The voice of Galicia
Monforte / The Voice
29/11/2020 05:00 h
Portugal’s main medical journal soon to publish an article on the long-term effects of covid-19 prepared by a doctor from the Public Hospital of Monforte. The work that can be read in Portuguese Medical Record It has been written since April, when very little documentation was available on this matter. Despite the pressure of the pandemicSince the health alert began, medical specialists from the Monforte hospital maintain a constant production of research material on the problems posed by a new disease and, therefore, fraught with challenges for medical professionals.
The author of this last article is Jos Castro, coordinator of internal medicine at the Monforte hospital, author or co-author also of some of the publications signed by the specialists of the Monforte hospital in the nine months since the coronavirus reached Europe. Castro cites in this work information verified on the ground by doctors from different parts of the world and collected in five of the first publications on this matter that were available in scientific journals. This doctor from the Monforte hospital investigates the available evidence on the effects of this disease on the blood circulation of organs such as the lungs, liver or heart and in systems such as the digestive or nervous system.
In this article, Jos Castro explains that already in April there began to be evidence that patients who have already suffered from the disease, especially in its most serious forms, such as bilateral pneumonia or respiratory distress, present symptoms and signs of chronic affectation. And he cites the analysis of organs of deceased by covid-19 that show multiple and severe vascular involvement in the lungs, heart, liver, kidneys, or brain. His article pauses especially to analyze the effects of the high vulnerability to this virus of cells that line the interior of blood vessels and capillaries.
Injury to the lungs
Their inflammation, explains the work, causes lesions in the lungs that respond very poorly to the usual treatments, which explains, emphasizes Castro, why pulmonary hyperoxygenation with invasive mechanical ventilation has so little success in these patients.
The work also collects that a percentage that is around 15% of patients who overcome acute pictures of this disease suffer vascular sequelae that a period of approximately two months can end up causing a condition at the pulmonary level that mimics a fibrotic interstitial pneumopathy clearly different from the classic pulmonary fibrosis.
This conclusion leads the author of this study to insist on the imperative need to prolong immunomodulatory and anticoagulant treatment at least in the medium term in patients who have suffered a severe infection by covid-19.
Seven scientific publications signed in Monforte so far this year
The internal medicine coordinator at Monforte hospital carried out this work during the first wave of the pandemic. Between March 10 and May 15, 18 people infected with coronavirus were hospitalized in Monforte. A report prepared shortly thereafter by six doctors from this service, including Jos Castro, analyzed these cases and the characteristics of the patients, of which 66% were men, all suffered from pneumonia, and none required mechanical ventilation. Ultimately, two of these patients did not overcome the disease and died.
So far in 2020, doctors and health personnel from the Monforte hospital have signed seven publications in international professional journals. Six of these works are directly related to the coronavirus. One of them is a report on the comprehensive management of covid-19 in this health center. Another publication confirms that the Monforte hospital was in March one of the first Galician hospitals to apply treatments against thrombosis.
The unit formed last March at the Monforte hospital to manage the coronavirus epidemic is made up of internal medicine doctors and a geriatrician. They worked in coordination with the home hospitalization service, primary care professionals and those responsible for nursing homes and other care centers in the territory covered by the Monforte hospital.
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