Introduction

Coronavirus disease is a contagious disease caused by severe acute respiratory syndrome coronavirus 2. The first known case was identified in Wuhan, China, in December 2019. This deadly pandemic has spread worldwide leading to an constant destruction and damage of mankind. With the altering global scenario, unpredicatable life, disparaging scenes everywhere this miniscule virus has effortlessly accomplished to breakdown the population, sealdown places and instant lockdown at times of despair.1, 2

Case Report

A to Z on how things chanced & appeared suddenly, persisted & prevalent daily and diminishing & declining slowly and now with the resurge and rise lately that has kind-a-forever brought a “change and shift” in the mundane which strongly seems here to stay for sometime atleast and has trended to be a part of our being. Every single word in the tabulation below has a story and meaning to it in these trying times of COVID era.

Discussion

The Coronavirus (SARS-CoV-2) has spread rapidly all across the world since December 2019 after its outbreak from Wuhan city in China. World Health Organization (WHO) finally declared Coronavirus outbreak as a pandemic disease on 11 March 2020. Earlier the spread of disease was supposed to be zoonotic but now it has been proved that the virus spreads by aerosol infection by human-to-human contact. This SARS-CoV-2 mainly affects the respiratory system. The patients come to ENT OPD with chief complaints of common cold, cough, fever, headache, breathlessness, myalgia which goes in favour of COVID during this pandemic era. Otorhinolaryngologist deal with the examination of oral cavity, nasal cavity and airway examination in the outpatient department, so they are at a much higher risk of getting infected with this SARS-CoV-2 infection as its main modality of spread is through droplet from one infected individual to other. 3, 1, 4

There has been a lot of literature since December 2019, regarding COVID. How things were looked upon during pre-COVID times and how things have mattered to us post-COVID times. There has been inch to inch details regarding its symptomatology to its behaviour and various management modalities. Hence, I thought to omit the bad part and try to focus on the must and to be focussed upon part that COVID has taught us since December 2019 and is still continuing to do so. Hence, just a slight deviation from the routine ENT practice is what it is meant to be in this piece of work. 2

This sudden spur of raging pandemic has definitely bought in lot of developments in everyone’s life. The gist of the changes to be adapted has been summarised below, which is to be in vogue at the earliest. Note: focus everywhere is on words like- you, your, self & I. During these times, the importance of every single thing and every tiny moment spent and to spend has been realised such as:

COVID-19 pandemic is now an international health emergency. Transmission via close contact from human to human has rapidly amplified spread of disease, making it even more difficult to contain its spread in the community. The person may be asymptomatic with a positive swab test, may present with a mild influenza-like illness or may present with serious symptoms that need hospitalisation. There is presently no effective antibody test available for rapid diagnosis, but HRCT chest have been seen to be quite sensitive and specific. In the absence of an effective vaccine, treatment is mainly supportive with oxygen therapy, antivirals, steroids, HCQ’s and antibiotics. Complicated cases and cases refractory to standard therapy may require immunomodulatory drugs and plasma exchange therapy via convalescent sera from recovered patients. Advances in viral genetic sequencing and technology have paved way for development of a vaccine for COVID-19, with many pharmaceutical companies already having started human trials, which have been executed and now on the verge of booster schedule. 1, 2

Since being declared a global pandemic, COVID-19 has ravaged many countries worldwide and has overwhelmed many healthcare systems. The pandemic has also resulted in the loss of livelihoods due to prolonged shutdowns, which have had a rippling effect on the global economy. Even though substantial progress in clinical research has led to a better understanding of SARS-CoV-2 and the management of COVID-19, limiting the continuing spread of this virus and its variants has become an issue of increasing concern, as SARS-CoV-2 continues to wreak havoc across the world, with many countries enduring a second or third wave of outbreaks of this viral illness attributed mainly due to the emergence of mutant variants of the virus. 5

Conclusion

COVID has had a catastrophic effect on the world’s demographics resulting in > 3.8 million deaths worldwide, emerging as the most consequential global health crisis since the era of influenza pandemic of 1918. COVID has literally been a colossal, instantaneous phenomenon in all our lives both professionally and personally from the word “go”. It has entitled on all of us that how “chances” which were taken have now become “changes”, and how these changes have left on to “choices” to be made appropriately in future. There was a time in Pre-COVID era which said “Simon Go back”. It seems literally impossible now to utter the words “Go Corona Go”, as it has become a part and parcel of all our lives though we like it or not. Likewise masks and sanitisers have also become a must in our mundane.

Source of Funding

This work not supported in any foundation.

Conflict of Interest

The authors declare no potential conflicts of interest concerning the authorship and publication of this article.