'Maybe, just maybe, if you prevent the clotting, you can make the disease less severe.' Dr David Reich, president of Mount Sinai Hospital, New York
Medical workers transport patients outside of a special coronavirus intake area at Maimonides Medical Center on April 21, 2020 in the Borough Park neighbourhood of the Brooklyn borough of New York City.
At Mount Sinai, nephrologists noticed kidney dialysis catheters getting plugged with clots. Pulmonologists monitoring Covid-19 patients on mechanical ventilators could see portions of lungs were oddly bloodless. As colleagues from various specialties pooled their observations, they developed a new treatment protocol. Patients now receive high doses of a blood-thinning drug even before any evidence of clotting appears.
The lungs did not seem stiff, as is common in pneumonia. Instead, it seemed blood was not circulating freely through the lungs to be aerated with each breath. Reich, the hospital president, told Poor about the surge in strokes seen by Mocco and said the two doctors should team up, setting off days of discussions and meetings with the hospital's department heads.
Clotting can develop in anyone who gets very sick and spends long periods of time immobile on a ventilator, but doctors say the problem seemed to show up sooner in Covid-19 patients as a more direct consequence of the virus.
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