Black (bowl) and blue
NO NEWS IS GOOD NEWS
Black heart virus! I’m so blue.
New York Times (can this be true?) —
“We repeat what we have known.
This already makes us groan.
Virus takes away our breath,
threatens us with sudden death.
Now we’ve learned a few more facts.
Virus doesn’t spare attacks —
leaving safe no organ part,
brain or kidneys, even heart.”
Urging friends in many lands:
WEAR YOUR MASK AND WASH YOUR HANDS.
I wish I could tell you to take this with a grain of salt. (There’s some in the black bowl.) But here is the actual news, as published by the New York Times and NBC.
“Elderly patients who had passed out for unknown reasons and a number of diabetic patients were found to have [Covid pneumonia]. These patients did not report any sensation of breathing problems, even though their chest X-rays showed diffuse pneumonia and their oxygen was below normal. How could this be?
We are just beginning to recognize that Covid pneumonia initially causes a form of oxygen deprivation we call ‘silent hypoxia’ — ‘silent’ because of its insidious, hard-to-detect nature. By the time patients have noticeable trouble breathing and present to the hospital with dangerously low oxygen levels, many will ultimately require a ventilator.
Avoiding the use of a ventilator is a huge win for both patient and the health care system. We could identify more patients who have Covid pneumonia sooner and treat them more effectively with a common medical device that can be purchased without a prescription at most pharmacies: a pulse oximeter, which displays oxygen saturation and pulse rate. Widespread pulse oximetry could provide an early warning system.”
— Dr. Richard Levitan, nytimes.com/2020/04/20/opinion/
“COVID-19 seems to be more than a respiratory disorder, with people also experiencing a gastrointestinal version of the disease.
About 20% of patients with COVID-19 in China had heart damage during hospitalization, a recent study found. Another study discovered about 16% patients developed arrhythmia, while other reports indicated cases of acute onset heart failure, heart attack and cardiac arrest after coronavirus infection, the American College of Cardiology warned.
People with the severe form of the illness can also develop myocarditis, an inflammation of the heart muscle, and sometimes don’t fully recover by the time they’re discharged from the hospital,
Kidney abnormalities have been seen in 25-50% of patients who develop the severe type of the disease, according to the International Society of Nephrology.
The longer patients have to remain in the ICU, the more likely they are to suffer long-term cognitive and emotional effects of being sedated. Doctors call it "post-intensive care syndrome" or post-ICU delirium, and describe it as a type of post-traumatic stress. ‘Often when patients come out of the ICU, they really struggle to think as clearly as they did before,’ Dr. Amy Bellinghausen, a pulmonary, critical care and sleep medicine fellow at the University of California, San Diego, told NBC News.”
N.B. A source I read but can’t find again suggested that cognitive effects were not just from sedation, but involved direct action of the virus on the brain.