Really weird how nonchalant people are about the unknown long-term effects of Covid in children, when we know that common and seemingly trivial illnesses can cause devastating complications decades later.
Rheumatic heart disease (L) from strep throat used to be common. Nml (R)
My father and my maternal grandmother both had rheumatic fever after strep. We still see the late complications in immigrants from developing countries.
We prescribe penicillin for strep throat mainly to prevent this complication. Acute strep goes away on its own in a few days.
My father needed emergent valve replacement in his 50s when his valvular stenosis worsened unexpected rapidly and he went into florid heart failure. His valve aperture was so tiny that the cardiologist couldn’t even get a catheter through it.
Rheumatic heart disease used to be one of the leading causes of death in young adults, second only to tuberculosis
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My father had severe disabling arthritis in his hands. I told him to get rid of all dairy and meat, and just eat veggies and fish. His symptoms were 90% better in a week. He was pressed peeved that no doctor had suggested it to him before I did.
The irony is that Progressive policies would help the people in the red areas, but they don't know it because of decades of targeted disinformation by right-wing and libertarian media outlets that serve the rural areas.
The only way to fix the whole-scale brainwashing in this country is to focus on fixing the information infrastructure.
We need trusted local reporters and news outlets.
Democracy simply will not survive with news outlets that are beholden to and managed by corporate owners.
Reading a book on the Black Death. Pretty amazing how they thought that praying and prostrating themselves would save them. Fairy tales about last rites saving people from eternal damnation bit the Chuch in the ass when most of the priests died/fled and people couldn’t be “saved”
A lot of people had common sense and avoided contact with other people. So only half of the population died.
Then the severe labor shortages allowed workers to demand higher wages. The 1% were outraged. The King tried to forbid people from getting paid more than their pre-plague wages. Exposed feudalism, religion, and royalty for the racket it is. worldhistory.org/Peasants'_Revo…
Imagine how reassuring it would be as a patient to see a portable HEPA air filter unit running in the exam room.
Hospitals room are supposed to have 4-6 air changes per hour. You would think that by extension, outpatient exam rooms as well, but NOPE. This pediatrician exam room with a CO2 level of 2357ppm doesn't seem to be adequately ventilated (want CO2 < 800ppm)
I tried finding out the minimum air changes per hour is in freestanding outpatient clinics, but what unable to find it. But what I did find is that they can use pretty pathetic filters - MERV 7. Hospitals are required to have MERV 13. My house has MERV 10.tridim.com/wp-content/upl…
Sleep studies done in a small series of 11 post-acute covid patients showed REM without atonia in 4/11. This is considered a harbinger of neurodegenerative disease, such as Parkinson's.
These patients got sleep studies because of suspicion of a sleep disorder. This wasn't a random sample of post-covid patients.
I really worry about patients who experience disrupted sleep or excessive sleepiness after COVID.
Atonia is lack of muscle tone. Your body is designed to not move while you are dreaming, so you don't act out your dreams. Acting out your dreams is bad and can lead to a lot of injuries.
We need all indoor spaces to have at least 3 air exchanges an hour (right now your house probably has 0.3, which is why one person gets a respiratory illness in a family, everyone else tends to catch it).