‘A lot of patients do not need the surgery,’ he added. Patients should also end up being warned that current replacements last 10 to 15 years, Skou said. When the artificial joint wears out, another operation will be needed. The next replacement is less likely to be as effective as the initial, he said. ‘If you can postpone the first surgery, then you may be able to prevent the second surgery,’ Skou said. Another consideration: Surgery is certainly irreversible, while non-surgical treatment leaves the medical option open, he described.After subsequent progression to renal failure, he was treated with regular hemodialysis. Patient 2 may experienced similarly impaired renal function, but he passed away of fulminant pneumonia. Three of the four individuals had gastrointestinal symptoms: anorexia, abdominal discomfort, and diarrhea. This complicated of symptoms was also shared by individuals with SARS, albeit by a minority. Viral shedding in feces was eventually essential in understanding the epidemiologic features of SARS CoV infections in Hong Kong.8 Hematologic abnormalities, specifically lymphocytopenia, had been defined as a clinical feature in individuals with SARS.9 All four patients in this cluster had been similarly affected: Patients 2, 3, and 4 acquired lymphocytopenia before hospital entrance, and Patient 4 got progression to neutropenia and thrombocytopenia, which was treated with G-CSF.