RE: Fast track, priority review etc4 Jul 2020 21:39
Thanks Mavern.
"Coronavirus: Why surviving the virus may be just the beginning
By Chris Morris
BBC Reality Check
3 July 2020
... Even when that process is a success, it is only the beginning of a long process of physical and psychological recovery. And now the UK has moved past the peak of the virus, attention is turning to the huge challenge - both in the health service and in the community - of rehabilitating Covid-19 survivors. ...
"But because of Covid, and the number of people that it has affected, the need is pressing. It has become a national priority - to support people to get better." ...
Breathlessness
The most common physical challenge for recovering Covid-19 patients is shortness of breath - and that can apply to people who had moderate as well as severe symptoms of the disease.
"For patients that are coming out of hospital," says Sally Singh, "clearly they're breathless because they've had a respiratory disease. Their lungs are temporarily damaged, but they are also deconditioned because they've been lying in a hospital bed for so long that they've become pretty unfit."
It means that simple things like going up and down stairs can become extremely challenging, especially in elderly patients.
But breathlessness is an issue that goes well beyond survivors of intensive care. And a significant minority of people who've been infected with the coronavirus are still struggling to shake it off. ...
Challenges
Previous medical experience with pneumonia suggests it can take months, or in extreme cases years, for patients to get back to where they were before. With Covid-19, we are still early in the cycle of rehabilitation and recovery, and every patient is different.
"The honest answer is we don't yet know how long it will take," says Sally Singh. "People are researching that as we speak - monitoring chest x-rays, symptoms and the wellbeing of patients to help us identify what the best intervention to support these people may be."
The trouble is the provision of rehabilitation services across the country can be patchy, especially for people emerging from critical care. And the NHS is already dealing with a massive backlog of non-Covid cases that have been delayed.
"The huge challenge," says Krystyna Walton, "is going to be the increase in numbers."...
"And my suspicion," Krystyna Walton adds, "is that many patients may have not had their needs assessed properly." ...
It is important to emphasise those rehabilitation needs don't stop after the immediate recovery period. Many patients will suffer from scarring of the lungs - a permanent and often debilitating condition. ...
The NHS and individual hospitals are of course building rehabilitation into their Covid recovery plans, but this is a system that has been overlooked for years. Experts in the field hope, despite all the pressures, that Covid will provide a launch pad for change. ..."
https://www.bbc.co.uk/news/53193835