COVID-19 and Kidney | How COVID-19 can harm your kidneys

 COVID and Kidney

the kidney is the second one maximum

vulnerable organ to COVID. Kidney involvement is common with extra than 40% instances of proteinuria; protein leakage via urine, and 26% cases have hematuria a presence of RBC in urine the prevalence of Acute Kidney Injury in patients with persistent contamination may be as excessive as 19% patients stricken by continual kidney disease have weakened immune machine and are known to a higher danger of pneumonia and higher respiration tract infection Pneumonia related mortality rate of CKD patients is 14 to 16 instances better than general population advance level CKD sufferers who lodge to dialysis or danger of obtaining covert infection patients are at threat in the event that they had nephrotic syndrome normally because of the minimum alternate ailment FSGS or membranous nephropathy and currently on immunosuppressive medications for youngsters, in particular in nephrotic syndrome receiving prednisolone or different immunosuppressive capsules are extraordinarily inclined and should take more precautions sufferers with polycystic kidney ailment PKD are at equal danger and must preserve an eye on their GFR, for elderly patients above 60 years of age or if there are different co-present health troubles together with CKD then they're also considered as excessive hazard patients with preexisting CKD is probably accelerated threat of acute kidney damage and might development to cease level renal sickness drastically some of the renal impaired sufferers the transplant sufferers and dialysis sufferers are the very best danger. Of all etiologies of CKD, the most inclined are the sufferers with diabetic kidney disorder can progress to an advanced level of CKD or even require renal replacement treatment plans or may additionally die if they are inflamed with covert patients who have got a GFR identical to or less than fifty-nine Belonging to the stage three-5 aren't at high danger although however, the eGFR studying ought to be monitored closely. It's far alarming if the GFR falls under 20 When eGFR is much less than 15, the relaxation of the sufferers is as high as that of the dialysis-affected person.

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What Coronavirus Symptoms Look Like, Day By Day

 

     At first you might suppose it's a chilly and it is able to be but covid 19 should improve here's what you need to know in keeping with the World Health Organization China joint mission on covid 19 as of February twentieth 80 % of laboratory showed cases were mild to slight 14% were severe and six% were vital just to be clear a slight case of CO in shape 19 isn't always like a slight bloodless the signs and symptoms will nonetheless be quite severe some thing much less than wanting oxygen puts you on this class intense instances do need supplemental oxygen and vital ones are defined by respiratory or multi organ failure the symptoms remedies and timelines of getting the disease vary relying on which category patients fall into so permit's spoil down what having covid 19 seems like day to day for every level of severity it can take as few as 2 or as many as 14 days after being uncovered to the unconventional coron avirus for the first symptom to develop that is while it'd sense like a cold or the common flu many sufferers broaden fevers early at the World Health Organization China joint mission noticed that about 88 percentage of those who had covid 19 had a fever any other study out of China showed that whilst handiest 44 percentage of patients had a fever on admission to a sanatorium 89 percentage ultimately advanced one however there have been some instances that led with gastrointestinal signs diarrhea nausea vomiting and/or belly discomfort may additionally seem multiple days earlier than respiration signs and symptoms this isn't the norm though because covid 19 is a respiratory ailment which means for most patients the virus will begin and stop with the lungs inside the early days of infection the virus invades lung cells specifically this may harm the cilia the hairlike projections that move around to hold Airways clean of mucous and particles whilst cells get inflamed they die and shed off adding to the particles and hindering your frame's potential to preserve stuff out of the lungs and trachea the irritation causes harm and harm causes more infection and this cycle could hold until there may be no healthful tissue left and irritation may explain why a dry cough is one of the most common signs and symptoms same goes for shortness of breath and phlegm manufacturing different symptoms that can appear around this time are fatigue sore throat headache joint or muscle ache chills and a runny nostril by means of day five patients with pre-existing conditions might find that they've problem respiration and it usually takes approximately seven days for a person to visit a sanatorium mild instances even though usually solve via this time but those with moderate to important instances will have advanced pneumonia that may range from non-existence threatening to severe restoration time for these sufferers might be everywhere from a few days to weeks for some extreme and vital cases although symptoms can increase into acute breathing misery syndrome a RDS is an infection that takes place whilst fluid builds up inside the lungs irritation triggers a flood of immune cells which might be meant to goal the contamination they're normally remoted to inflamed areas but occasionally the body goes overboard that's when the immune cells start killing some thing in their route inclusive of wholesome cells a RDS is frequently deadly in important instances it can result in respiratory failure requiring advanced existence guide and this is maximum possibly while sufferers head to the ICU a RDS treatment consists of supplemental oxygen and mechanical ventilation the aim is to get more oxygen into the bloodstream because the lungs can not when this treatment would not paintings the lungs are basically too flooded to get any oxygen into your bloodstream it truly is the cause of most covid 19 deaths or even when a patient survives this section they might be left with permanent lung harm SARS punched holes and a few infected people's lungs giving them a honeycomb effect and those lesions have been visible in humans tormented by the radical corona virus too early research found that maximum folks that die of the ailment will accomplish that within 14 to 19 days and on common individuals who get better are launched from the sanatorium after two and a half weeks but with the maximum crucial instances healing could take months as soon as a patient is inside the recovery length it is feasible that they might nonetheless be contagious those human beings need to paintings with their docs and public fitness officials to decide when they are not a danger as of now there's no vaccine for the virus so the high-quality manner to avoid getting ill is to avoid being exposed covid 19 spreads easily from character to character thru coughing and sneezing so wash your hands frequently and avoid near contact with folks that are unwell and clean and disinfect surfaces that you use day by day covid 19 need to be taken seriously but most cases are survivable so stay home stay smooth and don't panic.
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Covid-19 and Long-term Recovery

 

We had been all understandably focused at the immediately situation we targeted on the most outstanding signs and symptoms the contamination and mortality quotes and the range of severity amongst exceptional populations now in those later months of the pandemic we want to turn our attention to the long-time period results for some patients it truly is the topic of this week's healthcare triage need to you agreement the radical corona virus and ultimately get better as most have done you're essentially inside the clean for a chunk right that appears to be the overall attitude but we and plenty of others are right here to say not so rapid it's viable that some humans are not fully improving from the virus this idea has been in the outer edge for a while in particular due to the fact different corona viruses are acknowledged to have lasting health effects but incoming facts are pushing it to a extra vital cognizance and raising concern even for those who did now not have a intense case of the sickness even as it is a ways too early to beneath stand simply how long long-term signs closing a researcher and healthcare triage's very own outdoor is on pinnacle of it dr natalie lambert at indiana college is analyzing covid19's long haulers people who have stated suffering from signs and symptoms for weeks or even months after being identified with the virus dr lambert teamed up with survivor corps a grassroots movement inside the usa committed to connecting the ones affected with coven 19 with the clinical and academic researchers working to recognize the disorder past the prolonged length of signs in those people some of the ones symptoms are sudden on their personal in a currently launched survey record researchers defined now acquainted signs and symptoms indexed by using the cdc along with loss of smell or harm to essential organs like the harder lungs however additionally currently much less diagnosed signs including hair loss and mind fog further long-term symptoms had been currently said by using researchers from italy after assessing 179 sufferers who have been discharged from the sanatorium following recuperation from the virus at approximately 60 days after symptoms had all started best 12.6 percentage of patients reported being symptom-unfastened while 32 had one to 2 lingering signs and fifty five had 3 or more the maximum commonly mentioned long-time period symptoms were fatigue and worked respiratory a study published in jama cardiology this july located that in a set of 100 german covid 19 sufferers 60 of them nevertheless had inflammation of the heart while imaged a mean of 71 days after testing high quality 36 sufferers said general exhaustion and shortness of breath that become no longer gift prior to contracting the virus in evaluation to the previous take a look at the bulk of these patients had instances that did now not require hospitalization meaning lengthy-time period symptoms aren't definitively related to severe ailment best other work has recommended an association among the virus and long-term neurological effects along with inflammation of the critical anxious system which means the brain and spinal twine stroke and neuropsychiatric illnesses including delirium facts from the coveted signs and symptoms study which gathers statistics from tens of millions of folks who submitted by the research app currently advise that someplace among 10 and 15 of humans don't recover inside a couple weeks still way too early to recognize if a subset of covid 19 patients will pass directly to suggest some level of persistent illness and in that case which sufferers are maximum at risk we're going to want a lot more time to behavior lots extra research with plenty more human beings earlier than we will offer any clean answers the information really are not ruling it out even though which is all of the more motive to face up to getting overly snug this early in the sport hi there you revel in this episode you would possibly enjoy this preceding episode on convalescent plasma we might additionally truly like it in case you'd like and subscribe down under and pass on over to patreon.Com health caretriage in which you may assist support the display even for the duration of a virushttps://muzammilahamd.blogspot.com/

Will COVID-19 Go Away in the Summer?

 You might also have heard conflicting messages approximately whether COVID-19, the ailment resulting from the coronavirus SARS-CoV-2, becomes less severe or go away in the summer months. And that’s because we’re simply not sure yet if this virus will comply with a seasonal pattern. Based on what we understand about the flu, in addition to other coronaviruses, researchers assume it’s feasible that COVID-19 is seasonal. The hassle is, despite the fact that that’s the case, it in all likelihood won’t make a lot of a distinction for a while. Because it turns out pandemic viruses don’t spread quite the identical manner as their greater mounted cousins. Here’s the factor about a singular pandemic virus like this one: It is uncommon for there to be any built-in immunity inside the populace, so it may quite much unfold to everyone. So there’s plenty of methods to version disease unfold, but when it comes to the effect of seasons on viruses, researchers are interested in how the virus spreads -- and the weather. Specifically, the humidity. While bloodless temperatures themselves don’t make you unwell, it is proper that some diseases, just like the seasonal flu, are much extra not unusual at some point of the less warm months of the year. We have a tendency to be packed collectively inside more, increasing our average charge of person-to-character touch -- or so the theory is going. Along with susceptibility, near contact is probably the most important contributor to a seasonal virus’ unfold. But it’s no longer the simplest aspect going on in wintry weather that performs a part. See, winter isn’t just cold: In many places, mainly temperate regions of the planet, it’s less humid. And research has always located that a few viruses have a simpler time surviving while the humidity is decreased, which makes them less difficult to bypass among people. Researchers don’t fully apprehend how higher humidity limits the spread of certain viruses.  But we understand that sure viruses, like influenza and coronaviruses, can unfold through hitching a journey at the little droplets of moisture that go away your lungs whilst you breathe or cough -- regularly, on the outer floor of those droplets. When it’s greater humid, the air can assist larger droplets of moisture, with greater floor vicinity for the viruses to hang out. But being at the surface of the droplets is truly terrible for these viruses. Influenza and coronaviruses are each enveloped viruses, which means they’re surrounded by using a layer of oily lipid molecules. At the droplet’s floor, that envelope can get disrupted pretty effortlessly -- which could ruin the virus. So, there are reasons to suppose COVID-19 might be touchy to humidity and therefore can be seasonal -- finally. At least one paper has determined that better humidity degrees can also have reduced the transmission quotes of COVID-19 in a few regions of China. However, it's far a preprint that hasn’t passed peer evaluate but. A lot of humans have also mentioned that there seem to be fewer cases in hotter, more humid climates, but there are flaws in that argument as properly — in Singapore, as an instance, the virus has spread masses. This brings us to the primary hassle with the question of whether this virus isn’t partial to humidity: For now, the answer... Doesn’t actually remember. Because pandemic viruses, even those who become sensitive to adjustments in humidity, aren’t seasonal when they’re new. Remember, no one -- or almost nobody -- is proof against a modern-day virus. Which approach too many humans are liable to the infection for humidity to make a meaningful impact in how a great deal it spreads. Over the years, we’ve visible this play out with flu pandemics. One key distinction between seasonal and pandemic flu is the question of how many humans are prone. The 2009 swine flu pandemic, as an instance, didn’t follow the sample of hooked up seasonal flu stress — despite the fact that influenza is normally laid low with humidity, it had no problem continuing thru the spring and summer in many places. In a 2010 paper, researchers commenced from real New York City swine flu facts to model how a flu pandemic should unfold, if one of a kind probabilities of human beings had been prone. They observed that even in August, while humidity tiers must in idea lessen transmission the most, the pandemic ought to nonetheless spread if 80 percent [80%] of humans had been at risk of contamination. For May and June, even sixty percentage [60%] susceptibility become enough. For reference, at the time we’re making this video, best a totally small fraction of human beings within the US are shown to have gotten ill with COVID-19. The real total right here is in all likelihood to be better -- maybe an awful lot higher -- but even in line with the largest estimates, much less than five% of the population are likely to have been infected so far. So manner greater than 80% of the population remains susceptible to it. So, sure — even though it will be a while earlier than we absolutely realize, there’s reason to assume COVID-19 could come to be seasonal anguish, just like the seasonal flu. But even supposing it is, that probable received’t give us the reprieve that humans are hoping for. There’s just too much of the population that’s nonetheless at risk of the virus. Our purpose is to eventually get the variety of people who are vulnerable to the ailment down without them getting the disease. Right now limiting contact with others is the quality manner to limit the unfold of the virus. And if we’re fortunate, as a way to purchase researchers sufficient time to develop a vaccine -- and that is how we lower the variety of folks who are prone, via making them immune.We desire that once human beings are becoming ill and recovered, they're immune too -- however, we don’t virtually know that yet. And if they may be, we don’t recognize for the way long. But one manner or another, sooner or later, our efforts will lower the range of folks that are susceptible. And hopefully, quickly, we will see COVID-19 fade within the heritage as a plague with occasional, probably seasonal outbreaks, in preference to the world-disrupting pandemic it is now. Whatever the humidity out of doors. If you’re within the mood for a destroy from the information, you may enjoy a chunk of puzzle-fixing. Brilliant’s route Joy of Problem Solving is packed full of mind-bending demanding situations. You’ll supply your brain an exercise fixing them, and also you’ll be gaining knowledge of the policies of common sense and algebra alongside the manner. Brilliant is an internet studying platform that offers a ton of guided problem-fixing-based publications much like that one. Each arms-on direction has interactive elements designed to have interaction with your mind and help you hone your math and technology capabilities.muzammilahamd.blogspot.com

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COVID and Male Fertility: Does COVID Infection Impact Sperm Production?

 Coveted male fertility what do we know about the coronavirus and its impact on sperm hey friends welcome back today I am talking about covet and sperm I know I focused on this channel a lot on female fertility I've talked about the covet vaccine but I really want to talk about something that I don't think is getting enough attention and that is the impact of getting covet on male fertility to start we don't have any evidence that getting covet impacts female fertility we haven't even seen early pregnancy outcomes what we have seen is late pregnancy outcomes like preterm birth increased hospitalization into bation and death risk for the mom and higher rates of c-section but we've not seen a higher rate of miscarriage or stillbirth we've not seen any impaired fertility if females get copied but we are seeing an impact on male fertility so today I want to review this article semen impairment and occurrence of source code 2 virus and semen after recovery from covid 19. okay so this is a study that we're going to break down and we're just going to do a little lip review really quickly the first thing that's important is we need to understand sperm and eggs are such different i mean obviously they're different but sperm is so different so unlike a woman who is born with all the eggs she's ever going to have and they just run out over time men are constantly regenerating sperms perm is developed in the testes so there are germ cells and sperm developas they grow through the testes over the course of approximately 72 days it then takes around 18 days for the sperm to get from the testes into the ejaculate so sperm has to grow and then it has to be transported to where it's going to go that's about a 90-day lifespan every single day there's different sperm in different stages of development this means that your sperm can be exposed to something and they're very sensitive so let's look at a sperm sperm are really sensitive a sperm has a head which is entire job is to protect some dna and then it has a tail which job is to make it move and so sperm are developed and they are extremely susceptible to the environment and we know this we know that male lifestyle factors can play a role in semen analyses things that can impact sperm parameters can include exposure to toxins like cigarette smoke or marijuana things such as heat so constantly submerging the testes in hot tubs or saunas even maybe riding motorcycles and other health problems such as obesity or high blood pressure or cholesterol and even getting sick so having a recent illness can impair your sperm parameters we've known this for a long time so a good example in history is mumps if you get mumps one of the consequences you're probably going to live and be fine but mumps causes atrophy inside the testes and you can have a zoo spermia no sperm in the ejaculate it can destroy the testicular function so they can no longer make sperm and so you see men who are sterile who have no sperm after having mumps as a child obviously  with the invent of vaccines the mmr vaccines as measles mumps and rubella this prevents those from getting mumps we're starting to see mums become irrelevant again as people aren't vaccinating i think this is going to have reproductive consequences later on issue so moms causes this issue called mumps orchietitis where we know that the testes get inflamed and it destroys their cells what about covid so even getting really sick with just a flu we sometimes see drop in sperm parameters but this hasn't really been looked at in covid even though we your reproductive endocrinologist have been saying that we've been observationally seeing this so now we're going to go over this study which is looking at a few different things but the thing i thought was most interesting was how sperm looked in the ejaculate after recovery from covid so the study question how was the seam and quality of sexually active men following recovery from severe acute respiratory syndrome cova2 okay so one fault of this study in my opinion is that there's no control group everybody has gotten hospitalized the control group is men who did not get hospitalized so how i interpret this question is looking at how does the severity of disease impact your semen analysis because your control group was considered normal men who had covet who did not have to get hospitalized what happened to their sperm compared to menuet covedon were hospitalized or hospitalized in the icu so we're really looking at the severity of infection importantly none of this has a control group that's baseline so what is baseline men who don't have covid we're going to use normal semen parameters to compare those two because  we have that for normal population-based levels but when we talk about statistical  significance understand that they're comparing everybody had coveted in the study so we're not looking at the guy who doesn't have covid this was a prospective cross-sectional  study this means that we looked into the future at a subsection of the population which in this case was 43 men small so this is a small n small number we're taking a very small sample size and we're trying to apply those results to the general population it was a biological fluid we looked at semen urine and saliva and these men were known to have recovered so before entry into the test they actually had negative tests first a couple things to note i always like to look at table one table one in any study should be your demographics of your groups and so what we're looking at here is are there major differences between the people who got hospitalized and who are not hospitalized there were in this study and that may impact our results so look at this right here your median year and age so the non-hospitalized was 44 years the hospitalized not in icu was 52 years and the hospitalized in the icu was 59 years this is old i mean we know that men can reproduce older than women this is kind of rubbing it in a little bit but that was statistically different so already the people who are in the icu tend to be older therefore their sperm parameters may be impacted as well and i want to pull attention to this one factor right here period between last negative swab in days all of these are between you know 24 to 37 days so at least a month time has passed before these men had their samples given and when their last negative test was so that was their negative test so presumably at least two to three months from when they were first diagnosed with cova so when we look at semen analyses what are the factors we look at we look at the volume so we look at how much ejaculate there is we look at the concentration how much sperm is per milli liter look at the motility how does the sperm move and we look at the morphology the shape of the sperm so compared to normal i'm going to look at the non-hospitalized group compared to normal there was normal amount of sperm volume normal sperm concentration the motility is low so already we have a low motility in the non-hospitalized group and the morphology is low so com ared to men who have not had covid in our population-based studies we have low motility and low morphology in men who have had covet and now have 30 days from a negative test even if they had a mild infection that did not require them to be admitted to the hospital when we look at the hospitalized and the icu admission we see a change in these you can actually see the sperm concentration goes from 65 million per milli liter in the non-hospitalized group 17.8 million per milli liter in the hospitalized group which is borderline to zero to azuspermia in the icu group the motility significantly drops in the hospitalized in the icu group two you have motility in the 20 where it was 36 percent in the non-hospitalized and 50 is normal and the morphology across the board is low two percent three percent zero percent we like to have at least four percent normal sperm under strict parameters okay here's how i take this data all men who have covet infection in this study 43 of them small sample size had an impairment in their semen parameters from normal even upon recovery from covet of at least a month this is important especially when it comes to motility and morphology of sperm because the sperm's lifespan is three months it usually takes three to six months to see a full recovery of the semen analysis if you're 25 and your female partner has normal anatomy and ovulate  then three to six months is probably not a big deal if you're 41 as the female partner trying to get pregnant and you have to wait three to six months to get sperm into the ejaculator to get it normal to get you pregnant that may be closing your door to have a child and you may need to accelerate treatment depending on your own factors or how many kids you want and i think it's really important to know that nobody is talking about also if you have a severe case of covet you may actually have a zoospermia no sperm in the ejaculate that's not just a low chance of getting pregnant that's a no chance of getting pregnant take home messages coping and pack sperm parameters likely will return back to normal but i don't have this data yet i am not anticipating these severely ill men have covid go asospermic and never get sperm again although we need that study to prove that that's happening but just in clinical practice that's not what we're seeing however getting covet even a non-hospitalized infection may lead to detrimental sperm parameters specifically motility and morphology and severe infections impair concentration as well as motility morphology this may have significant implications if you're trying to get pregnant so summary if you've had covet or you get coveted you're trying to get pregnant you should consider getting a semen analysis that you can understand what you're working with talk to your fertility doctor we may change your treatment plan number two specifically if you're trying to get pregnant in the near future or right now and you're eligible for the coveted vaccine please go get it not getting covet is the best thing you can do if you're a man for your fertility at the current point there is no evidence that the cova vaccine impairs sperm production in any way there's not even a hypothesis that that's happening there's not even a fake facebook post so that would exist so there should be no reason stopping you from going to get that specifically if you're really trying to conceive a child thank you guys so much for listening hopefully this was a little bit helpful always trying to bring the latest research let me know if you like lit reviews if you want more of them let me know other questions you have that i can answer in the comments if you like this please subscribe to the channel that always helps me out so much and i really appreciate it as always you can listen to the as a woman podcast for more fertility related information.

Flu, Pneumonia & COVID-19: Do you know the symptoms

Lung contamination can impact all of us at any time the flu pneumonia and covid19 are all contagious breathing illnesses which may be existence-threatening if left untreated all 3 ailments might require clinical attention but milder cases can be treated at home do you recognize the commonplace signs and while to searching for help are you experiencing fever cough fatigue and weak spot those 3 signs are all commonplace with the flu pneumonia and covid19 do you even have a shortness of breath chest ache or problem respiratory those are commonplace symptoms of covid19 and pneumonia these can also also be gift with the maximum severe instances of the flu in particular in human beings with different health conditions there are other signs which are common with just one or two of the illnesses let's communicate approximately the flu flu signs and symptoms will come on fast similarly to fever cough and fatigue and weak spot the flu will frequently cause chills along with muscle and frame aches and pains you can also enjoy a runny nose and watery eyes sore throat and lack of appetite similar to a cold let's talk about pneumonia pneumonia will frequently present with phlegm and mucus whilst coughingin addition to shortness of breath chest ache fever cough and fatigue let's speak about covert 19  is something we're nevertheless getting to know about what we realize is that similarly to the not unusual symptoms of fever cough shortness of breath trouble respiratory chest ache and fatigue a few human beings can also enjoy muscle and body aches lack of taste and scent headache stomachache diarrhea vomitng  sore throat and chill in excessive and rare instances humans may also experience red eye rash or discoloration of hands some severe instances of the sickness may additionally require scientific interest but maximum cases of the ailment may be handled at home in case you revel in any of these signs you should are seeking for scientific help proper away fast respiratory difficulty respiratory shortness of breath issue completing a sentence or winded while speakme blue or grey skin color ache or pressure in chest or belly sudden dizziness blue or gray lips confusion dehydration now not peeing not able to stop vomiting throwing up now not waking up now not listening to something crankiness seizures signs enhance but then come again inclusive of a worsening cough or fever can not take a deep breath pain for your chest searching for clinical help straight away.

The mental impact of COVID-19 and how to cope

 Corona virus obviously has created a global state of uncertainty I think we're gonna be having a mental health crisis now covid 19 can be characterized as a pandemic normality as it was before will not come back full-on until we get a vaccine for this it's important to recognize both the immediate and the long-term impacts that this pandemic can have on people's mental health there are different phases of mental health distress that one experiences at different points in a pandemic the other differences that probably distinguish it from other disasters would be the level of self isolation as a foe distancing travel restrictions . chuckling I'm a psychiatrist and vice president at the Centre for Addiction and Mental Health  starts with a fever and feels like the flu a mystery illness known as severe acute respiratory syndrome or SARS during SARS we saw kind of initial rates of general psychological distress that exceeded amounts that we would normally expect emergence of depression anxiety early on and in individuals that were involved we also seen persistence of some of those symptoms after SARS if we go to other disasters like 9/11 for example it's a kind of disaster that was abrupt I think it's different in the sense of what we're seeing right now those who are closest to it who had losses who were involved as first responders were more likely to suffer post-traumatic stress disorder symptoms depression anxiety distress and we do have studies that are decades later that still show that there are some residual effects for some individuals and I suspect that for many people they're gonna need support beyond covid 19  looking after your mental health is of course as important as taking care of your physical health the most common things we're going to notice are gonna be tied to anxiety and mood disorders hi my name is dr. Raymond of drama and I'm a clinical and consulting psychologist with an expert on anxiety and trauma two here my top tips on how to cope number one and this is the biggest one of all stay in contact with other people the biggest thing that we are missing is contact with with us the people that we care about our co-workers a good old-fashioned phone call being in touch with social media is number one number two we want to manage the amount of coming in we need to be informed the World Health Organization is now calling the global corona virus outbreak a pandemic the news is tough the predictions blunt but we don't need to be inundated with a lot of information so limit your access to the news set a time where you can actually touch base and find out what you need to and it carry on with your regular day number three have a regular routine as close as possible it won't be what you're used to I said routine as much as you can and so my next point is ultimately about learning to be okay with things not  being perfect we have to revisit what it needs to be professional we won't be as productive we want to have this balance between you know being active and busy but not overdoing it to the point that we're stressing ourselves out behind that need to be productive is this fear but somehow our sense of self-worth is tied to producing a lot what matters most is that we get through this with a sound state of mind and a healthy statof well-being we need to change our thoughts from the what-if to the now what that gives us 

some sense of control but more were able 

to write them down that will give us greater control over things instead of just looping them through in our heads and if our anxiety gets to a physical level of panic and that might be the case for many people watch how we breathe what we might not be realizing it is our body might be prepping for an alarm system start to breathe from your nose in a calm and relaxed way there's a lot of videos on YouTube on relaxed breathing that's also a good way to stay calm  and last but not least there's a lot of mental health providers who are providing phone consultation or video consultation except that there's a lot of organizations around around the world actually that are now producing free access to health resources about how to manage mental health needs time look for them follow those tips that's one of the best things you can do