Open Thread | Vice President With Her Running Mate Gov. Tim Walz in Philadelphia | 3CHICSPOLITICO

Open Thread | Vice President With Her Running Mate Gov. Tim Walz in Philadelphia

They had their first joint appearance at a rally in Philadelphia.

 

Source: Open Thread | Vice President With Her Running Mate Gov. Tim Walz in Philadelphia | 3CHICSPOLITICO

Long COVID: a clinical update – The Lancet – (Free article – registration is free, as well.)

…A striking characteristic of long COVID is functional impairment: individuals find they cannot do what they could previously do.

Many cannot work a full 8-hour day, resulting in withdrawal from the workforce if adjustments and phased returns cannot be accommodated. In severe cases, people are unable to undertake activities of daily living such as washing and dressing, or they find these basic activities so draining they require rest afterwards.

The course of long COVID varies. Recovery can progress at different rates, and some people experience periods of apparent recovery followed by relapse. The chance of recovery is highest in people who had a less severe acute illness, are in the first 6 months after that illness, and were vaccinated; people whose illness has lasted between 6 months and 2 years are less likely to fully recover.

There is little published research on people who have had long COVID for 2 years or more, but their chances of full recovery appear low.

At this stage, the condition typically relapses and remits with compromised quality of life.

People with persistent long COVID face substantial economic burden from their inability to work, either at their premorbid level or at all.

Long COVID can be caused or complicated by organ damage or systemic stress that occurred in the acute phase or emerges anew in the post-acute phase (eg, pulmonary embolism, stroke, myocardial infarction, acute kidney injury, hepatobiliary injury, Guillain-Barré syndrome, or sepsis).

Compared with people who were not infected, the risk of death or hospitalisation is increased for at least 12–24 months after the acute illness, especially but not exclusively in people who were hospitalised or had severe symptoms during their initial COVID-19 illness.

Clinicians should be alert to the increased risk of organ damage, including clot formation and downstream acute infarction consequences, in the subsequent months and even years, especially in the context of multiple SARS-CoV-2 reinfections.

New symptoms that emerge with time might reflect respiratory,

cardiovascular,

neurological,

musculoskeletal,

autoimmune,

and generic (eg, myalgic-encephalomyelitis-like)

sequelae or the effect of reinfection.

Some people will also have long-term sequelae of medical trauma (eg, post-intensive care syndrome and post-traumatic stress disorder).

Source: Long COVID: a clinical update – The Lancet

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