New York-based novelist Wow Cassidy says she thinks there are only three types of covid: the lighter version, the hospitalized version, and the version that killed you. I didn’t know there were other people like me, stuck on the grounds after the covid, not sick anymore, but not good either. ”
Two months after being diagnosed with coronavirus, he also found it difficult to walk in one block. “It turned out that we were a group called: We’ve been Covid for a long time. Mayo Clinic and medical journals published pieces about us. “We had support groups on social media. We also had a hashtag. We were frustrated and scared. “
“With the guidance of my doctor, I introduced a five minute jog into my already slow walking schedule. The first time I did that, my chest burned and I doubled over, my hands on my knees, laughing for breath, ”Cassidy, who is training for a marathon, wrote in an essay for MarketWatch. And today? “The goal is not 26 miles. Today’s goal was 30 minutes. ”
Cassidy was lucky. Some small COVID-19 patients who were otherwise healthy had blood clots and strokes. Many “long-hulers” – Covid-19 patients who continue to show symptoms for months after the initial infection – report neurological problems including confusion, difficulty concentrating, heart and lung issues, fatigue, insomnia, taste and / or smell.
“There is now evidence that the virus can directly attack heart muscle cells, and there is also evidence that the cytokine hurricane that causes the virus in the body not only damages the lungs, but also the heart,” said John Schwartzberg, a clinical clinician. Professor of Infectious Diseases and Vaccines at the UC Berkeley-UCSF Joint Medical Program.
“One thing we didn’t expect was that the virus would cause a great deal of pain in the lungs,” he said in an interview with a university. “What we really fear is a long-term shortness of breath that can extend anywhere from very mild to severe.” He found it “disturbing” that a report of a CT scan of asymptomatic patients was left with some scar tissue.
Some of these symptoms persist for months, according to the Mayo Clinic. “The virus damages the lungs, heart and brain, increasing the risk of long-term health problems.” Most people recover completely in a few weeks, “but some people – even those who had a milder version of the disease – continue to experience symptoms even after their initial recovery.”
“The symptoms of COVID-19 are prolonged in the elderly and in people with many serious medical conditions,” the clinic added. “Although COVID-19 is seen as a disease that mainly affects the lungs, it also damages many other organs. Damage to this organ can increase the risk of long-term health problems. ”
See also:Johns Hopkins scientists investigating the bizarre side effects of COVID-19, in a way, suggest that there is a coronavirus that ‘gets a foot in the body’.
Yvonne Cassidy: ‘My chest burned and I doubled up, hands on knees, panting for breath.’
Although Covid-19 patients can suffer long-term lung and heart damage, there is some good news for these long-haul boats. According to a paper presented by a team of researchers at the European Respiratory Society International Congress who studied patients in the Covid-19 “hot spot” in the Tyrolian region of Austria, there is further evidence that such side effects improve over time.
Some 86 patients from a sample of 150 people were to return for evaluation 6, 12 and 24 weeks after discharge from the hospital. During these visits, clinical examinations, laboratory tests, arterial blood analysis of oxygen and carbon dioxide, lung function tests, computed tomography scans and echocardiograms (on heart chambers and valves) were conducted.
At the time of their first visit, more than half of the patients had at least one definite symptom, primarily breathing and coughing, and computer tomography or CT scans showed lung damage in 88% of patients. However, by 12 weeks after discharge, symptoms improved and lung damage was reduced to 56%.
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‘The good news is that the damage is alleviated over time, indicating that the lungs have a system in place to repair themselves.’
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“The bad news is that people have been showing lung damage since Covid-19 weeks after discharge; The good news is that the damage is alleviated over time, indicating that the lungs have a way to heal themselves, “said Sabina Sahnik, a clinical PhD student at the University Clinic in Innsbruck and part of the team that conducted the operation. Study.
The average age of 86 patients was 61 and 65% of them were male. Unlike Cassidy, about half of them were current or former smokers and 65% of hospitalized COVID-19 patients were overweight or obese. Eleven (21%) had been in the intensive care unit, 16 (19%) had undergone invasive mechanical ventilation, and the average length of hospital stay was 13 days.
CT scans indicate that overall lung damage decreased from week 6 to week 12. Inflammation and fluid loss in the lungs due to covid-19 were present in 74 patients (88%) and 12 patients (56%) at 6 weeks. Weeks. “We did not observe any severe coronavirus-related heart failure in the acute-acute phase,” Sahanik said.
“The findings of this study demonstrate the importance of applying structured follow-up care to patients with severe COVID-19 infection,” he added. “Importantly, CT unveiled lung damage in this patient group that is not identified by lung function tests. Patients will be able to treat symptoms and lung damage much earlier by knowing how long-term effects the coronavirus has had. “
COVID-19 patients can cause long-term lung and heart damage, but there is some good news for long-term addicts. (Photo: Getty Images)
The study is also supported by an article for primary care physicians published last month in the British Medical Journal. It states that about 10% of patients tested positive for SARS-Cavi-2 remain unwell for more than three weeks, and for months it is low. This was based on a study in which people logged their current features on a smartphone app.
This percentage, however, is lower than that reported in many published observation studies. Recent U.S. The study found that after a positive test only 65% of people returned to their previous level of health after 14 to 21 days, preferring people like Yvonne Cassidy who no longer have the virus, but antibodies.
Dr. Dixie Harris, a pulmonologist at Intermvanthan Healthcare Hospital Systems in Utah, said the coronavirus suffers from long-haul breathing, fatigue, memory issues and depression, but she also said that “improvements over time.” He added, “Things like long characteristics – fatigue, that kind of thing – [have] Reported in MERS and SARS. “
In a second presentation to the European Respiratory Society International Congress on Monday, Yara Al Chikhni, a Dualifit Santa Clinic and PhD student at the University of Grenoble Alps in France, said patients started their pulmonary rehabilitation program more quickly after the arrival of COVID-19 ventilators. .
She studied 19 patients who spent an average of 3 weeks in intensive care and 2 weeks in the pulmonary ward before being transferred to the Dualifit Santa Clinic. Lack of physical movement, in addition to severe infections and inflammation, causes severe muscle damage, he said. The muscles that breathe are also affected. Most people were unable to walk when they arrived at the clinic.
They did a test to see how far they could walk in six minutes. Initially, they could barely cover a fifth of that distance on average, but after three weeks of pulmonary rehabilitation, this average has risen to 43%. It is clearly still far from normal, but supervised rehabilitation helped increase their lung capacity.
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‘The sooner the rehabilitation started and the longer it lasted, the faster and better the patients’ ability to walk and breathe and the improvement in muscle.’
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“The sooner rehabilitation began and the longer it lasted the faster and better the patients’ ability to walk and breathe and the improvement in muscle.” Al Chikhani said. “Patients who started rehabilitation within a week after taking off their ventilator progressed faster than those admitted after 2 weeks.”
Johns Hopkins University says Covid-19 is now used by at least 889,542 people worldwide and in the U.S. In 188,954 people have been killed. According to Labor Day, U.S. In still has the highest Covid-19 case in the world (6,280,400). Worldwide, there have been at least 27,152,445 confirmed cases, most of which are not responsible for asymptomatic cases.
AstraZeneca AZN,
, In conjunction with Oxford University; Biotech SE BNTX,
And partner Pfizer PFE,
; Johnson and Johnson J.N.J.
; Merck & Co. Merck,
; Modern mRNA,
; And Sanofi San,
With GlaxoSmithKline GSK,
Kovid-19 is currently among those working towards the vaccine.
Dow Jones Industrial Index DJIA,
S&P 500 SPX,
And Nasdaq Composite COP,
Went down on Friday. Doubts about traction for greater fiscal stimulus from Washington to Washington could be a factor that will disappoint investors who are betting on Republicans and Democrats bargaining to give consumers and businesses extra leeway.
As of Monday, India reported 4,204,613 COVID-19 cases, surpassing Brazil (with 4,137,521), the second most coronavirus case in the world after the US, with a COVID-related death rate of 5.3 per 100,000 people and a case-death rate of 1.7%. In contrast, the U.S. The death rate per 100,000 people is 57.7 and the case-death rate is 3%.
‘The sooner rehabilitation began and the longer it lasted, the faster and better the patients’ ability to walk and breathe and improve muscle.’ (Photo: AFP via Getty Images)
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