“Such diseases have existed before”: the doctor said why you should not panic because of coronavirus

The coronavirus pandemic has been raging in the world for several months, during which time a lot of research has been done, even more various materials and news have been published. Ukrainian doctor Natalya Nikolaeva on her Facebook page spoke about what is worth believing and why you should not panic during this difficult time.

Photo: Shutterstock

Next - from the first person.

About the symptoms

I understand that you need to talk about symptoms again and again, because the state of coronapsychosis is aggravated and you need to periodically bring to life and return to reality any unnecessary conflicting information that has come under the avalanche.

You know, doctors have a concept, if not honor, then at least ethics. And it was not for nothing that the ancient doctors used Latin in a conversation between themselves and in the writing of their scientific works. Not so much as to give themselves considerable inaccessible mystery, but rather so that ordinary people do not climb where they do not need and are not afraid of what they do not understand. You yourself know that any disease can be fatal if it is properly googled.

And now in general there is access to any information, and only the lazy did not write about the coronavirus.

But what is permissible for ordinary people is not permissible for a self-respecting doctor. Because the principle “do no harm” is the first one that a doctor should take into account. Therefore, all the treatment protocols posted in the public domain cause irritation, as people immediately rush out and buy strange medications and try to save themselves on their own, which only adds more work to resuscitators and undertakers.

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And for publications in the style: “Look, this is what the burnt lungs of a young girl who died from coronavirus look like, but didn’t know about it until recently because she had no symptoms” - I want to chop off my hands.

Because people, frightened by the situation, at the first symptoms of something incomprehensible, begin to look for hidden pneumonia and listen to see if their lungs are “burning.” And this is not funny, since people can lead themselves to anything if they are constantly bombarded with a stream of purely medical information that they do not need and do not understand.

But what is most surprising is the abundance of “new” abstruse terms from everyone around. Everyone suddenly got into the pathogenesis of viral pneumonia and savored the words “frosted glass”, “cytokine storm”, “fibrinous exudate”, as if it were something new and unprecedented. And people repeat them and paste them anywhere.

Everything you hear about fibrosis, ground glass, cytokine storms and everything else about burned out lungs is not new at all. This did not appear now, with the coronavirus, it was before it.

This has always been with viral pneumonia, as long as they exist. And with the flu it can be, especially with swine or chicken. Therefore, it is not necessary to make a discovery out of this, scaring people.

All severe pneumonia with coronavirus occurs almost the same as with swine flu, which was a lot this winter, but no one spoke about it.

Symptoms of the disease

The disease is divided into degrees into mild, moderate and severe.

Mild course of the disease - no pneumonia at all. These are the majority.

The symptoms are varied, they can be combined, and some may not exist at all. The temperature ranges from low-grade to high, and may or may not be present. The cough is dry, strong, weak, or maybe not. Weakness, fatigue, dizziness. Sometimes very severe headaches. Very uncommon (6% of cases) diarrhea. Dryness of the nasopharynx, sometimes very severe. Often there is pain behind the sternum or in the chest - from mild sensations of a hot touch to very strong ones.

But this does not mean that the lungs are “burning.” In pneumonia, the lungs do not burn at all; on the contrary, the alveoli are filled with inflammatory exudate, from which fibrosis can very rarely form later, and not in everyone. And not everyone experiences a cytokine storm, but very rarely. Since it is not caused by a virus, but by the response characteristics of a specific immune system. It can also be observed with other diseases or intoxications, the same with acute pancreatitis, but for some reason people don’t think about it when they eat just about anything.

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The easy course is not complicated by anything and does not become heavier. It can be from a week to two or three and passes without a trace. There is no pneumonia.

What is typical is the saturation, that is, the saturation of the blood with oxygen is normal at the same time, although some may have a feeling of shortness of breath, but it is neurotic rather. A blood test can be completely normal.

Don’t look for leukopenia and eosinopenia there - this is in more severe cases and this is also not news, meaning the mystery of the virus - this is the case with all viral pneumonias. Treatment is symptomatic, at home. But you still need to tell the doctor right away - let him monitor you over the phone.

If on days 4-6 you feel worse, your temperature rises, you experience shortness of breath or a feeling that it’s difficult to breathe, your resting breathing rate is up to 25, or any changes in consciousness: agitation or lethargy, convulsions or anything else, call a doctor or an ambulance immediately help.

Yes, there are pneumonias without fever and wheezing in the lungs, which the doctor can hear, but they are asymptomatic, because the lungs are like a random find.

The more extensive the pneumonia, the more symptoms. The lungs do not “burn” asymptomatically. And this does not happen in one day, especially the first.

And not all pneumonia pass into respiratory distress syndrome, but very rarely. And real mortality is not more than 0,5%. And the frequency of complications is not greater than with the flu.

Do not invent anything else for yourself. Do not forget that these symptoms may appear as psychosomatic with excessive suspiciousness and anxious alertness.
You don’t need to read anything about coronavirus - watch a movie or read fiction.

And most importantly, do not make this virus into something hitherto unseen, unstudied and incomprehensible to anyone. Pneumonia was the same before. And they were treated, and mechanical ventilation was used, and the same mortality rate was there and that was all. The doctors just suddenly decided to tell you about this.

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