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long-term effect of covid19

Ryurox2020 — Sat, 08 Aug 2020 02:49:21 +0800

https://news.umiamihealth.org/en/what-are-t...ts-of-covid-19/

For many who contract the novel coronavirus, the manifestations of the disease tend to the mild and moderate, with improvement in a couple of weeks. But for those who survive COVID-19 after intubation and a long hospital stay, the health ramifications may last long after they are discharged.

COVID-19 is showing itself to be much more than respiratory disease. It can affect organs beyond the lungs — from the skin to the kidneys — potentially creating long-term health issues.

“It can take patients months to feel to where they once were,” says Roger A. Alvarez, D.O., a pulmonologist at the University of Miami Health System. “But it’s too early to tell if what we’re seeing will turn out to be permanent damage.”

What’s more, the scientific world isn’t even sure what kind of immunity a patient may build up after contracting the disease. It could lie dormant in the body, like chickenpox, or become a chronic infection, like hepatitis B. Under the rosiest scenario, COVID-19 may behave like other coronaviruses, a one-and-done acute illness.

As the virus spreads across the country, scientists are grappling with a worrisome dilemma: Will patients who suffered the most severe symptoms recover fully, even if it takes several months, or will the damage to their organs be permanent?

Though much remains a mystery, this is what we do know about the post-COVID-19 recovery of the sickest patients:

Lungs:
While the virus can camp out in different parts of the body, it prefers to attack the lungs first and foremost. Dr. Alvarez calls the entire respiratory system “the portal of entry” for the virus. Autopsies of COVID-19 patients show that the lungs of deceased patients are often rendered unrecognizable, with the virus destroying the “lung architecture.” This kind of destructive impact has caused problems for those who survive. The most notable example is the young woman who received a double lung transplant in Chicago after being on a ventilator for two months.

Typically, COVID-19 affects the lungs by causing pneumonia or, in the worst cases, acute respiratory distress syndrome, or ARDS, Dr. Alvarez says. With pneumonia, patients can have trouble breathing as the lungs fill with fluid and become inflamed. This can be severe enough to require oxygen or a ventilator. COVID-19-related pneumonia appears to infect both lungs, which makes it even more dangerous.

ARDS develops when fluid leaks from lung blood vessels into air sacs. This, in turn, can lead to lung failure because patients can’t breathe on their own. ARDS can be fatal, and those who do survive tend to have permanent lung damage.

While the scientific community doesn’t yet have enough follow-up information on COVID-19 lung damage per se, Dr. Alvarez says pulmonologists are guided by the models of post-ICU pneumonia patients. He suspects that CT scans will show lung scarring in the future, but how serious will probably vary. Even without ARDS, “we do know that patients will continue to feel very fatigued and have shortness of breath for a while,” he adds. “It’s very important that patients continue to receive care from a pulmonologist or primary care doctor.”

In such cases, he recommends pulmonary rehabilitation, a medically supervised program of exercise, breathing techniques, and health education.

Heart and Cardiovascular:
COVID-19 is considered a respiratory disease, but cardiologists have noted it can also damage the heart. Robert Myerburg, M.D., a cardiac electrophysiologist at UHealth, says that some viral infections may affect the heart long-term as a result of leaving behind some of their viral DNA, potentially causing continuing heart damage. This is different than the acute or chronically-active viral damage associated with inflammation. But “right now, so early [in the pandemic], there’s a lot we don’t know about this virus, and there’s limited meaningful information in the literature. We’re still asking: How bad is it, and how will it move forward?”

Dr. Myerburg believes many COVID-19 related cardiac problems are “secondary” to pulmonary issues, but the effects are nevertheless serious on our tickers and cardiovascular system, resulting in a variety of conditions, from heart failure to heart rhythm problems to clotting. There is also some emerging evidence regarding direct coronavirus infections in the heart. To meet the needs of patients with cardiac problems secondary to pulmonary involvement, as well as those with direct cardiac infection due to coronavirus, UHealth has launched the COVID-19 Heart Program.

UHealth cardiologists estimate that about a third of their coronavirus patients develop myocarditis, an inflammation of the heart muscle that reduces the organ’s ability to pump blood. In addition to arrhythmias, a patient can suffer from chest paint, shortness of breath, and fatigue.

Doctors are also noting cases of abnormal clotting, including those in large vessels such as deep vein thrombosis in the legs and lungs, and smaller clots in smaller vessels in multiple organs. A clot can cause strokes, lung blockages, and heart attacks, sometimes resulting in death. Most worrisome? This unusual clotting is happening even while patients are on blood thinners. Still, much work needs to be done to understand if cardiovascular problems will disappear or continue.

“The follow up of these patients over a period of time is what we have to look at,” Dr. Myerburg concludes. “Right now, we’re playing catch up.”

One final point is that patients who have coronavirus infection are still susceptible to the common diseases affecting the heart, such as plaque formation in the arteries to the heart. Therefore, patients should not ignore the common symptoms of coronary artery disease out of concern about or focus on, COVID-19.

“We don’t want to miss symptoms of a treatable heart attack.”

Kidneys:
Early reports suggest that up to 30% of hospitalized coronavirus patients develop moderate to severe kidney injury. Many of them already suffered from conditions, such as diabetes and high blood pressure, that make them more susceptible to kidney disease.

“But even in the absence of underlying kidney disease patients with severe COVID-19 may develop acute kidney failure and require dialysis,” says Oliver Lenz, M.D., a nephrologist at UHealth.

There are many ways the virus can cause kidney damage. The virus may infect kidney cells and damage them directly, or the damage could result from having too little oxygen. Also, blood clots may form in the tiny vessels inside the kidney, or cytokines can damage the organ. “Some people, mainly those requiring admission to an intensive care unit, require dialysis,” Dr. Lenz states, “and we do not know how many will regain kidney function.”

Although there is “much we don’t know yet” about the virus, nephrologists do understand the devastating consequences of kidney damage. “We do know that patients with a critical illness who develop kidney failure in the hospital live shorter lives and have a higher chance of developing chronic kidney disease, strokes, and heart attacks,” Dr. Lenz points out. “So, kidney disease is a serious issue in patients with COVID-19.”

Digestive tract:
COVID-19 sometimes presents with abdominal pain and diarrhea as well as nausea and vomiting and loss of appetite. In one study, GI issues were not nearly as common as respiratory and heart symptoms, but they appeared to last longer than expected, with 10% reporting they still had diarrhea for the three weeks in which they were followed. The study, however, was small and not peer-reviewed.

While there’s little data about long-lasting GI issues, doctors warn that patients with chronic digestive conditions, such as digestive cancers, inflammatory bowel disease (IBD), and liver diseases, might be more vulnerable to the coronavirus.

Brain and neurological system:
Just as COVID-19 damages other organs, scientists have discovered that the virus can also cause neurological problems, from seizures to hallucinations to mental confusion. This could be a result of oxygen starvation or the aftermath of the cytokine storm when the body’s immune system overreacts to the virus.

Reports cite cases of Guillain-Barré syndrome, an affliction that can lead to temporary paralysis, as well as dizziness, headaches, temporary loss of smell and taste, agitation, and confusion. However, there is no data, whether such symptoms, tracked during the course of the disease, will prove to be permanent.

Honda Civic type R (ek) '98

Ryurox2020 — Wed, 07 Aug 2019 22:46:55 +0800

[YOUTUBE]3zIMivAFLa8[/YOUTUBE]

Hngggggghhhhh

is blackaceonline watch shop legit?

Ryurox2020 — Tue, 30 Jul 2019 14:24:40 +0800

hi wanna ask has anyone bought watches from Blackaceonline through their website or through lazada before?

seems legit but no review at all whatsoever.. not much detail from them also on the internet ...

only thing is price is cheaper than market price and i wonder if it is original....

Scammer vs Scammer

Ryurox2020 — Thu, 25 Jul 2019 21:41:56 +0800

[YOUTUBE]Fmon7onEMl8[/YOUTUBE]

Connecting 2 different Scammers tech suport to each other for 2 hours...

2019 Unity Murphy Bed

Ryurox2020 — Mon, 15 Apr 2019 22:03:06 +0800

[YOUTUBE]JHtCHWvYl94[/YOUTUBE]

dat bathroom tho

-

Ryurox2020 — Sun, 17 Mar 2019 11:59:07 +0800

-...

Come see no see u RUGI

Ryurox2020 — Sun, 27 Jan 2019 11:03:53 +0800

[YOUTUBE]M53WBYa_n4c[/YOUTUBE]

who would fap to this?

This Japanese Man Dated A Cockroach | ASIAN BOSS

Ryurox2020 — Sun, 27 Jan 2019 01:57:22 +0800

[YOUTUBE]CZen6iCaT_0[/YOUTUBE]

We spent a day with Shinohara Yuta, an entomophagist who eats and makes dishes using insects.

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Video: Millions of single Chinese men desperately

Ryurox2020 — Tue, 22 Jan 2019 23:12:47 +0800

[YOUTUBE]SboNzluN6Nc[/YOUTUBE]

1. 1 child policy causes female shortage especially in rural areas of china because male can do hard work in the field and earn money, therefore male is prefer and female discarded during 2nd month pregnancy
2. many single man cannot find single ladies(rare)
3. Incuming sex doll
4. result in others wife kena kidnap
5. cukurrr merehsia still got plenty of options..

Geography now! Malaysia

Ryurox2020 — Sun, 09 Dec 2018 00:25:32 +0800

[YOUTUBE]dV-H1EKmCxA[/YOUTUBE]

😁😁👍👍

What makes Malaysia passport being the 5th

Ryurox2020 — Fri, 09 Nov 2018 13:53:44 +0800

What makes Malaysia passport being the 5th most powerful passport?

The Henley Index ranks Malaysia as the 13th strongest passport (tied with Estonia). Countries in higher ranks also tie, so its more than just 13 countries before Malaysia.

However, Malaysia’s foreign policy has strong ties with a number of country groupings, and allows it to have visa-free policies across multiple intergovernmental groups. It is also a relatively affluent country for its region, and has greater access to developed countries that usually impose harsher restrictions to limit visa overstays.

For example:

As a member of ASEAN, Malaysians have visa-free travel to all 10 Southeast Asian countries.

As a member of the Commonwealth, Malaysians can visit all Anglophone countries (that are not advanced economies) without a visa or obtain one on arrival, totaling 36 countries. The only exceptions are Cameroon, Ghana, Nauru, Nigeria, Pakistan, Sierra Leone, Somalia, and South Sudan (the latter two requiring visas from almost everyone for security reasons).

As a member of the Organization of Islamic Countries (OIC), Malaysia gets access to many Muslim countries, adding another 31 countries to the total. The notable exceptions are Pakistan, Afghanistan, Iraq, Syria, Saudi Arabia, Libya, Eritrea, Mali, Chad, Niger, Turkmenistan, and Uzbekistan — most of which already have restrictive visa policies for security reasons.

As a relatively developed economy, and a lower-rate of visa overstays, Malaysians are entitled to visa free travel within the Schengen Zone of the European Union, adding a further 26 countries. The only other Asian countries entitled to this benefit are Japan, South Korea, Taiwan, Hong Kong, Macau, Singapore, Brunei, Timor-Leste, United Arab Emirates, Georgia, and Israel. No African countries qualify for Schengen Zone benefits.

Countries that follow similar requirements for the EU include other OECD developed countries, like Japan, South Korea, Taiwan, Australia, New Zealand, and the United Kingdom — all of which Malaysians can visit without a formal visa. Guam and the Northern Mariana Islands, part of the highly restrictive United States, are also visa free.

Until recently, even countries like North Korea and Syria were visa free. Iran and Cuba are still visa free, however.

Sos

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Combo Deal! (watch, portable filter, USB and more

Ryurox2020 — Mon, 09 Jul 2018 23:50:18 +0800

Item(s):

Kingston 16GB DataTraveler'100 (new), worth rm39

QUOTE

[attachmentid=9906668]

Swatch Stainless Steel Destination Upper East Original Watch (used), worth rm688

QUOTE

[attachmentid=9906673]

LifeStraw water filter (new), worth rm89

QUOTE

[attachmentid=9906674]

Door Gym Xtreme (used)

QUOTE

[attachmentid=9906675]

Package includes: comes with original packaging

Price: RM170

Warranty: Swatch - on-going

Dealing method: COD at Sunway Nexis (middle stage)

Location: Kota damansara

Contact method/details: PM, First come first serve!
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Item(s) conditions: all new except door gym extreme and swatch (sightly scatch)

(WTS) Huawei Mediapad M3 8.4

Ryurox2020 — Tue, 16 Jan 2018 18:05:14 +0800

Item(s): silver Huawei Mediapad M3 8.4, 32gb

-Crystal clear imagery delivered by 2560 x 1600 high resolution
-Robust performance supported by 8-core & 64-bit CPU
-5100 mAh battery life for long-lasting enjoyment
-Compact and elegant metallic design, hold easily and comfortably
-Dual powerful stereo speakers and tuning by Harman Kardon audio expert
-User-Friendly fingerprint sensor, quick and smart

Package includes: Box and Charger

Price: RM900!!! (price revised!)

Warranty: Ongoing till 28 aug

Dealing method: Cod

Location: Damansara/Seremban

Contact method/details: PM
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Item(s) conditions: Excellent, bought from authorised dealer shop with receipt

Picture:

[attachmentid=9715340]
[attachmentid=9575173]

Reason for sale: need $

[WTS] VINSIC VSPB202 20000MAH POWER BANK DUAL USB

Ryurox2020 — Sat, 07 Oct 2017 15:49:07 +0800

Item(s):

VINSIC VSPB202 20000mAh Power Bank Dual USB Interface Smart Charger
Features:
â— 20000mAh ridiculous big power, offer enough energy to your digital devices.
â— Intelligent output, provide matched currents to different devices.
â— Elegant aluminum alloy surface, comfortable touch feeling.
â— Ultra-thin and portable.
â— The battery has passed the MSDS ( Material Safety Data Sheet ).
â— Battery type: Li-polymer
â— Input: 5V 2A
â— Output: 5V 2.4A
Battery Capacity(mAh): 15001-20000
Package weight: 0.600 kg
Product Size(L x W x H): 16.30 x 11.80 x 1.40 cm / 6.42 x 4.65 x 0.55 inches
Package Size(L x W x H): 21.00 x 14.50 x 2.80 cm / 8.27 x 5.71 x 1.1 inches
Package Contents: 1 x VINSIC VSPB202 Power Bank
Warranty: 3 months

Package includes: VINSIC VSPB202 20000mAh Power Bank Dual USB Interface Smart Charger

Price: RM149

Warranty: 3 Months

Dealing method: Postage - Estimated Delivery 7 to 9 Days
Tracking number available in 3 days time.

Location: Pos

Contact method/details: PM
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Item(s) conditions: New

Picture: attachments

Payment details: Reveal in PM

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[attachmentid=9213309]

HP 11-r014wm Intel Celeron N3050 X2 1.6GHz 2GB

Ryurox2020 — Thu, 05 Oct 2017 21:46:08 +0800

Item(s): HP 11-r014wm Intel Celeron N3050 X2 1.6GHz 2GB 32GB SSD 11.6 Win8 (Blue) (Used)

Intel Celeron N3050 1.6GHz; 32GB eMMC; 2GB DDR3
11.6\" LED display; 1366 x 768; Intel HD Graphics
802.11B,802.11G,802.11N; Bluetooth 4.0 + HS; Microsoft Windows 8 Home
Non-Backlit Keyboard; No Optical Drive; 7 Hours Battery Life
Integrated Intel HD Graphics
Brand : HP

Package includes: Extra 4GB card and mouse

Price: RM750
Warranty: nil

Dealing method: COD

Location: Kota Damansara

Contact method/details: PM
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Item(s) conditions: 8.5/10

Picture: attached

Reason for sale: Seldom Used, can nego

Multi pull up bar (home door attachment)

Ryurox2020 — Tue, 03 Oct 2017 22:06:47 +0800

Item(s): pull up bar

Package includes: as seen in picture

Price: Rm40

Warranty: nil

Dealing method: COD

Location: Kota Damansara

Contact method/details: PM

Item(s) conditions: Excellent

Picture: attachment below

Reason for sale: seldom at home

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Picture of Buddha (Art) 24cmx32.5cm

Ryurox2020 — Tue, 03 Oct 2017 22:00:23 +0800

Item(s): Buddha's painting 24cmx32.5cm (Origin Thailand); to Inspire Peace, Calm, Tranquility & Enlightenment

Package includes: Painting (simple naked wooden frame holding the picture)

Price: RM180

Warranty: N/A

Dealing method: COD

Location: Kota damansara

Contact method/details: PM

Item(s) Condition: Excellent

Picture:
[attachmentid=9223439]
Signature:
[attachmentid=9223413]

Thermos 0.4L 180g (new) tumbler

Ryurox2020 — Tue, 03 Oct 2017 16:00:23 +0800

Item(s): Thermos 0.4L 180g (new) tumbler

Package includes: box

Price: RM100

Warranty: bought end of last year

Dealing method: COD

Location: Kota Damansara

Contact method/details: PM
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Item(s) conditions: New

Picture: Attachment

Reason for sale: unused

WTS Self-Help, Story, Health, Spiritual Books

Ryurox2020 — Mon, 02 Oct 2017 18:23:03 +0800

Item(s):

Self-help books bundle :
Working with Emotional Intelligence by Daniel Goleman
What to Say when you talk to YourSelf by Shad Helmstetter, PH. D.
How to Win Friends & Inlfuence People by Dale Carnegie
Use Your Head by Tony Buzan
The Quick & Easy Way to Effective Speaking by Dale Carnegie
The Tools by Phil Stutz & Barry Michels
The Secrets of Closing the Sale by Ziglar
The Secret of closing the sale
The psychology of selling by Tracy
Eat that Frog! by Brian Tracy
Thinking Fast and Slow by Daniel Kahneman

Price: RM250

Story Book:
Memories of Heaven by Dr Wayne w. Dyerand Dee Garnes
Thirst Vol. 1-5 (Set) by Christopher Pike
Hunger Games Book 1-3 (set) by Suzanne Collins
Vampire Academy by Richelle Mead
Remember Me by Christohper Pike

Price: RM200

Health Book:
The Art of Breathing Nancy Zi
Mindfulness for Busy People by Dr Michael Sinclair and Josie Seydel
Mandalas by Pull-out Art Pad

Price: RM80

Spiritual Book:

Use your mind to change your age by Daniel Amen
Mindfulness in the Modern World by Osho
The beauty of Human Soul by Osho
Many Lives, Many Masters by Brian L. Weiss, M.D.
We the Arcturians by Norma J. Milanovich, Betty Rice, Cynthia Ploski
Gold Nuggets Messages of Existence by Osho
Same Soul, Many Bodies by Brian L. Weiss, M.D.
The Power of Now by Echalle Tolle
Learning to Silence the Mind by Osho
Ask and it is Given by Jerry Hicks
New Dimension of Yoga
The monk who sold his ferrari by Robin Sharma
The Art of Breathing by Nancy Zi
Human Soul by Osho
The Alchemist by Paulo Coelho
You can heal your life Louise Hay
How Arcturians are Healing the Planet Earth by Wayne Brewer

Price: RM200

Package includes: Books

Price: Listed above

Warranty: N/A

Dealing method: COD

Location: Kota Damansara/Damansara

Contact method/details: PM
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Item(s) conditions: Good condition

Picture: will upload soon

Reason for sale: Garage Sales

[WTS] Swatch Stainless Steel Watch (Ori)

Ryurox2020 — Sat, 30 Sep 2017 16:28:00 +0800

Item(s): Swatch Stainless Steel Destination Upper East Original Watch [Used]

Case Material: Stainless Steel
Strap Material: Stainless Steel
Movement: Quartz
Water-resistance: 3 bar
Functions: Chronograph, Date, Glowing in the dark
Case Width: 43.00 mm
Case Height: 49.00 mm
Case Thickness: 12.67 mm
Product Line: Irony
Product Family: Chrono
Year: 2016
Battery: Life-time

Package includes: Box

Price: Rm230 (price revised!)

Warranty: 2 years

Dealing method: COD or Post

Location: Klang Valley/Damansara/KL

Contact method/details: PM
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Item(s) conditions: Still brand new [Bought 19/08/2017]

Picture:

Reason for sale: seldom use