Saturday, May 22, 2021

Fool, If You Think It's Over...

For those who (still!) think Covid is no worse than the flu...

For those who think the only metric by which to measure the bad results of this virus is death, and the mortality rate is "low", so, you know, no biggie!  Or that the only people dying or getting long-Covid are elderly or people with pre-existing conditions...

And those who don't want to wear masks...or get vaxxed (freedom, or free-dumb?)

Or those who are tired of Covid, think enough people are vaxxed now, it's safe, and are just kinda letting their guard slip...

These two articles are for you:


https://www.cbsnews.com/news/covid-lungs-scarring-smokers-lungs/

Covid Lungs Worse Than Smokers' Lungs

A Texas trauma surgeon says it's rare that X-rays from any of her COVID-19 patients come back without dense scarring. Dr. Brittany Bankhead-Kendall tweeted, "Post-COVID lungs look worse than any type of terrible smoker's lung we've ever seen. And they collapse. And they clot off. And the shortness of breath lingers on... & on... & on."

"Everyone's just so worried about the mortality thing and that's terrible and it's awful," she told CBS Dallas-Fort Worth. "But man, for all the survivors and the people who have tested positive this is — it's going to be a problem."

Bankhead-Kendall, an assistant professor of surgery with Texas Tech University, in Lubbock, has treated thousands of patients since the pandemic began in March (2020).

She says patients who've had COVID-19 symptoms show a severe chest X-ray every time, and those who were asymptomatic show a severe chest X-ray 70% to 80% of the time.

"There are still people who say 'I'm fine. I don't have any issues,' and you pull up their chest X-ray and they absolutely have a bad chest X-ray," she said.

In X-ray photos of a normal lung, a smoker's lung and a COVID-19 lung that Bankhead-Kendall shared with CBS Dallas, the healthy lungs are clean with a lot of black, which is mainly air. In the smoker's lung, white lines are indicative of scarring and congestion, while the COVID lung is filled with white.

"You'll either see a lot of that white, dense scarring or you'll see it throughout the entire lung. Even if you're not feeling problems now, the fact that that's on your chest X-ray — it sure is indicative of you possibly having problems later on," she said.



Dr. Amesh Adalja, an infectious disease expert and senior scholar at Johns Hopkins University Bloomberg School of Public Health, told CBSN that some patients with severe COVID-19 could feel the impact for years to come.

"When someone recovers from pneumonia, whether it's a bacterial pneumonia or a viral pneumonia, it's going to take some time for their chest X-rays to improve. Chest X-rays lag your clinical improvement. So you may be better, but your chest X-ray still looks bad," he said. "And we know that people with COVID-19 can get severe pneumonia, and some of that pneumonia will lead to damage to the lungs that will take time to heal. And some of it may be permanent."

He said the potential long-term health consequences are another reason people should take warnings about the disease seriously. 

"It's not something you can blow off. This isn't something you want to have. Because even if you survive, you still may be left with some severe complications that make it very hard for you to go back to your baseline functioning."

Bankhead-Kendall said it's important that if you're experiencing shortness of breath after your COVID-19 goes away, you stay in touch with your primary care doctor.

She also points out, "There is no long-term implication of a vaccine that could ever be as bad as the long-term implications of COVID."

First published on January 14, 2021 / 8:08 AM


https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351

COVID-19 (coronavirus): Long-term effects

COVID-19 symptoms can sometimes persist for months. The virus can damage the lungs, heart and brain, which increases the risk of long-term health problems.

By Mayo Clinic Staff

Most people who have coronavirus disease 2019 (COVID-19) recover completely within a few weeks. But some people — even those who had mild versions of the disease — continue to experience symptoms after their initial recovery.

These people sometimes describe themselves as "long haulers" and the conditions have been called post-COVID-19 syndrome or "long COVID-19." These health issues are sometimes called post-COVID-19 conditions. They're generally considered to be effects of COVID-19 that persist for more than four weeks after you've been diagnosed with the COVID-19 virus.

Older people and people with many serious medical conditions are the most likely to experience lingering COVID-19 symptoms, but even young, otherwise healthy people can feel unwell for weeks to months after infection. Common signs and symptoms that linger over time include:

Fatigue

Shortness of breath or difficulty breathing

Cough

Joint pain

Chest pain

Memory, concentration or sleep problems

Muscle pain or headache

Fast or pounding heartbeat

Loss of smell or taste

Depression or anxiety

Fever

Dizziness when you stand

Worsened symptoms after physical or mental activities


Organ damage caused by COVID-19

Although COVID-19 is seen as a disease that primarily affects the lungs, it can damage many other organs as well. This organ damage may increase the risk of long-term health problems. Organs that may be affected by COVID-19 include:

Heart. Imaging tests taken months after recovery from COVID-19 have shown lasting damage to the heart muscle, even in people who experienced only mild COVID-19 symptoms. This may increase the risk of heart failure or other heart complications in the future.

Lungs. The type of pneumonia often associated with COVID-19 can cause long-standing damage to the tiny air sacs (alveoli) in the lungs. The resulting scar tissue can lead to long-term breathing problems.

Brain. Even in young people, COVID-19 can cause strokes, seizures and Guillain-Barre syndrome — a condition that causes temporary paralysis. COVID-19 may also increase the risk of developing Parkinson's disease and Alzheimer's disease.

Some adults and children experience multisystem inflammatory syndrome after they have had COVID-19. In this condition, some organs and tissues become severely inflamed.

Blood clots and blood vessel problems. COVID-19 can make blood cells more likely to clump up and form clots. While large clots can cause heart attacks and strokes, much of the heart damage caused by COVID-19 is believed to stem from very small clots that block tiny blood vessels (capillaries) in the heart muscle.

Other parts of the body affected by blood clots include the lungs, legs, liver and kidneys. COVID-19 can also weaken blood vessels and cause them to leak, which contributes to potentially long-lasting problems with the liver and kidneys.

Problems with mood and fatigue. People who have severe symptoms of COVID-19 often have to be treated in a hospital's intensive care unit, with mechanical assistance such as ventilators to breathe. Simply surviving this experience can make a person more likely to later develop post-traumatic stress syndrome, depression and anxiety.

Because it's difficult to predict long-term outcomes from the new COVID-19 virus, scientists are looking at the long-term effects seen in related viruses, such as the virus that causes severe acute respiratory syndrome (SARS).

Many people who have recovered from SARS have gone on to develop chronic fatigue syndrome, a complex disorder characterized by extreme fatigue that worsens with physical or mental activity, but doesn't improve with rest. The same may be true for people who have had COVID-19.

Many long-term COVID-19 effects still unknown. Much is still unknown about how COVID-19 will affect people over time, but research is ongoing. Researchers recommend that doctors closely monitor people who have had COVID-19 to see how their organs are functioning after recovery.

Many large medical centers are opening specialized clinics to provide care for people who have persistent symptoms or related illnesses after they recover from COVID-19. Support groups are available as well.

It's important to remember that most people who have COVID-19 recover quickly. But the potentially long-lasting problems from COVID-19 make it even more important to reduce the spread of COVID-19 by following precautions. Precautions include wearing masks, social distancing, avoiding crowds, getting a vaccine when available and keeping hands clean.

(Emphases in bold mine).

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People, it behooves us to keep our guards up.  The time to close the parachute is when you've safely landed, not when you're still 50 feet up in the air.  And we should remember that we haven't even begun to see the effects of some of the worst variants, including the one now laying waste to India:



There have been a few additional variants identified since I found this table in March.  And more to come, no doubt.  Not to mention the possibility of recombinations.  It is also important to remember that viruses play the long game.  We have already seen some of the side effects of Covid.  I would bet the farm we haven't seen nearly all of them yet.  This pandemic is frequently compared to the Spanish Influenza Pandemic of 1918.  Here is some of what that pandemic surprised us with:


                                                   


And a P.S. to all you freedom/rights fighters:  During the 1918 Spanish Influenza Pandemic, you could be arrested if you didn't cover your sneezes in public -- and saloons and churches were raided by police if they didn't keep their windows open.



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