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- Apr 6, 2018
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COVID19 is almost two years in… so data on long term outcomes of Covid infection are not availble and the virus itself is evolving …so…I was wondering what happens with most cases. Any doctors care to comment. Do most turn into something like the flu, or nothing, or something else? I know it makes some people very sick, but what of the others?
Without it necessarily being applicable here, couldn't the same be said of most of the nastier government takeovers around the world.
focussing on unvaxed ppl
… we do know that some people are asymptomatic and stay that way (most) but of course are infectious (there is research that is lookibig at whether this may still result in subclinical abnormalities down the track such as post 1918 pandemic and Parkinson like sequelae).
.. mild or mod disease you can make full ‘recovery’ but up to ?20-30% can be very sick in process. Some will develop long Covid.
.. said groups can have subset of people who get very ill very quickly going from seemingly mild to in respiratory failure
then….
If you are ventilated you have significant (up to 50% likelihood) of long term cardio resp illness (if you make it)
It can be fatal.
What makes people sick -
1/virus -> pneumonia/myocarditis etc etc…and/or 2/ the inflammatory cascade that occurs from virus switching on your immune system. These complexes turn your organs to sludge, fatal clotting causes heart attacks etc etc etc…
Then add in underlying comorbidities like diabetes, chronic lung disease, immune system conditions and this has an impact.
Re: the term ‘vulnerable’ populations.
Ten year olds have died of Covid so everyone is ‘vulnerable’ - in that you can get very ill or die from covid infection..
Those with complex medical conditions would be expected to have less reserve to cope with onslaught of severe disease. Pre-existing illness does not make you more likely to GET Covid but worse prognosis.
I also look at ‘vulnerable’ (if you like) in respect of exposure risk …who is more likely to get it…so fellow frontline healthcare workers,quarantine staff are more to actually get it - and can belong to any of the above groups I mentioned
So all of the above come into play …
If you get sick I can’t predict which group you will fall into into , if you progress or if you get long Covid;
but - if you’ve needed mechanical ventilation - your long term prospects will be much much worse overwhelmingly.
And of course… The best thing is to get vaccinated vaccinated vaccinated ….and never get it in the first place …
Regarding the vaccinated - breakthrough infections can occur but not considered high. There is no evidence that proves past infection gives you neutralising antibodies ie you can’t get sick again.
The research is ongoing and recommendations change just as the virus does.
Hope that helps
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