What happened to Noah Lyles in Paris ?
I A. I. B. These are samples of News Reports. I also watched with mounting alarm the 200 meters final and the terrifying events at the end of the race when Noah Lyles ended up on the track in a dazed condition and was very concerned about his enfeebled posture in the wheel chair especially since I didn’t notice any EMT on the scene assessing him and attaching telemetry capable devices or monitoring devices for Cardiac activity, Blood pressure, and Pulmonary functions-Oximetry.
I am approaching the discussion of my concerns about the assessment and management of Mr Noah Lyles medical issues before and after he was diagnosed with COVID -19 and puzzlement about the decision making that permitted Mr. Noah Lyles to compete in the finals of the Men’s 200 meters without obtaining consultations from specific Physician experts in assessing and managing the serious consequences of extreme physical activity and highly emotionally stressful Men’s 200 meters finals could befall Mr. Noah Lyles.
The publicly reported Medical interventions reported in the Media appears to me to be in contravention of these precepts of Hippocrates: this if from the Traditional Hippocratic Oath; "I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients, and abstain from whatever is deleterious and mischievous." I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are engaged in this work. In another great text “Of the Epidemics”, Hippocrates says, “"The physician must be able to tell the antecedents, know the present, and foretell the future — must mediate these things, and have two special objects in view with regard to disease, namely, to do good or to do no harm." [assess prognosis and address This may be basis for this Axiom, Primum Non Nocere, attributed to Hippocrates: First- Do No Form.
This represents one of the principles of Ethics- namely non- malfeasance. This Axiom has been mistakenly attributed to Hippocratic Oath. Mr. Noah Lyles' mother, Keisha Caine Bishop, shared that watching the hesitancy of the track security to call a doctor when her son lay on the track gasping for breath at the 2024 Paris Olympics was one of the scariest moments of her life. “They refused to call doctor" - Noah Lyles' mother recalls 'scariest moment' when sprinter was gasping for breath inside the stadium at Paris Olympics. I have shared 2 Reports on Medical Ethics VI B on the Principle of Double effects and Proportionate Reason from the AMA and VI C on the 4 principles of Medical Ethics from the National Institute of Health [National Library of Medicine.
This is the index of my supporting documents.
The first two I. A. and 1B are news reports about the experiences of Mr. NL and his mother.
This is followed by II A1-4 offer reports on the assessment and management of Cardiac Complications of Covid-19, IIB1 and 2 offer detailed reports on Long term Symptoms of Covid -19 especially as it applies to the events that overtook Mr. Noah Lyles performance and plans for the Paris Olympics to win the Sprint double.
III A1, 2, and 3
I am offering specific information on an accurate and effective long term continuous monitoring devices for person who an acute Cardio- Respiratory Events during a very demanding final 200-meter race . Patients can Exercise, Shower, and Sleep when they are using the Zio Long term Cardiac monitoring device.
IV. A, B, C, D and E: I am sharing information on 4 recognized Experts in this Complex ever evolving field of Medical Care of persons affected by Covid- 19.
V. V.A, B1 and B.2. My website velandymanoharmd.com has 66 posts onCovid-19 including basic information and policy related information and several posts on Health Promotion and Treatment recommendations for restoring wellbeing. During my tenure as the first Medical director of the Aware Recovery Care I acquired, curated, archived and shared the relevant data with the Senior staff and members of the Team providing In Home Addiction Treatment over a 12-month period deploying three teams for comprehensive and coordinated care in CT and ten other states.
VI.: VI A, B, and C- I offer my rationale for seeking Legal consultation and a link to well-known expert in Medical accountability located in New Haven, CT and links to the Principle of Double effects and Proportionate Reason from the AMA and VI C on the 4 principles of Medical Ethics from the National Institute of Health [National Library of Medicine.
I
A.
https://sports.yahoo.com/covid-derails-noah-lyles-bid-for-sprint-double-i-believe-this-will-be-the-end-of-my-2024-olympics-183515628.html
SAINT-DENIS, France — At 5 a.m. on Tuesday, Noah Lyles woke up with a wicked sore throat, an aching body and chills.
“Those are the symptoms I’ve always had right before getting COVID,” Lyles said, “so I was like I need to test this one.”
The test came back positive, throwing Lyles’ historic pursuit of an Olympic sprint double into chaos two days before Thursday night’s men’s 200 final. Lyles quarantined in a hotel near the Olympic Village, tried to get as much rest and fluids as he could and took any medication he could without violating anti-doping rules.
The idea of not competing in the 200 never was something that Lyles seriously considered, especially after he managed to advance to the final by gutting out a second-place finish in his semifinal heat on Wednesday. Lyles explained that he “still wanted to run” and that doctors gave him permission to try. Did the Medical director consult in real time with a physician with expertise on the serious potential lethal patho-physiology of Covid 19 virus as it affects the Heart, Lungs and other key organ systems? What set of Clinical Criteria were used during the discussion prior to the decision. I am providing several reputable sources of relevant data
When asked how his illness impacted him during the race, Lyles said, “It definitely affected my performance.”
He added that his girlfriend, Junelle Bromfield, told him Thursday morning that he was “coughing through the night.”
After Thursday’s final, Lyles said he felt “lightheaded” and experienced “shortness of breath” and “chest pain.” He sat on the track and received medical attention before being taken off the track in a wheelchair. In the bowels of Stade de France, Lyle's mother could be seen running down a hallway.
Lyles was expected to be part of the U.S. Men's 4x100-meter relay final on Friday. Late Thursday night, Lyles posted on Instagram that he thinks his 2024 Olympics are over.
"I believe this will be the end of my 2024 Olympics," he wrote. "It is not the Olympic [sic] I dreamed of, but it has left me with so much Joy in my heart." It is the Right decision not to participate in the 4x100 -meter relay. It could have cost him his life or left him disabled to some unknown degree.VM
B.
"They refused to call doctor" - Noah Lyles' mother recalls 'scariest moment' when sprinter was gasping for breath inside the stadium at Paris Olympics (msn.com)
“They refused to call doctor" - Noah Lyles' mother recalls 'scariest moment' when sprinter was gasping for breath inside the stadium at Paris Olympics.
Story by Agnijeeta Majumder, • 6d • 3 min read
Noah Lyles' mother, Keisha Caine Bishop, shared that watching the hesitancy of the track security to call a doctor when her son lay on the track gasping for breath at the 2024 Paris Olympics was one of the scariest moments of her life. Lyles tested positive for COVID-19 two days before his 200m finals at the Games.
Lyles is the 100m and 200m reigning world champion, which made him a heavy gold favorite of both the events at the Paris Games. He clocked 9.79s and sealed victory in the 100m but faced an upset in the 200m with a COVID-19-stricken health. His time of 19.70s placed him in third position behind Botswana sprinter Letsile Tebogo and his US counterpart, Kenny Bednarek.
Although he tested positive, the head of the US Olympic and Paralympic Committee allowed him to compete since the protocols were put in place for him and the medical personnel of USA Track were constantly monitoring. After the race, the 27-year-old collapsed on the ground and gasped for breath but was not being attended by the stadium security.
Noah Lyles' mother, Keisha Caine Bishop expressed devastation over watching his son being ignored by the stadium security via Instagram:
"This was one of the scariest moments of my life! Watching my son hold his chest gasping for air while the stadium security refused to call a Dr. as I begged them to send him help. They also refused to do anything to help. They totally ignored me! No parent should ever have to experience this feeling of helplessness!"
She further thanked the NBC Olympics team for jumping into rescue and the USA Track and Field team for lending a shoulder.
Noah Lyles' mother shares the story of his son's asthma [History of Asthma]
Noah Lyles had suffered from severe asthma as a child and his mother was an integral support system during those times. He was left with a bark-like cough, which prompted people to mistake him for a dog during a press conference.
"One day I was on a conference call for work and the supervisor said, "Could somebody take their dog out?" his mother recalled (via Time Magazine).
The 100m reigning Olympic champion was always kept away from soft toys like teddy bears for fear of the accumulated dust worsening his condition.
In a clip of 'Untitled: The Noah Lyles Project', his mother shared how their bond got tighter after having dealt with health issues together.
"When he was young, he had so many health issues. He would have asthma every six weeks where he could hardly eat, he couldn't catch his breath long enough to eat. He was on a nebulizer treatment... for the first ten years of his life, that's pretty much what it was. At night when it was time to go to bed, he could not sleep if he laid down cause he couldn't breathe correctly. So, I would sit up all night and just hold him so that he could fall asleep in an upright position."
Noah Lyles alongside 40 other athletes tested positive for COVID-19 and other respiratory diseases at the 2024 quadrennial Games.
I have acquired specific reports that can be of help to persons like Mr. Noah Lyles. who have been diagnosed with Covid and have serious Lung disease and experienced severe symptoms suggesting Cardio-Pulmonary events during the Men’s 200m final to manage the risk and gradually recover their health. It is uncertain if Mr. Noah Lyles can ever compete at the World Championship level safely without experiencing severe potential lethal or disabling conditions. [Items V.A, B1 and B.2 below]
II. A. 1
https://www.metropolisindia.com/blog/preventive-healthcare/covid-19-leads-to-an-increase-in-heart-attacks#:~:text=Severe%20COVID%2D19%20can%20weaken,or%20heart%20attacks%20after%20COVID.
Covid 19 Leads to an Increase in Heart Attacks. This is extremely useful information to persons at risk of severe adverse cardio-vascular sequalae of Covid-19
Why Severe COVID Patients Should Avoid Overwork and Overexercise?
Severe COVID-19 patients should avoid overwork and overexercise due to the significant impact of the virus on the body's various systems, particularly the lungs, heart, and overall energy levels. Engaging in strenuous activities or prolonged work during recovery can hinder healing and increase the risk of complications.
• Impact on Lungs
COVID-19 can leave behind scarring and inflammation in the lungs, leading to reduced lung capacity and difficulty breathing. Overexertion strains the respiratory system, making breathing harder and potentially exacerbating lung damage.
• Heart Strain
Severe COVID-19 can weaken the heart muscle and increase the risk of arrhythmias (irregular heartbeats). Overexerting the heart during recovery can worsen these conditions and lead to further complications, such as heart failure or heart attacks after COVID.
• Immune System Strain
The immune system works hard when the body fights a severe infection like COVID-19. Overexertion can further strain the immune system, making it harder for the body to combat the virus effectively.
• Energy Conservation
The body needs energy to recover from illness. Overworking or overexercising can divert essential energy resources from the immune system and the healing process, prolonging recovery.
• Fatigue and Energy Depletion
COVID-19 can cause persistent fatigue and weakness even after recovery. Engaging in strenuous activities or overwork can deplete energy reserves, prolong recovery, and make it more challenging to perform daily tasks.
Increased Risk of Complications
Overwork and overexercise can increase the risk of complications, such as:
• Myocarditis: Inflammation of the heart muscle can further weaken the heart and disrupt its rhythm.
• Pulmonary Embolism: Blood clots travel to the lungs, causing shortness of breath and chest pain.
• Post-COVID Syndrome: A set of long-term symptoms that can persist for months or even years after COVID-19 infection.
Recommendations for Severe COVID Patients
Severe COVID-19 patients should gradually reintroduce physical activity and work under the guidance of a healthcare provider. A gradual approach allows the body to adapt and recover without causing setbacks or complications.
• Gradual Exercise: Start with low-intensity activities, such as walking or gentle stretching, and gradually increase the duration and intensity as tolerated.
• Listen to Your Body: Rest when needed and avoid pushing yourself too far. Pay attention to signs of fatigue, shortness of breath, or chest pain.
• Prioritize Recovery: Focus on regaining strength and energy before resuming strenuous activities or prolonged work.
• Regular Check-ups: Consult your healthcare provider regularly to monitor your progress and address concerns.
• Mental Well-being: Prioritize mental health and relaxation techniques to manage stress and promote overall well-being.
Remember, recovery from severe COVID-19 is a process that takes time and patience. Working or overexerting yourself can help your progress and increase the risk of complications. Prioritize your health, listen to your body, and gradually reintroduce activities as tolerated under the guidance of your healthcare provider.
Tips for Covid Survivors to Take Care of Their Heart.
For COVID-19 survivors, particularly those who experienced severe illness, taking care of their post-COVID heart problems is essential. The virus can have lingering effects on cardiovascular health, making it crucial to adopt measures to promote heart health. Here are some tips:
• Follow Medical Guidance: Attend follow-up appointments with healthcare providers regularly. This will help you monitor your heart health, assess any lingering effects of COVID-19, and get personalized recommendations for recovery.
• Monitor Blood Pressure and Cholesterol Levels: Keep track of your blood pressure and cholesterol levels as your healthcare provider advises. Elevated levels can increase the risk of heart disease. Lifestyle modifications and medications may be recommended to manage these.
• Healthy Diet: Embrace a heart-healthy diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats. Limit processed foods, saturated fats, and added sugars. A balanced diet can help control cholesterol levels and maintain overall heart health.
• Regular Exercise: Regular physical activity tailored to your fitness level and recovery stage. Start slowly and gradually increase the intensity and duration of exercise. Aim for aerobic workouts, strength training, and flexibility exercises to boost cardiovascular health.
• Quit Smoking: If you smoke, quitting is crucial for heart health. Smoking significantly increases the risk of heart disease. Seek support from healthcare professionals or smoking cessation programs to stop successfully.
• Manage Stress: Practice stress-reducing techniques like meditation, yoga, deep breathing exercises, or hobbies to manage stress levels. High stress can negatively impact heart health and overall well-being.
• Adequate Sleep: Prioritize quality sleep as it is crucial to heart health. Aim for 7-9 hours of sleep per night. Establish a regular sleep schedule and create a relaxing bedtime routine.
• Limit Alcohol Intake: Excessive alcohol consumption can adversely affect heart health. If you drink alcohol, do so in moderation as per recommended guidelines.
• Medication Adherence: If prescribed medications for heart conditions or to manage COVID-19-related complications, take them as directed by your healthcare provider. Only alter or stop medicines after consulting your doctor.
• Stay Informed and Vaccinated: Stay updated on COVID-19 developments, including variants and vaccination recommendations. Vaccination is crucial for preventing severe illness and its potential impact on the heart.
• Recognize Warning Signs: Be aware of potential heart-related symptoms such as chest pain, shortness of breath, palpitations, dizziness, or fainting. Seek immediate medical attention if you experience any concerning symptoms.
• Build a Support Network: Surround yourself with a supportive network of family, friends, and healthcare professionals. A strong support system can positively impact recovery and adherence to healthy habits.
• Address Underlying Risk Factors: If you have any underlying risk factors for heart disease, such as high blood pressure, diabetes, or high cholesterol, work closely with your healthcare provider to effectively manage these conditions. This may involve lifestyle modifications, medication, or a combination of both.
• Recognize Heart Attack Symptoms: Be aware of the signs and symptoms of a heart attack and seek immediate medical attention if you experience any of them. These symptoms may include chest pain or discomfort, shortness of breath, nausea or vomiting, lightheadedness or dizziness, pain or discomfort in the arm, jaw, or back, and sudden sweating.
Conclusion
The relationship between COVID-19 and sudden heart attacks emphasizes the critical need for vigilant post-COVID heart problems recovery care. Emerging evidence highlights the virus's impact on cardiac health, underscoring the significance of proactive measures. So, the journey to recover from COVID-19 is more than just getting over the immediate sickness. It is also about making sure your body stays strong against possible long-term effects. Therefore, combining health evaluations with vaccination, healthy lifestyle choices, and immediate medical attention for concerning symptoms creates a robust defense against the heightened risk of sudden heart attacks after COVID-19. With comprehensive health check-ups and COVID-19 tests crucial for monitoring and managing post-COVID heart problems, Metropolis Labs stands at the forefront, offering more than 500 test profiles to ensure healthy and happy living
II.A.2
https://www.ncbi.nlm.nih.gov/books/NBK556152/
Cardiac Manifestations of Coronavirus (COVID-19)
Indranill Basu-Ray; Nureddin k. Almaddah; Adedayo Adeboye; Sarosh Vaqar; Michael P. Soos.
Coronaviruses are a large family of single positive-sense single-stranded, enveloped RNA viruses that can infect many animal species and humans. Human coronaviruses can be divided based on their pathogenicity. Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infections were first identified in December 2019 and termed coronavirus disease 2019 (COVID-19). By March 2020, it was declared a global pandemic by the World Health Organization (WHO).
Although primarily a respiratory disease, COVID-19 has been associated with many cardiac complications. Cardiac injury is recognized as one of the most frequent complications of the disease. Long-term cardiac complications following COVID-19 include ischemic heart disease, heart failure, arrhythmias, and myocarditis. Studies have consistently shown that underlying cardiovascular disease in patients with COVID-19 and the development of acute cardiac injury due to COVID-19 illness is associated with significantly worse outcomes. This activity reviews the clinical manifestations of cardiac complications related to COVID-19 infections and outlines their recommended evaluation and treatment.
Mr. Noah Lyles has history of Previous Covid infections and of Asthma and in the lead up to the acute near tragedy on the racetrack during the finals of his much-cherished goal of winning the Sprint Double emulating Carl Lewis and Usain Bolt.NL reported his gf had informed him he was coughing all night. He knew after the heats for the 200m he was not well and sought medical consultation and meds. The reported these Symptoms after the race. Lyles said he felt “lightheaded” and experienced “shortness of breath” and “chest pain.” He sat on the track and received medical attention before being taken off the track in a wheelchair.
{This symptom can represent Left Ventricle Systolic dysfunction, and demand ischemia as well overall hemodynamic deficits perhaps due to Arrythmias, Pulmonary or Cerebro vascular events. One of the images I watched was this big strong competitor lying down flat on his back on the track after momentarily kneeling on the track soon after the race ended before being taken away in a wheel chair. I didn’t notice any cardiac monitoring [telemetry device] was applied or Pulse oximeter meter attached on his finger rapidly that could rapidly assess the level of urgency that NL’s status merited. I have not read any reports of the tests and treatment interventions that followed the serious possibly Cardiac or Pulmonary and Cerebro Vascular event on the track before he collapsed to the track. I am especially grateful that Mr. Noak Lyles decided that the 2024 Olympics was finally over for him. Nevertheless, I am very concerned that ongoing evaluations to evaluate the progress of the Covid Infection and assess the risk of the serious health complications.
“Cardiac care needs to be optimized for COVID-19 patients with an aim for early detection and management of cardiac ailments with the simultaneous aim of triaging cases and proper protection to prevent or minimize COVID-19 exposure.[26]
The optimal management for Myocardial injury in patients with acute COVID-19 illness is not defined.
In the absence of guidelines,
1. Patients with demand ischemia and clinically suspected myocarditis are usually treated with supportive care, appropriate management of hemodynamics, and symptom control.
2. Patients with COVID-19-associated heart failure or those who are found to have LV systolic dysfunction after this infection should receive standard goal-directed guideline therapy for congestive heart failure.
3. Patients with arrhythmias should receive pharmacologic and/or surgical/ablative interventions as indicated based on their conduction or rhythm abnormalities.
II.A.3
complexity of cardiovascular long COVID: where we are | Cardiovascular Research | Oxford Academic (oup.com) Great Illustrations of pathogenetic processes. Great summary of Cardio-Pulmonary abnormalities that can be disabling and deadly.
The COVID-19 virus has left in its wake, a pandemic that has claimed over 7 million lives1 and caused significant injury to countless others. Whilst the advent and dissemination of COVID-19 vaccines have been critical to reducing this burden, residual pathologies remain manifest in various organ systems. Cardiovascular outcomes in COVID-19 remain a challenging topic given the high burden of cardiac symptoms, which are not always associated with objective abnormalities complicated by the lack of adequately matched control populations in studies and paucity of data for appropriate therapeutic options.
1.The initial demonstration of COVID-19’s harmful effects on the heart were observed through clinical reports of acute cardiac injury, which were subsequently corroborated by findings from autopsies and cardiac biopsies.
2 Research using inducible pluripotent stem cell-derived cardiomyocyte models, cell cultures, and mouse models has been crucial in understanding COVID-19’s impact on the heart, revealing direct viral damage to cardiomyocytes.
3 The complexity of the virus’s impact was quickly recognized during the acute phase of COVID-19 as various cardiac symptoms emerged (Figure 1).
4.Patients not only exhibited myocarditis and acute coronary syndromes, indicative of endothelial involvement and vascular inflammation,4 but also experienced a wide array of symptoms such as arrhythmias, shortness of breath, fatigue, and reduced exercise capacity.
5 Autonomic disturbances associated with COVID-19 were also identified, including conditions like postural orthostatic tachycardia syndrome and orthostatic hypotension. For some patients, these symptoms improved with time, yet for others, the diverse and unpredictable array of effects persisted beyond the acute phase. This led to the patient-coined term ‘Long COVID’, defined formally as the continuation of symptoms for at least 2 months after an initial SARS-CoV-2 infection and lasting beyond 3 months,
6 in the absence of other diagnoses. It is estimated that approximately 65 million individuals globally may be afflicted with post-acute sequelae of SARS-CoV-2 infection, which adversely affects their quality of life, limits function and delays their return to work.7
In summary, the complexity of Long COVID symptoms continues to pose ongoing challenges, with particular concern surrounding persistent cardiovascular complications, especially in patients who have been previously hospitalized. The full extent of the disease’s burden, including its quality-adjusted life impact, remains elusive. As millions worldwide continue to suffer, with numbers potentially rising due to new variants, the public health and economic implications are significant. The condition’s exact mechanisms are still not understood, and with a portion of the global population remaining unvaccinated, the urgency for solutions and better data remains high.
II.A. 4.
Cardio-Vascular Complications of Covid -19 Acute and Long-Term Impacts 2022. Cardiovascular Complications of COVID-19: Acute and Long-Term Impacts | SpringerLink
Editors Maciej Banach Provides a contemporary perspective on the emerging links between COVID-19 and cardiovascular disease. The first comprehensive approach on COVID-19 cardiac complications. Offers clear recommendations on how to manage and avoid the increased number of COVID-19 related deaths.
This book is the first comprehensive approach on COVID-19 cardiac complications, both during the acute phase as well as in the long-COVID period. It provides an up-to-date and highly illustrated summary of the biology of SARS-CoV-2, the course of COVID-19, risk factors that worsen the disease in COVID-19 patients, clinical features of COVID-19 patients, COVID-19 cardiological complications, treatment, and prevention methods, and long-term cardiological aspects of COVID-19.
II.B. 1 .
https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-who-is-at-risk/art-20483301
COVID-19: Who's at higher risk of serious symptoms?
Advanced age and some health conditions can raise the risk of serious COVID-19 (coronavirus disease 2019) illness.
By Mayo Clinic Staff Mr. Noah Lyles has high risk of experiencing health consequences because of his long history of severe Asthma.
Many people with COVID-19, also called coronavirus disease 2019, recover at home. But for some, COVID-19 can be a serious illness. Some people may need care in the hospital, treatment in the intensive care unit and the need for breathing help. In some people, severe COVID-19 illness can lead to death.
Not every risk factor for serious COVID-19 illness is known. But some risks stand out thanks to research gathered since the start of the pandemic.
What raises the risk of severe or critical COVID-19 illness?
The risk for serious COVID-19 illness depends on your health status, age and activities. Your risk also depends on other factors. This includes where you live, work or learn, how easy it is for you to get medical care, and your economic stability.
If you have more than one risk factor, your risk goes up with each one.
Some common diseases linked to aging are yes, aging can also affect Champion Athletes like Mr. Noah Lyles. It is possible to for the disparity between the Chronological age and Epigenetic Age can be. It the disparity is 5 or more years- the prognosis gets bleaker. However, the Epigenetic age can be ameliorated.
• Heart disease. Examples are heart failure or coronary artery disease.
• Diabetes mellitus. The risk is higher for both type 1 and type 2.
• Chronic lung diseases. This includes airway disease and conditions that damage lung tissue.
• Obesity. The risk goes up as body mass index (BMI) increases, with the highest risk for a BMI of 40 or greater.
• Chronic kidney disease. Especially if you are on dialysis.
These diseases become more common as people age. But they can affect people of any age. The risk of serious COVID-19 illness is linked to having one or more underlying medical condition.
Asthma, COPD, other lung diseases raise risk of severe COVID-19
Your risk of having more severe COVID-19 illness is higher if you have lung disease. Having moderate to severe asthma raises some risks of serious COVID-19 illness. It raises the risk of needing care in the hospital, including intensive care, and needing mechanical help breathing.
The risk of serious COVID-19 illness is also higher for people who have conditions that damage lung tissue over time. Examples are tuberculosis, cystic fibrosis, interstitial lung disease, bronchiectasis or COPD, which stands for chronic obstructive pulmonary disease. These diseases raise the risk of needing care in the hospital for COVID-19. Depending on the condition, the risk of needing intensive care and the risk of death from COVID-19 also may go up.
Other lung conditions, such as a history of pulmonary hypertension or pulmonary embolism affect a person's risk of serious illness after COVID-19. The risk of death may be higher after these conditions.
II.B.2
https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-long-term-effects/art-20490351
COVID-19: Long-term effects. Mr. Noah Lyles must self-monitor and people around must be on the lookout for symptoms of Long term Effects and take prompt actions.
Some people continue to experience health problems long after having COVID-19. Understand the possible symptoms and risk factors for post-COVID-19 syndrome.
Most people who get coronavirus disease 2019 (COVID-19) recover within a few weeks. But some people — even those who had mild versions of the disease — might have symptoms that last a long time afterward. These ongoing health problems are sometimes called post-COVID-19 syndrome, post-COVID conditions, long COVID-19, long-haul COVID-19, and post-acute sequelae of SARS COV-2 infection (PASC).
What is post-COVID-19 syndrome and how common is it?
Post-COVID-19 syndrome involves a variety of new, returning or ongoing symptoms that people experience more than four weeks after getting COVID-19. In some people, post-COVID-19 syndrome lasts months or years or causes disability. The Long-Term Effects could imperil his future career as World Sprint Champion and his own life if he places huge stresses on his Heart, Lungs, and Vascular system .
Research suggests that between one month and one year after having COVID-19, 1 in 5 people ages 18 to 64 has at least one medical condition that might be due to COVID-19. Among people aged 65 and older, 1 in 4 has at least one medical condition that might be due to COVID-19.
What are the symptoms of post-COVID-19 syndrome? This report provides specific useful information that can help monitor and respond to concerning experiences that may be caused by Past Covid -19 syndrome or pre-existing concurrent and new medical disorder. Please open the link for the information
If you're having symptoms of post-COVID-19 syndrome, talk to your health care provider. To prepare for your appointment, write down:
• When your symptoms started
• What makes your symptoms worse
• How often you experience symptoms
• How your symptoms affect your activities
Your health care provider might do lab tests, such as a complete blood count or liver function test. You might have other tests or procedures, such as chest X-rays, based on your symptoms. The information you provide, and any test results will help your health care provider come up with a treatment plan.
In addition, you might benefit from connecting with others in a support group and sharing resources
III. A. 1
Zio Monitoring (irhythmtech.com)
Zio Long-term continuous monitoring service
The new Zio monitor is designed with patients in mind by providing a more breathable, inconspicuous, and comfortable wear experience so patients can go about their daily activities.5,15,16
i. Long-term continuous monitoring service Zio XT
ii. Mobile cardiac telemetry (MCT) monitoring service Xio AT
III. A. 2.
Highest diagnostic yield21-23
Zio XT monitoring service matched the gold standard in AF burden detection.24
72% detection effectiveness compared to 24% for Holter Monitoring and 23% for Event Monitoring Device
Zio LTCM service is more likely to detect specified arrhythmias.6-8,14
96% more likely versus Holter monitoring, 72% more likely versus Event Monitoring Services, 25% more likely versus other LTCM
III. A. 3
Perfecting the experience is at the heart of the Zio service.. Patients can Exercise, Shower, and Sleep
Comfortable and easy-to-use with no charging or electrode manipulations needed.9,10,16,18,19
IV.
Recognized Experts in this Complex ever evolving field of Medical Care of persons affected by Covid- 19.
IV.A Vin Gupta, MD
He is a pulmonologist and critical care physician who serves as a Major in the United States Air Force Medical Corps. Dr. Gupta has been a prominent figure on television, providing expert commentary on COVID-19 and public health issues. He has appeared on various news networks, sharing his insights and expertise. Vin Gupta MD is an American Harvard-trained lung specialist. He is an assistant professor at the Institute for Health Metrics and Evaluation at the University of Washington. Owing to his diverse training and experiences, Dr. Gupta has become one of the leading advisors and contributors to local and international media outlets including NBC and MSNBC.
Amazon company plans to add Vin Gupta, MD., as a Principal scientist to its growing Amazon Care team later this month, the person said. Gupta, a self-described “lung doc” with a background in pulmonary medicine, previously worked as a consultant to Apple, according to his LinkedIn profile.
Vin Gupta, MD., has often emphasized the importance of cautious decision-making when it comes to COVID-19, especially for individuals with underlying health conditions. If you have any other questions or need information on a different topic, feel free to ask! These are authoritative sources.
IV.B. Peter Hotez, MD
He was Nominated for Nobel Prize in 2022. He has faced death threats, yet it didn’t stop him from developing vaccines. He is the founding dean of the National School of Tropical Medicine, Professor of Pediatrics and Molecular Virology & Microbiology at Baylor College of Medicine, where he is also Director of the Texas Children's Hospital Center for Vaccine Development and Endowed Chair in Tropical Pediatrics.[2][3] He also serves as a University Professor of Biology at Baylor University.
Vaccine specialist Peter Hotez: scientists are ‘under attack for someone else’s political gain’ (nature.com)
IV.C William Haseltine: Ph.D. Home - William A. Haseltine PhD William A. Haseltine PhD (williamhaseltine.com)
He is known for his groundbreaking work on HIV/AIDS and the human genome. At Harvard University he worked under the direction of James D. Watson, co-discoverer of the structure of DNA, and Walter Gilbert, who later received a Nobel prize for developing a method to determine the sequence of DNA. Work in this laboratory gave him an excellent grounding in the tools of what was then the new field of molecular biology. Haseltine was a Professor at Harvard Medical School, where he founded two research departments on Cancer and HIV/AIDS.
The COVID-19 Textbook: Science, Medicine and Public Health First Edition by William A. Haseltine and Roberto Patarco. There is Authoritative Information in this comprehensive Book.
The COVID-19 Textbook: Science, Medicine and Public Health: Haseltine, William A.: 9781975202330: Amazon.com: Books
IV.D. Dr. Ashish K. Jha, MD.,
He was White House COVID-19 response coordinator from 2022–2023. Dr. Jha, the Dean of the Brown University School of Public Health, has been a prominent voice in the media, providing expert analysis on the global and Indian COVID-19 situation3. Prior to Brown, he was the K.T. Li Professor of Global Health at Harvard T.H. Chan School of Public Health, faculty director of the Harvard Global Health Institute, He is a renowned Public Health Policy expert.
IV.E. Kavita Patel | Primary Care Collaborative (thepcc.org)
Kavita Patel, MD.,MS., is a Nonresident Fellow at the Brookings Institution.
She also has an extensive research and clinical background, having worked as a researcher at the RAND Corporation and as a practicing physician in both California and Oregon. She currently advises healthcare technology and services organizations through New Enterprise Associates.
Dr. Patel is a previous Robert Wood Johnson Clinical Scholar, and while at Brookings returned to providing clinical care as an internal medicine practitioner.
She also served in the Obama administration as director of policy for the Office of Intergovernmental Affairs and Public Engagement in the White House.
As a senior aide to Valerie Jarrett, President Obama’s senior adviser, Dr. Patel played a critical role in policy development and evaluation of policy initiatives connected to health reform, financial regulatory reform, and economic recovery issues.
Dr. Patel is a Primary Care Physician in Washington. She is very frequently consulted by TV hosts.
V .My website velandymanoharmd.com has 66 posts onCovid-19 including basic information and policy related information and several posts on Health Promotion and Treatment recommendations for restoring wellbeing.
During my tenure as the first Medical director of the Aware Recovery Care I acquired, curated, archived and shared the relevant data with the Senior staff and members of the Team providing In Home Addiction Treatment over a 12-month period deploying three teams for comprehensive and coordinated care in CT and ten other states. In addition, on a regular basis I shared dashboard of facts for each of the States we operated in during the years and months of the Pandemic to facilitate risk assessment that must be addressed to keep our patients and their families safe as we visited with our patients and to keep our teams safe as they interacted with each other and keep our families safe after we returned home. I was determined that with the senior members of our Team we could help our staff on the front lines not to ever relive the sad story of Typhoid Mary in this Pandemic. We were very fortunate to have our staff come through the pandemic during their high-risk work meeting with patients and other treators in the community safely.
Here are some examples of my posts.
V.A.
COVID19Countermeasures
Covid19originsWhythesearchforthesourceisvitalCNN
COVID19FiveReportsonIssueswithCDC122721recommendations
COVID19RiskofCOVID19Deathnearly4XHigherinSchizophrenics
COVID19CanYouLeaveIsolationAfter5Days
ManagingRisksofOmicronVariantinCommunityIssueswithCDCGuidelines
COVID19IsolationShouldNotBeOneSizefitsAllAmeshAldeja
HowOmicronSymptomsDifferFromDeltaPastCOVID19VariantsCharts
TestingCouldHelpEndthePandemicifOnlyWeHadTests
V.B.1
TreatmentRecommendationsforRestoringWellbeing
V.B.2
HealthPromotionEducationalMaterials
My website:velandymanoharmd.com has several related posts.
VI. A Legal considerations. Including Legal representations
Hugh F. Keefe – LTKE Law [Lynch, Traub, Keefe and Errante-New Haven, CT
Are there Attorneys of this caliber in Alexandria, Va. who can provide a consultation on medical competency and accountability for acts of omission and commission of the Physicians who intervened with Mr. Noah Lyles during the terrifying events that took place during the 48 hours around the final Men’s 200 meters race, to both Mr. Noah Kyles and Ms. Keisha Caine Bishop at their request, should they decide to take this step? I offer my rationale for seeking Legal consultation as soon as possible.
Attorney Hugh Keefe and his staff are experts in assessing the role of medical professional in the evolution of the complications of an Illness while they were engaged with the person seeking their care and impact of their interventions by omission or commission in adverse consequences that can harm the person medical, vocally, vocationally and emotionally. We must ensure the data of the contacts Mr. Noah Lyles had with the Medical personnel after he contacted them when he got to Paris for any medical issues e.g. Asthma and especially his contacts during the 48-72 hours, particularly after the Covid-19 Test was positive and how the decision was made that it was safe for Mr. Noah Lyles to place his life on the line by lining up to compete in the finals of the Men’s 100 meters and the responses to calls from the track and all the interventions made to assess the cardio-pulmonary events that transpired on the track before he collapsed to the track and subsequently until he was discharged from their medical care.
I dread the thought of possible cardiopulmonary sequalae of the Covid-19 from causing mortal or debilitating injury which could totally prevent him from ever doing what he loves more than everything else in whole world all his life.
VI. B
Principle of Double Effects.
Did the actions of the Medical team members and the Medical Director of the Medical Services provided at the Paris Olympics meet the specific requirement of criteria 1-4? The fact the Medical Director permitted Mr. Noah Lyles to run the 200 meters finals despite fraught medical may appear to be a good thing to do so he can live his dream , there were predictable adverse complications based on the medical history and the cooccurring Covid -19 that he could experience from the extreme stress of an all-out effort to win the sprint double that should have been taken into account, which would have spared his heart and lungs a major set of harmful sequalae.
He could have experienced a CVA, an AMI or a Burst of PVCs,. He may have crashed to the tracks and ended up on his back on the track as I watched the event in dread because of PVC’s or Ischemic, Cerebral or Myocardial event. My fears and doubts about the disparity between the assistance he was provided and what he was needed to make accurate assessment in real time with telemetry to inform the Team in the medical suite while he was being transported from the track or to even make a decision whether he should be picked up on a stretcher and taken to an ambulance to Medical Care facility.
Principle of Double Effects. The Principle of Double Effect and Proportionate Reason | Journal of Ethics | American Medical Association (ama-assn.org)
The Principle of Double Effects consists of four conditions that must be satisfied before an act is morally permissible:
1. The nature-of-the-act condition. The action must be either morally good or indifferent.
2. The means-end condition. The bad effect must not be the means by which one achieves the good effect.
3. The right-intention condition. The intention must be the achieving of only the good effect, with the bad effect being only an unintended side effect.
4. The proportionality condition. The good effect must be at least equivalent in importance to the bad effect.
The second of these four conditions is an application of the more general principle that good ends do not justify evil means (cf. Romans 3:8).[3]
As mentioned above the 4th Principle, Proportionate reason grounds the fourth condition of the principle of double effect. How does one determine whether the good effect outweighs the bad effect? The phrasing of this question is immediately problematic. One of the main critiques of proportionate reason is its mathematical connotation: how can a good effect outweigh a bad effect, especially in end-of-life decisions where the bad effect is often death? Proportionate reason is a moral principle that one may employ to determine objectively and concretely the rightness or wrongness of actions [6]
Given the other conceptual problems with the principle of double effect, many Catholic theologians and moralists have appealed to proportionate reason in an attempt to delineate a more useful interpretation of the principle or to replace it entirely [7]. Thus, proportionalism developed in response to the more problematic approaches to the principle. One should note, however, that even in the traditional formulations of the principle, proportionate reason is a central feature of the four conditions, so traditional interpretations require a concept of proportionality.
VI. C
Principles of Clinical Ethics and Their Application to Practice - PMC (nih.gov)
Beneficence, Nonmaleficence, Autonomy, and Justice [Equity] constitute the 4 Key Principles of ethics. The first 2 can be traced back to the time of Hippocrates “to help and do no harm,” while the latter 2 evolved later. Thus, in Percival's book on ethics in early 1800s, the importance of keeping the patient's best interest as a goal is stressed, while autonomy and justice were not discussed. However, with the passage of time, both autonomy and justice gained acceptance as important principles of ethics. In modern times, Beauchamp and Childress' book on Principles of Biomedical Ethics is a classic for its exposition of these 4 principles [5] and their application; while also discussing alternative approaches I would like to add Truth- telling.
I wonder if the Physicians/medical staff were not comfortable in telling the Truth which had grave implications to the Patients immediate and future health and well-being. Attitudes on this principle has changed in the USA.
Each one of the 4 principles of Ethics is to be taken as a prima facie obligation that must be fulfilled, unless it conflicts, in a specific instance, with another principle. When faced with such a conflict, the physician has to determine the actual obligation to the patient by examining the respective weights of the competing prima facie obligations based on both content and context.
Nowhere in the arena of ethical decision-making is conflict as pronounced as when the principles of Beneficence and Autonomy collide. Professional paternalism may cause the patients and their family members not being informed of real time medical circumstances and prognosis. I wonder if this may have been part of the problem with Medical treatment offered to Mr. Noah Lyles.
Velandy Manohar, MD.,
Distinguished Life Fellow - Am. Psychiatric Association, 2004
Medical Director- CT. Aware Recovery Care- first of the Operations in 10 states
with more planned. 2016- Retired 2022
President- ARC- In-home Addiction treatment, PC., 2016 -Retired 2022
CT MEDICAL EXAMINING BOARD (LICENSING AUTHORITY): Member 1995-2007
CT MEB Member Hearing Panel since 2008
Helped formulate the Statement of the CMEB on the use of
Controlled Substances for the Treatment of Pain. 2005
BOARD CERTIFIED –ABPN-PSYCHOSOMATIC MEDICINE #240 2005-2015
BOARD ELIGIBLE-ABMS-PAIN MEDICINE 2004
CERTIFIED IN ADMINISTRATIVE PSYCHIATRY (APA): April1997
CERTIFIED BY ABPN: ADDED QUALIFICATION IN ADDICTION PSYCHIATRY – 1993
RECERTIFIED IN ADDICTION PSYCHIATRY (#259) March 2003-2013
CERTIFIED BY ABPN: PSYCHIATRY #017946 June 1978
Founding member and past member of Steering Committee-Psychotherapy Caucus APA
Charter Member CT Multi-Cultural Health Partnership, Nancy Berger Member Award
2012
Founding Member- Community Resilience Collaborative of Mx County-CT- [Childhood Trauma focused]
American Health Council - Best In Medicine - 2018
CT. Psychiatric Society- Roger Coleman Award- for Exemplary Devotion to Patients and
Commitment to Quality-of-care 2010
CT. Psychiatric Society Cornelius Boulehouwer, MD: Award for Service
to CT. Psychiatric Society 2003
Top Doctor Best In Connecticut Magazine- Excellence in Psychiatry 2024
Harvard Medical Alumni Association -Associate Member
In Home Addiction Treatment Institute- Impact Award- 2019
Member of Medical Ethics Committee- Mx. Health for almost 30 years until 2006
Member of Medical Ethics, Quality of Care and Disaster Preparedness Committee [Ongoing]
of CT. State Medical Society.
Chair- Community Engagement and Outreach Standing Committee of the Community Advisory Council of the Office of Health Strategy-CT
My CV 05 05 24.docx