@vyombhardwaj
Vyom Bhardwaj
Experienced General Physician with a demonstrated history of working in the hospital & health care industry.
Healthy people in their 30s and 40s, barely sick with COVID-19, are dying from strokesThomas Oxley wasn't even on call the day he received the page to come into Mount Sinai Beth Israel Hospital in Manhattan. There weren't enough doctors to treat all the emergency stroke patients, and he was needed in the operating room. The patient's chart appeared unremarkable at first glance. He was male, no medications, no history of chronic conditions. He had been feeling fine, hanging out at home during the lockdown like the rest of America, when suddenly, he had trouble talking and moving the right side of his body. Imaging showed a large blockage on the left side of his head. Oxley gasped when he got to the patient's age and covid-19 status: 44, positive. The man was among several recent stroke patients in their 30s to 40s who were all infected with the virus. The median age for that type of severe stroke is 74. As Oxley, an interventional neurologist, began the procedure to remove the clot, he observed something he had never seen before. On the monitors, the brain typically shows up as a tangle of black squiggles - "like a can of spaghetti," he said - that provide a map of blood vessels. A clot shows up as a blank spot. As he used a needlelike device to pull out the clot, he saw new clots forming in real time around it. "This is crazy," he remembers telling his boss. Reports of strokes in the young and middle-aged - not just at Mount Sinai but in many other hospitals in hard-hit communities - are the latest twist in our evolving understanding of the mysteries of covid-19. Even as the virus has infected nearly 2.8 million people worldwide and killed 195,000 as of Friday, its origins, biological mechanisms and weaknesses continue to elude top scientific minds. Once thought to be a pathogen that primarily attacks the lungs, it has turned out to be a much more formidable foe - affecting nearly every major organ...
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