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Long-distance Covid: Clinics all over the country are springing up like mushrooms



Almost every day, the doctors who work with these Covid telemedicine staff bring new revelations about the syndrome, which exhibits multiple symptoms in patients of all ages and every health condition before the emergence of Covid.

Dr. William Li, a physician and founder of the Angioogenesis Foundation, said: “We now realize that it has surpassed the standard post-viral syndrome.”

“These symptoms can last for 9 months. And we have lasted for a year, and we are still seeing new symptoms,” said Li, a vascular biologist who has been studying Covid biology for nearly a year.

More than 100 symptoms reported

More than 100 symptoms reported by patients include fatigue, headaches, brain fog and memory loss, gastrointestinal problems, muscle pain and heart. Some even suffer from diabetes.

Dayna McCarthy, who treats Covid̵

7;s long-distance transporter in Mount Sinai, New York, said: “Everyday things surprise me.” She heard many symptoms, including brain fog, rapid heartbeat and irregular blood pressure. .

The grandfather of Kansas received Covid-19 in July.He is still in the hospital seven months later

Mount Sinai opened its own post-COVID care center in May and was the first person in the country to open a clinic for Covid long-distance trucks.

The center has received more than 1,600 patients, and due to the high demand, the waiting time for appointments is as long as one month.

Medical Director Dr. Jermaine Jackson said that the Piedmont Pulmonary COVID Rehabilitation Clinic in Atlanta opened in November and has received 600 referrals.

He said: “We are learning more and more about this virus every day.” “What I want to say is that we are building airplanes when flying, or putting wheels on when driving a car.

It is not only those who are seriously ill and hospitalized who are still suffering after months of illness.

CDC’s Alfonso Hernandez-Romieu said at a physician’s webinar in January: “Regardless of the severity of the acute SARS-CoV-2 infection, in patients with Covid-19, new or prolonged symptoms may occur. More than 4 to 6 months.”

Physicians and therapists say they are treating people of all ages and people who were very healthy before getting Covid-including marathon runners, athletes and coaches.

The upcoming second health crisis?

In a study in Wuhan, China (the site of the first outbreak), it was found that 76% of Covid-19 hospitalized patients still developed symptoms six months after the onset of symptoms.
Researchers who followed coronavirus infections for 9 months (the longest follow-up so far) found that 30% of people still report symptoms and their quality of life is worse than before contracting the virus, according to A research letter published on Friday.

150 of the 177 people followed the majority of “mild” illnesses and were not hospitalized.

Health experts say that no matter what percentage is determined in the long run, the large number of long-distance transporters may mean a second health crisis.

Li said that there are more than 110 million cases in the world, compared with 28 million in the United States. “This may be the second pandemic and stems from the first crisis.”

In a nine-month follow-up study, the researchers wrote: “Even a small percentage of long-term disabilities can have a huge impact on health and the economy.”

Treat symptoms

Currently, there is no specific treatment for long-acting Covid. Currently, doctors are focusing on treatment based on the symptoms reported by a particular patient, especially because the symptoms of the patient are different.

Doctors are treating the symptoms of long-term porters so that they can make a diagnosis that is consistent with their physical signs. For example, encephalomyelitis/chronic fatigue syndrome (ME/CFS) is one of the most common diseases that make fatigue debilitating.

Pulmonologist Jackson said that the Atlanta Clinic referred patients who had symptoms outside the specialty to other specialists.

He said that this is an “evolutionary process.”

Janet Kilkenny said that she was unable to work for more than six months due to long-term fatigue of Covid symptoms.

At least for now, doctors know that long Covid is the real thing. Some patients like Janet Kilkenny said that their doctors simply eliminated their symptoms and did not really believe what they said in the first few months of the pandemic.

Kilkenny, 62, was working as an occupational therapist in a nursing home when she contracted the virus in April. Although she was not hospitalized, she was troubled by shortness of breath a few months later and was unable to work all week.

She said: “I have to take time off at least one day a week, and I actually come home from get off work, lying on the sofa crying.”

She said that a scan in June showed that her lungs were scarred and partially collapsed, and a cardiologist found water around her heart.

Kilkenny said in July that she took short-term disability leave. She has not worked since then. She and her husband sold their house and moved in with their daughter.

Last month, the U.S. Centers for Disease Control and Prevention held a webinar to help doctors recognize the signs and symptoms of long-term Covid and learn how to treat these patients.

Seek support in online groups

Some patients said that the long Covid care centers and doctors they had seen did not really benefit.

Christine Jamieson told CNN: “In most cases, in addition to helping to rule out organ damage or easy disease examinations, primary care doctors, cardiologists, neurologists established in major medical centers, There is not even a rehabilitation clinic that has returned to health. It is not helpful to me.” In the email.

She was diagnosed with Covid-19 in late June.

Christine Jamieson suffers from a variety of symptoms, including debilitating fatigue, which is a typical long-term Covid symptom.

Jamison said: “Eight months later, I still cannot return to work, and I have not been severely fatigued for a few days.” Impossible. I have seen more than 20 doctors, received hundreds of laboratory tests and other medical tests, and tried more than 50 drugs.”

She said that despite this, she still has an “amazing nursing team.”

Jamison said: “I am fortunate to have the resources to see one of the very few ME/CFS experts in the United States.” Jamison said: “I also saw an excellent speech therapist who can help me with cognitive challenges So as to live life.”

Jamieson and others also found help and support through online groups, such as Survivor Corps founded by Diana Berrent, who said she contracted the virus in March. The group now has more than 150,000 members.
After Diana Berrent contracted the virus, he founded Survivor Corps.

Berrent himself suffered from Covid’s disease for a long time. “Symptoms recurred throughout the summer.” Due to headaches and deep pain in the inner ear, he went to the COVID care center in Mount Sinai as well as a gastrointestinal doctor and “various neurologists” “.

Li said that groups like the Survivor Corps are not only beneficial to long-distance transporters, but also to researchers and doctors who listen to their members.

When they were both guests of CNN’s “Cuomo Prime Time”, Li met Berrent and the two began to exchange banknotes. Berrent told him what her group had seen among the survivors of Survivor Corps and shared the research they were doing.

Li joined the Medical Advisory Board of Survivor Corps, “because I want to know more about this.”

Li said: “This is the first time in history that patients have brought the symptoms of a new disease to the doctor to tell the doctor the actual occurrence of the new disease.”

“This is very important in today’s connected digital world. In this digital world, patients can get together, organize and present the findings to the doctor, and then the doctor can return to the tools in our toolbox.”

CNN’s Nadia Kounang and Sanjay Gupte contributed to this report.


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