Daily Southtown (Sunday)

Dyer woman reflects on virus recovery

Positive COVID-19 test leads to joining treatment study

- By Meredith Colias-Pete

Trying to be as careful as possible, it was a surprise when Mary Lou Jandura found out she tested positive for COVID-19.

In early August, shewent to lunch outside with her friend. By the weekend, she started showing symptoms including severe fatigue, higher temperatur­e and a headache that felt like a migraine.

“If you are face-to-face with someone without a mask, you are going to get it, I don’t care howcareful you are,” Jandura, 71, of Dyer, a retired Flossmoor elementary teacher, said.

She later figured out a cluster of five people got sick around the same time, including Jandura, her friend, the friend’s husband, their son and another person, she said.

The symptoms all hit around the same time, including dizziness, headache, fever, chills, aches, pain, loss of appetite, smell and taste, fatigue, nausea, “explosive” sneezing, persistent coughing and stomach issues, she said. The cough lingered until midSeptemb­er.

“You’re under attack,” Jandura said.

One symptom she was grateful not to have was shortness of breath. To keep her balance, sometimes she moved around the house with her late husband’s walker.

Doctors prescribed antibiotic­s as a precaution for a weakened system. Taking zinc left a “horrible taste in my mouth,” like “eating a spoonful of salt,” she said.

Meanwhile, Franciscan Health Hammond was starting as one of 24 sites participat­ing in pharmaceut­ical giant Eli Lilly’s BLAZE-1 study to test if an engineered antibody drug, called LY-CoV555, could neutralize the virus early in patients who show only mild symptoms, before the condition progresses to hospitaliz­ation. Last month, Lilly said its goal was to have 400 participan­ts, such as Jandura, showing symptoms, but not bad enough to be hospitaliz­ed.

The hope was that it could lead to treatment options.

The day after she tested positive, Franciscan infectious disease physician Dr. Erica Kaufman West called

Jandura asking if she wanted to participat­e. Participan­ts had to have received their test results within the past three days.

Jandura figured she was in good health, otherwise. It made sense, especially because she lived alone after her husband died last summer.

“I thought this would help people,” she said.

She ended up being the first in Northwest Indiana to take part, KaufmanWes­t said.

About a month ago, Jandura went to Franciscan Health Hammond to get an experiment­al intravenou­s infusion. Participan­ts got a placebo or three possible doses — 700 mg, 2,800 mg or 7,000 mg.

Someone called every day to take record her symptoms. A nurse came twice per week, swabbing her nose and taking blood samples. Shewas instructed to regularly check her temperatur­e and oxygen saturation levels. If her oxygen

levels dropped below 90 — which didn’t happen, but was a scary thought — she was told to call 911.

After about two weeks, she finally felt back to normal. Right now, doctors have said that she has immunity for about three months, but it’s possible to catch it again.

Researcher­s in Hong Kong recently reported evidence of a person who got the coronaviru­s a second time, months after an initial infection.

The finding has not yet been published in a journal, but scientists said the 33year-old man had mild symptoms the first time and none the second time, suggesting his immune system may have provided some protection against serious illness even if it could not prevent a reinfectio­n.

Having gotten sick was valuable, now that she knows how her body might feel if she gets it again, Jandura said.

“I feel much less fearful

right now, knowing what I went through,” she said. “I would not want to do it again.”

“Part of it is the fear, after all you’ve read and heard,” she said. “You don’t know howlong it’s gonna last. You don’t know what kind of symptoms you are going to have. You don’t know if you are going to have any lasting effects.”

Jandura has a warning for anyone not taking COVID-19 seriously.

“You don’t know anybody, nowyou do,” she said. “It’s out there. You might not think it’s a big deal, but it is. You don’twant it. It’s just miserable.”

This week, Lilly researcher­s said they were seeing some encouragin­g signs from the BLAZE-1 study.

Those who got an antibodyIV­were 72% less likely to need hospitaliz­ation or go to the emergency room, it said. Specifical­ly, 6% who got the placebo needed some medical care for the virus, compared to 1.7% who got antibodies. Most who were hospitaliz­ed had anunderlyi­ng condition like age or a higher body mass index, it said, suggesting they might need a stronger dose.

It also appearedto cut the amount of virus in the body earlier, by day three, reducing the likelihood someone had a persistent­ly high viral load in their system later on.

The 2,800 mg dose met their goals, researcher­s said. Most in the study, including those with the placebo, appeared to clear COVID-19 from their system by day 11, it said.

No serious side effects were reported from the drug. No one needed to be put on a ventilator or died, it said.

“These interim data from the BLAZE-1 trial suggest that LY-CoV555, an antibody specifical­ly directed against SARS-CoV-2, has a direct antiviral effect and may reduce COVID-related hospitaliz­ations,” said Daniel Skovronsky, head of Lilly’s research laboratori­es. “The results reinforce our conviction that neutralizi­ng antibodies can help in the fight against COVID-19.”

Skovronsky said it would look to submit findings in a peer-reviewed journal. As part of BLAZE-1, Lilly is alsomoving on with a wider study, testing LY-CoV555 in combinatio­n with another antibody drug LY-CoV016 to see if a tag team could work better on higher risk patients.

Using the same drug, LY-CoV555, Eli Lilly is currently conducting a different study, called BLAZE-2, to see if it can be used to stop the virus from spreading in nursing homes.

The company is testing 2,400 people to see if one dose can cut infection rates over four weeks, or complicati­ons up to eight weeks, according to a release.

 ?? /JOHN SMIERCIAK / POST-TRIBUNE ?? Mary Lou Jandura, 71, of Dyer, a former Illinois teacher, discusses her participat­ion in the Franciscan Hospital study of her treatment for COVID-19 on Sept. 16, 2020.
/JOHN SMIERCIAK / POST-TRIBUNE Mary Lou Jandura, 71, of Dyer, a former Illinois teacher, discusses her participat­ion in the Franciscan Hospital study of her treatment for COVID-19 on Sept. 16, 2020.

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