The Curbsiders Internal Medicine Podcast

#315 Long COVID


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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.

Claim Free CE credit for this episode through VCU Health CE at http://curbsiders.vcuhealth.org/

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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

  • Sponsor: Blueland
    Right now, you can get 20% off your first order when you go to Blueland.com/CURB

    Sponsor: ACP
    Join us in Chicago for internal medicine’s premier educational meeting April 28-30, 2022! We’ll be there in person. For the Early Bird discount, register before January 31.  Use code IM22CURB. Visit annualmeeting.acponline.org to learn more. 

    Sponsor: Panacea Financial
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    Sponsor: Indeed
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    CME Partner: VCU Health CE
    The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. See info sheet for further directions. Note: A free VCU Health CloudCME account is required in order to seek credit.

    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
    • ...more
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