#315 Long COVID

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 10 January 2022

⏱️ 75 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

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/

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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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

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only
0:07.0	can atop this discuss should not be used solely at the Diet of Street, cure, or prevent
0:09.4	any diseases or conditions.
0:10.4	For the more that you use statements expressed on this podcast are solely those of those
0:12.3	and should not be interpreted to reflect official policy or position of any entity
0:14.5	that's either on possibly cash like Moronsville and affiliate outreach programs.
0:16.7	If indeed there are any, in fact there are none.
0:18.7	Pretty much we are responsible if you screw up, you should always be your own homework
0:20.6	and let's know.
0:35.6	If you could just narrate the rest of it, that would be great.
1:19.5	After happy to as always Matt, we are the Interle Medicine podcast we used expert interviews
1:41.8	and we had a fantastic expert on the topic that we didn't even know about two years ago.
1:53.7	So hot off the press discussed the latest and highest yield information covering multiple
2:00.7	facets of long COVID including potential pathophysiology, illness grips, diagnosis, cardiopulmonary
2:09.2	neurocognitive elements, but also diving into the component of the patient voice in this
2:16.1	brand new diagnosis.
2:18.5	Yeah, and a lot of practical tips for you in the primary care office seeing these people,
2:23.5	especially if you don't have a big referral center in your area.
2:27.4	So let me tell you about our guest Dr. Monica Verdusco Gutierrez.
2:32.2	She is an accomplished academic physiatrist and professor and chair of the Department of
2:36.7	Rehabilitation Medicine at the Long School of Medicine at UT Health in San Antonio, Texas.
2:43.6	Dr. Gutierrez is a passionate advocate for physiatry and underrepresented groups in medicine via
	...

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