S1 Ep46: Long COVID and Emerging Variants

Long-term COVID, also known as post-COVID syndrome or PASC, refers to conditions experienced 28+ days after COVID-19 infection. Symptoms affect 10-30% of patients, even those with mild or no initial illness. It has potentially impacted 23 million Americans.

Prevention: Vaccination and boosting are key. High-risk individuals should consider N95 masks.

When to see a doctor: Don't ignore persistent symptoms like loss of smell, depression, anxiety, or insomnia, especially if they disrupt daily life. Seek emergency care for severe symptoms like new chest pain or difficulty breathing. The OHSU Long COVID Program (833-647-8222) offers coordinated care.

Disability: Long COVID can be considered a disability under the ADA if it substantially limits major life activities or bodily functions.

Diagnosis: There's no single test for long COVID. Doctors confirm previous infection and rule out other conditions. Treatment is symptom-based. Common symptoms include fatigue, shortness of breath, joint pain, and chest pain; cognitive issues, muscle pain, headaches, and rapid heartbeat are also common.

Helping others: Listen with compassion, ask what they need, and be direct about what you can offer. Schools can provide accommodations for children with post-COVID conditions.

Variants: Omicron is the current variant of interest, highly infectious but generally less severe. Vaccination and boosting remain crucial for preventing severe disease.