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Published on: May 02, 2020
1 minute read
By: Dr Vibhash Mishra

Corona, Cricket And Telemedicine

Corona, cricket and telemedicine

As schoolboys, gossiping about cricket and cinema was our favorite pastime. Decades later when even our children are not school kids anymore, I must confess the nature of our pastime has not become any more serious. The COVID-19 lockdown has inadvertently provided a large chunk of humanity with a rare luxury. Otherwise who has the time in today’s world to stop and stay at home to catch a breath? So catching a breath is what one does these days. Call it reflection and introspection, if you will.

R Ashwin is considered something of an intellectual in the sport of cricket. The other day I happened to come across an interview in which he says we take sport too seriously. That is the large scheme of things, there are other far more important matters. That sports should be seen in a wider perspective and given a place that is not out of proportion.

That took me back by several years. To 1980 to be precise when India and England were playing the golden jubilee test. Bob Taylor was given out by the umpire but the Indian captain Gundappa Viswanath thought otherwise and insisted that he was recalled. The rest, as they say, is history. Now Viswanath himself was not an also-ran by any means. Not quite an intellectual like Ashwin, but a batting genius all the same and a giant of a human being.

We can debate the relative value of intellectuals and good human beings to society but that is not the point of my musing, although, I do believe that the world needs several-fold more good human beings than intellectuals.

Back to the point, I was closing in on.
There were curses and kudos for Viswanath. In the midst of all that, the legendary commentator Jasdev Singh made a very poignant remark - Viswanath gave away the game but kept alive the spirit to promote which sporting events are organized in the first place. Now, what is this spirit that Jasdev was referring to? Fairness? Justice? Healthy competition? Honesty? Integrity? But then, are those, not the values the world should be guided by anyway? Would the world not do well to adopt those values in wider life? Would you still say we take sports too seriously? Just reflecting.

Meanwhile, you all stay in and be safe, the principles of which are well-known by now - social distancing and hand hygiene. And don’t ignore your other health issues. It may be months before normalcy is restored. Your medical condition can get worse in the interim. You may think I am encouraging you to visit a hospital and risk being turned down for lack of capacity or catching an infection. I am not. I am asking you to think of an alternative way of seeking medical help. Have you considered telemedicine? Online consultation with a specialist anywhere in the world? Have you heard of www.secondmedic.com? That’s where we are.

Dr. Vibhash Mishra
Chief Medical Officer Second Medic Inc

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Tuberculosis Symptoms and Treatment: Early Signs, Diagnosis, and Recovery

Tuberculosis (TB) is one of the oldest known infectious diseases and continues to be a major public health concern, especially in developing countries. India accounts for a significant proportion of global TB cases, despite advances in diagnosis and treatment. The good news is that tuberculosis is preventable, treatable and curable when detected early and managed properly.

Understanding tuberculosis symptoms and treatment is critical for reducing disease spread, preventing complications and achieving complete recovery.

What Is Tuberculosis?

Tuberculosis is an infectious disease caused by Mycobacterium tuberculosis. It primarily affects the lungs (pulmonary TB) but can also involve other parts of the body such as:

lymph nodes
bones and joints
kidneys
brain

TB spreads through the air when an infected person coughs, sneezes or speaks.

Why Tuberculosis Remains a Major Health Issue

According to the World Health Organization and ICMR data:

millions of new TB cases are reported annually
delayed diagnosis increases transmission
incomplete treatment leads to drug resistance

Early detection and treatment are key to TB control.

Common Tuberculosis Symptoms

TB symptoms often develop gradually and may be mild in the early stages, leading to delayed diagnosis.

Persistent Cough

A cough lasting more than two to three weeks is a hallmark symptom of pulmonary TB.

The cough may:

be dry or productive
worsen over time
sometimes produce blood

Fever and Night Sweats

Low-grade fever, especially in the evenings, is common.

Night sweats that soak clothing or bedding are a classic TB sign.

Unexplained Weight Loss

TB increases metabolic demand and reduces appetite, leading to significant weight loss.

Fatigue and Weakness

Persistent tiredness and reduced stamina occur due to chronic infection.

Chest Pain

Chest discomfort or pain may occur during coughing or breathing.

Symptoms of Extra-Pulmonary TB

When TB affects organs outside the lungs, symptoms depend on the site involved and may include:

swollen lymph nodes
bone or joint pain
headaches or neurological symptoms
urinary issues

Why TB Symptoms Are Often Ignored

Many TB symptoms resemble common infections or general weakness.

This leads to:

delayed medical consultation
prolonged transmission
disease progression

Awareness improves early detection.

How Tuberculosis Is Diagnosed

Diagnosis involves a combination of:

sputum tests
chest X-ray
molecular tests such as CBNAAT
blood tests and imaging for extra-pulmonary TB

Early and accurate diagnosis is essential for effective treatment.

Tuberculosis Treatment Explained

TB treatment involves a combination of antibiotics taken over a fixed duration.

Standard TB Treatment

For drug-sensitive TB, treatment typically lasts:

6 months

The regimen includes multiple antibiotics taken in phases to ensure complete bacterial clearance.

Importance of Treatment Adherence

TB bacteria are slow-growing and resilient.

Stopping treatment early can result in:

incomplete cure
relapse
drug-resistant TB

Completing the full course is essential.

Drug-Resistant TB

If TB bacteria become resistant to standard drugs, treatment becomes longer and more complex.

Drug-resistant TB requires:

specialised medications
longer treatment duration
close medical supervision

Prevention of resistance depends on correct treatment from the start.

Side Effects of TB Treatment

Some individuals may experience side effects such as:

nausea
loss of appetite
mild liver enzyme changes

Most side effects are manageable with medical guidance and do not require stopping treatment.

TB and Public Health

TB is not just an individual health issue but a community concern.

Effective TB control requires:

early diagnosis
treatment adherence
contact tracing
public awareness

India’s national TB elimination programmes focus on these strategies.

Preventing Tuberculosis

Preventive measures include:

early detection and treatment of active TB
improving nutrition and immunity
adequate ventilation in living spaces
screening close contacts

BCG vaccination offers partial protection, especially in children.

Living With and Recovering From TB

With proper treatment:

symptoms gradually improve
infection becomes non-contagious
normal life can be resumed

Regular follow-up ensures complete recovery.

When to Seek Medical Help

Consult a healthcare provider if experiencing:

cough lasting more than two weeks
unexplained weight loss
persistent fever or night sweats
blood in sputum

Early action saves lives and prevents spread.

Long-Term Outlook After TB Treatment

Most individuals who complete treatment:

recover fully
regain normal lung function
return to daily activities

Long-term complications are rare with timely care.

Conclusion

Tuberculosis symptoms and treatment must be understood clearly to combat this preventable and curable disease. Persistent cough, fever, night sweats and weight loss should never be ignored. Early diagnosis, complete treatment adherence and regular follow-up are essential for curing TB and preventing transmission. With proper medical care and public awareness, tuberculosis can be effectively controlled and eliminated as a public health threat.

References

Indian Council of Medical Research (ICMR) – Tuberculosis Epidemiology and Treatment Guidelines
World Health Organization (WHO) – Global Tuberculosis Report
National Tuberculosis Elimination Programme (NTEP) – Government of India
Lancet Infectious Diseases – TB Diagnosis and Treatment Outcomes
National Family Health Survey (NFHS-5) – Infectious Disease Indicators
Statista – Global Tuberculosis Burden and Trends

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