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Middle. Of 2nd season. Its about the environment subsiding its still about the planets humbling he spoke to some leading experts in the fish. Hook up just to. Bring. Psychosis paralysis and strokes a study shows the new coronavirus could seriously damage the brain and Central Nervous system. d patients 7 reported visual hallucinations seeing lions and monkeys in the house. Patients 17. Developed a headache on her right side and her left hand went numb. Patient 11 had difficulty speaking then she became disorientating then confused. Researches a calling for more extensive studies to investigate the long term risks for covered 19 patients. Surviving the coronavirus is one thing living with the consequences is another for many who have suffered serious symptoms rehabilitation poses its own challenges use need a harder met a woman who slowly getting back on the road to recovery. Theres the 1st the faster i got and breathe the lung test at the rehabilitation clinic is still exhausting for durata dannielle of it this is a covert 900. 00. Variables a difference out. Im glad you know who is. Here at the vide booked clinic name back to berg durata daniela which is making great progress over the past few weeks have been tough in late may she was admitted to hospital with bronchitis and a severe fever and initial coronavirus test was negative but after another test from her lungs she was diagnosed with covert 19 with severe pneumonia and inexperienced doctor put her on a ventilator. You must moment this is all as advice that you no longer feels at 1st like water running into your lungs i was terrified and feared for my life i almost had a heart attack my heart hurt for hours afterwards i screamed and cried i was in real trauma for several days afterwards. Its been 6 weeks since her diagnosis she spent the last 2 here there are strict protective measures in place at the clinic to people potato you can choose who you are eating with. Director daniel of it is one of a handful of x. Covert 19 patients the others here are recovering from cancer or surgery. Therapy here consists of physical exercise breathing sessions and methods of relaxation doretta danielle of it spends a lot of time here on the cross trainer initially she only managed 3 minutes now she can do 13 also the right target its only been 3 days now that i havent had to sleep so much and lie down during the day there is this strange extreme tiredness after covert that i hadnt been aware of i just assumed that after a few days at the hospital everything would be alright would. Tiredness and a long lasting loss of taste are typical symptoms after covert 19 and. Whats surprising for us is that the polling youre up a thing which is the damage done to the nerves at 19 massively limits our patience mobility. The president invoked must see if. It does cause psychological strain is all sorry sylvia theyve survived a life threatening disease and they keep thinking about what could have happened. Last had to alice psion current. Director danielle of each spends a lot of time thinking about her father he was in hospital with cancer and the coronavirus in the spring she was only allowed to visit when he was dying 2 days after his death she had the 1st symptoms of self and couldnt attend his funeral something she discusses with her doctors here. We have this time for our patients thats something that a cured care professionals just have very little time for these days we can give our patients the time they need to really listen to their problems so that they can get these things off their chest you know. More and more former covert 1000 patients are being admitted to Rehabilitation Centers in Germany Health Insurance Companies have started covering the costs to ease the pressure on hospitals or auto Daniel Levitin is now immune and feels liberated. Just a few days ago i laughed out loud for the 1st time thats when i thought oh here i am again i can laugh out loud and from the bottom of my heart that wasnt possible for weeks. She plans to get her immunity tested regularly but for now shes looking forward to life after college at 19. Year old. Joins us she specializes in generative diseases explain to us exactly how the virus attacks the brain. Are you starting off with a very difficult question that we as neurologists are all scratching our heads around so i think its fair to say that its still very early in the era of neurological manifestations of coves and it really comes down to the announcer this virus that has just been discovered it can it can have this test taking effects on the nervous system really and one theory is obviously that it answers lie of the nose or and then goes into the brain directly and this would be a direct viral injury to the brain and other theory might be that its not so much the fires itself attacking the brain but rather the immune system of the body trying to clear the virus in a healthy way and then going a little bit over the top and causing quite significant perry inflammation inflammation of the brain as an over over response of the immune system really in other mechanism that we have observed as targeting the stickiness of the blast so it seems to me that a person severely affected with a covert 100 is having an increased propensity for the blood clotting so this can obviously cause significant injury to the brain by a stroke and mainly large vessel strokes so these are just a couple of mechanisms and i think there are several ones that we will really need to make sure that we will cover them with future research. On our face question is just as hard but i know a lot of people will be asking themselves is the damage per minute. So i think here again we have to distinguish which sort of brain damage it is were talking about and in this study we recently published and in our experience with these patients it really comes down to the mechanism and to the early symptoms that people are reporting so we have seen people that are getting on very well with neurological confusion syndrome so and have a lot of the yes we as neurologist my called and these people have a temporary dysfunction of the brain and in our follow up studies they are able to clear this temporary dysfunction this confusion and this delirium that they are having within a couple of days really so impressive full recovery can be made however again we have was in the cases where it comes down to the virus in an indirect way attacking by the blood vessel problem the Central Nervous system causing strokes or the peripheral nerves calling something that we call young bodies in general and again here recovery takes way longer its quite a hard. Rehabilitation intensive pathway that the patients are usually stepping on and again its too early to see what the long term effects of those will be and the 4th catch would be either of patients the most of your ones potentially that weve observed was these direct inflammatory sivia changes in the brain and here the outcome and potentially be fatal. People can recover from it that there is a higher likelihood that they will have a residual neurological deficit after recovery. And just briefly what sort of patients are especially affected in these cases. So weve seen the effects of co with 19 on the brain in patients that had quite that chest and multiorgan effects of the corona virus and we have seen this in these people as they need to be integrated fully ventilated and as we wean them off sedation ventilation realized oh they are very slow to wake up. And this is a potentially secondary complication of their Critical Illness and of their long time ally to you interesting enough we have also seen the virus in people that were very very mildly affected from alarm point a few and from another point of view and they had only presented to hospital because of the severe neurological manifestation that the virus was triggering in those so it seems to be quite unpredictable at the moment and we cant yet really work out why some people who have a very mild lung respiratory illness than present a couple of days later into their illness into an illogical hospital presenting with c. B. Of the weakness or difficulty with consciousness levels of coma savvied often have to leave it there thank you very much. Now more of your questions now correspond to Derrick Williams and standing by to delve into the world of medical scientists. Assuming different coded 19 vaccines are successful on different timelines what is the possibility there will be multiple Vaccines Available within a certain country. The chances are are quite high actually there are over 150 different back same trials going on around the world and over 30 of them are already in human trials a few of them quite far advanced down the road to approval theyre also based on a number of different platform technologies which will play a role in the crucial step of production when and if theyre shown to be effective on a wide scale what are known as messenger r. N. A. Vaccines would be quite fast to produce but the technology is still pretty cutting edge its so new that that if an m. R. I. On a vaccine is approved for covert 19 it would be the 1st m. R. I. In a vaccine to be approved ever for a disease more tried and tested technologies that rely on small or inactivated doses of a pathogen or more proteins that it carries they take longer to produce it scale but also when we have more experience with them making them in some ways more likely candidates for fast approval i think down the road theres almost certain to be overlap from from different vaccines in different places. And then for solon you next on. In a globalized world. Where everything is connected. All it takes is a school. To set things in motion. Local hero show how their ideas can change the world. Global 3000. Next on d w. Providing for transplants. Its about 3 kinds of. Scientific advances could help the brutal black market in human organs. Patients can wait for years for an event or look for an illegal alternative. For shortages close up. In 60 minutes on t w. This is some dope story a stubborn rice farmer from thailand. His problem tests. His credo no chemical. Industry can. Step. Out. Orders. The students are in the past. Training successful. Talking to me starts july 27th t w. Welcome to global 3000. Brought devastation to zimbabwe last year how is the reconstruction coming along. Fake news and hate speech thats also a feature of social media does this pose a danger to democracy. But 1st we go to the key district of nairobi where the

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