Call
+918447748545

Published on: Apr 30, 2020
3 minute read
By: Dr Rajan Choudhary

COVID AND CLOTTING: A BRIEF LOOK

At the Mount Sinai hospital, a case series of five patients have been put together, ready to be published in the New England Journal of Medicine. It details patients aged 33, 37, 39, 44, and 49 who all began to experience a sudden onset of symptoms including slurred speech, confusion, drooping on one side of the face, and feeling dead in one arm. At the time of writing one has sadly died, two remain hospitalized and one is in rehab. Only the youngest is able to speak. All of them were found to be COVID positive.

This drastic case series highlights a growing problem of strokes and clotting disorders in COVID patients, one noted by medics across the world. This blog looks at whether this is a common occurrence and what may be causing it.

Before reading this blog it will be helpful to read our previous blog on why and how blood clots.

THE START

In mid-February Tang et al published a paper noting that patients with abnormal clotting parameters were associated with a poorer prognosis. In their study, 11% of their patients died, but out of these patients, 71% had these abnormal parameters, compared to just 0.6% of survivors. The patients who died also demonstrated DIC (disseminated intravascular coagulation), a condition in which clotting is triggered in the patients' blood across the body, not just at the site of injury.

There is one major issue with this study. In most European hospitals patients receive anticoagulant medications on a daily basis. This is because lying in a hospital bed when ill can promote the formation of clots in your legs. Most hospitals in China do not provide this anticoagulation, but even then the incidence of clotting is remarkably high.

After this, the evidence begins piling up. 9th April, Cui et al found 25% of patients with severe COVID had clots in their legs, of which just under half died. Looking at a specific clotting parameter (D-DIMER) was remarkably accurate at predicting high-risk patients.

Italian doctors found in 16 patients in critical care with severe Acute Respiratory Distress Syndrome (a severe inflammatory condition caused by COVID) also had deranged clotting parameters.

French studies had found these sickest patients often had large clots in their lungs, blocking blood flow in the lung and causing severe issues in keeping the patient's blood well oxygenated.

Some studies showed even patients hooked up to artificial lungs (known as ECMO) were not safe from the problems caused by excessive clotting.

WHY?

So why is this occurring? As with everything in medicine, the answer is complicated and usually multifactorial. So we will simplify it.

We must look at the platelets in our blood. These fragmented cells have an important role in triggering the clotting cascade and creating a clot. During an infection white blood cells (important immune cells responsible for finding and destroying invading organisms) release many chemical signals around an infection site. This triggers platelets, the formation of small protein meshes that can literally net the viral particles in the blood.

But it looks like they have an anti-viral role as well. Researchers have found specialist receptors on platelets that recognize viruses in the blood, leading to the release of specialist anti-viral molecules that target and destroy the viruses. This is an interesting finding because it is white blood cells that are known to destroy invading organisms.

So how does it go wrong? In severe infections, there is a very large viral load, and this can cause an excessive response. Too many white blood cells release too many chemical signals, causing too many platelets to activate. The same thing can occur with the virus directly activating too many platelets at once. This results in clots forming in the blood throughout the body, including the lung and the brain. It is another instance of the body falling victim to its own protective mechanism.

A second problem is that as these platelets are activated, they and the clotting proteins in the patient’s blood are “used up”. This is dangerous, because without these platelets and clotting proteins the body is unable to stop any bleeding sites. Profuse bleeding can occur from small injuries, further complicating the treatment of the patient.

So what can be done?

Hospitals have already started looking at giving patients with severe COVID anticoagulation therapy. And it seems in patients with deranged clotting, giving anticoagulation therapy can lower mortality. The International Society on Thrombosis and Haemostasis (Clotting) has recommended that patients with severe COVID receive high dose anticoagulation medication to thin their blood, because these patients are at such high risk of clots. This regime will be used for hospital patients and those in critical care.

And what about for the everyday public? Should we be worried? So far the data suggests this is only happening in people suffering from severe symptoms of COVID. But the incident in New York certainly raises some questions, and it will be interesting to read their report in NEMJ. Should you panic and start taking anti-coagulant medication at home? Definitely not. But what you should do is be educated in the symptoms of common diseases caused by clots. Diseases such as strokes and DVTs.

STROKE

Remember, act F.A.S.T

Facial Droop on one side
Arm or hand on one side feels numb or weak with reduced power (same in one leg)
Slurred speech making it difficult to understand
Time to phone an ambulance

Other symptoms can include sudden loss in balance, sudden loss in vision in one eye, problems swallowing, and more.

DVT

Look out for a swollen, painful calf on one side that is hot to touch.

PULMONARY EMBOLISM

If you have a swollen, painful calf and are also having trouble breathing, with some sharp stabbing pain in your chest, contact the emergency services as soon as possible.

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

www.secondmedic.com

Read Blog

Virtual Cooking Class with a Dietitian: Why It’s a Powerful Corporate Wellness Benefit

Corporate wellness programs in India are undergoing a meaningful transformation. What once revolved primarily around annual health checkups and gym memberships is now shifting toward sustainable lifestyle-based interventions. Among these, the virtual cooking class with a dietitian has emerged as one of the most practical and high-impact wellness initiatives for modern workplaces.

Poor dietary habits are a leading contributor to lifestyle-related conditions such as diabetes, obesity, hypertension, and heart disease. According to the Indian Council of Medical Research (ICMR) and the National Family Health Survey (NFHS-5), a significant proportion of India’s working population consumes excess refined carbohydrates, sugar, and unhealthy fats, while falling short on protein, fibre, and essential micronutrients.

For corporate wellness initiatives to create lasting impact, they must move beyond awareness and actively support behaviour change. Dietitian-led virtual cooking classes address this gap by turning nutritional knowledge into daily practice.

Why Nutrition Is a Critical Corporate Wellness Priority

1. Rising lifestyle disease burden among employees

ICMR data highlights the growing health challenge within India’s workforce:

Over 100 million Indians live with diabetes
Nearly one in four adults has hypertension
Obesity rates are rising even among younger professionals

These conditions directly affect productivity, absenteeism, insurance claims, and long-term healthcare costs.

2. Desk-bound and remote work culture

Sedentary routines, irregular meal timings, and reliance on processed or convenience foods have become common in corporate environments, especially with hybrid and remote work models.

3. Knowledge does not translate into action

Many employees are aware of what constitutes healthy eating but struggle to apply this knowledge in everyday cooking. Virtual cooking classes bridge this gap by offering hands-on, real-world guidance.

What Is a Virtual Cooking Class with a Dietitian?

A virtual cooking class with a dietitian is an interactive online session led by a qualified nutrition professional who:

Demonstrates healthy, practical recipes
Explains ingredient choices and substitutions
Teaches portion control and meal balance
Addresses common dietary myths
Answers real-time participant questions

Unlike generic cooking shows or wellness webinars, these sessions are evidence-based and aligned with preventive health goals. They are designed specifically for corporate audiences, ensuring simplicity, cultural relevance, and scalability.

Why Virtual Cooking Classes Work Better Than Traditional Nutrition Talks

1. Practical skill-building

Employees learn how to:

Plan balanced meals
Cook quick, healthy dishes
Reduce excess sugar, salt, and oil
Read food labels with confidence

Skill-based learning leads to stronger habit formation than passive education.

2. Higher engagement and participation

Interactive cooking sessions are:

More engaging than lecture-style talks
Suitable for virtual and hybrid teams
Inclusive across age groups and roles

Participants actively cook, ask questions, and engage rather than passively listening.

3. Cultural relevance

Dietitians tailor recipes to Indian food habits, regional preferences, and household realities, making healthy eating feel practical and sustainable rather than restrictive.

Key Benefits for Employees

Improved daily nutrition

Employees gain confidence in preparing balanced, nourishing meals at home.

Better energy and focus

Stable blood sugar levels and improved nutrient intake support sustained energy and mental clarity during work hours.

Reduced lifestyle disease risk

WHO and Lancet research confirms that dietary improvements significantly reduce the risk of chronic diseases.

Stress reduction

Cooking itself can be therapeutic, contributing positively to mental wellbeing.

Family-wide impact

Healthy habits learned by employees often influence household food choices, extending benefits beyond the workplace.

Why Employers Benefit from Virtual Cooking Classes

1. Reduced absenteeism

Healthier employees tend to experience fewer illness-related absences.

2. Improved productivity

Better nutrition supports cognitive performance, stamina, and focus.

3. Lower long-term healthcare costs

Preventive nutrition initiatives reduce the burden of chronic disease-related claims.

4. Stronger wellness culture

Interactive and practical programs demonstrate genuine employer commitment to employee wellbeing.

5. High return on investment

Compared to large-scale medical interventions, virtual cooking classes are cost-effective, scalable, and easy to implement.

EY–FICCI corporate wellness reports consistently show that nutrition-focused preventive programs deliver higher engagement and long-term impact.

Topics Commonly Covered in Corporate Cooking Classes

Balanced Indian meals
Focus on protein, fibre, and micronutrient adequacy
Quick workday recipes
Healthy meals prepared in under 30 minutes
Disease-preventive diets
Heart-healthy, diabetes-friendly, and weight-conscious cooking
Smart ingredient swaps
Replacing refined grains, excess oil, and added sugar
Portion control techniques
Understanding serving sizes without calorie obsession
Reading food labels
Identifying hidden sugar, sodium, and trans fats

How Virtual Cooking Classes Support Preventive Healthcare

Preventive healthcare focuses on addressing risk factors before disease develops, and nutrition plays a central role in this approach.

According to WHO and NITI Aayog:

Dietary modification is among the most cost-effective preventive strategies
Workplace interventions significantly influence adult eating habits

Virtual cooking classes help:

Reinforce preventive screening insights
Support chronic disease management
Improve adherence to dietitian recommendations

Role of AI-Guided Insights in Corporate Nutrition Programs

Modern wellness programs increasingly use data-driven tools to strengthen impact. AI-enabled health insights can:

Identify common nutritional gaps across employee populations
Personalise dietary recommendations
Support dietitians with evidence-based insights
Track long-term wellness outcomes

This ensures cooking sessions are aligned with real employee health needs rather than generic advice.

Why Virtual Delivery Works Best for Corporates

Easy scalability across multiple locations
No physical infrastructure required
Ideal for remote and hybrid teams
Flexible scheduling
Consistent quality delivery

Virtual formats ensure uniform wellness experiences regardless of employee location.

Long-Term Impact on Corporate Wellness

Organisations that consistently implement nutrition-focused wellness initiatives observe:

Higher employee engagement
Improved biometric health indicators
Reduced burnout
Stronger employer branding

Lancet workplace health studies indicate that nutrition-based interventions show measurable benefits within 6–12 months.

Conclusion

A virtual cooking class with a dietitian is more than a wellness activity—it is a powerful preventive health intervention. By equipping employees with practical nutrition skills, these sessions drive meaningful behaviour change, reduce lifestyle disease risk, and support long-term wellbeing. For organisations seeking impactful, scalable, and evidence-based corporate wellness solutions, dietitian-led virtual cooking classes represent a forward-thinking investment in workforce health.

References

ICMR – Dietary Patterns and Lifestyle Disease Prevention Reports
National Family Health Survey (NFHS-5) – Nutrition and Metabolic Health Data
NITI Aayog – Workplace Wellness and Preventive Healthcare Reports
WHO – Diet, Nutrition and Chronic Disease Prevention Guidelines
Lancet – Workplace Nutrition Interventions and Health Outcomes
EY-FICCI – Corporate Wellness and Productivity Studies
Statista – Corporate Wellness Program Trends in India

Request A Callback

+91

By using this website/app, I confirm that I am at least 18 years old and consent to the processing of my personal data in accordance with the Terms of Service, Privacy Policy, and Declaration.