When the first wave of the coronavirus pandemic hit the United States in the spring, I wrote that some people with severe Covid-19-related lung injury would never recover their lung function.

As a lung transplant specialist and lead author on the most recent guidelines for selecting lung transplant candidates, I was concerned that transplant specialists would soon be asked to evaluate Covid-19 patients for lung transplants. The response I got from some of my colleagues in the transplant community was one of surprise: “Really? You think some of these folks will be seeking transplants?” they asked. “Yes, I do,” I said then.

Now I say, “Yes, we have.” And likely with more to come.

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First, as we knew in the spring, the experiences of people

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