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improved, abnormalities on the chest radiograph persisted for the remaining 7 (Avendano). Two weeks later, the patients were no longer as weak, but still complained of easy fatiguability and dyspnea on climbing stairs. The cough was no longer present. The chest radiograph had cleared for an additional 2 patients. 5 patients still had an abnormal chest radiograph, but improvement was noted (Avendano).

Psychosocial Issues

Most patients express complaints consistent with depression and anxiety regarding various aspects of their disease, hospitalization, and personal and family impact (Maunder). Other patients report insomnia and nightmares. The psychosocial aspects associated with this illness should not be underestimated and warrant further investigation. In addition to the effect on the patients, the psychological impact on staff and their families was also noted to be significant (Avendano).

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