Our patient had spent nearly a month on a ventilator, his lungs so badly that every effort was made to allow him to breathe on his own had failed. And then, in the end, he has improved and the tube came out – he just needed oxygen from a mask. Now he issues his own breathing. But this is far from the whole story. Once off the respirator, our patient – a previously healthy man in his 40s – was a time not to talk at length able aside from the occasional unintelligible sounds. He can also move his arms or legs. Fortunately, he has to talk to some of his skills and move from recovered, but do not know how durable its deficit will be. What we are sure that it is not alone. While most COVID-19 sufferers do not require hospitalization, those who are placed with the most severe form of fans, in order to get enough oxygen. Even those in this group to have the good fortune of their brush with the breathing apparatus face to survive a long road to recovery. Some suffer from permanent disability in the field of neurological damage to kidney failure of post-traumatic stress disorder. In March, the president announced that “hospitals and health professionals treating crown uninsured patients are reimbursed by the federal government.” This, he assured the nation “every care should not replace attempts insured Americans, corona treatment can have.” Unfortunately, it has not. Since this announcement, the federal government, which covers a promise to shed light on that of the president. Nor has Congress specifically set aside funds for this purpose. And the special features matter a lot – is the difference between families mean a position for their affected families and take care of financial ruin perspective should try. Our national attention was riveted to the hospitals where they now treat more serious COVID-19 sufferers. But one of the biggest questions for those who survive to be whether the government aid will end with their release. There is much reason to suspect that a large number of significant medical care survivors in progress will need once they leave the hospital. COVID is to influence a complex disease that many of the vital organs of the body – Some patients develop kidney failure, stroke and heart damage, as well as COVID is best known respiratory symptoms. Survival for some of these patients requires not only excellent hospital care, but also intensive outpatient and home care, as well as a wide range of drugs and procedures. of stroke patients have substantial rehabilitation or nursing home also, depending on the severity of their deficits. Patients with heart failure may need pacemakers or implantable defibrillators. Many survivors are respiratory need of therapy, at least for a time, his lungs struggling to recover from viral attack. This is on top of the symptoms that we know afflict a high percentage of patients in intensive care, regardless of their illness – especially ICU acquired weakness due to prolonged immobilization, cognitive dysfunction and disorders of post-traumatic stress. Studies suggest a quarter of patients on a ventilator for more than a week to develop severe muscle weakness can at least take to resolve the months -. Meanwhile, may require significant support for basic daily activities such as dressing and feeding during all this time, you will need rehabilitation, and for many, mental health care as well. Even in normal times, the face of our patchwork health insurance system to pay half a million Americans unimaginable choice between rent and food or pay for lifesaving medical care. Tragically, this figure will inevitably swell not quite sure when it can have far-reaching consequences. Since most Americans get insurance through their employer, a job is lost for many medium-sized lose their health insurance. A recent study by the Urban and the Robert Wood Johnson Foundation estimates that seven million Americans were previously covered by their work health insurance altogether because unemployment losing run this pandemic. The only reason the number is not higher because some of the newly unemployed will be able to get coverage through Medicaid or the Affordable Care Act (ACA). Without health insurance, few Americans can hope that the high cost of care needed to do to recover from a long stay in the ICU, even under the best medical conditions, let alone if there is permanent damage to their kidneys, brain or lungs. If the administration and Congress to ensure derjenigediejenigedasjenige seriously affected by this pandemic and that their road to recovery do not take care of them bankrupt, have to make that commitment is clear and concrete. And journalists should request details of what will be covered and what will not. While our patient remains in the hospital, an unusual constellation of competence must be martial to his aid. The owner nutrition experts his diet carefully. Speech therapists help us to determine what we can eat, minimizing the risk of food intake. Physiotherapists try to help him the use of his limbs. A number of hospitals in New York were marked clinical milestones on the road to recovery. One of the hospitals where I started the job, a song through a loudspeaker played the stable discharge of a patient known COVID – recently was “Here Comes The Sun” by the Beatles or the theme of the movie Rocky. In this time of fear and suffering – the scratchy sound of the notes on the hospital system public announcement provides a rare ray of hope. It is a thing of much needed all the hospital staff who have put their lives at risk, that the sacrifice was not in vain. Our patients have fought their way through the unimaginable suffering – which now can not leave as soon as they get their discharge papers. Otherwise, they hope these agreements will ring hollow indeed. Picture copyright by Barry Chin-The Boston Globe Photos / Getty
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