For Healthcare Providers
Clinicians around the world are struggling with the lack of an official Clinical Symptoms list and diagnosis for Long COVID. Healthcare providers are desperate for evidence-based information on Long COVID. They are seeking guidance on important questions such as which ICD-10-CM to bill and the appropriate diagnostic testing to order. Long COVID is affecting millions of people, and discussions on best practices and which multi-disciplinary approaches and subspecialists should be involved are urgently needed.
This page consolidates and shares the most up-to-date guidelines, recommendations and data for clinicians, hospital leaders and researchers.
Resources for Healthcare Providers
We are often contacted by Long COVID patients seeking medical care or inquiring about clinical studies. While we are not a clinical research program, one of our aims is to connect those impacted by Long COVID with the most appropriate resources and support systems. There are a growing number of organizations and clinical studies being established to assist long haulers and those who support them. While this list is not exhaustive, we strive to continue to update the community on resources as they become available.
LGBTQ+ long-haulers face medical bias, financial hardship, and a lack of resources
Guest post by Fiona Lowenstein
It’s not a great time to be an LGBTQ+ person seeking healthcare in the United States, given recent political efforts to criminalize some types of trans-affirming healthcare – but there are additional barriers for those with complex and often misunderstood chronic illnesses. LGBTQ+ COVID-19 “long-haulers” (a patient-coined term for people who developed long-term symptoms following a COVID-19 infection) sit at the intersection of these challenges.
A new term – medium COVID – has emerged that may add further nuance to Long COVID diagnoses. As the pandemic has progressed, scientists have realized that Long COVID, which was developed in the early stages of the pandemic to broadly encompass the experience of lingering COVID symptoms past the point of what could be considered the acute infection, may be a more complicated diagnosis than originally expected.
Common manifestations of Long COVID include headaches, fatigue, or cognitive dysfunction, otherwise known as “brain fog.” But many clinicians are unaware of some of the more rare signs and symptoms. This post focuses on three particularly challenging issues: parosmia (a distorted sense of smell that often causes food and drink to smell distorted), MISC-C (inflammation of various body parts in children) also known as PIMS-TS, and visual delirium (hallucinations).
Although children often have less severe COVID-19 infections and Long COVID appears to be less common in children, Long COVID can affect any person infected with COVID-19, regardless of age. Long COVID research studying the impact in children and adolescents is still limited. We previously posted an article summarizing research about Long COVID among children. This article provides an update of recent literature on the topic.
New research out of the UK suggests that “COVID-19 vaccination is associated with reduced risk of Long COVID.”
Months after the first onset of Lauren Nichols’ COVID-19 symptoms in March of 2020, she still had a laundry list of maladies that seemed to grow by the day: constant migraines, histamine rashes, reproductive issues, fevers, vertigo, and gastrointestinal problems so severe that some days she couldn’t even keep water down. Her neurological issues were so intense that one day, she says she was trapped inside of her shower because she couldn’t remember what the door handle was. Other days, she forgot what her hands were.
Advocacy and support groups are important resources for patients, particularly those navigating chronic or rare conditions. Patient support groups bring together people with similar experiences, such as a common medical condition, to bridge their medical and emotional needs through sharing personal experiences, coping strategies, information about the disease and treatment, and resources. Participation in online patient support groups has been shown to lead to patient empowerment, including being better informed through exchanging information and finding recognition.
Lack of quality sleep, regardless of Long COVID status, takes a toll on the mind and body. Not only can it lead to daytime tiredness, but sleep loss impairs alertness, cognition, and motivation to participate in day-to-day activities. Racking up quality sleep has been a problem for many Long COVID patients. Other Long COVID symptoms – such as depression and anxiety – are associated with sleep disturbances on their own, potentially causing or compounding these sleep troubles.
Although there is limited data to measure the impact of Long COVID on mental health, studies are emerging particularly around anxiety and depression, which are among the most common mental health diagnoses for Long COVID patients.
Additional
Resources
For inquiries related to the Long COVID Initiative, please contact [email protected]