The Chief Medical Director (CMD) of the University College
Hospital, Ibadan, Prof. Jesse Otegbayo is one of the victims of COVID-19
in Nigeria. He just tested negative for the second time on Wednesday
after several days in self-isolation. In this interview with Southwest
Bureau Chief, Bisi Oladele, Otegbayo shares his experience as a
coronavirus patient and the psychological toll it took on his family and
friends.
How many days were you in self isolation?
Before the result where I tested negative came, I was in self-isolation for eight days.
I assume that during your self-isolation, no-one, not even your family members interacted with you physically?
Not at all. We were speaking on phone.
What psychological impact did that have on you and members of your family?
My family members and friends were calling me from all over the world.
Some insisted on having video calls with me to confirm that I was okay.
From the way I was talking, they saw that I was not down. I was in high
spirit. That encouraged them. Personally, the psychological effect was
felt in one, being alone. Two, being inactive was a kind of boredom for
me; so, the restriction made me feel like a prisoner. It was not funny
at all. This is a virus we do not know everything about its biology. The
commonest news was of people who had the virus and died. But I believe
in the word of God. I had to keep my spirit very high in line with what
the Bible prescribes. I refused to entertain fear.
I took necessary medications but I did not think at any time that the
virus would kill me. I did not manifest any symptom whatsoever before,
during and after. In fact, there was no difference in my health status.
Fortunately, I was told that my viral load, which is the index of
severity of the disease, was very low. My CT, which is an index of
immunity, was also on the high side. So they told me that the two
factors may have been responsible for why I did not have symptoms. That
kept me going while in isolation. I’m still in isolation because the
NCDC guidelines prescribe that I test negative two times. My second test
was not done until yesterday, and I’m expecting the result later today.
The guideline also says I must stay at home for another seven days from
the day the second sample is collected. But now that I have tested
negative and my family members are negative, I can relate with my family
members. But I will not go to work until after the seven days.
Why then are people returning to work immediately after testing
negative for the second time? What are infected people eating to make
them test negative within one week?
Result coming back negative within days is largely a function of the
status of immunity and viral load. Some immunity status may be weak or
strong depending on individuals. For instance, if somebody is having a
common cold and he is sneezing, some people will interact with them and
nothing will happen. Whereas some people will pass by them and start
sneezing within hours. Two, those who have underlying disease are likely
to have symptoms and high level of viruses or low immunity. If someone
has cancer, heart disease, diabetes etc, they will most likely have weak
immunity.
For those who are returning to work after testing negative, their action
is not in tandem with the NCDC guidelines. After the second test, you
are supposed to stay at home for seven days.
Are there specific foods you ate during the infection that
helped defeat the virus and which you can recommend to other infected
persons?
As a doctor and a scientist, we believe in proving the efficacy of a
medicine before we recommend or make announcement that this drug works
for this particular ailment. For instance, during my isolation, I ate
amala, gbegiri and ewedu regularly. Can I now recommend amala and ewedu
for Coronavirus?
How were you served food during your isolation?
Family members serve me but there is a stool at the entrance of my door.
They just place the food on the stool. I will open the door, take it
in. They won’t touch my door or anything. I will just take the food in,
eat and keep the plates there.
In terms of what I took that I will recommend, there is a control study
whereby you place some people on a particular treatment for the same
illness and you don’t place the other group on the same treatment. You
keep the two of them in the two houses at the same time. At the end of
the day, you look at whether the people you placed on that medicine are
better than the other group who were not placed on it. Then you can come
out to objectively say that this drug is good for this ailment.
During my isolation, I did not do that. People recommended all sorts of
things including video of a doctor that was treated in Italy. They asked
me to take dogonyaro, bitter cola etc. Personally, I don’t like bitter
things. So, I took Vitamin C a lot. I had been taking the 1,000 mg
Vitamin C tablet for almost one month before my COVID-19 test. I took
Chloroquine based on recommendation by my physician. I have studies that
have shown the efficacy of Chloroquine. I also read more because the
self-isolation gave me more time to read. I read a lot on
www.uptodate.com, a website for physicians, where one gets up-to-date
information and research findings on drugs and medical developments. I
am also eating a lot of fruits to supplement the processed Vitamin C. I
ate banana, pawpaw and tried lemon juice. All that does not mean they
will have direct effect on the virus per say but they contain Vitamin C,
which is an anti-oxidant and tackles free radicals that are known to
cause diseases.
However, I cannot recommend anything because I believe I came out of it
one, by the grace of God; two, by virtue of the fact that my immunity
was strong, and because I do not have underlying disease. Four, my viral
load was low. Therefore, I will not say that what I took will work for
another person. Until research is done and these are proven, we cannot
recommend.
What advice do you have for relatives of infected persons?
The World Health Organisation (WHO) defines health as the state of
physical, mental, social and spiritual well-being; not just the absence
of disease or infirmity. There is the physical and spiritual aspects to
health. One, let them believe in their spirit that whatever they have,
God can help them through. Besides, there are testimonies of people who
have recovered.
The way it is ravaging the population makes people see
the virus as a death sentence. In fact, people who are my relations and
friends exhibited more fear than me the infected. Very sincerely, I did
not have any fear because all those aspects I have listed helped. And I
believe it was not my time to die; my spirit was high. I was also very
sensitive to my body – checking my temperature by myself. It was normal
all through. In fact, at that point in time, if my skin itches somewhere
I would think it could be a sign of Coronavirus (laughs). So, I
listened to my body, I assessed myself. So, people should be sensitive
to their bodies so that if there is any change they can contact a health
worker.
Two, they should take the recommended medications that are known to some
extent to work for now, such as taking a lot of fluids, Vitamin C and
anything that can boost their immune system. At the end of the day,
drugs don’t usually kill some viruses. Drugs only boost the immunity to
help the body itself fight them because most of the drugs that can kill
viruses also kill human beings. For instance, we really don’t have drugs
that kill the HIV. There are drugs that will suppress and boost the
body to gain upper arm and deal with the viruses. They need a lot of
sleep, rest and exercise. They should not entertain fear. When one is
down emotionally, all sorts start coming. They should keep themselves
happy with whatever they enjoy doing. Finally, they should ensure that
measures are taken not to transmit it to others. When they bring my
food, they wear hand gloves and mask, despite the fact that they don’t
touch anything that I use in my room. They also use sanitiser.
***
Source: The Nation
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