• Published on: May 22, 2020
  • 1 minute read
  • By: Dr Rajan Choudhary

Corona Virus In Young Patients And Kids

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Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy.  Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

  • Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.
  • Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days
  • Pink or white areas of raised skin, itchy, usually on the body
  • Raised bumps called macropapules, lasting about a week, seen in more severe infections.
  • Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

Dr Rajan Choudhary, UK, Chief Product Officer, Second Medic Inc

www.secondmedic.com

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meetings

Walking Meetings via Voice Chat: A Smarter Way to Boost Health and Productivity in Remote Teams

Remote work has transformed how teams collaborate, but it has also increased sedentary behaviour. Long hours of sitting in front of screens contribute to fatigue, musculoskeletal pain and reduced mental focus. In this context, walking meetings conducted via voice chat have emerged as a simple yet effective corporate wellness practice that aligns productivity with health.

Walking meetings do not require additional time, special equipment or complex planning. They simply reimagine how meetings are conducted.

 

The Sedentary Challenge in Remote Work

According to WHO and ICMR data:

  • prolonged sitting increases the risk of heart disease, diabetes and musculoskeletal problems

  • remote employees often sit longer than office-based workers

  • screen fatigue negatively affects mental health and productivity

Traditional video meetings unintentionally reinforce inactivity.

 

What Are Walking Meetings?

Walking meetings are conversations held while participants walk instead of sitting.

In remote settings, these meetings:

  • are conducted via voice calls

  • eliminate the need for video screens

  • allow participants to move freely

They are ideal for one-on-one discussions, team check-ins and brainstorming sessions.

 

Why Voice Chat Works Best for Walking Meetings

Voice-only meetings:

  • reduce screen dependency

  • allow safer movement

  • encourage active listening

Without visual distractions, participants often engage more deeply in conversation.

 

Health Benefits of Walking Meetings

Reduced Sedentary Time

Even short walks help:

  • improve blood circulation

  • reduce stiffness

  • activate muscles

WHO recommends breaking prolonged sitting every 30–60 minutes.

 

Cardiovascular Support

Regular walking:

  • improves heart health

  • lowers blood pressure

  • supports metabolic health

Incorporating movement into meetings contributes to daily activity goals.

 

Musculoskeletal Relief

Walking reduces:

  • neck and back strain

  • shoulder tension

  • joint stiffness

This is particularly valuable for desk-bound employees.

 

Mental Health and Cognitive Benefits

Improved Focus and Creativity

Movement increases blood flow to the brain.

Studies cited by Lancet show that walking enhances:

  • problem-solving

  • creativity

  • memory recall

Many people report clearer thinking during walking discussions.

 

Stress Reduction

Walking helps:

  • lower cortisol levels

  • improve mood

  • reduce mental fatigue

This supports emotional wellbeing in high-pressure work environments.

 

Productivity Benefits for Organisations

Walking meetings:

  • reduce meeting fatigue

  • improve engagement

  • shorten meeting duration due to focused discussion

Employees often return to tasks feeling refreshed rather than drained.

 

Cultural Shift Toward Wellness-Oriented Work

Encouraging walking meetings signals:

  • trust in employees

  • commitment to wellbeing

  • flexibility in work culture

This improves morale and retention.

 

How to Implement Walking Meetings in Remote Teams

Simple steps include:

  • designating certain meetings as “audio-only”

  • encouraging participants to walk indoors or outdoors

  • keeping meetings concise

  • sharing agendas in advance

Clear guidelines ensure safety and effectiveness.

 

Safety and Practical Considerations

Best practices include:

  • avoiding walking in unsafe or crowded areas

  • using earphones for clarity

  • walking at a comfortable pace

  • pausing movement when taking notes

Inclusivity is important—walking should be optional, not mandatory.

 

Who Benefits Most from Walking Meetings?

Walking meetings are especially helpful for:

  • remote workers

  • hybrid teams

  • roles with frequent discussions

  • employees experiencing screen fatigue

They are less suitable for data-heavy presentations.

 

Walking Meetings as Part of Corporate Wellness Programs

Walking meetings complement:

  • ergonomics initiatives

  • mental health programs

  • physical activity challenges

They integrate wellness into daily workflows rather than adding extra tasks.

 

Long-Term Impact on Workplace Health

Over time, organisations adopting movement-friendly practices observe:

  • reduced burnout

  • improved energy levels

  • healthier work routines

Preventive health strategies are most effective when embedded into daily habits.

 

Role of Preventive Healthcare Awareness

NITI Aayog and WHO emphasise lifestyle modification as a core preventive health strategy.

Walking meetings align perfectly with this approach by:

  • reducing inactivity

  • promoting movement

  • supporting mental wellbeing

Small changes deliver cumulative benefits.

 

Conclusion

Walking meetings conducted via voice chat are a practical, low-cost and highly effective way to improve employee health and productivity in remote teams. By replacing sedentary meetings with movement-based conversations, organisations can reduce screen fatigue, enhance focus and support long-term wellbeing. In a remote-first world, walking meetings represent a smarter way to work—where productivity and health move forward together.

 

References

  • World Health Organization (WHO) – Physical Activity and Sedentary Behaviour Guidelines
  • Indian Council of Medical Research (ICMR) – Lifestyle and Non-Communicable Disease Reports
  • Lancet – Physical Activity, Cognition and Workplace Health Studies

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