A positive energy

And when I shall arrive to your new place, I shall be the happiest to fill that empty embrace of yours,dear brother.
We shall smile and cry,at the same time.The day awaits..

One afternoon, I find myself on a small passage of a hospital-Name unknown.I am with people I am not familiar with.I heard someone tell that Yam was just taken to the same hospital,where I was standing in.It occurred to my subconsciousness that he had already left us physically for this life time.Yet,I rush.I run,as hard as I could, to meet him. 

There, he was, in a medical bed, being pulled by doctors, to shift him to another ward. The doctor who studied in the same medical school as I did, was one amongst them. He told me that my brother was alive and that his death was not true.

I saw Yam sleeping peacefully initially. Then all of a sudden, he saw me,standing besides him.He smiled at me first, then he saw my tears.I went near his bed.The bed had its head end to the East and the foot end to the West. i was standing to the right of him.I couldn’t speak. He could see that. He began the conversation with the assurance that he wasn’t dead.He informed me that he had gone to other hospital for treatment.The body that I saw,wrapped wasn’t his.The hospital sent someone else’s body and told that it was his.As we weren’t shown his face or body in Pashupatinath Temple,he asked me to trust him.

I didn’t want to remember the pain when he was all there with me.He then gently held my hands and talked as calmly as he could. ‘I have seen you in a lot of pain after the news of my demise,every moment. All the tears and pain you are going through is immense.I have always trusted your abilities and capabilities,but a lot of agony is what I see now.”, he told.

He continued, ‘Everything is fine,I am always here,besides you.You are all I have,I am all that you have.So, you are wrong to believe that I have left.’ He could sense that this conversation made me sad again. 

Like in those days in ICU, he asked me some fruit salad mixed with cucumber. I rushed to bring them for him, because it was so long that I hadn’t fed him, with my own hands. 

Suddenly, my eyes were wide open. I forced myself to sleep again so that we could continue our time together. 

Rare, yet true, we were together,exactly in the same place where we were before. He ate, I fed,I watched, he smiled. ‘ I don’t want to see you in pain, brother.I want you to believe that all those things I’ve entrusted upon,is what you are capable of.I have no worries for anything as long as you are there-for Home,Family,Francesco and Planet.It is a long process.It will take time, but you shall accomplish all,slowly.I am always with you,like now,holding your hands.’

I was awake again. Could I fall asleep again? No. 

Yet, I was extremely happy for our long time and talks. I could feel a lot of positive surge of energies,within. 

Days still pass, but nights are silent and lone. I always question Destiny, “Why him? Why Yam? Why so soon? Why?”I shall always question. I always question Yam, “Why did you leave us so early?I need you,return back,not only emotionally, but also physically.I am not able to bear your departure.” I shall always question.

So, have these questioned changed after the dream? Not really. The questions are still the same. 

Did the dream lift some pain that was buried deep? 

To be honest, it really did. 

Will I be able to walk with on those paths that he has shown to me,always? For sure,because he has promised me that he is here with me….With my words and my tears as I write.

Dear Dai, I love you. 

‘Please smile! My tears signify my existence in your presence.All I am is, All you are. Lets meet again, in a better place, for a longer period…for the eternity.’

Your hugs and smiles are what i await for.

And when I shall arrive to your new place, I shall be the happiest to fill that empty embrace of yours,dear brother. We shall smile and cry,at the same time.The day awaits..

POST COVID

The term “Post-COVID Conditions” is an umbrella term for the wide range of physical and mental health consequences experienced by some patients that are present four or more weeks after SARS-CoV-2 infection, including by patients who had initial mild or asymptomatic acute infection.These consequences include both general complications of prolonged illness as well as hospitalization and post-acute sequelae of SARS-CoV-2 infection (PASC), which are more specific to effects of SARS-CoV-2 infection.

The frequency of long-term symptoms and conditions following SARS-CoV-2 infection varies widely in the literature, ranging from 5% to 80%.

Multiple possible onset patterns for post-COVID conditions have been identified that further exemplify their heterogeneity, including, but not limited to: 

1. persistent symptoms and conditions that begin at the time of acute COVID-19 illness; 
2. new-onset late sequelae following asymptomatic disease or a period of acute symptom relief or remission; or
3. an evolution of symptoms and conditions that include some persistent symptoms (e.g., shortness of breath) with the addition of new symptoms or conditions over time (e.g., cognitive difficulties). 

Some presentations may share similarities with other post-viral syndromes, such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), dysautonomia (e.g., postural orthostatic tachycardia syndrome [POTS]), or mast cell activation syndrome (MCAS).

Types of Post-COVID Condition

Long COVID

Long COVID is a range of symptoms that can last weeks or months after first being infected with the virus that causes COVID-19 or can appear weeks after infection. Long COVID can happen to anyone who has had COVID-19, even if the illness was mild, or they had no symptoms. People with long COVID report experiencing different combinations of the following symptoms:

Tiredness or fatigue

Difficulty thinking or concentrating (sometimes referred to as “brain fog”)

Headache

Loss of smell or taste

Dizziness on standing

Fast-beating or pounding heart (also known as heart palpitations)

Chest pain

Difficulty breathing or shortness of breath

Cough

Joint or muscle pain

Depression or anxiety

Fever

Symptoms that get worse after physical or mental activities

Multiorgan Effects of COVID-19

Multiorgan effects can affect most, if not all, body systems including heart, lung, kidney, skin, and brain functions. 

Multiorgan effects can also include conditions that occur after COVID-19, like multisystem inflammatory syndrome (MIS) and autoimmune conditions. MIS is a condition where different body parts can become swollen.

 Autoimmune conditions happen when your immune system attacks healthy cells in your body by mistake, causing painful swelling in the affected parts of the body.

It is unknown how long multiorgan system effects might last and whether the effects could lead to chronic health conditions.

Effects of COVID-19 Treatment or Hospitalization

Post-COVID conditions also can include the longer-term effects of COVID-19 treatment or hospitalization. Some of these longer-term effects are similar to those related to hospitalization for other respiratory infections or other conditions.

Effects of COVID-19 treatment and hospitalization can also include post-intensive care syndrome (PICS), which refers to health effects that remain after a critical illness. These effects can include severe weakness and post-traumatic stress disorder (PTSD). PTSD involves long-term reactions to a very stressful event.

Assessment and Testing

Before ordering laboratory testing for post-COVID conditions, the goals of testing should be clear to the healthcare professional and to the patient. Laboratory testing should be guided by the patient history, physical examination, and clinical findings.

• 

Medical  Management

For most patients, the goal of medical management of post-COVID conditions is to optimize function and quality of life. 

Ideally, healthcare professionals, in consultation with the appropriate specialists, should develop a comprehensive management plan based on their patients’ presenting symptoms, underlying medical and psychiatric conditions, personal and social situations, and their treatment goals. 

Many post-COVID conditions can be improved through already established symptom management approaches (e.g., breathing exercises to improve symptoms of dyspnea). Creating a comprehensive rehabilitation plan may be helpful for some patients and might include physical and occupational therapy, speech and language therapy, vocational therapy, as well as neurologic rehabilitation for cognitive symptoms.

Optimizing management of underlying medical conditions might include counseling on lifestyle components such as nutrition, sleep, and stress reduction (e.g., meditation).

FDA-approved or over the counter medications as well as vitamin or electrolyte supplements may be helpful for indicated illnesses (e.g., headache, anxiety) or documented deficiencies (e.g., vitamin deficiency) after carefully weighing the benefits and risks of pharmaceutical interventions.

The information might change as we go on learning about COVID-19. This blog is just replicated to circulate informations on POST COVID.All the materials has been copied from CDC. For the detailed information,kindly visit the link in the source.

Source:

https://www.cdc.gov/coronavirus/2019-ncov/hcp/clinical-care/post-covid-index.html

#POSTCOVID #COVID19 #LONGCOVID #CDC #WHO #MISC #SARSCoV2