We must be aware of the growing number of long-term COVID 19 patients

We must be aware of the growing number of long-term COVID 19 patients

On July 7, 2020, the Boston Red Sox pitcher Eduardo Rodriguez tested positive for the new crown. E ‘was scheduled to start on opening day for the Sox, but the virus had other plans Rodriguez damaging the heart and cause a condition of myocarditis (inflammation of the heart) called. The now 27 year old ace lefty now in the form of riding for recovery should the season 2020. Rodriguez is not exclusively caused heart damage of SARS-CoV-2, the virus with COVID-19 In a recent study in Germany, the researchers have made the heart of the 100 patients studied who had recently recovered from COVID-19 the results were alarming: 78 patients had cardiac abnormalities, as demonstrated by a particular type of imaging test that shows the heart structure (cardiac MRI) and 60 had myocarditis. These patients were mostly young and previously healthy. Some had just returned from skiing. While other studies, a lower rate of heart problems, have shown, for example, one study found 416 patients with COVID-19 in a hospital in Wuhan, China, that 20% of the damage cardiac patients had clearly hospitalization-course, SARS -CoV-2 often damages the heart. When we think COVID-19, we tend to believe that it has two different ways: either patients end up very sick and in the intensive care unit or have a mild form that is similar to a cold, get better quickly. But it is increasingly clear now that there is a third category: people who are infected have been (but it could have been if hospitals would not submerged) not hospitalized, does not prevent a quick recovery, but suffer long-term and often symptoms . Thousands of people across Europe and the United States with COVID-19 followed this third rail. Some patients have been known symptoms for 16 weeks or more, a condition that “long COVID” (as patients sometimes call them “long tug”). We do not know exactly how long it COVID common; It has its frequency or duration is not much research. However, we have some clues. A study conducted in 13 US states found that 35% of people who test positive for SARS-CoV-2 tested, but they were not in the hospital, the symptoms still had interviewed more than two or three weeks. It is a stark contrast with seasonal influenza 90% of patients with influenza who were not hospitalized, be fully recovered within two weeks. And COVID symptom study, in the millions of people in the US, the UK and Sweden use an app for their symptoms to monitor itself, suggests that approximately 10-15% of people with a long-term illness. We begin even just an image of the hidden toll to get long COVID. The most common symptoms include fatigue, shortness of breath, chest tightness and pain, headache, muscle aches and palpitations. We know from research that this virus is not just a “respiratory virus.” Evidence that affects the brain, heart, pancreas, skin, thyroid, intestine, kidney and musculoskeletal system. For some people, the symptoms keep coming and going. Many people, including doctors with a long COVID, failed for their children to work, back care, or even do light exercise. This long COVID is one of the reasons why we certainly can not take leave infected young adults, as many colleges and universities in the US expect to reopen the campus this fall. It ‘also a reason why the approach “herd immunity” in Sweden and soon saw the British epidemic allows SARS-CoV 2-crazed hope that enough people will be infected and the immune system of the spread of stopping the disease is missed . There are three main theories about what causes symptoms COVID long. That is, first, that the prolonged symptoms caused by still multiplying virus ( “replica”) because the patient’s immune system is not the answer, if the installation is the case, patients may turn still infectious right out for others, the second is that the virus, the immune system is primed body go into overdrive, causing inflammation in many parts of the body, including causing myocarditis. A third theory is that in some people with COVID-19 virus directly damages the organs, although it is not yet clear who is most at risk. In different people with long COVID, different organs are affected. The study suggests there may be a symptom COVID six types of diseases, based on six different collections ( “clusters”) of symptoms, and these different organs affected match. Some patients with long COVID have fallen through the cracks of the medical system that was generally slow to recognize their suffering, support or even recognize the disease. Stories of online support groups suggest that they were empathetic, while some doctors, others are resistant patients who still have symptoms for many weeks after his positive test corona, marking to take seriously as anxiety and not their concern. It could be such a negative attitude, because Burnout health experts are confronted with large workloads during the pandemic. You may even feel ill-equipped with this new chronic disease to treat, as so little has been published guidance on how they should be managed. The first comprehensive treatment guidelines that gap, a new publication in the journal BMJ directed with long COVID of general practitioners for the treatment and rehabilitation of patients. in the management of other long-term conditions by Dr. Trish Greenhalgh, a U.K. specialists in primary care and his colleagues laid the lines of a holistic approach to guidance and patient-centered out, one that could potentially be valuable. At the center of this provide “approach to any patient” is that not only cuts across disciplines, where centralized, for example, family doctors and nurses, physiotherapists, occupational therapists, pulmonologists and cardiologists, but also in all sectors using multi-disciplinary skills through virtual clinics, Greenhalgh and colleagues suggest that “Community level, cross-sectoral cooperation may be necessary to develop locally relevant solutions” -for example, by incorporating financial consultant in primary care to help patients with financial difficulties due to long COVID caused concern. They also highlight the role of patient groups of peer-led self-help (virtually or in person) and the self-care patient. “A lot can be achieved,” says Greenhalgh and colleagues “through inter-oriented community rehabilitation embrace patient self-management and mutual support and exploit the potential of video and other remote technologies.” Dr. Lynne Turner-Stokes, a British specialist in rehabilitation medicine, and one of the few experts in COVID administration has long made the case that all patients who are still symptoms in 2-3 months should be screened to see if the infection has caused medical complications, some patients with long COVID that do not improve under the administration of their primary care team, are specialized rehabilitation clinics to help manage patients require the symptoms and to promote their recovery, as we have specialized clinics for they treat people with HIV. We must build on the services already, have argued for the heart and lung rehabilitation and strengthening them with other services in order to make them suitable for the rehabilitation of patients with long COVID for the purpose. Every patient who comes to a specialized clinic will need their personalized rehabilitation prescription, tailored to their specific problems. It ‘important, says Turner-Stokes equations with the correct assessment of the individual patient to get started, including their heart and lung function, before rehabilitation professionally Start Oversight could, and include everything from heart, lung, neurological, cognitive and physical rehabilitation integrated counseling together. These long COVID clinics could also be the ideal environment for conducting research much needed for development to help better ways to diagnose and treat patients, including through new audit therapeutic approaches through clinical trials. Patients should help shape this research program. Rehabilitation and Research in many countries have been woefully underfunded. We hope that the increase in patients with long COVID cords to a much higher priority to rehabilitation as a central component of a health system. An important first step to end the neglect of people with long COVID must be aware that in the words of Dr. Nisreen Alwan, a hygienist at the University of Southampton in the United Kingdom, “death is not the only thing that counts in this pandemic, we need to include life changing. ” We still know very little about covid-19, Alwan says, “but we know that we can not fight what you do not measure.”
image copyright by Joris van Gennip-laif / Redux

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