Tag Archives: the symptoms

During the COVID-19 pandemic, don’t ignore the signs of a stroke | Health | Instant News

With hospitals across the country reporting a recent decline in the number of strokes that arrive in their emergency rooms, some health experts suspect that fear of COVID-19 can cause people to avoid going to hospitals and call 911 for medical related non- COVID emergencies, such as strokes.

“During this pandemic, emergency care professionals like me work to provide care for those who need it. So much we do is time sensitive. We are especially aware of the ‘Big Four’, trauma, sepsis, stroke and heart attack, so it’s important to remember, when it comes to strokes or any medical emergencies – call 911 and go to the hospital immediately. Hospitals and emergency care facilities throughout the country are open and ready to help, “said Dr. Ben Usatch, medical director in the UCHealth Highlands Ranch Hospital emergency department and assistant professor of Emergency Medicine at the University of Colorado’s Faculty of Medicine.

Here are some important things to remember about stroke to protect your health and the health of others:

Emergency Preparedness: Not only are emergency health care providers working tirelessly to provide care for those who need them, including those who show signs of stroke, they also take all necessary steps to help prevent the spread of COVID-19 and are trained to treat patients safely.

Time: Time is of the essence. It’s important to call 911 immediately if a stroke is suspected.

Stroke Sign: Signs of a stroke can be subtle and difficult to recognize, so educating yourself and others is the key to paying attention and responding quickly. Remember this abbreviation FAST to help you identify some signs of stroke in yourself or your loved ones. BECOME FAST stands for Balance, Eyes, Face, Arm, Speech, Time, and refers to these signs of stroke: difficulty with balance, loss of vision, gloomy facial appearance, arm weakness, slurred speech – and the need to act quickly when these symptoms are present.

Suddenly: While the BE FAST sign is most common, the sudden onset of 10 signs and symptoms can mean a stroke: confusion, difficulty understanding, dizziness, loss of balance, numbness, severe headaches, difficulty speaking, difficulty walking, changes in vision and weakness.

Risk factors: Even though stroke affects people of all ages and backgrounds, it is suggested an important risk factor. While some risk factors are beyond one’s control, including family health history, gender, age and ethnic background, other risk factors can be managed with lifestyle changes and medication and include high blood pressure, high cholesterol, atrial fibrillation, smoking, diabetes poor circulation, lack of physical activity and obesity.

Take action: Spread the word and authorize others to immediately seek medical treatment if a stroke is suspected. Tell friends and family that you may “overreact” and call 911 for the first signs and symptoms.

For more information and resources that can be shared, visit StrokeAwareness.com, developed by Genentech Inc., a member of the Roche Group.

Remember, a stroke does not stop during a health crisis and can be disabling or even fatal.

“BE FAST” was developed by Intermountain Healthcare, as an adaptation of the FAST model implemented by the American Stroke Association. Reproduced with permission from Intermountain Healthcare. © 2011 Intermountain Healthcare. All rights reserved.

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There are no northern cases of a mysterious illness in children that might be related to COVID-19 | COVID-19 | Instant News

TRAVERSE CITY – Regional doctors report they have not seen local cases of a mysterious illness that might be related to COVID-19.

That does not mean there is no reason to be careful.

“This is a disease that can truly affect patients across the full spectrum,” said Dr. Christine Nefcy, chief medical officer for Munson Healthcare.

Michigan health officials said there were signs Michigan might have nearly three dozen children affected by the condition. The symptoms are similar to Kawasaki disease, a multi-inflammatory inflammatory disease that rarely occurs in children.

Lynn Sutfin, public information officer for the Michigan Department of Health and Human Services, said there were 33 possible reported cases all in the state.

No deaths were reported among the cases, he said in an email, although at least 28 patients were hospitalized. Five are unknown in the account, said Sutfin.

Detroit is where 18 cases were identified, he reported, with a single digit number in Wayne, Macomb, Oakland, St. Clair and Kent country.

Signs of the condition to look for include fever, rash, red eyes or red lips. Two young children and a teenager who was diagnosed with this disease had just died in the state of New York.

“This is a situation that we will watch closely here in Michigan. But it also truly illustrates that we are still learning more about COVID-19, and we must remain vigilant when we try to overcome it, “said Dr. Joneigh Khaldun, the country’s chief medical executive.

Medical officials in Michigan, New York and throughout Europe have seen this condition emerge. But not as far as northern Michigan.

Chandra Delorenzo, pediatrician doctor and chief of staff at McLaren Northern Michigan hospital in Petoskey, said the condition is not what medical officials normally consider Kawasaki disease or even toxic shock syndrome.

This new medical disorder appears as an inflammatory reaction after infection, which means it is caused by a trigger – with a possible correlation with COVID-19. It is the body’s own immune response that causes inflammatory disease – and not only in children, Delorenzo said.

“We don’t think it’s only children, it’s just that we have a name for it in children,” he said.

“This is a copycat because it also looks like the streptococcal toxic shock syndrome,” Delorenzo said.

New York has investigated more than 100 cases of the syndrome, which affects blood vessels and organs with symptoms similar to Kawasaki disease and toxic shock. Some children in the state died.

In New York City, which has reported more than 50 sick children with this syndrome, Mayor Bill de Blasio urges parents to call their pediatrician immediately if their children show symptoms including persistent fever, rashes, stomach ache, and throw up.

Children elsewhere in the US and in Europe have also been hospitalized with a condition known as pediatric multi-inflammatory syndrome.

The British Intensive Child Care Association issued a warning to doctors who noted an increase in the number of children with “multi-system inflammatory conditions requiring intensive care” across the country. The group said there was “concern” that COVID-19 syndrome that appeared in children or that different and unknown diseases might be responsible.

“We already know that a small number of children can become seriously ill with COVID-19 but this is very rare,” Dr. Russell Viner, president of the Royal College of Pediatrics and Child Health. He said the syndrome was probably caused by an overreaction from the immune system and noted similar symptoms had been seen in some adults infected with the corona virus.

Only a few children tested positive for COVID-19, so scientists are not sure whether these rare symptoms are caused by a new coronavirus or something else.

Viner said that although doctors were considering other potential causes for this syndrome, including other viruses or new drugs, “the successful hypothesis is that it is related to COVID.”

Dr. Sonja Rasmussen, a professor of pediatrics at the University of Florida, noted a case in the United States involving a 6-month-old girl in California who was diagnosed with Kawasaki disease and later COVID-19. The report, from Stanford University, does not clarify whether the two diseases happened by chance or if COVID-19 could cause Kawasaki disease, said Rasmussen, who co-authored JAMA’s Pediatrics article recently about COVID-19 and children.

“We will need more information published in the peer-reviewed literature to better understand this relationship. However, Kawasaki disease is a relatively rare condition, so seeing these cases makes us worry that Kawasaki disease could be a rare complication of COVID-19, “he said. “We must remain vigilant when we see children with findings that are not typical for COVID-19.”

Officials with the U.S. Centers for Disease Control and Prevention is investigating reports of this multi-system inflammatory syndrome in children.

Meanwhile, the best way to prevent this disease is to take seriously all the public health recommendations recommended for COVID-19, doctors Nefcy and Delorenzo say.

They say that means improving hygiene such as washing extra hands, avoiding those who are sick, keeping physically away from others when they come out and also wearing masks when in public spaces – even children.

Nefcy said there is a risk of choking with small children wearing masks that use straps, but other designs are available and parents tend to monitor their children when masked. In addition, children do not struggle to breathe through precisely sized face masks like adults, he said.

Delorenzo said that it is highly recommended for children to wear masks when in areas where physically away from others proves to be problematic. Pediatricians also say parents should not be afraid of the health care system, even during this ongoing pandemic because extra precautions are taken to prevent transmission of the disease.

“You don’t want to sit there. You will usually seek treatment for it, so do it right now,” Delorenzo said.

The Associated Press contributed to this article.


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Senior Savvy: Which diabetics should know about coronavirus | Life | Instant News

QUESTION: My husband and I are in their late 60s and have diabetes. We want to find out if our diabetes increases the risk of corona virus.

ANSWER: There is not enough data to show that people with diabetes are more likely to get coronavirus (COVID-19) than the general population. But the problem for diabetics is, if you contract a virus, your chances of experiencing serious complications are much higher. This is especially true if your diabetes is not well controlled. This is what you should know.

Risk of diabetes

Health data shows that about 25% of people who go to hospitals with severe COVID-19 infection suffer from diabetes. One reason is that high blood sugar weakens the immune system and makes it less able to fight infections. Your risk of getting a severe coronavirus infection is even higher if you also have other conditions, such as heart or lung disease.

If you get COVID-19, the infection can also put you at greater risk for diabetes complications, such as diabetic ketoacidosis, or DKA, which occurs when high levels of acid called ketones build up in your blood.

Some people who are exposed to the new corona virus have a dangerous body response to it, called sepsis. To treat sepsis, your doctor needs to regulate your body’s fluid and electrolyte levels. DKA causes you to lose electrolytes, which can make sepsis more difficult to control.

How to avoid COVID-19

The best way to avoid getting sick is to stay at home as much as you can. If you have to get out, keep at least 6 feet from others. And every time you return from a supermarket, pharmacy or other public place, wash your hands with warm water and soap for at least 20 seconds.

Also wash your hands before you give a finger stick or insulin injection. Clean each site first with soap and water or alcohol.

To protect you, everyone in your home should wash your hands frequently, especially before they cook for the family. Do not share equipment or other personal items. And if someone else in your house is sick, they should stay in their own room, as far as possible from you.

The CDC also recommends that you buy medicines and diabetes test supplies to last at least a month. The same applies to food supplies and other household needs.

Also know that Medicare now covers telehealth visits, so if you have questions for your doctor, you can ask via video chat or telephone instead of going to the office.

If you are sick

The most common symptoms of COVID-19 are dry cough, fever, or shortness of breath. If you experience any symptoms that are worrisome, contact your doctor for examination.

If you find that you have COVID-19, the first level of treatment is to stay home and check your blood sugar more often than usual and check for ketones as well. COVID-19 can reduce your appetite and cause you to eat less, which can affect your level. You also need more fluids than usual when you are sick, so keep the water close, and drink it often.

You also need to know that many over-the-counter medicines that relieve viral symptoms, such as fever or cough, can affect your blood sugar levels in one way or another. So, before you take anything, ask your doctor.

And know that if you start experiencing severe shortness of breath, high levels of ketones or DKA symptoms, such as severe weakness, body aches, vomiting or stomach pain, you need to see a doctor or go directly to the emergency room.

Jim Miller is Senior Savvy editor. Send your senior questions to Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit www.savvysenior.org.


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The Fifth Pottawattamie County resident died of COVID-19; Iowa’s death count jumped 26-444 | News | Instant News

A fifth Pottawattamie County resident has died in connection with COVID-19.

Pottawattamie District Public Health on Saturday announced an elderly man, aged 81 and older, had died of COVID-19. The man has a pre-existing medical condition.

The regional health department also reported seven new COVID-19 cases.

Of the seven newly reported COVID-19 cases, six of them were residents of Council Bluffs and one from Neola. Six of the cases were 18-40 years old; and one 41-60 years old. These people were tested between May 18 and May 22. So far, 2,624 Pottawattamie County residents have been tested for COVID-19, and a total of 215 have been tested positive.

Five additional people have recovered, bringing the total recovery to 116. At present, five people are hospitalized and 85 people alone. Based on investigations of PCPH contact tracing, a total of 64 Pottawattamie County COVID-19 cases were the result of community outreach.

For additional information on COVID-19, including demographics of cases filtered by county, visit the Iowa Department of Public Health’s COVID-19 dashboard in coronavirus.iowa.gov. The dashboard is updated daily and contains the total number of cases, recovery, death, tests carried out, and the Iowa epidemiological curve.

PCPH continues to investigate contact tracing for each COVID-19 case. If and when risks to the general public are identified, PCPH will publicly identify the location and communicate any action that must be taken publicly.

Because we have the spread of COVID-19 in the community, individuals must take precautions to protect themselves. Stay at home as much as possible, limit travel and shopping, practice social distance by staying at least six feet from other people. Wash hands and disinfect surfaces that are often touched several times per day. If you are sick, stay home.

Iowans are encouraged to go to testIowa.com and complete the assessment. TestIowa is an initiative designed to improve COVID-19 testing rates in Iowa. If you have COVID-19 symptoms or develop symptoms (fever, cough, shortness of breath), contact your health care provider before going to the doctor’s office or emergency room.

Look at the numbers in the region, based on data provided by countries and coronavirus.iowa.gov:

Pottawattamie County – 215 cases, 2,624 tests, 116 recovery, five deaths, 7.8% of those tested positive

Mills County – 14 cases, 706 tests, 11 recoveries, 2%

Harrison County – 18 cases, 366 tests, 17 recovery, 4.9%

Shelby County – 30 cases, 266 tests, 24 recovery, 11.7%

Montgomery County – five cases, 218 tests, five recoveries, 2.3%

Page County – 10 cases, 473 tests, nine recovery, 2.1%

Cass County – 10 cases, 307 tests, one recovery, 3.3%

Monona Region – 21 cases, 292 tests, 13 recoveries, 7.2%

Crawford County – 460 cases, 1,601 tests, 255 recovery, two deaths, 28.7%

Fremont County – four cases, 116 tests, two recoveries, 3.4%

At the regional Regional Medical Coordination Center four, which includes Pottawattamie, Mills, Harrison, Cass, Crawford, Shelby, Fremont, Montgomery, Page, Adams, Audubon and Taylor County, there are six patients who are hospitalized. Two patients in intensive care. One COVID-19 patient was hospitalized in the past 24 hours.

The region has 199 inpatient beds, 40 intensive care beds available and 68 ventilators available. No patient was admitted to the hospital using a ventilator.

Iowa’s COVID-19 death count jumped 26 to 444

The number of deaths from the corona virus in Iowa jumped 26 to 444 on Saturday, the highest daily increase on record.

The latest deaths added to the count occurred from May 9 to May 22, according to news releases from the country. The state also reported 419 new cases, bringing the total to all states to 16,767.

Among the nation’s victims was Jose Andrade-Garcia, who will retire from his job at the JBS meatpacking plant in Marshalltown in a week when he was tested positive for coronavirus. He died last week due to a ventilator, KCCI-TV reported.

His family blamed JBS for not immediately enforcing the remote social protocol.

In a news release sent on May 13, JBS based in Greeley, Colorado said they examined symptoms, physically alienated workers from each other, and made personal protective equipment available to employees.

The League of Latin American Citizens requests mandatory weekly testing at all meat packaging facilities. The Andrade-Garcia family echoes LULAC’s demands and says it’s a matter of life and death.

“I think it will save my father’s life,” said the daughter of Maria Andrade.

The JBS mitigation effort came into force after nearly 300 employees tested positive for the virus at the Colorado plant. JBS also said he was very sad about the loss of Andrade-Garcia, adding that he was a committed team member and friend to many people. The company said it plans to continue to offer support to her family.

The state of Iowa on Saturday reported 419 additional positive cases across the state for a total of 16,767 positive cases. There are 4,336 additional negative tests for a total of 106,223 negative tests to date, which include tests reported by the State Hygienic Lab and other laboratories. The positivity rate for this report is 8.8%.

26 additional COVID-related deaths were confirmed. The confirmed date of death related to COVID is from May 9 to May 22. Currently there are 362 orangutans who are hospitalized. To date, 9,187 Iowans have recovered (54.7%).

Information about COVID-19

Pottawattamie District Public Health says every day: “Because we have the spread of COVID-19 in the community, individuals must take precautions to protect themselves. Stay at home as much as possible, limit travel and shopping. If you have to leave home, practice keeping a social distance, and stay at least 6 feet from others.

Wash hands and disinfect surfaces that are often touched several times per day. If you are sick, alone at home. “

Symptoms in people who have been exposed to the con virus can include fever, coughing and shortness of breath, according to the Iowa Department of Public Health. The symptoms can appear only in two days or as long as 14 days after exposure. Most people experience mild or moderate symptoms that go away in two to three weeks.

Older adults and people with existing health problems are among those who are very susceptible to more severe illnesses, including pneumonia.

The testing criteria are based on guidance from the Iowa Hygienic Lab or private laboratory guidelines. Pottawattamie’s Regional Public Health has no role in deciding who does and is not tested.

Public health officials recommend:

• Stay home as much as possible.

• Monitor symptoms for yourself.

• Call your doctor if symptoms appear.

• Cover the cough and sneeze with a tissue or upper arm / elbow.

• Wash your hands frequently with soap and water.

• Clean and disinfect objects and surfaces that are frequently touched.

The Methodist Health System offers a community hotline and screening tool at 402-815-SICK (7425). CHI Health has an assistance channel to answer questions and direct patients who may be at high risk for coronavirus. Visit chihealth.com for information.

The Pottawattamie District Emergency Management Agency has a COVID-19 call center that is open from 8 am to 4 pm. Monday to Friday 712-890-5368 or 712-890-5369.

For those who struggle with mental health during a pandemic, yourlifeiowa.org has several resources, including a hotline at 855-581-8111 and a text friendly line at 855-895-8398. In addition, the Hope 4 Iowa Crisis Hotline connects individuals in crisis to the hands that help with resources to overcome and improve mental health. Hotlines are available 24 hours a day. Call 84-HOPE-4-IOWA (844-673-4469).

The University of Nebraska Medical Center has a COVID-19 – 1-Check COVID screening application, which allows users to answer a series of questions and assess their likelihood of having COVID-19. Based on user input, the screening application will issue a “low risk,” “urgent risk” or “emergent risk” assessment and guide the individual towards the next possible steps.

Besides, open it coronavirus.iow.gov, pcema-ia.org, and / or cdc.gov for more information.

– Associated Press Reporter Ryan J. Foley contributed to this report.


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UIL released COVID-19 | strength and conditioning guidelines Sports | Instant News

UIL released the COVID-19 guidelines on Friday afternoon for schools to start strength and conditioning and special sports instructions on June 8.

The news came after UIL sent a memo to the coach on Tuesday stating that he had worked with state officials to enable the team to return to some form of organized activity.

“We are very optimistic about starting summer strengthening and strength training programs and marching band exercises that allow students to return to work with their coaches and directors in preparation for the 2020-2021 school year,” said UIL Executive Director Dr. Charles Breithaupt in a press release. “While we want to continue UIL activities, we must do it carefully, deliberately and with the understanding that major adjustments are needed to ensure security.

“The requirements outline an approach designed to help schools reduce risk while ensuring students are physically ready to return to activities in the Fall, if state and federal guidelines permit.”

In its guidelines, UIL lists 12 different requirements for schools to conduct training. The first is that attendance at practice must be optional for students.

Schools must have at least one staff member per 20 students to ensure appropriate social, hygiene and safety measures.

Students also will not be asked or allowed to make the days or exercises missed. Athletes will also not be given access to changing rooms or bathrooms.

UIL advises students to return home to take a bath.

Schools must have hand sanitizers and wash basins available in the training area.

All surfaces in the training area must be thoroughly disinfected throughout and at the end of each day. Also no clothes or towels were washed at the location.

One of the most challenging points for schools is that there is no food or water together. Most teams in the state, especially football, use tanks containing hundreds of gallons of water with various nozzles together.

For now, shared water will be banned, and schools must find a way out.

UIL also recommends pre-screening all students for COVID-19 symptoms before summer training begins. Playbacks added by UIL can be completed by telephone.

Schools must also plan to reduce the number of students and parents at entrances and exits to avoid crowds gathering in nearby places. UIL recommends surprising start and end times to ensure social distance.

For strength and conditioning activities, sessions may be no more than two consecutive hours per day, Monday through Friday. Students also cannot attend more than one session per day, and only trainers for students in grades 7-12 from the attendance zone of the coach can conduct sessions.

Except for other place and safety considerations, students and staff must maintain a distance of at least six feet on all sides when not exercising. When exercising, students and trainers must be at least 10 feet apart.

Indoor training can only be done at a 25% capacity. Schools are also advised to limit the number of participants based on the space available to allow social distance.

The training station must be 10 feet apart and be disinfected before and after each use.

Sports-specific instructions can be conducted besides strength and conditioning sessions, and no student can attend more than 90 minutes of sports-specific skills instruction, Monday through Friday.

For football, contact equipment (pads and helmets) are not allowed. Shirts, shorts, and school shoes may be provided but not washed on site.

No competitive exercises involving one or more students are allowed.

For outdoor instruction, students and staff must maintain a distance of at least six feet when not actively exercising. When exercising, the distance must be 10 feet.

Students also cannot be in groups larger than 15 total students. Any equipment such as sports balls must be disinfected regularly during training sessions.

If a positive COVID-19 case is identified among the participants, whether staff or students, the group that they work with must be moved while all members isolate themselves. If confirmed individuals regularly make contact outside the group, then all students and staff who make contact with confirmed individuals must be removed for two weeks.

UIL lists ways to reduce these risks, including asking students to remain in one group to minimize the contact they have with different people.

If a student or coach experiences symptoms of COVID-19, they must isolate themselves until a series of conditions are met.

Individuals must wait 72 hours for fever resolution without fever-reducing drugs, show improvement in respiratory symptoms and have 10 days pass since the first symptoms appear.

If someone has symptoms that can indicate a COVID-19 case and are not evaluated by a medical professional or tested, they are considered to have corona virus. They may not return to training until all three conditions have been fulfilled.

Students or coaches living with someone who experiences COVID-19 symptoms, regardless of whether they are tested positive, must be secluded for two weeks. If they experience no symptoms during that period, they can return to summer training.

There have been no organized activities since mid-March when UIL suspended the boys’ basketball state tournament, and then, all other activities.

UIL canceled the rest of the spring sports season and the state championship on April 17.

REECE WADDELL can be contacted at 940-566-6869 and via Twitter at @ ReeceWaddell15.


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