For armchair unqualified “medical” critics who have plugged social networks with unverified claims that COVID-19 is little more than the common cold or the flu, the news is emerging daily that the recovery process can be long and painful with possible neurological damage.
Now pulmonologists agree that the disease is leaving scars in the lungs of patients who were severe and outperformed the virus and in those who required mechanical ventilation.
The specialist Fernando Marquez says that this is known as "pulmonary fibrosis", which, at times, causes the person to agitate.
In addition, he explained that they are observing cases of "pulmonary hypertension" and "organized pneumonia."
The medical community agrees that it is too early to draw conclusions about the future effects of Covid-19 in infected patients, especially those who were in the most serious condition, hospitalized both in wards and in intensive care units.
However, because it is a respiratory disease, specialists, are observing and analyzing some sequelae of the virus in patients who were connected to mechanical ventilators.
Fernando Márquez, stressed that between 30% and 40% of patients with severe Covid-19 who needed artificial respiration can be left with sequelae.
To get an idea, the estimates of the Health authorities indicate that 85% of those who tested positive for the virus in the country will not need to go to a hospital, 10% will go to the ward and 5% will go to intensive care. This last group is the one that generally needs mechanical fans.
In Márquez's words, they have been observing three types of complications in seriously ill patients, once they are discharged. "Pulmonary fibrosis", which are scars in the lungs that cause, at times, the person to agitate.
The second is "pulmonary hypertension," which causes shortness of breath and causes the heart to overload.
And the third is "organized pneumonia," in which an area of the lung remains inflamed for a long time, even though the person no longer has the virus.
Lack of pulmonologists
One of the great challenges for the health system, once the pandemic is controlled, will be to provide adequate care to these patients, since there are few pulmonologists in the country.
According to Márquez, there are approximately 30 active pulmonologists in Panama, and of those, the majority is dedicated to caring for patients with Covid-19 for about 16 hours a day in hospitals.
“That means that at the moment it will be very difficult to follow up with an outpatient consultation for these seriously ill patients who have overcome the virus. And in the case that we control the pandemic, we pulmonologists will be the last group of specialists that will open the outpatient clinic, due to the nature of the disease and our specialty, ”he said.
The pulmonologist noted that all patients who left intensive care will have to undergo lung function tests to determine which ones will require oxygen or rehabilitation.
Pulmonologist Reynaldo Chandler said that people who have faced the most severe form of the disease, when they recover, develop limitations in their functional capacity, which will prevent them from recovering after several weeks. He specified that these patients can present changes in the structure of the lung and also in its function.
At the beginning of the Covid-19 pandemic, it was assumed that no immunity against the new coronavirus existed in the population. This was one of the main reasons behind the initial strategy of “flattening the curve” by introducing stay-at-home orders. From March and April onwards, however, the first studies showed that a considerable part of the population already had a certain immunity to the new virus, acquired through contact with earlier coronaviruses (common cold viruses). The Swedish chief epidemiologist Anders Tegnell explains in an interview that eradication of the virus is not an option. In Sweden, the infections slowed down considerably even without a lockdown, and daily deaths now are close to zero. The evidence for the benefit of masks is still “very weak” and they might even be counterproductive. An introduction at this point in time would make no sense. The lethality of Covid-19 is between 0.1% and 0.5% and does not “radically differ” from influenza. Meanwhile, a bizarre battle has broken out in western industrialised countries over the use of low-cost HCQ, which has been used successfully and safely for decades in the prevention and treatment of malaria and several other diseases. This battle appears to be driven in part by political and commercial interests and may produce a great many casualties. Opponents of HCQ went as far as publishing falsified studies and using lethal doses during trials, as Dr. James Todaro explains, who uncovered one of these frauds that fooled top science journals, the WHO and health experts worldwide. Many of these anti-HCQ activities are connected to pharmaceutical company Gilead, which wants to sell a drug that is over a hundred times more expensive (Remdesivir), but which is only used on intensive care patients and has some severe side effects. In addition, a potentially effective early treatment stands in the way of the billion-dollar global vaccination strategy being pursued by numerous governments, pharmaceutical companies and vaccine investor Bill Gates. Directors of vaccine companies have already made about one billion dollars with stock and option gains alone, even without yet delivering a vaccine. The hope for a safe and effective vaccine, however, still seems questionable: Contrary to the positive media presentation, in the second test round of the RNA vaccine from the US company Moderna, 80% of the volunteers (average age 33 years and healthy) in the medium and high-dose groups reacted with moderate to severe side effects.
Casual ... I fail to follow your comment that appears without specific names or sources and rants on tangentially: “ his fellow Brazilian "scientist" whose wife has been taking it and now has the virus which is fast spreading among anti-mask lawmakers in Washington. “. But that is typical of your posts — you bloviate an unverified statement.
How many more major clinical studies do we need to prove to Hogan that it doesn't work, except in the mind of Trump and his fellow Brazilian "scientist" whose wife has been taking it and now has the virus which is fast spreading among anti-mask lawmakers in Washington. What nexr free Astral sex and a witches wing in the WH, Less tan 100 days to his ballot box come-uppance
So, doesn’t it make sense to not let patients get to the stage of extensive damage? Prophylactics come to mind yet somehow HCQ has turned into a political issue. Patients before politics please. As we approach 1,400 deaths and we reflect in hindsight months from now that the majority of those could still be alive if we had done more homework and looked rationally at HCQ overall and allowed patients to have a say in treatment options. I direct you to an “opinion” piece but look at it with an open mind: “The Key to Defeating COVID-19 Already Exists. We Need to Start Using It” by Harvey A. Risch, MD, PhD , Professor of Epidemiology, Yale School of Public Health Newsweek.com