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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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Secondmedic Lunch & Learns: How Combining Skill Building and Health Education Transforms Workplace Wellness

Corporate wellness is no longer limited to annual health checkups or fitness challenges. Modern organisations recognise that sustained employee wellbeing requires continuous learning, awareness and engagement. Secondmedic Lunch & Learns are designed around this philosophy, bringing together skill development and health education in a format that is practical, engaging and easy to implement.

By using informal lunchtime sessions, organisations create a safe, relaxed environment where employees can learn, ask questions and apply knowledge immediately.

What Are Lunch & Learn Sessions?

Lunch & Learn sessions are short, focused learning programs conducted during lunch hours.

They:

minimise disruption to work
encourage voluntary participation
promote informal learning

Secondmedic enhances this format by integrating health education with essential workplace skills.

Why Combine Skill Development with Health Education?

Health and performance are deeply interconnected.

Employees who understand:

stress management
nutrition
ergonomics
mental wellbeing

are better equipped to:

focus
collaborate
perform consistently

NITI Aayog workforce reports highlight that health literacy directly influences productivity and engagement.

The Growing Need for Workplace Health Education in India

India faces a rising burden of lifestyle diseases.

According to ICMR and NFHS-5:

a large portion of the working population has undiagnosed risk factors
stress and sedentary behaviour are increasing
health awareness remains low despite access to information

Workplaces offer the ideal platform for preventive health education.

How Secondmedic Lunch & Learns Are Structured

Secondmedic Lunch & Learns follow a structured yet flexible format:

short expert-led presentations
interactive discussions
real-life case examples
practical takeaways

Sessions are designed to be concise, engaging and actionable.

Health Topics Commonly Covered

Health education topics include:

preventive health and early detection
stress and mental wellbeing
nutrition for working professionals
sleep health and fatigue management
posture and ergonomic safety

These topics address everyday challenges faced by employees.

Skill-Focused Learning Areas

Alongside health, sessions also support professional growth through:

communication skills
time and energy management
resilience and adaptability
decision-making under pressure

This dual focus enhances overall workplace capability.

Benefits for Employees

Improved Health Awareness

Employees learn how daily habits affect long-term health.

Practical Skill Application

Skills taught can be used immediately at work and home.

Higher Engagement

Interactive sessions increase participation and interest.

Reduced Stress

Knowledge empowers employees to manage stress better.

Benefits for Employers

Stronger Wellness Culture

Learning-driven wellness signals genuine organisational care.

Better Productivity

Healthy, skilled employees perform more consistently.

Reduced Absenteeism

Preventive education lowers illness-related leave.

High ROI Initiative

Lunch & Learns are cost-effective and scalable.

EY-FICCI reports show that preventive wellness programs deliver long-term savings for organisations.

Why Lunch Hours Work Best

Lunchtime sessions:

feel informal and relaxed
encourage open participation
avoid meeting fatigue

Employees are more receptive when learning is integrated naturally into the day.

Virtual and Hybrid Lunch & Learns

Secondmedic adapts sessions for:

in-office teams
remote employees
hybrid workplaces

This ensures consistent learning experiences across locations.

Role of Medical and Subject Experts

Sessions are led by:

doctors
nutritionists
mental health professionals
trained facilitators

Expert-led content ensures accuracy and trust.

Encouraging Behaviour Change Through Education

Information alone does not drive change.

Secondmedic focuses on:

practical examples
small habit shifts
realistic goal setting

Lancet behaviour change studies confirm that interactive education improves long-term adherence.

Measuring Impact of Lunch & Learns

Organisations often observe:

higher session attendance
improved employee feedback
increased health screening participation
better engagement scores

These metrics demonstrate sustained value.

Aligning Lunch & Learns with Preventive Healthcare

Lunch & Learns complement:

preventive health checkups
wellness campaigns
digital health initiatives

They reinforce messages and encourage proactive health decisions.

Customisation for Organisational Needs

Secondmedic customises sessions based on:

workforce demographics
industry-specific risks
organisational goals

Tailored content improves relevance and impact.

Long-Term Value of Continuous Learning

Wellness is not a one-time intervention.

Regular Lunch & Learns:

reinforce healthy behaviours
build long-term awareness
create a learning culture

WHO emphasises continuous education as a pillar of workplace health promotion.

Conclusion

Secondmedic Lunch & Learns represent a modern, effective approach to corporate wellness by combining skill development with health education. These sessions empower employees with knowledge that improves both personal wellbeing and professional performance. Easy to implement, cost-effective and highly engaging, Lunch & Learns help organisations build healthier, more capable and more loyal teams. When learning and wellbeing come together, workplaces thrive.

References

Indian Council of Medical Research (ICMR) – Workplace Health and Lifestyle Studies
National Family Health Survey (NFHS-5) – Adult Health and Risk Factor Data
World Health Organization (WHO) – Workplace Health Promotion Guidelines
Lancet – Health Education and Behaviour Change Research
NITI Aayog – Workforce Productivity and Preventive Health Reports
EY-FICCI – Corporate Wellness and Employee Engagement Studies

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