Search

May 25 | Daily COVID-19 LST Report

Climate

  • COVID-19 brings to light the need for universal health care services and Italian authors demand further government investments in the development of such structures

  • The COVID-19 pandemic has created dissonance between practicality and the traditional four pillars of medical ethics: autonomy, beneficence, non-maleficence, and justice.

  • For example,

  • The decision to suspend non-urgent care goes against the justice and autonomy of patients whose care has been suspended/canceled.

  • Shortages of supplies such as ventilators may cause physicians to make choices about who to prioritize in treatment, which creates an ethical dilemma for the physician who is supposed to consider autonomy, beneficence, and non-maleficence in treating every patient.

  • The supply of PPE has also been lacking in many places, which creates a situation where the physician may have to make the choice to put their own health at risk in order to uphold these four principles of medical ethics for their patients.

  • Therefore, it is important to create succinct guidelines recognizing that these traditional four pillars may not be able to guide decision making, and informing physicians on how to evaluate and defend their decisions so that they can better use their professional judgment during the COVID-19 pandemic.


Epidemiology

  • Authors speculate that anosmia is a specific symptom that can be used as a cheap and effective screening tool for COVID-19. Coupled with the fact that olfactory mucosa has a high expression of ACE2 transcript, they speculate that anosmia is due to direct damage to neuroepithelial stem cells.

  • Seattle area OBGYNs report that current studies are inadequate to definitively categorize pregnant persons with COVID-19 as low risk, even if do not have any other comorbidities. The literature shows that the adverse consequences of perinatal maternal infections may require years to manifest in children, and that we may not be seeing the full effects of COVID-19 on these infants for several years.


Understanding the Pathology

  • An author presents a possible explanation for thromboses in COVID-19 patients. They speculate that the virus could attack erythrocytes directly, resulting in antigen-antibo