Jennifer Weiss, Osteopathic Physician

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Phases of COVID-19 Ilness

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COVID-19 illness seems to follow a fairly predictable course, though people experience the illness differently. People who are infected with SARS – Co-V2 may only go through the first phase, or they may only go through the first two phases, or they may go through phase 1,2 and 4 and skip the third phase. Finally, people can go straight through from phases 1-4. There are also cases of people who have had long periods of remission between the second phase and the third – and investigations are happening to determine how many people are reinfected as opposed to having a flare later in the course of their infection. This is determined by genetic testing and there is at least one known case where two different strains of the virus infected one person resulting in two different courses of COVID-19.

In the first phase people are spreading virus (infectious) but not ill and the virus is replicating inside them. ( From contact to day 14 or longer)

In the second phase there is a high viral load, people are still infectious but they are more likely to have symptoms in this phase – shortness of breath, fatigue, cough, and sometimes symptoms of a cold. The symptoms of loss of smell can set in during phase two as well. Blood clots start forming during this phase but generally don’t cause trouble till the third phase. ( Usually day 5-14)

In the third phase there is a massive inflammatory response. This is the time when people are at most risk of serious problems and death. They have strokes, they have pneumonia requiring ventilation, they have kidney failure… any system in the body can be impacted. This doesn’t happen to everyone. Interestingly the viral load isn’t necessarily high at this point. Some people continue to have lots of virus but others are simply fighting their own immune system. ( Starts somewhere between 2-3 weeks from infection… can last weeks to months)

The last phase is sometimes called the tail, or long COVID. It sounds a little like a very bad case of chronic fatigue syndrome. The symptoms vary and seem to include any of the symptoms from the prior phases from debilitating fatigue, hair loss, cough, diarrhea, low oxygen saturation, weakness, inability to smell, memory loss, difficulty thinking or concentrating. People report not being able to cross the house without low oxygen, shortness of breath or fatigue. They report oxygen dropping while they try to concentrate on responding to email. They are in short unable to participate in their normal life. Others are able to get back to their lives but don’t ever have enough energy or feel well.

Imaging studies of people in the long haul phase and those that have fully recovered can show persistent damage to the lungs, kidney, heart, brain tissue and other organs. The American Academy of Pediatrics is now recommending cardiac testing as part of return to sports examinations. We are still just at the beginning of understanding this last phase but it will inevitably change the future of health care by impacting large numbers of people.

Summary
Article Name
Phases of COVID-19
Description
The phases of COVID-19 infection and illness have been described. Not everyone goes through every phase. We need to turn some attention to helping those with the tail phase of COVID get back to living their lives.
Author
Jennifer Weiss, D.O.

Q7-What is harmony but Health?

What is harmony but Health?  It takes harmony of every nerve, vein and artery in every part of the body. ~ A.T. Still

Q12-Do not try to force anything

Do not try to force anything within the cranial mechanism. ~A.T. Still

Q15-And I have felt a presence that disturbs me

And I have felt a presence that disturbs me with the joy of elevated thoughts; a sense sublime of something far more deeply interfused, whose dwelling is the light of setting suns, and the round ocean, and the living air. ~ William Wordsworth

Q16-It is the stillness of the Tide

It is the stillness of the Tide, not the stormy waves that bounce upon the shore that is the potency, the power. ~ W.G Sutherland

Q8-All diseases are mere effects

All diseases are mere effects, the cause being a partial or complete failure of the nerves to properly conduct the fluids of life. ~ A.T. Still

Q2-The doctor of the future will give no medicine

The doctor of the future will give no medicine, but interest his patients in the care of the human frame, in diet and in the cause and prevention of disease
—Thomas Edison

Q17-Normal doesn’t simply mean

Normal doesn’t simply mean a readjustment of the bones to normal position. ~ A.T. Stills

Q20-I believe that all the remedies

I believe that all the remedies necessary to health are within the human body. ~ A.T. Stills

Q1-Everything in Osteopathy is true

Everything in Osteopathy is true
—James Jealous

Q10-The fundamental principle

The fundamental principle advocated in cranial technique, viz: allowing the physiological function within to manifest its unerring potency, rather than the application of blind force from without. William G. Sutherland, D.O.

Q3-Harmony only dwells where obstructions do not exist

Harmony only dwells where obstructions do not exist
—A.T. Still

Q19-It is the stillness of the tide

It is the stillness of the tide not the stormy waves that bounce upon the shore that is the potency, the power. ~ W.G. Sutherland

Q18-Freedom is experienced

Freedom is experienced in the infinite number of pauses.  ~Rollo May

Q6-Along in 1874

Along in 1874, after years of independent thinking, there came to Dr. Still the concept of Osteopathy ~ Dr. Asa Willard in the Cranial Bowl

Q11-Here you lay aside the long words

Here you lay aside the long words, and use your mind in deep and silent earnestness; drink deep from the eternal fountain of reason, penetrate the forests of that law whose beauties are life and death. ~ A.T. Still

Q5-The breath of life in the cerebrospinal fluid

The breath of life in the cerebrospinal fluid Tide is the fundamental principal in the primary respiratory mechanism. ~ W.G Sutherland

Q23-The greatest mistake in the treatment

The greatest mistake in the treatment of disease is that there are physicians for the body and physicians for the soul, although the two cannot be separated. ~ Plato

Q14-Spirit in osteopathy turns out to be scientific,

Spirit in osteopathy turns out to be scientific, practical, and very useful in a medical medel that Osteopathic Physicianscan readily abide by. ~ From interface; Mechanisms of Spirit in Osteopathy by A.T. Still

Q9-The hearing of spirit is not limited

The hearing of spirit is not limited… the whole being listens.  There is a direct grasp of what is right before you, that can never be heard with the ear, or understood with the mind. ~ Thomas Merton

Q13-It is as if the whole body, functioning

It is as if the whole body, functioning as a unit, is responding to a force similar to that moving the tides of the ocean. ~ Rollin Becker

Q22-Man should study

Man should study and use the drugs compounded in his own body. ~A.T. Stills

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