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Long-haul brings long road to COVID recovery


June 30, 2021 — Thoughts of being sick were farthest from Paul Garner’s mind when symptoms COVID-19 disrupted his life. “It put me on edge,” says Garner, a public health doctor specializing in infectious diseases. He says he never dreamed he would become a high-profile COVID-19 case, documenting his struggle for a medical journal and talking about it on television.

Garner conceded that he would probably feel sick for a few weeks and then recover. But 8 weeks later, he still felt like he had been hit with a bat, with aches and pains, muscle twitches, a racing heart, and diarrhea. “It was like being in hell,” he says.

He started chronicling his painful illness from COVID series of blog posts for british medical journal. in one his post, he shared how sad he was that he must have infected employees at his workplace of more than 20 years. “I imagined their vulnerable relatives dying and never forgiving themselves. My mind was messed up,” he wrote.

Garner could not do most of the things he used to enjoy, and he reduced his working hours at the Liverpool School of Tropical Medicine in the United Kingdom. In the first 6 months of his illness, he wrestled with cycles of feeling better, doing too much, and crashing again. They found the disease to be difficult to manage. He’s tried everything: using his smartwatch to track his activities, measuring his bedtime, checking whether the foods he ate affected the sudden worsening of symptoms, but some Didn’t work either.

The cyclical illness turned into weeks of exhaustion when Garner could not even read and was finding it difficult to speak. At 7 months, he wondered if he would ever be able to recover. “I thought the virus had caused biomedical changes in my body and crippled me metabolism Somehow,” he says. “I felt insecure and scared of the future.”

change came when someone in his professional network who had recovered from chronic fatigue syndrome offered help. “I learned how the brain and body’s stress response to infection can sometimes be disorganized,” he explains, “and the symptoms I was experiencing were actually false. fatigue Alarm

“These explanations, along with sensitive coaching, really helped to change my beliefs about my illness.”

He realized that there was probably no physical damage to his tissues, so he needed to stop constantly monitoring his symptoms, find diversion when he felt unwell, and look forward to his recovery and getting back to his life.

COVID took Garner to the brink and hung him over the dreadful unknown, but he found his balance again. “There is life after Covid. People find their own way, but they get better. There is hope,” he says.

life after covid

Garner is not alone coronavirus Travel. at least 33 million Americans have been infected with COVID-19, and some still have symptoms more than 4 weeks Later, according to the CDC.

In the UK, where Garner lives, a preprint study of half a million people reports that 1 in 20 people with COVID-19 is dealing with persistent symptoms. Roughly 6% of the people in the study – who have not yet been peer-reviewed – said their recovery was delayed by at least one symptom that persisted for 12 weeks or more.

shortness of breath and fatigue are the most common issues Reported after COVID-19. Even people who have no symptoms when they are first infected can feel unwell after the fact.

Congress is providing $1.15 billion to the National Institutes of Health (NIH) for research into symptoms that persist after COVID-19.

“Given the number of individuals of all ages who have been or will be infected, the public health impact could be profound,” NIH Director Francis Collins, MD, said in a statement. Statement When the funding was announced in February. “Our hearts go out to the individuals and families who have not only gone through the difficult experience of acute COVID-19 but now find themselves battling the lingering and debilitating symptoms.”

A wide range of physical and mental health consequences are related to long-distance COVID-19, according to CDC, and people are reporting many different combinations of symptoms.

Although most people infected with COVID-19 are never hospitalized, many develop life-threatening symptoms and traumatic events without any health care support.

Sabrina Asoumou, MD, of Boston University School of Medicine, says that COVID-19 disproportionately affects communities of color, and that’s because the same will be the case for post-COVID conditions.

Addressing health care disparities will be critical as the post-Covid cases rise. She points out that diversification of the workforce will be important, as diagnosis can depend on how well doctors listen to patients, describing their symptoms.

Persistent symptoms can be vague, Asoumo says, and some people who never got a diagnosis, for whatever reason, are now having post-COVID effects.

“The long COVID will force us to go back to basics, like really listening,” she says. “We definitely need to be more empathetic.”

Why is this happening?

Scientists are studying many people in whom symptoms persist or develop new ones even after infection. They are looking for the cause of prolonged illness, trying to understand why some people are more vulnerable to COVID for longer periods of time than others, and assessing whether COVID-19 changes the body. Triggers that increase the risk for other conditions, such as heart or brain disorders.

According to the CDC, the best defense is to get vaccinated and not get COVID-19. But when people report illness that persists, doctors are being told consider measures Objectives To focus treatment on well-being and specific symptoms beyond laboratory findings.

COVID rehabilitation clinics are opening in medical centers across the United States. But will efforts to help be hampered by a lack of clear explanations for symptoms that won’t go away? And will people feel distrustful of a health system that isn’t prepared to address something it can’t really measure?

early signal suggest this is the case, according to Greg Vanichkachorn, MD, a family physician and founder of the COVID-19 Activity Rehabilitation Program at Mayo Clinic in Rochester, MN.

“If there is one universal truth among all the patients I interviewed, it is that they are often brushed aside, pigeonholed, or, frankly, abandoned,” he says.

some experts believe Doctors should screen patients for mental health symptoms after the early stages of COVID and offer prompt and ongoing care.

Early mental health support with therapy “can play an important role,” says Mauricio Castaldelli-Maia, MD, of the department of epidemiology at Columbia University Mailman School of Public Health in New York City.

“It is important that we accept that symptoms are real, imagined, or the result of stress,” Garner says. “And too much rumination on the disease and the constant search for a biomedical cause can be harmful.

“The fear that I won’t recover was a major obstacle to dealing with the symptoms. Conversations with others about their symptoms also just reminds you of them and can reinforce an identity as a sick person. That’s it. Let go. Find the good things in life – positive thoughts really helped me – but it takes time, there can be setbacks. It’s not easy.”

Garner says he found his way by listening to others who are recovering.

“I can’t do this alone,” he says. “I had a lot of friends, people who had recovered from fatigue syndrome and” viral infections and help from professional colleagues.”

Garner dusted off his bicycle and started cycling around his favorite parks in Liverpool. And now, he is running again and leaving COVID behind.

WebMD Health News

sources say

Paul Garner, MBBS, Liverpool School of Tropical Medicine, United Kingdom.

thebmjopinion: “Paul Garner: On his recovery from long Covid,” “Paul Garner: For 7 weeks I’ve been through a roller coaster of ill health, extreme emotions, and utter exhaustion.”

CDC: “Post-Covid Conditions,” “United States COVID-19 Cases, Deaths, and Laboratory Tests (NAATs) by State, Territory, and Jurisdiction,” “Evaluation and Care of Patients with Post-COVID Conditions: Interim Guidance” “

Imperial College London: “Persistent symptoms following SARS-CoV-2 infection in a random community sample of 508,707 people.”

jama: “Persistent Symptoms in Patients After Acute COVID-19.”


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