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PUBLIC HEALTH | OPINION
The Problem of ‘Long Haul’ COVID
More and more patients are dealing with major symptoms that linger for months
By Carolyn Barber on December 29, 2020
Credit: Getty Images
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It was just a couple of months into the pandemic when patients in online support groups began describing the phenomenon. In some emergency departments, they said, their complaints were largely being dismissed—or at the very least diminished—by health care professionals. The patients felt they were not being heard, or perhaps even were outright disbelieved.
The common thread through these comments was a basic one. Each of the patients had already been infected with COVID-19 and presumably had recovered, yet each was still dealing with symptoms of the disease—sometimes vague, sometimes nonspecific—that simply would not go away. Physicians and nurses, already overloaded with emergent cases of the virus, were baffled, often searching for other, more benign explanations for what they were being told.
We now have a term for those patients—and the truth is, “long hauler” only begins to describe the COVID-related ordeals they are enduring. Of all the facets of the virus we have dealt with in 2020, this one may ultimately prove the most difficult to recognize, much less combat.
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Long-haul COVID patients carry their symptoms well beyond what we’ve come to understand as a “normal” course of recovery. It can last for weeks. For some long haulers, it has been months—and counting. And to the consternation of physicians and nurses on the front lines, the symptoms of these patients often present as so varied and relatively common that they defy a solid COVID-related diagnosis.
If a patient comes to the emergency department (E.D.) complaining of dizziness, forgetfulness and headache, for example, is that long-haul COVID or something else entirely? How about fatigue? A persistent cough? Muscle aches and insomnia? Relapsing fevers?
With little to go on, and lacking clinical guidance, some of us in the E.D. have instructed our patients to go home, get more rest, “try to relax.” We’ve offered reassurances that everything would be okay with more time, checked off the final diagnosis box for something like anxiety or chronic fatigue on our computers, and moved on to see our next patients.
But there’s a growing body of evidence to suggest that a surprising number of people are, in fact, COVID long haulers, and that hospital emergency departments and clinics may be dealing with them for months and months to come.
“Over the past few months evidence has mounted about the serious long-term effects of COVID-19,” said the World Health Organization Director-General, Tedros Adhanom, at an international long-COVID forum on December 9. At the same event, Danny Altmann, an immunologist at London’s Imperial College, said that his “guesstimate is that we probably have way more than five million
Interesting people like to think the death rate is low but ,don't take into consideration how many people it makes sick and how many people it fucks for months on end .
For a virus that's long term effects are unknown its easy and best just to follow the current medical advice at hand to .
This article was also written last December since then the world has constantly topped record numbers of cases and record amounts of death.
Going to be a long year or so