Wednesday, April 01, 2020

Depending on the patient, the SCARS of COVID-19 can exist beyond the disease.

What we don't know can hurt us. This article is about the pathology of the virus. I really believe fighting the inflammation is important.

March 25, 2020
The article describes two patients (click here) who recently underwent lung lobectomies for adenocarcinoma and were retrospectively found to have had COVID-19 at the time of surgery. Pathologic examinations revealed that, apart from the tumors, the lungs of both patients exhibited edema, proteinaceous exudate, focal reactive hyperplasia of pneumocytes with patchy inflammatory cellular infiltration, and multinucleated giant cells. Fibroblastic plugs were noted in airspaces.

“This is the first study to describe the pathology of disease caused by...COVID-19 pneumonia, since no autopsy or biopsies had been performed thus far. This would be the only description of early-phase pathology of the disease due to this rare coincidence...Since both patients did not exhibit symptoms of pneumonia at the time of surgery, these changes likely represent an early-phase of the lung pathology of COVID-19 pneumonia," Dr. Xiao said....

Method of invasive virus:

March 29, 2020

As the number of COVID-19 cases (click here) around the world continues to climb, hospitals are under increased pressure to provide emergency care for the most severely ill patients. What does this involve, and how does the coronavirus damage the respiratory system?

The virus first invades our bodies by attaching to a protein called ACE2 on cells in the mouth, nose and airways. For the first week of infection, symptoms are relatively mild, with sore throat, cough and fever....

This article while interesting makes the exception of children; I think that is irresponsible. Children are succumbing to this virus, too. To see them as carriers is wrong, too. Everyone can be a carrier.

...In ICU, various treatments can support these more serious breathing problems. This includes high-flow humidified oxygen, delivered via a nasal mask. The oxygen is warmed and its humidity artificially increased so as to avoid uncomfortable dryness. It is gently pumped into the lungs at a comfortable rate that still allows the patient to speak and eat.

If breathing worsens further, the patient is then intubated. This involves inserting a tube through the mouth and into the windpipe, through which oxygen is delivered via a ventilator. Intubated patients need to be sedated (kept asleep) until their lungs recover enough to work without assistance....
The article goes on to talk about Extracorporeal membrane oxygenation (ECMO) (click here). Australia might be doing this regularly to their patients, but, the USA is not equipped for such drastic measures. The USA is having a difficult time getting ventilators in place and to try to obtain more of these ECMO will be through an existing manufacturer and will take too long.

These are recovery stories:

March 20, 2020
By Julia Naftulin

As new cases of COVID-19 pop up, (click here) people around the world are recovering from their own bouts of the illness caused by the novel coronavirus.

Recovery can mean different things depending on the severity of a person's symptoms, their age, and whether they have any underlying health conditions. For some, their symptoms go away permanently, while others could have long-term lung damage.

This is what it was like for a handful of people who recovered from COVID-19....

This is an article out of Hong Kong that addresses the POTENTIAL aftermath of this virus. The problem here is that a vaccine is often two or more years away. Future generations will benefit from it, but, if we could remove this virus from the face of the Earth, it would be a good thing.


14 March 2020

People who recover (click here) after being infected with the novel coronavirus can still be left with substantially weakened lung capacity, with some left gasping for air when walking quickly, doctors in Hong Kong have found.

The Hong Kong Hospital Authority made the findings after studying the first wave of patients who were discharged from the hospital and had fully recovered from COVID-19.

Out of 12 people in the group, two to three saw changes in their lung capacity.

"They gasp if they walk a bit more quickly," Owen Tsang Tak-yin, the medical director of the authority's Infectious Disease Centre, told a press conference Thursday, according to the South China Morning Post.

"Some patients might have around a drop of 20 to 30% in lung function" after full recovery, he said....

New York City has an Ultra-orthodox Jewish Community. The one in Israel is having an escalation in cases more so than the rest of the country. I do believe communities with highly orthodox citizens of any religion need to be more vigilant of their wellness and perhaps a reluctance to enter into treatment.