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Published on: Apr 30, 2020
3 minute read
By: Dr Rajan Choudhary

COVID AND CLOTTING: A BRIEF LOOK

At the Mount Sinai hospital, a case series of five patients have been put together, ready to be published in the New England Journal of Medicine. It details patients aged 33, 37, 39, 44, and 49 who all began to experience a sudden onset of symptoms including slurred speech, confusion, drooping on one side of the face, and feeling dead in one arm. At the time of writing one has sadly died, two remain hospitalized and one is in rehab. Only the youngest is able to speak. All of them were found to be COVID positive.

This drastic case series highlights a growing problem of strokes and clotting disorders in COVID patients, one noted by medics across the world. This blog looks at whether this is a common occurrence and what may be causing it.

Before reading this blog it will be helpful to read our previous blog on why and how blood clots.

THE START

In mid-February Tang et al published a paper noting that patients with abnormal clotting parameters were associated with a poorer prognosis. In their study, 11% of their patients died, but out of these patients, 71% had these abnormal parameters, compared to just 0.6% of survivors. The patients who died also demonstrated DIC (disseminated intravascular coagulation), a condition in which clotting is triggered in the patients' blood across the body, not just at the site of injury.

There is one major issue with this study. In most European hospitals patients receive anticoagulant medications on a daily basis. This is because lying in a hospital bed when ill can promote the formation of clots in your legs. Most hospitals in China do not provide this anticoagulation, but even then the incidence of clotting is remarkably high.

After this, the evidence begins piling up. 9th April, Cui et al found 25% of patients with severe COVID had clots in their legs, of which just under half died. Looking at a specific clotting parameter (D-DIMER) was remarkably accurate at predicting high-risk patients.

Italian doctors found in 16 patients in critical care with severe Acute Respiratory Distress Syndrome (a severe inflammatory condition caused by COVID) also had deranged clotting parameters.

French studies had found these sickest patients often had large clots in their lungs, blocking blood flow in the lung and causing severe issues in keeping the patient's blood well oxygenated.

Some studies showed even patients hooked up to artificial lungs (known as ECMO) were not safe from the problems caused by excessive clotting.

WHY?

So why is this occurring? As with everything in medicine, the answer is complicated and usually multifactorial. So we will simplify it.

We must look at the platelets in our blood. These fragmented cells have an important role in triggering the clotting cascade and creating a clot. During an infection white blood cells (important immune cells responsible for finding and destroying invading organisms) release many chemical signals around an infection site. This triggers platelets, the formation of small protein meshes that can literally net the viral particles in the blood.

But it looks like they have an anti-viral role as well. Researchers have found specialist receptors on platelets that recognize viruses in the blood, leading to the release of specialist anti-viral molecules that target and destroy the viruses. This is an interesting finding because it is white blood cells that are known to destroy invading organisms.

So how does it go wrong? In severe infections, there is a very large viral load, and this can cause an excessive response. Too many white blood cells release too many chemical signals, causing too many platelets to activate. The same thing can occur with the virus directly activating too many platelets at once. This results in clots forming in the blood throughout the body, including the lung and the brain. It is another instance of the body falling victim to its own protective mechanism.

A second problem is that as these platelets are activated, they and the clotting proteins in the patient’s blood are “used up”. This is dangerous, because without these platelets and clotting proteins the body is unable to stop any bleeding sites. Profuse bleeding can occur from small injuries, further complicating the treatment of the patient.

So what can be done?

Hospitals have already started looking at giving patients with severe COVID anticoagulation therapy. And it seems in patients with deranged clotting, giving anticoagulation therapy can lower mortality. The International Society on Thrombosis and Haemostasis (Clotting) has recommended that patients with severe COVID receive high dose anticoagulation medication to thin their blood, because these patients are at such high risk of clots. This regime will be used for hospital patients and those in critical care.

And what about for the everyday public? Should we be worried? So far the data suggests this is only happening in people suffering from severe symptoms of COVID. But the incident in New York certainly raises some questions, and it will be interesting to read their report in NEMJ. Should you panic and start taking anti-coagulant medication at home? Definitely not. But what you should do is be educated in the symptoms of common diseases caused by clots. Diseases such as strokes and DVTs.

STROKE

Remember, act F.A.S.T

Facial Droop on one side
Arm or hand on one side feels numb or weak with reduced power (same in one leg)
Slurred speech making it difficult to understand
Time to phone an ambulance

Other symptoms can include sudden loss in balance, sudden loss in vision in one eye, problems swallowing, and more.

DVT

Look out for a swollen, painful calf on one side that is hot to touch.

PULMONARY EMBOLISM

If you have a swollen, painful calf and are also having trouble breathing, with some sharp stabbing pain in your chest, contact the emergency services as soon as possible.

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

www.secondmedic.com

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Desk Plants Distribution Drive: Improving Mental Health and Workplace decor

Workplace wellness is no longer limited to health checkups and fitness programs. Modern organisations are recognising that mental wellbeing, emotional balance and the physical environment play an equally important role in employee health. One initiative that effectively addresses all three is the Desk Plants Distribution Drive.

Introducing greenery into everyday workspaces is a low-cost, high-impact strategy that improves mental health while enhancing office décor and employee satisfaction.

Why Mental Health Needs Everyday Support at Work

Employees today face:

prolonged screen exposure
high work pressure
sedentary routines
constant digital connectivity

According to World Health Organization and Indian workplace health data, chronic stress and burnout are rising across industries. Small environmental interventions can significantly reduce daily stress and mental fatigue.

What Is a Desk Plants Distribution Drive?

A Desk Plants Distribution Drive involves distributing small, easy-to-maintain plants to employees for placement on their desks or workstations.

These drives are typically:

organisation-wide
part of wellness or engagement programs
aligned with sustainability initiatives

Common desk plants include succulents, pothos, snake plants and peace lilies.

How Desk Plants Improve Mental Health

Stress Reduction

Natural elements have a calming effect on the brain. Studies in occupational psychology show that the presence of plants reduces stress hormone levels and promotes relaxation.

Employees surrounded by greenery report feeling calmer and less overwhelmed during the workday.

Improved Mood and Emotional Balance

Green environments stimulate positive emotional responses. Desk plants help:

reduce irritability
improve mood
create a sense of comfort and wellbeing

This supports emotional resilience at work.

Impact on Focus and Cognitive Performance

Mental fatigue is a major contributor to reduced productivity.

Desk plants help by:

improving concentration
reducing attention fatigue
enhancing creativity

Research published in workplace wellbeing studies indicates that even small amounts of greenery improve cognitive performance.

Enhancing Workplace Décor and Atmosphere

Visual Comfort

Plants soften rigid office interiors, making workspaces feel more welcoming and less clinical.

Personalised Workspaces

Desk plants allow employees to personalise their environment, increasing ownership and job satisfaction.

Improved Indoor Environment

Some plants help reduce indoor pollutants and contribute to a fresher workspace experience.

Desk Plants and Emotional Connection to Workspaces

Having a living element at the desk fosters:

mindfulness
responsibility
emotional attachment to the workspace

These subtle psychological effects support long-term engagement.

Why Desk Plant Drives Work Well in Corporate Wellness Programs

Desk plant initiatives are:

easy to implement
budget-friendly
scalable across teams
inclusive for all roles

They create visible, daily reminders of organisational commitment to employee wellbeing.

Sustainability and CSR Alignment

A Desk Plants Distribution Drive supports:

environmental responsibility
green workplace practices
sustainability goals

It reflects a balanced approach to people and planet wellbeing.

Choosing the Right Plants for Offices

Ideal desk plants should be:

low maintenance
tolerant of indoor lighting
compact and non-intrusive
safe for shared environments

Providing simple care guidelines ensures long-term success.

Employee Engagement Through Green Initiatives

These drives encourage:

shared participation
wellness conversations
positive social interaction

They strengthen workplace culture without disrupting work routines.

Measuring the Impact of Desk Plant Initiatives

Organisations can assess impact through:

employee feedback surveys
stress and engagement indicators
workspace satisfaction scores

According to EY-FICCI workplace wellness reports, environmental wellness initiatives contribute to sustained engagement.

Long-Term Benefits for Organisations

Consistent green initiatives are linked to:

reduced burnout
improved morale
better employee retention
stronger employer branding

Small environmental changes create long-lasting wellness benefits.

Desk Plants as a Gateway to Holistic Wellness

Desk plant drives often lead to:

increased interest in mental health programs
mindfulness and stress management initiatives
ergonomic and workspace improvements

They act as a foundation for broader wellness strategies.

Why Simplicity Matters in Wellness Programs

Complex programs often fail due to low participation.

Desk plant initiatives succeed because they:

integrate naturally into daily life
require minimal effort
deliver visible benefits

Simplicity ensures sustainability.

Conclusion

A Desk Plants Distribution Drive is a powerful yet simple workplace wellness initiative that improves mental health and enhances office décor. By introducing greenery into daily work environments, organisations create calmer, more engaging and emotionally supportive spaces. These initiatives demonstrate that employee wellbeing is influenced not only by policies and programs but also by the environments in which people work. Small green changes can make a meaningful difference to mental wellbeing, productivity and workplace culture.

References

World Health Organization (WHO) – Workplace Mental Health and Environmental Design
Indian Council of Medical Research (ICMR) – Mental Health and Lifestyle Studies
Lancet – Nature Exposure and Psychological Wellbeing Research
NITI Aayog – Workplace Wellness and Mental Health Reports
EY-FICCI – Corporate Wellness and Employee Engagement Studies
Statista – Workplace Wellness and Environmental Design Trends

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