COVID-19: November Update Cracking Covid’s Long-Term Effects

Image - Dalawari Medical Services COVID-19 Update November 2020

COVID-19 symptoms can persist for months. While most patients make a full recovery within a few weeks, there is some evidence of damage to the lungs, heart, brain all of which can lead to long-term health issues. The following articles present some interesting perspectives on the potential long-term effects of COVID-19.

 

The best strategies to prevent contracting COVID-19 are:
  • Wear a mask in public places
  • Social distancing - stay at least 6 feet away from other people
  • Wash your hands frequently - with warm soapy water for at least 30 seconds
  • Avoid crowds, confined and poorly ventilated spaces.

Thanksgiving: To Do or Not to Do?

November 18, 2020 - MedPage Today
As we head toward the last week of November, millions of Americans are asking the question "Should we gather for Thanksgiving?"
This week, a survey reported that 38% of people planned to gather with 10 or more people for Thanksgiving, and just a third said they would wear a mask. Twitter reacted predictably. Public health experts and doctors pointed to rising COVID-19 case numbers in many states and scolded (often in all caps): DO NOT HAVE THANKSGIVING.

 

Also discussed are:
  • How strong is the desire for people to gather?
  • How important is the social connection of Thanksgiving
  • Dangers of and impact of social shaming

Exercise After Covid-19: Best Advice is Take it Slow

November 17, 2020 - New York Times
Even after a mild illness, your doctor will typically remind you to use caution as you return to your workout regimen. Listen to your body but if you feel well enough then go ahead and resume your normal routine.
In this article, Sports Medicine specialist Jordan D. Metzlm M.D. explains:

For the past 20 years, when patients asked me about exercising while recovering from a viral illness like the flu, I gave them the same advice: Listen to your body. If exercise usually makes you feel better, go for it.

Covid-19 has changed my advice

Also discussed are:
  • Cardiac arrhythmias, myocarditis, inflammation of the heart muscle
  • Higher risk of blood clots
  • Myocarditis caused by COVID-19
  • Considerations for returning to exercise - with a link to evidence-based guidelines

Cardiac Arrest in COVID-19 Pandemic: 'Survival is Possible'

November 16, 2020 - Medscape

In the early weeks of the COVID-19 pandemic in the United States, rates of sustained return of spontaneous circulation after out-of-hospital cardiac arrest were lower throughout the country compared with a year earlier, in one study.

A second study of that period showed that patients with COVID-19 had rates that were better than previously reported of surviving in-hospital cardiac arrest.

Paul S. Chan, MD, presented the out-of-hospital cardiac arrest research and Oscar J. Mitchell, MD, presented the in-hospital cardiac arrest findings in a late-breaking resuscitation science session at the virtual American Heart Association (AHA) 2020 Scientific Sessions. The former study was also simultaneously published online on November 14 in JAMA Cardiology.

 

Also discussed are:
Conclusions and Relevance:  Early during the pandemic, rates of sustained ROSC for OHCA were lower throughout the US, even in communities with low COVID-19 mortality rates. Overall survival was lower, primarily in communities with moderate or high COVID-19 mortality.

Long Term Effects of COVID-19 from the CDC

November 13, 2020 - CDC
CDC is actively working to learn more about the whole range of short- and long-term health effects associated with COVID-19. As the pandemic unfolds, we are learning that many organs besides the lungs are affected by COVID-19 and there are many ways the infection can affect someone’s health.

 

Also discussed are:
  • Most commonly reported long-term symptoms
  • Other long-term symptoms
  • Most serious long-term complications
  • Preventing COVID-19

Covid's Mysterious Long-Term Effects

November 01, 2020 - Wall Steet Journal (subscription required to view content on WSJ)
Nearly a year into the global coronavirus pandemic, scientists, doctors and patients are beginning to unlock a puzzling phenomenon: For many patients, including young ones who never required hospitalization, Covid-19 has a devastating second act...

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About Jasdeep Dalawari MD

Experienced General and Specialist Physician with a demonstrated history of working in the medical practice industry. Skilled in Interventional, Endovascular, Vascular, and General Cardiovascular Medicine; Emergency Medicine; Healthcare Consulting, including Peer Review, Expert Witness, and Utilization Review; and Medical Education. Strong healthcare services professional with an MS focused in Health Administration from Virginia Commonwealth University.