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W. Tough it is for me. Its for. Been told it is for. Beethoven is for. Beethoven is for every. Beethoven 2020 years the 50th anniversary here on new. Surviving it is the 5th killed over 400000 people worldwide in calls for celebration the surviving is not always the same as recovering. But its another when im so glad about my post discharge recovery and its happened very quickly but im concerned about my fatigue. For some its constant exhaustion for others heart palpitations or even memory loss. Many former covert 1000 patients grappled with lingering effects long after leaving the hospital. Theyre learning the hard way that the coronavirus may go but it can leave a painful trail in its wake. This is the w. s covert 1000 special im Kate Ferguson well the corona virus has claimed the lives of hundreds of sizes of people around the world a far greater number though have survived today well be looking at the Long Term Health consequences of covert 1000 but 1st heres a story of an old man who defied all the odds to beat the disease. Bit you. When youre young its different but at the age of 93 what do you have to worry about. He had prepared himself for death how about housman contracted covert 19 at the age of 93. 00 and fought the disease for more than a month. Well it hit me hard i was growing miserable and i was always tired lost my appetite but did i could eat anything at all times when i didnt feel like eating anyway more than during the illness he lost 12 kilos at one point it seemed he would not make it he had already decided against going to a hospital and intubation but habit for his way through and pushed himself to go just a little bit further every day with his walker he had no fear during his illness. I was afraid when i was taken prisoner i felt fear then but now with the flu i wasnt at all afraid. Have had was a paratrooper during world war 2 he says downs times toughened him up and that might be why he was even to survive covert 19 at such an advanced age. We were drilled it was tough during the winter we had to wash ourselves in an open street none of us ever got sick none of us ever got the flu or such thing. About it. Besides have at the other nursing home residents with covert 19 also managed to get through it might be as simple as the Care Team Leader describes the day they all tested negative again. Like we were all so happy many Staff Members cry and even cry to it was such a relief it was such a great feeling like i. Have that is really looking forward to one thing once the coronavirus is finally under control. I have an electric car to be happy when i can go to the river i would drive into the city with it its been often very weeks now and its going to be very angry with me. But not the kid very vocal in the kindergartens people can gather in groups of 10 or 20 they can go to. Older people who dont have the virus not allowed to go out again. One survivor whos raring to get back to normal life but what might the future hold for those whove had to cope at 19 to find out im joined now by professor Matthew Bartels hes the chair of rehabilitation and physical medicine and Montefiore Medical Center in new york perfessor bottles welcome along youve had a lot of experience in designing a rehabilitation programs for people who have had to cope with 19 based on the patients youre seeing what can you tell us about the possible longer Term Health Implications of this virus. Well weve actually unfortunately been dressed into the forefront here on a jury because the bronx was one of the early epicenters of the disease and so we were suddenly confronted with hundreds of patients to and to recover from the condition unfortunately there are many different problems that we see we see problems where not only one area function where the patients have a hard time breathing this is very much a restriction on disease which means that the lines become stiffer so its harder to breathe but also its harder for the oxygen to get into the system so many patients are sent home or have to do their rehabilitation with oxygen which is brand new thing for them fortunately see that many of the patients are able to wean off but we dont know what the long term implications are yet but we also see a lot of patients here at neurological issues theres a fair number of strokes and weve also had patients who are coming out of there. Into basins in i. C. U. Stays with a lot of muscle weakness and other neurologic issues related to peripheral nerves where they have numbness or tingling and some weakness that may be attributed to that as well and then finally theres a lot of cognitive and depression as well as anxiety b. C. Because being in the i. C. U. For very long periods of time can cause some of these symptoms and theres also some concern that there may be central or logic effects that are causing some mild cognitive deficits that fortunately also were seeing are recovering but the take several months to work through and all of their thanes pretty scary and tell me about the kinds of rehabilitation programs that you and your team have designed. Well we start as early as the intensive care unit with early vocalisation it can actually even include during the period of time patients are on the breathing machines in the ventilators that theres a new thing to actually place them in their face down position or we call crony so are there and team get involved early in the i. C. U. Start people d started to often start to take care of themselves once they get out of the i. C. U. But then we transition there if necessary to various levels of care some patients are able to go home those are the patients with milder conditions but many of them often requires and hold their range that you know out sometimes 2 or 3 times a day their office come to their home to help them but for patients who have more limitations we actually have them go to our should be ability issues disability and were fortunate in our system to have for Rehabilitation Hospital which is 150 beds expanded in the corowa emergency 260 beds and currently we have over 150 patients that are in rehabilitation and at our peak we had 90 of those patients patients just with coburn disease they had said before i admired if you think i like that thats a program exercise strengthening conditioning and tending to all of the various needs that they have rights and he said before that there needs to be a greater awareness that i think experience of patients after theyve had come from 19 i think Long Term Health impacts being underreporting to think. Well i think with the drama of the very very severe illness that code can cause a lot of people are very caught up with the mortality but i think that unfortunately we havent focused on the survivors as much because the patients there are maybe one or 2 percent they actually have to tally and 5 or 6 percent end up in the emergency room and then in intubated the i. C. U. Those patients many of them are survivors but they do this long term realization and that hasnt been the focus yet although i think mouse starting now some more attention is coming to this professor matthew thanks so much fer insights oh youre very welcome. Time now to answer your questions about code 19 over to our science correspondent eric williams. Body testing been used to successfully contain cluster outbreaks in past epidemics. Serial logical testing is one of the tools that epidemiologists have used for decades to track the course of outbreaks and and to inform Decision Making for example i found a study from 2010 carried out by tire researchers on the h one n one outbreak that was aimed at helping to manage vaccination in that country but i couldnt find any evidence that past sirrah logical surveys have been used in the way i think you mean to keep a kind of ongoing score of who might be immune and and whos not to help experts to manage local outbreaks before they sped up in fact its seems to me that our lack of experience in using Antibody Testing to try to control cluster outbreaks is actually the reason there is so much confusion surrounding the topic at the moment. Wouldnt selecting a large number of Healthy People and affecting them purposely be a quicker and safer way to reach herd immunity. This idea has big potential downsides both ethical and logistical 1st and foremost of course theres the problem that that any infection with this virus can be possibly. By intentionally infecting even young volunteers with that you might kill them even if the risks are much lower than they are for someone whos older theres also the possibility that some volunteers could suffer long term effects Long Term Health effects we still dont know much about those they. Of course theres the issue of of keeping things under control its too easy to imagine scenarios where you let the genie out of the bottle in paws cause way more harm now then you would theoretically cause good somewhere down the road so all in all pretty much everyone in both science and politics things trying for this control herd immunity just isnt an option. And you can post your questions to derek on our you tube channel if youd like to keep up with the latest developments on the coronavirus in asia to subscribe to our newsletter just log onto dot com slash corona dutch news letter. Before we let you go a reminder that even as we hear of elderly people recovering from the coronavirus protecting them still key in france a care home has developed a way to allow their elderly residents to receive visitors while maintaining a protective barrier and giant a plastic bubble with the adjoining helps loved ones feel and touch one another of course thoughts especially important for elderly family members with diminished communication abilities stopped at the care home call theres a happy couple. We all need one of those a lot for all we have time for thanks for watching for me its goodbye and take care of. Wildlife reserves in south africa. At 1st glance its beautiful totally devoid of tourists during the katrina crisis but how long can it last without jobs. Unemployment benefits only. Last 3 months together people are fighting for their survival and against poaching. Global 3000. Next on d w. One rises some. Cities will sink into the sea. Entire stretches of land will be abandoned. And the water to mr rosen. Says recorders are supposed to prevent flooding but they only delay the inevitable. Live in the future 66 meters from rising sea levels. In 45 minutes on g. W. Im going crazy thing in all the time. How to handle our new lives in times of the corona pandemic d. W. Reporter. Just like everyone else and shes looking for answers and thankfully with the help of cleaning expect a few of the. Thank you is not life as we know it. All in this together our new website. Says of the you dont need to keep it there you go to the people both for the over reaction home the 4th time for the most recent medical number of lives where that was the bottom of the ballet that the nasa dragons those words are. Totally. Free of books on. Global 3000 thanks for joining us. Women doing traditionally male jobs long inconceivable in syria but the long running war has shaken everything up the effects of the coronavirus pandemic continue to reverberate south africas wildlife reserves the struggling to survive and we need the babies in the ukraine waiting for that

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