Sunday, May 23, 2021

A warrior dies dancing, that’s who I am...

 





A little girl, with dreams in her eyes, many dreams, many desires...she wishes to explore the mysteries of the cosmos, in rapturous awe ponder the beauty of the World… marvel at the finesse of creation. With little feet,  she dreams of trudging through the water, with wide-open eyes,...gazing at the flying birds gliding in the blue sky.

 She was an ordinary girl born with a package deal of jinx, a rare disease, which attacks as she grows up, like stinging wasps, and she has to fight each vivil of a tumour. She plucked up, spirit enough at that, eyes stuffed with wonder she looked at the World which is fantastic than any dream but then as she grew up she realizes life in its many wonders it has no guarantees and no securities; diseases plague people in many forms...people who get no help and hence she decides to study medicine and try to help...be a part of the war waged against all diseases in the society, be it physical or be it those smitten by adversity.

Time surely goes fast, as fast as a flowing stream. As the little girl starts growing up and prepares herself up towards fulfilling her dream, The Creator might have chortled as life is not orange marmalade, it is not easily got. Life is an uncharted territory in which you have to soldier on with courage. Life is a chance granted once, she thinks we are given no choice; we have been proffered everything in life we have to accept it and build our existence upon it. 

The Universe decides, and based on those decisions incidents happen, some people live and some people die. For everything in this Universe, there’s a season; a time to break down, and a time to build up. 

The girl was thrown among the rapids as she arrived at a crossroads of her life which upended everything...out of the blue something happened to change the course of her life’s events... it was the untimely death of the Commander of her legion, her dear Father. The Commander who had a major life claiming heart attack, in whom the smallest exertion set him gasping breathlessly worked for her daughter’s secure life till the tag-end of his life but was outplayed by his sly youngest brother. Her father the Commander was uncharacteristically deceived because he was gullible enough to trust salt for sugar.  The girl lost all hope and the World fell apart around her. She hardly cried, she did not cry now. Daemons stalked, and the Dragon swindled her shelter by trickery and let her get sucked into the vortex of poverty. Those who were so indifferent of her life, she remembers the wretchedness of those wicked smiles of satisfaction when she was being taken to the hospital in an emergency...those who have never known to help, who won't part a penny to save a life...the girl believes there's a time to live and a time to die and their lives are no different from the rule. It was more than a family quarrel, as it involved someone's life. Incredibly harsh and cruel things were said and done ….her shelter was swindled leaving her in poverty, at fate’s mercy not knowing what to expect, what to eat and how to arrange her life-saving medicines and treatment. Evil spiteful, wicked, hard-hearted relations turned tail and fled when her malady struck and her life was in turmoil. 

She has faced a lot of the dark side of life as well; swindling, thievery, trickery, embezzlement, abuse, injustice, wrongdoing, envy, hatred, malice, uncharitableness but she has always been plucky and with a firm belief that although she was infirm but had the nerve to go through the long weary march. Beyond the darkness is light so we just have to hang on. Aside from the Dragon in her life there’s been certain befuddled gnome of men, residing in the vacuum of non-awareness who tried to belittle her strife and sought equivalence in her out of the way condition which is never seen before hardly realizing the gravity of her situation when a transplanted liver requires medicines to be accepted by the body and function, cancer spread through the kidney needs immediate surgery or a brain riddled with tumours need immediate treatment, it is imperative as the disease is rare with manifold vivils affecting multiple organs. The compounded difficulties which appeared because of such people could make her fall with a Big Thud! But the Universe listened and infallible friends formed her legion, marched with her without regression, and flew fearlessly without reason and things started turning out the right way for her.

She was determined enough to never capitulate, never give way, but fight to the last trying to come to terms with the events in her life. Mornings that came with the flaming sunrise became the favourite part of her day, it brought with it hope that this day would be better than yesterday, even if slightly better. Her pleas were not unheard by the Universe and slowly the terrain of her life smoothed down although studded with sudden landmines or bombs which came unannounced, so many that it was difficult to deal with. To cope with her troubles she had to mutate like her flawed genes to survive the new reality. Thus she started climbing the crested hill of life. 

Her experience, as faced, and to survive the disease in an unprecedented situation, in unimaginable difficulties and pain could make her a victim but by winning one by one fourteen wars valiantly combating those incessant vivils cropping up, one down another up... in the hospital and remaining unvanquished and after seven times tumours blossomed in her brain and with her right eye shutdown and fighting through the adverse conditions of her life she chose to be Warrior Princess. 

The physical pain of an intolerable magnitude everyone feels, but for a certain amount of time... for her, it became a part of life, so much so that she doesn't mention it anymore. She is ambushed by the Old monster tarragon which makes her thin and gaunt. She has forgotten what body feels without pain but by a happy and nice accident, an alchemist appears in her life, and where all others had said no chance the alchemist diffuses the bombs in her lungs by magic and cures her out of it although it takes an immensely long time and a hefty sum of money. Her entreaties to the Universe were not unheard and she was provided by the right legion of friends at the right moment and all her pecuniary needs were taken care of. Thus she healed as the body has powers unknown and if the mind is set up...it happens. Her entire life is scattered with bombs of certain kinds so that she always has to lie low until they are detected and diffused by a squad of Cap'ns with knowhow. Especially those landmines are to be considered which could blow her off with utter BOOM!!! 

Another episode she remembers from her journey of life is when she was detected with cancer in her kidney and it needed immediate surgery, she was also diagnosed with a tumour in her brain blossoming in her optic nerve claiming her vision. In her helpless condition when she was running around trying to arrange for her treatment, her nagging landlord gave a court notice to vacate the flat because he was running at a loss. It was appalling, but the fact that most things have always turned out the right way for her assured her that she should never give up! The judge decided in her favour and she survived both the afflictions well in her place of residence and was given time of recuperation before vacating.

She remembers an event from her life where in the winter months she was taken to the battlefield inside a cave in the hospital all dressed up and ready for the imminent war ahead when suddenly the Captain comes with a big book and asks her to sign in it as they can’t go ahead with her war without her written consent. She mustered up all the courage she could, thought of her Mother’s face, and signed. She said to the Captain with a grin on her face “Well, Cap’n I’ll not leave the battlefield yet! My shelf life is not over yet.” The War was an unthought-of success. After each triumph in her exclusive wars, she says

“I see I am going to live a little while longer, and I am glad of it for I am not going to die, especially a trivial death."

She remembers telling her war stories when she meets people and finds they are amazed to find what she’s actually going through. She remembers showing the scanned image of her brain tumours all lit up, those tiny specks of light inside her skull which brought forth the comment people don’t have so many lice in hair as she has tumours in the brain. This made her wonder is she strong? Well, adversity tries people and it’s indeed surprising what one can do when faced with the biggest challenges in direst moments.


This is absolutely crazy of her; she gets spurts of happiness for no reason at all! She even tells her Mum “this is my best day!” just to convey her feelings of aliveness; that somehow she feels alive, infused with a great lot of physical energy... Just happy! So happy! She always dresses or washes or moves or eats or sleeps or talks enjoying every minute of what she is doing and her mother's unfailing love makes her so happy with life! Being aware of her disease and its repeating nature she tends to live life intensely every moment. Her mother's happy presence sets the golden charm working in her life. In fact, they both have a pact between them that when the time comes they would leave the reality...the World together and cross into the final oblivion.

Happiness comes of its own accord, despite the lousy circumstances she often ended up with, and is sort of a “force” that helps her win wars and doesn’t let her gravitate into optimistic pessimism. She is happy in her mother's presence... happy, grateful, pleased, and contented. 


Life has chained her in an endless cycle not unfolding its mystery beforehand, with her heart synced to her mother’s she can face life as it comes. Her mother attends to her every need, standing by like a rock with great enthusiasm. Her mother's love makes her energy and strength of will contagious. Mum is the most precious person in her world, a vital and integral part. In manifold distress, in great agonizing conditions when they had to think about the next day's meal living in a shack fighting with the vivils and the taragon she remains steadfast marshalled by the prowess of her mother. Her mother’s bright love slowly fades out the pain, grief, apprehension, agony out of her life and says without pain how will you know joy? It’s an old and awkward thought but when in distress of her affliction it rings true to her. The Blind are treated with solicitude by the society but there’s no such option for her unheard of disease. Sometimes tears smart the eyes thinking of others living a golden vivid life without hurdles and with pleasures and pleasantries but then she lets those thoughts and her ugly past drift away and stop asking questions, switches off her mind, and starts looking forward, never back and shape her days into a happy pattern. Getting one’s bearings in the tempest which is her life has been tough indeed. 

Her desire to pursue her studies in the medical field didn’t materialize due to her manifold problems, she suffered so much but she still has things to live for. She has to fight those Dark spirits, defeat the Dragon, the taragon being defeated so that it can't rear its head up, the vivils to be dealt with as they come she goes for a long and weary march. 

The girl thinks of distributing courage, laughter, glee to be her job, for they are the warm things, kind things, sweet things of life. Destiny, or fate, whatever it was might have plans for the girl otherwise when a Cap’n wrote on paper she wouldn’t live beyond six weeks ten years before, her boat would have drowned then, but it didn’t and she has survived many a deadlines since then. Reading was something which came naturally to her,  her bookshelf consoles and keeps out worries from messing with her; she can always imagine different worlds inside books which help her further to live unfazed looking at life from various perspectives with a deeper sense. Even multitudes of complications with her vision couldn’t keep her from reading. She wishes to write and let people know there’s hope and there’s always something to live for....those like her attacked by vivils and dragons should rouse their courage and march on … take life as it comes… Gods will intervene if they show candid daring in their stubborn misery… she writes...

A Warrior princess I am,
I wage wars with head held high,
A warrior, never afraid of wounds,
A Warrior dies dancing that’s who I am.

I still dare to change things I can,

I resuscitate ceaselessly,

I wage wars with verve,

In a point of no return,

Yes, a Warrior princess I am.

History repeats and once again she needed her brain tumours to be repaired because she was going to die of respiratory  failure due to pontomedullary or cervical cord compression.


Madam, fancy out of apathy, hit her and said without a mask she  should die right now otherwise who will account for her brother's help?


Within 3 days I got High D dimer and CRP but no antibody. Antigen couldn't be tested because it might hurt my throat. Bilateral trigeminal nerve, vagus, Hypoglossal, Glossopharyngeal, facial, auditory are all compressed by tumours.


Why am I pandemic stricken? It’s because a woman unaware of the viral world and how it works out of apathy said I should die right now, else who will account for it if my brother gets ill? What guts! 


Mum cried all day gasping for breath with 80% heart blocked commander gave her a new lease of life and the transplanted liver is affected by the virus. She told her son he's a disgrace, a black sheep and the plan of leaving the world together was transpired by the couple 

But being a fighter not a coward both decided to fight.






Saturday, May 22, 2021

Viruses live in a twilight zone, somewhere between life and its ingredients.


The word “virus” conjures up the terror of death on invisible wings. It raises images of hospital wards filled with patients dying of Spanish ’flu; poliomyelitis victims in iron lungs; health workers dressed in full-body suits against the deadly Ebola virus; or babies with microcephaly that could be linked to Zika virus. These are all dreadful human diseases, but they tell only a very small part of the story. Viruses infect all life forms—not just humans, and most viruses don’t even cause disease. Viruses are part of the history of life on Earth; precisely what part they play is a mystery that is slowly being unraveled.


The Oxford English Dictionary defines a virus as “an infective agent that typically consists of a nucleic acid molecule in a protein coat, is too small to be seen by light microscopy, and is able to multiply only within the living cells of a host.”


We think of germs as things that make us sick, and that includes both viruses and bacteria, so what’s the difference between bacteria and viruses? Bacteria, in common with other living cells, can generate their own energy, and translate the DNA sequences of their genes into proteins. Viruses can do neither.


Many important questions—some very fundamental— still remain open.


Are viruses alive? This question has plagued philosophers of science, though few virologists have tackled it. Some have explained that viruses are alive only when they are infecting a cell, and when they are outside a cell as an encapsidated particle, or “virion,” they are dormant, something like the spore of a bacterium or fungus. To answer this question, one first has to define life. Some argue that since viruses cannot generate their own energy, they are not alive. Whether or not we consider viruses to be alive, no one would dispute that they are an important part of life.


Are viruses the fourth domain of life? Darwin first conceived the idea of a tree of life, to reflect how organisms are related to each other. Since the 1970s life has been thought of as having three domains: bacterial, archaeal, and eukaryotic. The bacteria and the archaea each make up a kingdom of life, and the eukaryota are divided into several more: eukaryotes include animals such as ourselves, as well as plants, fungi, and algae. Bacteria and archaea are single-celled organisms that do not have a nucleus, and may be closer to the root of the tree of life. Eukaryotic cells are much larger and have distinct nuclei in which the genetic material resides and is replicated. Where do viruses fit on this “tree” of life? With recent discoveries of giant viruses, some proposed that viruses should be considered a separate domain of life. However, viruses can infect all other forms of life (including other viruses), and when we look at the genes that make up viruses and other organisms, we find that virus genes are everywhere, integrated into the genomes of all organisms. So rather than being a separate domain of life they are scattered throughout the tree.


Progress in the study of viruses accelerated in 1915 when one Frederick Twort discovered that bacteria, too, could be infected by viruses. Like many great discoveries, this was an accident. Twort was trying to figure out a way to grow vaccinia (cowpox virus), and he thought that bacteria might provide something essential for the virus to grow. He grew the bacteria in petri dishes, and in some of his cultures he found small areas that had become clear. No bacteria survived in these areas; something was killing them. Like the virologists before him, Twort showed that this agent could pass through very fine porcelain filters and infect and kill fresh cultures of bacteria.


Viruses teeter on the boundaries of what is considered life. On one hand, they contain the key elements that make up all living organisms: the nucleic acids, DNA or RNA (any given virus can only have one or the other). On the other hand, viruses lack the capacity to independently read and act upon the information contained within these nucleic acids.


Viruses live in a twilight zone, somewhere between life and its ingredients.


The different molecular strategies that viruses use to evolve within and between hosts, and to provide a view of the complexities of short term and long-term evolution, with their implications for viral disease.


Viruses exist in one of two general states, which you could think of as their ‘life’ cycle. In one state they are drifting around, either in solution or in the air, mainly just hanging around and ‘hoping’ to bump into the right sort of cell.


DNA viruses are likely to have co-evolved with their hosts while the DNA world was developing.


DNA virus evolution, includes the simplest and the most complex of the DNA viral genomes known.


Viroids are unique systems for the study of RNA structure, function, and evolution. They are the minimal RNA replicons characterized so far — their genome is 10-fold smaller than that of the smallest known viral RNA — and in a certain sense are at the frontier of life. Despite being exclusively composed by a single-stranded and highly structured circular RNA of only , viroids contain sufficient information to infect some host plants, to manipulate their gene expression for producing progeny, and, as a consequence, to incite in most cases specific diseases . In striking contrast to viruses, which encode proteins that mediate their own replication and movement, viroids depend essentially on host factors for these purposes and can therefore be regarded as parasites of their host transcription machinery


The detailed clinical features of five patients with COVID-19 are aligned with the quantitative severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) viral RNA load from nasopharyngeal and other selected sampling sites. Previous studies in patients with SARS, Middle East respiratory syndrome (MERS), and COVID-19 generally provide insufficient detail to allow examination of the relationship between individual patient clinical course and viral RNA load.


Variation is intimately linked to their disease-causing potential. Paramount to the understanding of RNA viruses is the concept of quasispecies, first developed to describe the early replicons thought to be components of a primitive RNA world devoid of DNA or proteins.


Virologists now understand that virus populations are not made of a single member with a defined nucleic acid sequence. Rather, they are dynamic distributions of nonidentical but related members called a quasispecies. It was given this name because the classical definition of species – an interbreeding population of individuals – has little meaning for viruses.


The consequence of a quasispecies is that most viral infections are initiated not by a single virion, but a population of particles. The progeny produced after this infection results from selective forces that operate inside the infected host. The virions that go on to infect a new host have passed through another set of external selective forces. A steady-state population of a viral quasispecies consists of a vast number of particles.


Biology, and evolution in particular, are based on reproduction or multiplication and on variation. Reproduction; pure has the property of self-enhancement and leads to exponential growth. Self-enhancement in chemical reactions under isothermal conditions is tantamount to auto catalysis.


Nevertheless, based on the assumption that viral RNA load correlates with high levels of viral replication, there are important insights to be gained from this time-course analysis. Currently, our understanding of the relationship between viral RNA load kinetics and disease severity in patients with COVID-19 remains fragmented. Patients with COVID-19 with more severe disease requiring intensive care unit admission had high viral RNA loads at 10 days and beyond, after symptom onset. Unfortunately, it is unknown when in the course of their disease these patients deteriorated. Patients who developed late respiratory deterioration despite the disappearance of nasopharyngeal viral RNA. It would be interesting to know whether viral RNA load in lung tissue, or a surrogate sample such as tracheal aspirate, mirrors the decline in nasopharyngeal shedding. Nevertheless, this observation suggests that these late, severe manifestations might be immunologically mediated and has obvious implications for the potential to use immune-modulatory therapies for this subset of patients. This finding is consistent with recent reports that corticosteroids were beneficial for acute respiratory distress syndrome, and possibly those with COVID-19. With more detailed data such as those provided by Lescure and colleagues, the use of viral RNA load to suggest potential clinical strategies to treat COVID-19 could be exploited.


I never thought I’d write about a pandemic but now that I am pandemic stricken, I am researching about it leaving aside my rare genetic cancer vHL. Why am I pandemic stricken? It’s because a woman unaware of the viral world and how it works out of apathy said I should die right now, else who will account for it if my brother gets ill? What guts! 


She was a patient with few symptoms but high viral RNA load in the nasopharynx early in the course of disease.

Unaware of the viral RNA kinetics of patients despite the disappearance of nasopharyngeal viral RNA she was shedding.


Experts have also strongly suggested that solely relying on testing as a safeguard can make people ‘lax’ and take other safety measures, such as mask-wearing and social distancing lightly, which could be the two biggest factors which can spike up infections. Remember, the tests are a preventive measure and only effective, as long as you put in place other security measures. But she put my life at a risk by subtly killing me. 

 In the recent weeks of the surge in cases, one of the most peculiar and constant query has been about those who have COVID-19 symptoms but continue to test negative in RT-PCR tests. Sometimes, even though CT scan reports display patches in lungs due to coronavirus, the RT-PCR test report remains negative. According to experts, RT-PCR is the gold standard for COVID detection, however, as per reports from across the country, at least 1 in 5 patients may end up getting a false negative report. Why is that happening?


  • Even though RT-PCR is gold standard, we have known from Day 1 that there’s a 30 per cent chance of it to be inaccurate. Moreover, when the testing kits are developed, the scientists pick up those parts of virus which are least prone to mutate, therefore this could be a reason behind the false-negatives.
  •  The second reason for this could be that the viral load in your body is so less that its not getting detected in the RT-PCR test, as per experts.
  • The sample collection, transportation as well as the overburden of the cases, wherein the labs are not able to complete the analysis of the sample, plays a major role in the quality of tests, Dr Mahajan explained.
Next, repeat your RT-PCR test in 2-3 days, and take advise of your doctor to get a CT scan, says Dr Ray.

Blood tests at times are a good marker of inflammation and they can also give you and your doctor an idea of what is going on in your body, in particular, the C-reactive protein and the D dimer. Both of them are said to be a good testing ground for understanding what is happening in your body.


The test was not done in my case because I have Trouble swallowing food and medicines, Here I'd like to state The cranial nerves associated with the swallowing process are the trigeminal (V), facial (VII), glossopharyngeal (IX), vagus (X), accessory (XI) - usually not considered - and hypoglossal (XII). 

It should be emphasized that the structures involved in the swallowing process are pairs, both anatomically and/or functionally, due to the dual-side innervation. 


Anatomically unique, the tongue, palate, pharynx, and larynx are functional pairs, each side having independent innervation.


Hence it might be extremely hurtful as I get pain in the pharynx and larynx and often tongue gets paralyzed. Voice becomes hoarse after speaking a bit.



"Ur antibody level is low..which can occur 

1.early in disease

 2.low viraemia 

3.immunocompromised state"



Said Dr. Ishita B Sen

Nuclear Medicin

Director & Head

Dr. Ishita B Sen is a Nuclear Medicine Physician with 20 years experience, having worked in various hospitals across Delhi – NCR., She takes special interest in Nuclear Oncology and Radionuclide Therapy Sende

She also treats Covid.
The transplanted liver has been affected





Making Mum cry in the temple everyday for the daughter she had saved through 15 surgeries. How dare the woman out of spite attack and pass on her disease knowing that her daughter’s immune system has been turned off since liver transplant. Now who should account for my extra illness? Will I recover with my immune system turned off.








Even blocked my writing penchant. This blog is very useful for me. It contains what I encounter in life and also I can send my history of disease to the doctors via this blog.

I will die but never steal. I believe in karma. And let me ask the readers who was bullying whom and subtly killed her?

Ma had symptoms before 28th April and from 28th she started Augmentin Duo 625 then Dr Ishita Sen prescribed Azythromycin because of headache and congested nose. Even with my immune system turned off I didn't get any symptoms.

 Only after Madam fancy hit me and said without a mask I should die right now within 3 days I got High D dimer and CRP but no antibody. Antigen couldn't be tested because it might hurt my throat. Bilateral trigeminal nerve, vagus, Hypoglossal, Glossopharyngeal, facial, auditory are all compressed by tumours.



As per the rent, we have lived in lousy houses and he started paying rent only for this house he himself chose because of the court notice by which the landlord evicted us while I had kidney cancer. Before that everything was arranged by literally begging. Begging continues because he said he can't keep his promise to Father and can't pay for my treatment/ food/ electricity and water bill. Only rent. Avoiding responsibilities he's doing a favour to mother and sister. This transmutation of slow-witted Arindam Bhattacharjee to Arri became more pronounced after marriage.

My mother is sitting and crying in front of the temple inside the house that despite her precautions and maintaining distance I got Covid and I have uncertainty




She called him through my phone and told him a "kulangar", or black sheep, and disgrace.


She was crying that if anything happens to me she won't live without me which hurt me a lot.



Who is Arri? He's called Arri by his cinematographer friends and he tries producing an anglicised impact by calling Mom. It's all about style and glamour.



But he's not the brother I grew up with. When he was beaten up by the shady uncle who said filthy words like " bastard, scoundrel and rascal". He said my parents haven't taught me to use filthy language. 


Yet he came to look after Mum because of her illness and was constantly shouting beyond the door that I should open the door. Why? They were wearing PPE suits and have travelled from Bombay to Delhi he will be carrying the pandemic virus. When Ma opened the door he shouted: "Bastard, rascal" to Mum. 


Arindam Bhattacharjee screaming in a wild way broke the shield with which mother protects me saying we are asking him to leave from the house of which he pays the rent.




 He only pays rent and not bearing or accepting his responsibilities towards his mother and ailing sister.


I called him to help me look after Mum because at 68 she developed mild Covid from the society being a hotspot or by collecting the deliveries of medicines or food kept in the bag hanging on the door. Perhaps some delivery men might be Covid positive and she collected stuff after an hour but aSARS-CoV-2 remained viable in aerosols throughout the duration of in experiments (3 hours), with a reduction in infectious titer from 103.5 to 102.7 TCID50 per litre of air. This reduction was similar to that observed with SARS-CoV-1, from 104.3 to 103.5 TCID50 per millilitre. Because from 18/3/2020 we are under voluntary isolation and just Mum collects the deliveries hanging on the bag outside the door after the person has gone for over alll



Now to continue with Covid 19


SARS-CoV, which causes severe acute respiratory syndrome (SARS). The incubation period for SARS is usually 2 to 7 days trusted Source, but it can be up to 10 days in some people.


MERS-CoV, which causes Middle East respiratory syndrome (MERS). The incubation period for MERS-CoV is between 2 and 14 days trusted Source, with 5 to 6 days being average.


The bottom line


Most people who develop COVID-19 start noticing symptoms within 2 to 14 days after being exposed to the novel coronavirus known as SARS-CoV-2. On average, it takes about 5 days to develop symptoms, but this may change as we learn more about the virus.


It would be interesting to know whether viral RNA load in lung tissue, or a surrogate sample such as tracheal aspirate, mirrors the decline in nasopharyngeal shedding. Nevertheless, this observation suggests that these late, severe manifestations might be immunologically mediated and has obvious implications for the potential to use immune-modulatory therapies for this subset of patients.


In a pandemic, prevention of disease transmission is key. 


It has been noted implications for transmission from patients with few symptoms but high viral RNA load in the nasopharynx early in the course of disease.


This finding is consistent with recent reports that corticosteroids were beneficial for acute respiratory distress syndrome, and possibly those with COVID-19. With more detailed data such as those provided by Lescure and colleagues, the use of viral RNA load to suggest potential clinical strategies to treat COVID-19 could be exploited.


I am on corticosteroid inhalers and nebulizers.


It is noteworthy that the presence of viral RNA in specimens does not always correlate with viral transmissibility. In a ferret model of H1N1 infection, the loss of viral culture positivity but not the absence of viral RNA coincided with the end of the infectious period. In fact, real-time reverse transcriptase PCR results remained positive 6–8 days after the loss of transmissibility. For SARS coronavirus, viral RNA is detectable in the respiratory secretions and stools of some patients after onset of illness for more than 1 month, but live virus could not be detected by culture after week 3.The inability to differentiate between infective and non-infective (dead or antibody-neutralised) viruses remains a major limitation of nucleic acid detection. Despite this limitation, given the difficulties in culturing live virus from clinical specimens during a pandemic, using viral RNA load as a surrogate remains plausible for generating clinical hypotheses.


Virus crystals add a bit of disorder, and they will “wake up” and regain their infectious properties.


The process of transformation of viral components into organized solid particles is known as crystallization. A virus crystal consists of many thousand viruses and because of it’s purity we can understand their characteristics, pathogenic activity, mutational levels, nucleic acids, capsid properties.


Viruses sit on a fine line of what constitutes life. To some extent, the discussion is philosophical in that definitions are chosen and the subject either meets those criteria or not, and some criteria are a bit more arbitrary than others.


Some have argued that viruses in infectious virion form are life, at the stage when infecting a cell and redirecting its machinery to make more virus particles. 


Over the decades, biology has shifted from a study of cells in Petri dishes, or monks growing peas, to a more abstracted investigation into information science and related fields and subjects: mathematics, entropy, statistics, physics. That perspective started with scientists like Schrödinger, Turing, and Von Neumann, and it continues in the modern day with work by Dawkins, England, and others.


Viruses have and continue to shape the evolution of life around them. In a way, they are frozen information, and the definition of life may be changed over time, as we gain a more broader picture of how things work.


In 2015, the Wuhan Institute of Virology (WIV) was upgraded to the National Biosafety Laboratory (Level 4), the first of its kind in China, at a cost of 300 million Yuan ($44 million). The lab was involved in the research of coronaviruses (CoVs) and the causative agents of the severe acute respiratory syndrome (SARS) outbreak in 2003. In 2015, Li et al. published reports about the species of bats acting as natural reservoirs for SARS-like CoVs (SL-CoVs), and pointed out the genetic diversity of the viruses in bats, highlighting the possibility of them infecting the humans. The transmission from palm civets to humans occurred when the civets came into human contact in the live animal markets. As the pools of CoVs in bats were limited, the likelihood of a future emergence of this viral outbreak was never anticipated.


However, when it was proven that a chimeric virus containing the SHC014 spike in a SARS-CoV backbone causes robust infections in both human airway cultures and mice,a warning was issued that the starting materials required for SARS-like emergent strains were already circulating in animal reservoirs. A research team in China that spent 5 years in the Shitou caves of Yunnan sampling from the bats issued a similar warning and raised alerts for a potential disease outbreak if adequate precautions were not taken. By December 2019, the first cluster of cases of infection with a novel CoV was reported in China.


Naturally, the origins of the epidemic were investigated. The WIV published reports stating that the new strain of CoV had bats as the “probable” source.All the studies of Shi Zheng Li, the lead virologist from the institute, on bat-related CoVs were centered in the southern, subtropical areas of Yunnan. However, the outbreak occurred in Wuhan, which is almost 900 km from Yunnan. Samples from the infected patients were compared with those from the bats, but none of them matched. If not from bats, where did this novel strain of CoV come from? The Government of China conducted an investigation and reported a wildlife market, 10 miles away from the virology institute, as the epicenter. Though the Chinese government discredited the possibility of a lab origin based on the genetic studies, the distance of the epicenter from the bat caves raises questions.


The theory of lab origin gains credibility from seemingly unrelated, but nevertheless solid and tangible facts. The institute called for research job openings on November 18, 2019, and December 24, 2019. These urgent advertisements tell us about the kind of research taking place in the labs and also underline the fact that the Chinese knew about the possibilities of novel strains even before the outbreaks that warranted research. The lab then generated a chimeric virus from the SARS-CoV using the reverse genetics approach and reported the potential for human emergence. The leak could have happened from this lab.


On February 6, 2020, scientists from the South China University pointed out that the intermediate host, the horseshoe bat, was not available in the wet market and did not live in the Wuhan area. The only place the bats existed in the locality was the research facility, which is just about a 100 yards from the Wuhan wet market. The horseshoe bats are found only in the Yunnan province. However, they are neither consumed as food in the city, nor are they ever traded in the markets. The paper also states that in the Wuhan Center for Disease Control and Prevention located 280 m from the market, the extraction and sequencing of the DNA and RNA from caged animals could have been a potential source of the pathogen. This center is also adjacent to the Union Hospital, where the first groups of doctors were infected during this epidemic. Curiously, the lead author has now retracted the paper saying that it was based on mere speculations and not on solid proof.


Not surprisingly, two papers posted on the websites of the Fudan University and the China University of Geosciences met a similar fate. They were removed following a new policy mandating government approval for publishing academic papers about COVID-19.These clampdowns support the theory of a lab leak. The theory gets bolstered by the classified cables from the US embassy in China in January 2020.It was reported that the labs were conducting high-risk studies with a lack of appropriately trained technicians and investigators. There were concerns of undue risks being taken. Similar concerns were raised about the nearby Wuhan Center for Disease Control and Prevention lab. It appears that the leaks cannot be ruled out entirely.


An Indian paper published in January, which has now been retracted, theorized genetically altered insertions in the genome of the novel CoV similar to the genetic sequences of human immunodeficiency virus (HIV) and Ebola. They found it quite unlikely for a virus to have acquired such unique insertions naturally in a short duration. These artificially engineered changes were thought to increase the range of host cells that the 2019-nCoV can infect. This paper was taken down amidst criticism, but research from the Nankai University in Tianjin reports similar findings.This can be considered evidence for the virus being man-made.


Lastly, the doctors who were the first responders were allegedly clamped down by the government. Li Wenliang who sounded the alarm on the Wuhan CoV on WeChat was taken to the police station where he was warned against spreading rumors. Unfortunately, he succumbed to the disease subsequently. These doctors were advised by the government, “not to mislead the public” and to “refrain from publishing any unauthorized information.” They were also told to “resist all kinds of rumors and clarify and guide false opinions and discussions.”


For a pragmatic view on the issue, it is imperative on our part to look at arguments against the lab origin of COVID-19. Rhinolophus affinis bat and Malayan pangolins (Manis javanica) contain CoVs similar to the SARS-CoV-2. However, the receptor-binding domains (RBDs) of viruses isolated from these two sources were markedly different from the human SARS-CoV-2 RBDs, which have a lower affinity to the angiotensin-converting enzyme 2 (ACE2) receptors. Theoretically, this may indicate a process of natural selection in the animal host before transfer.Secondly, this adaptation may have occurred after the zoonotic transfer into the humans. A progenitor of SARS-CoV-2 after infecting humans may have acquired genomic features through adaptation during undetected human-to-human transmission.


Retrospective serological studies could answer these questions. Lastly, the optimal RBD sequence for the human receptors as predicted using computer models, significantly differs from the RBD sequences with high binding affinity isolated from the humans. If artificial engineering was the source, this particular RBD sequence would not have been preferred as it did not have a high binding affinity as predicted in the computer models. This underscores the possibility of natural selection.


Nevertheless, many evidences seem to give credence to the theory of a man-made virus that has leaked from the lab into the community. Although it seems unethical to point fingers at this time when efforts are required elsewhere, one cannot be contented with the community origin theory put forward by the Chinese government when the evidences say otherwise. It is imperative on the part of the health-care community to get to the bottom of this in order to prevent future occurrences of man-made pandemics, simply because we may never have a chance otherwise.


It’s worrying that persistently high nasopharyngeal viral RNA load, and the detection of viral RNA in blood and pleural fluid, with severe multi-organ dysfunction.


Development and effective administration of antiviral therapy to critically ill patients throughout the course of disease is likely to remain important. Vigilance regarding the strict implementation of transmission precautions is required throughout the prolonged course of COVID-19 in patients who are critically ill, and ancillary staff responsible for collecting and disposing of bodily fluids or waste, who are at high risk during an outbreak, should be properly protected and trained.


The invention of vaccination at the end of the eighteenth century led to huge changes in the treatment of infectious diseases. Smallpox was just one of the dreadful diseases common at the time, killing millions of people, and leaving survivors horribly disfigured. English country doctor Edward Jenner noticed how certain kinds of people were resistant to the disease—notably milkmaids who had contracted cowpox, a very mild disease, from the cows they milked. Jenner’s insight was that cowpox could protect against smallpox, and that injecting people with extracts from cowpox pustules might confer the same immunity to smallpox previously enjoyed by milkmaids. The word “vaccine” comes from “vaccinia,” derived from the Latin word for a cow— and the proper name for the infectious agent of cowpox. Jenner published his work in 1798, but he had no idea that smallpox (or cowpox) was caused by viruses. Vaccination caught on, and other vaccines were developed before anyone knew that viruses existed. The pioneering French scientist Louis Pasteur, for example, developed a vaccine for rabies. He first “killed” the rabies infectious agent by heating. This was the first vaccine in which a dead version of the infectious agent was used to protect against subsequent infection by the live agent. Unlike Jenner, Pasteur knew of the existence of bacteria. He realised that the rabies agent was smaller even than these tiny organisms, but remained ignorant of its true nature.


I enjoyed The Stand by Stephen King where he states One man escapes from a biological weapon facility after an accident, carrying with him the deadly virus known as Captain Tripps, a rapidly mutating flu that – in the ensuing weeks – wipes out most of the world’s population. In the aftermath, survivors choose between following an elderly black woman to Boulder or the dark man, Randall Flagg, who has set up his command post in Las Vegas. The two factions prepare for a confrontation between the forces of good and evil.


Testing negative for COVID-19 is a big reassurance in times of the pandemic, especially after you have spent days suffering in isolation. Some places also require a negative COVID certificate before they allow people to travel or meet others safely. But, is a negative COVID test certificate a clear pass enough for a person to be around people?


A single negative report isn’t proof enough that it is safe for the person to mingle and be around other people. Treating one negative test being ‘safe’ from COVID-19 could be a big mistake. As much of a relief a negative COVID diagnosis can be, relying on a negative report alone may not be a reassurance that you won’t infect other people, or put others at risk.


A new study from the Scripps Research Institute in Florida suggests the new coronavirus has mutated into a variant that’s more infectious.The mutation — named “the D614G mutation” — occurred on the spike protein, the part of the virus that helps it bind and fuse to our cells. The D614G mutation makes it easier for the virus to infect our cells.The Scripps researchers aren’t the first to identify the tiny mutation on the spike protein.In March, researchers from the Los Alamos National Laboratory announced they detected the D614G mutation, and that it was likely responsible for most infections reported in Europe and the United States.In total, the researchers identified 14 strains of SARS-CoV-2 and released their findings to help those working on vaccines and treatments.That being said, the new dominant strain identified does seem to be more infectious in laboratory settings. Scientists are now trying to understand how the variation behaves in the body — which may be very different from lab settings.It’s still unclear whether the mutation causes a more severe illness or increases the risk of death.It’s also unclear whether the new mutation infects and sickens people differently. At this time, the illness and hospitalization rates caused by the new variation seems to be similar.More data is needed to understand the implications of the new mutations, like whether re-infections after recovery are possible, and whether the changes could affect the vaccines and treatments in development.


The accuracy of the test results depends on the timing. The virus has an incubation period of 5-12 days, but in some cases, it can take longer than that. So, if you probably have been exposed to someone with an active infection, you should treat the next two weeks as a quarantine period as well.According to a study, RT-PCR tests, for example, are most susceptible to delivering wrong results in the early days of infection onset (4-5 days). The risk multiplies with antigen testing.This is one reason why people are asked to go for RT-PCR testing if they get a negative on an antigen test.



The antibodies that protect against infection with Covid-19 fade over time, so it’s likely that vaccination will not provide a permanent defence. Covid could become an illness like flu, says Dr John Wright of Bradford Royal Infirmary – one that flares up in society at regular intervals, and that people have more than once.


Some viral infections such as measles, mumps or chickenpox only infect us once. They trigger an immune response that provides a lifetime of antibody protection. Some viruses such as flu are masters of disguise, mutating rapidly to escape the detection from our immune surveillance. Other viruses like the common cold, and other endemic corona viruses, have forgettable faces that fade from our immune memory and come back to visit us year after year.


The vaccine provides a degree of confidence. But it seems highly likely that as more variants emerge across the world, the genetic mutations in the virus will make it a moving target for our body’s defence system, and for vaccine manufacturers.

So how will this combination of immune challenges - infection and vaccination - affect risk of future infection? 

Investigate the risk of reinfection with new variants ?

But it seems highly likely that as more variants emerge across the world, the genetic mutations in the virus will make it a moving target for our body's defence system, and for vaccine manufacturers.

The moral of the real lifestory

Mr potato you are at a threat from your lovely love Madam fancy while I am dying Arindam Bhattacharjee and you are a killer of your mother and sister.


Friday, May 21, 2021

" Off with your head!" Said Queen of hearts



 Each day, each moment of life, 

Butch, drop die said the wife

Each challenge, adversity,

Basking mercifully,

As all applaud her sheer perversity.


There’s a lot to be won.

There's a lot to be done 

Never quit to win a race.

 to bring success


Melancholy turbulence can be converted to a win

I didn't commit no ugly sin

But my heart just won't give in



When intense and nefarious the forces gather with all the murderous intent

Following a sure natural bent



For my life not their death

my death not their death


Self-discovery is the magic of life

Spending time with my kind of strife


As you grow wiser, more self-aware 

She may entangle in that golden snare:

With her fake psychopath

You can do the math



Can be better prepared

As Hell's battle is declared


 For the every battle

My kin when we were little


Never thought war trumpet's breath,

My nerves are steeled firmly to face   danger and death.


The luminous pages of all story prove

Fate hath my ending written in heroic woe;

Holding  your head, cursin'  I am fragile but God is with every move,

Sharp-fanged as I fell, dark death doth ever go


Focusing and concentrating, using the power of  minds,

In the whirling winds of apathy, as quarrels arose--as one frequently finds

As if I am a black tooth

I just might tell you the truth

Yelled expecting me to drop dead



Begin the process of overcoming the things that can hold back,

As my Corona attacker whacked

I remembered that I shall never die a trivial death


Embracing the battles and view them as part of a longer journey

Helpless worries don't concern me


Taking me to highs, lows and everything in between

Nobody can imagine such a scene


Not letting life drag me down

Not being defeated by crown


" Off with your head!" 

Said Queen of hearts


Having mastered all arts of living

Then I got a long way to recovering