Health Essentials
The common cold; an enemy of productivity
You are not coughing, sneezing and churning out clear watery fluid from your nostrils because you stayed out late or spent time outdoors bare-chested. You are likely to have inhaled a good dose of viruses and may have what we commonly refer to as the COMMON COLD.
These days COVID-19 has changed the landscape and one cannot safely bet on having a common cold until you have taken a test to check for this novel corona virus. Even a negative test result may not be the end of the story BUT that is a topic for another day.
Most of us may recognise the symptoms of a common cold and definitely everyone reading this piece must have been a victim at one time or the other. The symptoms may be mild but trust me sometimes you get the impression the gates of heaven or hell were just open wide to receive you.
It may normally last one to two weeks and is an extremely common reason for a visit to a health facility all around the world. Your guess is as good as mine it also leads to many days off work or school. Many doctors are likely to give someone with a common cold days off from work because the person is a health “hazard” Can you imagine spending hours in a room with someone coughing and sneezing?
You may soon catch the common cold too and then there will be more people underperforming and that means more cedis down the drain for the business. It is even more important now to stay home when you have one or more of the tell-tale signs below since you will be mentally torturing your colleagues as they imagine you may be entertaining COVID-19 rent-free.
TELL-TALE SIGNS
- Coughing
- Sneezing
- Watery Eyes
- Runny nose
- Stuffy nose
- Itching throat
- General body pains
- Mild Fatigue
- Low grade fever
Allergies may often mimic the common cold but there are a few obvious differences. Note that the two may occur at the same time.
- Allergies are NEVER associated with a fever and the victim will not have generalised aches and pains
- All the other features above could occur in both
- Unlike the common cold allergies are not caused by a virus
- One will normally fight the common cold with REST, PAIN RELIEVERS and a myriad of “cold remedies” whereas allergies require an antihistamine to offer relief.
In a malaria endemic area like ours, the common cold can mimic MALARIA an old foe. Who would not suspect malaria when after several nights of unfriendly interaction with mosquitoes one begins to experience a fever, general aches and pains as well as a general sense of not feeling well. Many times we tend to battle the common cold with an antimalarial medication leading to drug resistance and unnecessary stress on our liver. When in doubt do see a professional.
A CLOSE LOOK AT CHILDREN
The nursery school is every mother’s nightmare especially the first few years. Since the children are in close contact with one another, there is a lot of “sharing” of viruses many of which cause the common cold. Consider the fact that over a 100 viruses may cause the common cold and you will understand why your little one appears to be having a long lasting acquaintance with the common cold.
Beware lest you keep giving antibiotics to your child. Trust your doctor when he recommends supportive care. Sometimes your child’s cold may be complicated by infections such as an ear infection so monitor closely.
A WORD TO ADULTS
Most adults will not get the common cold as often as their little angels but women in their 20s to 40s are noted to have relatively frequent attacks probably because they spend more time with their toddlers.
In general any condition that keeps more people indoors or in an enclosed area for long periods of time is a remedy for spreading the common cold as the viruses are spread as we cough or talk. It can also be spread through contact such as shaking hands with someone who has cold and also sharing items that may include telephone, utensils and toys. After such contact one can easily catch a cold when you touch your eyes, nose or mouth (just as occurs in COVID). Good old washing of hands with soap and water pops up again.
COMPLICATIONS
Though most bouts of the common cold may be harmless, occasionally we may be at risk of complications (commoner in children) especially when the cold persists for a long time:
- Ear Infection
- Infection of the sinuses
- Wheezing may be precipitated in an asthmatic
- Bacterial infection of the throat and even pneumonia
TIME TO SEE THE DOCTOR
It is important to see a doctor immediately if you have any of the following:
- Temperature above 39.4 degrees Celsius in an adult or older child
- A temperature of 38 degrees Celsius may be the trigger for a baby less than two months old
- Persistent vomiting.
- Refusal to eat and drink, which may lead to dehydration.
- Excessive sleepiness
Note that in 2021, it is important to seek professional medical care whenever you have any symptoms that you think could be the common cold. Do Not wait for complications to set in or only to find out later you rather have COVID-19.
MANAGING THE COMMON COLD
Your best bet is prevention.
- Eating a healthy meal with a lot of fruits and vegetables will boost your immunity and help you ward off the cold
- Mild to moderate exercising (regular) will also increase your immunity
- Washing your hands with soap and water after interacting with people
- Patronise crowded areas ONLY when necessary
Once you have the common cold then it’s time to switch to plan B. There is currently no cure for the common cold but you may be able to make life more comfortable by adopting the following:
- Drink lot of fluid – water, juice. This will replace fluid lost and prevent dehydration
- Grab chicken soup – the jury is out and this is no longer an old wives tale. This soup actually reduces inflammation associated with the cold and also speeds up the movement of mucus through the nose, relieving congestion and reducing the time viruses stay in contact with the nasal lining
- Get some rest
- Keep your room warm
- Saline drops may come in handy to relieve the nasal stuffiness.
- You may use some pain relievers but remember they have side effects
This cold may be common but it can definitely make your life miserable and end up keeping you away from work and maybe poorer.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd/ St Andrews Clinic/Mobissel
Dr. Essel is a medical doctor, holds an MBA and is ISSA certified in exercise therapy, fitness nutrition and corrective exercise.
Thought for the week –“STIGMATISATION has no place in fighting this pandemic. It will cause people to hide and not disclose their status, seek medical care late and reduce all the benefits of protocols. We should all be comfortable enough to tell our close contacts when we test positive for COVID-19 so that the proper measures are taken. This is extremely important if we have to win this fight.”- Dr. Kojo Cobba Essel
References:
This week I bumped into Deborah, one of my avid readers and I promised her I will be writing this weekend. So Deborah, this is for your reading pleasure and to pick some golden nuggets for the future.
The quest to find the best way to make one’s golden years, happy, exciting, healthy and a time most people look forward to continues unabated. One factor that keeps popping up is the need to grow friendships with people more than 20 years younger than yourself.
Do not take this for granted. It is a form of “social security” since these close friends who are much younger than you will step in to support you in more ways than you can ever imagine.
Some conditions may make life challenging for older adults but knowing these Geriatric Giants helps us to take the necessary steps to reduce our risk.
“Geriatric Giants” refers to a group of chronic health conditions that are common in the elderly, typically 65-year-olds and older.
These conditions quite often co-occur and can impact on the independence, dignity and overall wellbeing and quality of life of an elderly person.
These Geriatric Giants include:
- Impaired Intellect/ Memory (e.g. Dementia)
- one of the major battles we need to deal with is challenges with memory
- Exercise, adopt the Mind Diet, build a great social network and enjoy time outdoors
- Keep reading and solving puzzles for as long as possible
- Instability – leading to much feared falls
- A good reason to indulge in Balance Training and Core Strengthening exercises from today
- Ensure your home is safe; avoid clutter such as cables crisscrossing floors, toys etc. These are all trip hazards and should be avoided
- Many healthy, happy and fun-loving older adults have died soon after a fall with its attendant complications.
- Do whatever it takes to avoid falling
- Immobility (opening the doors to pressure sores, joint stiffness)
- Even when you are unable to move about on your own it is important to get support to change positions as often as possible or get an appropriate mattress or bed that prevents prolonged pressure over any single point.
- Make sure you passively or actively move joints daily.
- Incontinence (urine, faeces or both)
- This is one of the reasons older adults prefer to stay at home and avoid going out to meet friends etc.
- Iatrogenic Disorders – adverse effect of medication
- Quite often most older adults are on several medications and some side effects such as drowsiness may seem to cause more unhappiness and may even lead to falls.
- Inappetite – this may result in poor nutrition
- This may also be linked to loss of teeth thus making chewing very difficult or limited.
- The loss of smell and taste may also reduce the amount of food one may willingly eat.
The power to reduce the impact of the Geriatric Giants starts now and should be a lifetime commitment. It is never too early to start making the appropriate lifestyle modifications, nor is it too late to reduce the impact of the giants on one’s life.
Other conditions that significantly impact on the lives especially of the elderly are:
- Sleep Disorders
- Good sleep has the power to give us energy, improve our thought pattern and even helps us to make good choices.
- Good sleep sets the tone for a healthy life
- Constipation
- This is a challenge that confronts quite a number of older adults.
- Movement, fibre and lots of water go a long way to reduce the stress that frequent constipation generates.
- Fraility
- Muscle loss is real and as we age, we lose a significant percentage of our muscle plus our bones also become brittle.
- Make sure strength training is part of your exercise schedule
- Polypharmacy
- Another headache that needs to be confronted head-on
- Everyone especially older adults need a good primary care physician or a general practitioner who can coordinate all medicines from the different Specialists who may be attending to an elderly person. This ensures that unnecessary medicines are dropped
The goal of care at all times is to optimise the quality of life. As family, professional caregivers and friends we should always show respect so that the dignity of the elderly is preserved at all times. For those of us who are not yet in the age group with such challenges, we need to start the conversation about the type of care we will prefer and take steps to stay healthy and independent for as long as possible. The goal should be a long Healthspan and not just a long Lifespan.
AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)
Dr. Kojo Cobba Essel
Health Essentials Ltd (HE&W Group)
(dressel@healthessentialsgh.com)
*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’
Thought for the week – “There is no magic formula to being happy but making a conscious effort to be happy goes a long way.” – Dr. Kojo Cobba Essel
By Dr. Kojo Cobba Esse
The call to action
We must move beyond the cycle of temporary outrage. I propose a four-point blueprint for the Ministry of Health and the government:
1. A Digital Bed-Tracking Command Centre: Legally mandate all public and major private hospitals to update a live, digital bed-registry every hour. The NAS must be able to see a vacancy before they move. This must be matched with the available resources and services so that the right patient will be sent to the right facility.
2. Strategic Capacity Expansion: We must stop building “prestige projects” and start building high-volume stabilisation centres. We need a targeted investment to triple the ER bed count in Accra and Kumasi within 24 months. This should then be extended to other regional capitals.
3. Specialised Emergency Hubs: Designate specific hospitals as “Centres of Excellence” for Cardiac and Stroke care (and for other health emergencies), ensuring they have 24/7 imaging and intervention capabilities as well as the requisite expertise to manage these conditions. Policy makers must incentivise public-private partnerships to ensure that a heart attack in Accra or Kumasi can be treated with the same urgency as one in New York.
4. Develop a nationwide trauma system: This is extremely important because trauma is a major cause of deaths in Ghana. In the US, each state has a statewide trauma system with three levels. Level 1 trauma centres are usually University Teaching hospitals that provide comprehensive trauma care and also play an important role in local trauma system development, regional disaster planning, increasing capacity and advancing trauma care through research. Level II trauma centres are expected to provide initial definitive trauma care for a wide range of injuries and injury severity.
Level III centres provide definitive care to patients with mild trauma. Having such systems is imperative to ensure proper treatment of trauma patients.
Even for those who survive trauma, disability is a major assault on economic potential and viability. Importantly all this cannot happen with a cash and carry system. Emergencies should be managed under a different model to save life and limb first. Obviously, there is a need to ensure that healthcare facilities will be able to recover their investments in emergency care, and that balancing act needs careful consideration.
Frontline clinicians are often forced to bear the public’s anger for infrastructure deficits they did not create and cannot fix. This is a failure of governance, not a lack of clinical care. Responsibility lies with the policy makers who manage the nation’s resources.
The “No Bed Syndrome” is a systemic disease. It cannot be cured with a directive from the Ministry of Health, parliament or a lecture on ethics. It requires a blueprint, a budget, and the political will to treat this like the menacing threat it is.
It is safe to say that non-emergent healthcare is excellent in Ghana for the most part if you can afford it. However, emergency care is suboptimal. We had a sitting president die from an emergency health issue and a former vice president also die from an emergency. If that is not enough warning, it is clear that anyone can be a victim of an emergency.
If we do not act, the next ambulance driving aimlessly through the streets of Accra could be carrying anyone, including the very people who have the power to fix this issue.
Prof. Jonathan Laryea is a Professor of Surgery at the University of Arkansas for Medical Sciences in Little Rock. Arkansas. He is board certified in General Surgery, Colorectal Surgery and Clinic Informatics.
He is a graduate of the University of Ghana Medical School (Class of 1997)
