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Published on: May 22, 2020
1 minute read
By: Dr Rajan Choudhary

Corona Virus In Young Patients And Kids

Kids seem to be relatively unaffected by COVID, but this does not mean they are invulnerable. As with adults, some children have pre-existing cardiac, respiratory, or metabolic conditions, and are therefore more vulnerable to the effects of COVID. Interestingly, children appear to have one more symptom when infected with coronavirus – COVID Toes.

I personally came across this phenomenon recently, with a young patient asymptomatic for COVID who presented with unusual symptoms of dark bruises on his toes. This had been present for just a few days. He did not have any pain, itching, swelling, no recent trauma, or injury to the feet. Circulation to his feet was normal, with no other rashes or skin changes, no other abnormal features in the history to note. It was certainly an odd presentation and certainly could have been an example of COVID toes.

This new phenomenon was noticed in April and has not gained as much notoriety because it is fairly rare compared to the major COVID symptoms, such as fever, cough, and lethargy. Doctors have described lesions on the feet of young people, usually purple-colored, around the tips of the toes. They have been compared to chilblains, painful swellings on feet, and toes that appear in the cold. Similarly to chilblains they do not cause any permanent damage and usually regress in days to weeks.

It's not clear why they occur or the mechanism behind the discoloration, because the presentation is rare and in healthy patients. We know COVID can cause systemic inflammation and can increase the risk of clot formation. It may be that localized inflammation is occurring in the toes, causing the vessels to clamp down and reduce blood flow to the area. This is similar to the mechanism for chilblains forming in the foot. Micro-clotting could also be partially responsible for this phenomenon.

COVID Toes is not the only skin symptoms related to COVID. In a paper published in the British Journal of Dermatology, researchers described five common skin presentations in 375 COVID patients. These were:

Asymmetrical chilblain like lesions in the hands and feet, found in younger patients lasting up to 2 weeks.
Small itchy blisters in the trunk and limbs, found in middle-aged patients before they present with symptoms, lasting about 10 days
Pink or white areas of raised skin, itchy, usually on the body
Raised bumps called macropapules, lasting about a week, seen in more severe infections.
Mottled, blotchy red-blue skin (known as livedo) seen in patients with severe illness.

So if you are currently suffering from COVID or have recently recovered from an infection, and suddenly notice odd colored toes, you too may have a case of COVID toes.

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

www.secondmedic.com

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How Remote Patient Monitoring is Enhancing Chronic Disease Management

Managing chronic diseases like diabetes, hypertension, heart conditions, and asthma is a daily challenge for millions of people worldwide. These conditions require continuous care, regular monitoring, and timely medical interventions. In recent years, one innovation has been transforming this space dramatically — Remote Patient Monitoring (RPM).

This modern healthcare solution is reshaping how patients and doctors manage long-term health issues, offering more convenience, better health outcomes, and cost-effective care. In this blog, we will explore how remote patient monitoring is enhancing chronic disease management, and why it’s becoming essential for modern healthcare.

What is Remote Patient Monitoring (RPM)?

Remote Patient Monitoring is a system where patients use digital technologies to collect their health data and send it to healthcare providers in real-time or at scheduled intervals. This can include data like:

Blood pressure
Blood sugar levels
Oxygen saturation
Heart rate
Weight
Medication usage
Physical activity levels

These devices may be as simple as a smartwatch or a connected glucose monitor. Healthcare professionals review this data remotely and take necessary action if any red flags appear.

The Growing Need for RPM in Chronic Disease Care

Chronic diseases are not just long-term; they are often unpredictable and require personalized care. Traditional healthcare models — where patients visit the doctor every few months — don’t always provide timely insights.

RPM fills this gap by:

Offering real-time monitoring
Reducing the need for frequent in-person visits
Helping doctors intervene before conditions worsen

In essence, it brings the doctor’s care to the patient’s home.

Benefits of RPM in Managing Chronic Diseases

Let’s look at the many ways RPM is helping both patients and healthcare providers manage chronic conditions more effectively.

1. Early Detection of Complications

RPM allows for continuous health monitoring, which makes it easier to spot issues early. For instance, if a patient's blood pressure readings are consistently high, a doctor can be alerted immediately and adjust medication or recommend lifestyle changes.

2. Better Patient Engagement

Patients become more aware and involved in their own care when they can track their health data daily. This awareness often leads to better compliance with medication, diet, and exercise.

3. Reduced Hospital Visits and Readmissions

With RPM, many flare-ups or emergencies can be avoided. This reduces the number of emergency room visits and prevents unnecessary hospital readmissions, which also saves healthcare costs.

4. Personalized and Data-Driven Care

Doctors get detailed and continuous insights into each patient’s health trends. This helps them tailor treatment plans based on real-time data, not just occasional checkups.

5. Improved Access to Care

RPM is a game-changer for people living in rural or underserved areas where regular visits to specialists are not possible. It ensures they receive the same level of care without having to travel.

RPM in Action: Real-Life Applications

Remote Patient Monitoring is already being used effectively in many chronic diseases:

Diabetes Management: Smart glucose monitors send daily sugar readings to doctors who can adjust insulin doses as needed.
Heart Disease: Patients use connected ECG devices or wearable heart monitors. Any irregular heart rhythm alerts the doctor in real-time.
COPD and Asthma: Oxygen levels and respiratory rates are tracked remotely. Doctors can act before a patient suffers a severe attack.
Hypertension: Blood pressure monitors transmit data daily, making it easier to control and manage high BP without delay.

Technology Behind RPM

Modern RPM systems rely on:

Wearable Devices: Smartwatches, fitness trackers, glucose monitors, etc.
Mobile Health Apps: These apps collect and transmit data securely to doctors.
Cloud-Based Platforms: All patient data is stored and analyzed in the cloud, which doctors can access instantly.
AI and Predictive Analytics: Advanced systems use AI to detect patterns and even predict potential health risks before they happen.

The combination of these technologies creates a smooth, integrated care experience for the patient and a more effective way for healthcare providers to manage diseases.

Challenges in RPM — And How They’re Being Solved

Like any innovation, RPM has some challenges:

Data Privacy: Patients worry about how their health data is handled. The solution? Encrypted data storage and strict compliance with privacy laws like HIPAA.
Technology Access: Not everyone has access to smart devices or reliable internet. Governments and private companies are working to improve access in rural and low-income areas.
Digital Literacy: Elderly or less tech-savvy patients may find RPM devices hard to use. To solve this, devices are being made simpler, and training programs are often offered.

The Future of Chronic Disease Management with RPM

The future looks promising. With the rise of 5G, AI, and Internet of Things (IoT), RPM is becoming more efficient and accessible. Hospitals and clinics are now integrating RPM into their primary care models, insurance companies are beginning to cover it, and patients are demanding more home-based care options.

As this technology continues to evolve, we can expect:

Faster interventions
Better long-term health outcomes
Lower healthcare costs
More empowered patients

Conclusion: Transforming Care, One Device at a Time

Remote Patient Monitoring is not just a trend — it’s a vital solution to one of healthcare’s biggest challenges: managing chronic diseases. It empowers patients, supports doctors, and makes continuous, personalized care possible without needing to be physically present at a hospital or clinic.

If you're living with a chronic condition or caring for someone who is, consider asking your doctor about RPM options. It's an investment in better health, peace of mind, and independence.

Ready to experience better chronic care? Learn more about how remote patient monitoring is enhancing chronic disease management and take a step toward healthier living today