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In addition, many people have a lower respiratory reserve. This means that people breathe fine enough when things are going well but may not do as well with something as mild as the common cold. Others may have damage to their lungs because of illness from the past (for example scarring from a pneumonia when they first got their injury).
All of this adds up to the unfortunate fact that most people with SCI are more likely to contract and be more severely impacted by an infection like COVID 19. That means that certainly, you should make every effort to prevent exposure to COVID 19 using social distancing and good hand hygiene. However, it is also important to optimize general respiratory health. Getting a more run-of-the-mill respiratory ailment can open the door for something more serious like COVID. Similarly, malfunctions in your natural defenses can make you more at risk. If you use an inhaler or nebulizer as needed, consider using it once or twice each day to prevent any problems.
Likewise, other respiratory aids (assisted cough, cough stimulators, coughalators, chest vest, chest PT, postural drainage, etc.) may need to be increased or done routinely to keep your airways clear. Getting good sleep, good nutrition, and good hydration can all help you support your immune system. Try to minimize stress and continue to exercise if possible. Consider ways to maintain good mental health while following social distancing. Carve out time to stay in good relationship with family, friends, and spiritual community by phone or video. You should prepare a contingency plan in case you do get ill and consider asking for more help if needed.
The MetroHealth System is always here. If you have concerns (including a lack of food, medical supplies, or access to safe, effective health care), please reach out. Telehealth should be available throughout the system include telephone or video visits with primary care, spinal cord injury, pain, wound, physical therapy, and psychology providers. We are also working with Case Western Reserve University, United Spinal Association Northeast Ohio Chapter, and the Craig H. Neilsen Foundation to provide direct relief where possible. Don’t suffer in silence; reach out.