July 29, 2020
[Longview News-Journal] Longview mayor warns: COVID-19 cases will spike as schools reopen (A very realistic review of Longview’s Covid experience–Mayor Dr. Mack)
Judge Chad Sims reports 13 new COVID cases for Harrison County on Tuesday.
From Johns Hopkins:1.Research reveals heart complications in COVID-19 patients“The first, an observational cohort study, involved 100 unselected coronavirus patients identified from the University Hospital Frankfurt COVID-19 Registry from April to June, 57 risk factor-matched patients, and 50 healthy volunteers.
“Cardiac magnetic resonance (CMR) imaging revealed heart involvement in 78 patients and active cardiac inflammation in 60, independent of underlying conditions, disease severity, overall course of illness, and time from diagnosis to CMR…Thirty-three of 100 patients required hospitalization…
“Cardiac magnetic resonance (CMR) imaging revealed heart involvement in 78 patients and active cardiac inflammation in 60, independent of underlying conditions, disease severity, overall course of illness, and time from diagnosis to CMR….Biopsy of the heart muscle in patients with serious findings showed ongoing immune-mediated inflammation.
“…The study authors noted that while most coronavirus research has focused on short-term respiratory complications, particularly in critically ill patients, mounting evidence suggests that COVID-19 has a significant impact on the cardiovascular system by worsening heart failure in patients with preexisting cardiac diseases.
J. Harris: A second study in the same report, both from Germany, demonstrated autopsy finding of some heart inflammation in 24 of 39 Covid patients who were, of course, deceased:
… “The study authors noted that while most coronavirus research has focused on short-term respiratory complications, particularly in critically ill patients, mounting evidence suggests that COVID-19 has a significant impact on the cardiovascular system by worsening heart failure in patients with preexisting cardiac diseases.
“”Overt fulminant myocarditis has been reported in isolated patients with SARS-CoV-2 infection,” the authors wrote. “However, the current data indicate that the presence of SARS-CoV-2 in cardiac tissue does not necessarily cause an inflammatory reaction consistent with clinical myocarditis.
“…Cause of death was listed as pneumonia in 35 cases (89.7%), while the other four (10.2%) died of necrotizing fasciitis, cardiac decompensation with previous heart failure, bacterial bronchitis, or unknown causes. The most common underlying illnesses were coronary artery disease (32 [82.0%]), high blood pressure (17 [43.6%]), and diabetes (7 [17.9%]). Median patient age was 85 years, and 23 of 39 patients (59%) were women.”
(J. Harris: So the good news is that unless you’re old, fat, hypertensive, or have a gene defect or two, COVID probably won’t kill your heart. The bad news is that even in mild cases, many of which were mild enough not to require hospitalization, there was still evidence of heart muscle involvement. Of course, no one knows yet if this level of heart damage will have long term consequences. Let’s look at it again in about ten years. The point is, medically, it appears most desirable not to catch COVID. Wear your masks, “space out,” and avoid crowds. I continue to assume that everyone with whom I come into contact with is infected, except my one weary household contact. I apologize for the length of this narrative, but I feel it is important).
Texas AG Ken Paxton says local health authorities can’t close schools
Texas Attorney General Ken Paxton said in a guidance letter Tuesday that local health authorities can’t close schools for the sole purpose of preventing future COVID-19 infections.
Paxton said it’s up to school officials to decide whether, when and how to open schools, not local health authorities whose roles are “limited by statute to addressing specific, actual outbreaks of disease.”
“Education of our children is an essential Texas value and there is no current statewide order prohibiting any school from opening,” Paxton said in a statement. “While local health authorities may possess some authority to close schools in limited circumstances, they may not issue blanket orders closing all schools on a purely preventative basis. That decision rightfully remains with school system leaders.”
I got some batteries that were given out free of charge
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