#315 Long COVID

Explore the actively evolving clinical landscape of Long COVID as we discuss epidemiology, pathogenesis, manifestations, and patient-centered management options including the role of a dedicated Long COVID clinic.
Listen as our expert guest Dr. Monica Verduzco-Gutierrez @MVGutierrezMD (Long School of Medicine at UT Health, San Antonio) helps us navigate this rapidly emerging syndrome. This episode will empower you to provide evidence based, patient-centered care for this challenging facet of the ongoing COVID-19 pandemic. We explore the manifestations including fatigue, dyspnea, psychiatric symptoms, and other neurologic effects. We also examine the emergence of dedicated Long COVID clinics and the imperative of interdisciplinary care.
Update: The original version of this episode contained a brief, but incorrect characterization of mast cell disorders that was subsequently removed after feedback from our allergy/immunology colleagues. We apologize for this inconvenience and thank our colleagues for their peer review.

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Credits

• Written and Produced by: Avital O’Glasser MD, FACP, SFHM
• Infographic: Edison Jyang
• Cover Art: Kate Grant, MBChB MRCGP DipGUMed
• Show Notes: Avital O’Glasser MD, FACP, SFHM
• Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Avital O’Glasser MD, FACP, SFHM
• Reviewer: Hannah Abrams, MD
• Executive Producer: Beth Garbitelli
• Showrunner: Matthew Watto MD, FACP
• Editor: Clair Morgan of nodderly.com
• Guest: Monica Verduzco-Gutierrez, MD

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Show Segments

• Intro, disclaimer, guest bio
• Guest one-liner
• Case 1 from Kashlak
• Definition of Long COVID or post-COVID symptoms
• Pathogenesis of Long COVID
• Illness script for mast cell activation
• Epidemiology and risk factors for Long COVID
• Interdisciplinary care for Long COVID
• Illness script for POTS-like phenotype in Long COVID
• Illness script for chronic fatigue syndrome/myalgic encephalomyelitis in Long COVID
• Management of fatigue and post-exertional malaise (PEM)
• Case 2 from Kashlak
• Neuropsychiatric manifestations of Long COVID
• Anosmia and smell training
• Role of the patient voice and community in Long COVID
• Disability assessments and management
• Take Home Points; Outro; Bonus clip