. It works well too as getting admitted to a hospital when all your parameters are fine makes no sense - especially since the hospitals are already at breaking point.Р”В«ut even those persons who have been diagnosed as mild or asymptomatic cases should also monitor all symptoms at home. Though most cases recover during the 14-day isolation period, some of the seemingly mildest coronavirus cases may go from manageable to worse around day 5-10. In the second wave of the COVID-19 pandemic, there is another facet of the disease that we are beginning to see unfold, with more clarity now than before.

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