Current data on Long-term complications?

3,164 Views | 25 Replies | Last: 5 yr ago by Reveille
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mccjames
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It seems there is a lot of urban myth surrounding the long term effects of COVID. I would imagine there will be a lot more data by the end of the year as we hopefully move from chaos of control to getting through the piles of data to start a scientific analysis.
Easy come, Easy go
HotardAg07
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There are a couple distance athletes on this board who reported reduced aerobic capacity for weeks/months after recovering from covid. Since it's a novel virus I don't think anyone can know whether how long those effects will last or if there is any permanent effect.

https://texags.com/forums/84/topics/3103752/replies/56913805

https://texags.com/forums/84/topics/3123165
cc_ag92
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There's a discussion regarding this in the sticked Rev thread at the top.
FlyRod
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https://www.advisory.com/daily-briefing/2020/06/02/covid-health-effects

https://www.bannerhealth.com/healthcareblog/teach-me/what-long-term-effects-could-covid19-have-on-your-lungs

https://www.healthline.com/health-news/lifelong-lung-damage-the-serious-covid-19-complication-that-can-hit-people-in-their-20s

https://www.nbcnews.com/health/health-news/monumental-acknowledgment-cdc-reports-long-term-covid-19-patients-n1234814

https://www.futurity.org/long-term-covid-19-effects-2400212-2/
Gizzards
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Unless your definition of long term is 5 months, nobody knows. Medically, that is not long term. All of this is premature. We will begin to have an idea once at least a year has passed.
Owlagdad
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I am back to my slow jog, lawn mowing, with no wind problems- I am 67. When I do stairs too fast and think about it, I think breathing comes from anxiety- I don't want it again, even though I wasn't that sick. Head games.
Did lose 15 lbs which I was glad to see go.
Lingering cough and scratchy windpipe have been last to go. Anybody else have rash? Mine comes and goes- nothing to slow you down, just slight itch. First full negative week, would piss every two hours, ruined sleep. That seems to be going away.
Marcus Aurelius
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Saw a post covid in office today. She was sick in ICU with viral pneumonia, hypoxia. Never intubated. Discharged 7/13. COVID neg 7/21. Still dyspneic and dry cough. CXR dffuse interstitial subtle fibrosis. PFTs - mod - severe restriction/reduced TLC (though her BMI is 49 - can cause some restriction) and DCLO. Obviously going to follow her. Other than losing weight not sure how to treat this. But it's real.
agforlife97
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Marcus Aurelius said:

Saw a post covid in office today. She was sick in ICU with viral pneumonia, hypoxia. Never intubated. Discharged 7/13. COVID neg 7/21. Still dyspneic and dry cough. CXR dffuse interstitial subtle fibrosis. PFTs - mod - severe restriction/reduced TLC (though her BMI is 49 - can cause some restriction) and DCLO. Obviously going to follow her. Other than losing weight not sure how to treat this. But it's real.
When someone has a BMI of 49, they are pretty much about to die of something, I'm guessing. Wow.
Keegan99
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Trying to imagine 5'3" and 278.
Bluecat_Aggie94
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I don't know about you but I consider "long term" longer than the virus has even been around. So anyone who says anything definitive on this topic is jumping the gun.
Marcus Aurelius
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Welcome to the Deep South. Although did med school, residency and 8 years of private practice in TX and there are plenty of big folk there. Worse here however.
Marcus Aurelius
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Bluecat_Aggie94 said:

I don't know about you but I consider "long term" longer than the virus has even been around. So anyone who says anything definitive on this topic is jumping the gun.
Agreed. I think 6 mos - 12 mos out is more important. Told her I hope and expect her lungs to heal to some degree but we just don't know now.
Bluecat_Aggie94
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It would definitely stink to have symptoms last months. Not sure what the line between "long term" and "permanent" is to the medical community.
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WoMD
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Owlagdad said:

I am back to my slow jog, lawn mowing, with no wind problems- I am 67. When I do stairs too fast and think about it, I think breathing comes from anxiety- I don't want it again, even though I wasn't that sick. Head games.
Did lose 15 lbs which I was glad to see go.
Lingering cough and scratchy windpipe have been last to go. Anybody else have rash? Mine comes and goes- nothing to slow you down, just slight itch. First full negative week, would piss every two hours, ruined sleep. That seems to be going away.

Sounds like literally what I went through from pneumonia from the flu a few years ago. Cough lasted a couple months and I couldn't inhale normal volumes during half that stretch. I listened to my own lungs daily and they sounded like **** for a long long time. Took about a week to get back to work.

Sucked, but I was able to function. I was about 35 at that time. I'd put every penny of my savings down that that was harder physically than when I get covid.
Krautag81
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Keegan99 said:



Trying to imagine 5'3" and 278.
My bones weigh more then what this chart says I should weigh....no kidding!
oragator
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Saw this today on heart effects. Just one study against a limited group but scary if confirmed.

https://apple.news/A1SRs04GcQ6eqCbRSwxqsbQ
JB99
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Summary - From two studies published yesterday, out of 100 patients with an average age of 49, over half of the covid survivors, 2/3 of which were mild cases (recovered at home), have evidence of heart damage typical of a heart attack that persists after recovery. If these findings are confirmed in future studies, the finding is ominous because the heart is unable to regenerate heart tissue after the damage is done.


https://www.statnews.com/2020/07/27/covid19-concerns-about-lasting-heart-damage/

https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916

https://jamanetwork.com/journals/jamacardiology/fullarticle/2768915



"Two new studies from Germany paint a sobering picture of the toll that Covid-19 takes on the heart, raising the specter of long-term damage after people recover, even if their illness was not severe enough to require hospitalization"


"One study examined the cardiac MRIs of 100 people who had recovered from Covid-19 and compared them to heart images from 100 people who were similar but not infected with the virus. Their average age was 49 and two-thirds of the patients had recovered at home. More than two months later, infected patients were more likely to have troubling cardiac signs than people in the control group: 78 patients showed structural changes to their hearts, 76 had evidence of a biomarker signaling cardiac injury typically found after a heart attack"


"Marc Pfeffer, a cardiologist at Brigham and Women's Hospital in Boston, called both the autopsy and MRI studies a sobering warning. He was not involved in either. He's concerned about relatively young people losing their cardiac health reserves, which typically decrease with age and can set the stage for heart failure."

"We knew that this virus, SARS-CoV-2, doesn't spare the heart," he said. "We're going to get a lot of people through the acute phase [but] I think there's going to be a long-term price to pay."


"...if this high rate of risk is confirmed, the pathologic basis for progressive left ventricular dysfunction is validated, and especially if longitudinal assessment reveals new-onset heart failure in the recovery phase of COVID-19, then the crisis of COVID-19 will not abate but will instead shift to a new de novo incidence of heart failure and other chronic cardiovascular complications"

GE
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Keegan99 said:



Trying to imagine 5'3" and 278.
Is this the one for women only?
Goodbull_19
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GE said:

Keegan99 said:



Trying to imagine 5'3" and 278.
Is this the one for women only?
No, males too. And as I have seen medical docs post on other threads, BMI charts are an accurate indication of "healthy weights", despite society's wavering standards on what a "healthy weight" is. I used to be 6'1" and weighed 205-215, and even though I was bordering on medical obesity, I thought I was just "a little overweight". I am now 180 lbs, finally a normal weight and I can see that this should have been my target weight the whole time.
P.U.T.U
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Most people fit under the bell curve of BMI, yes there are outliers, but for the medical community it works well.

One of my customers with COPD and heart disease had COVID and he said it took him 2 months to fully recover, felt like he was breathing through a straw during that time. Several months later he said he is back to normal
GE
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Goodbull_19 said:

GE said:

Keegan99 said:



Trying to imagine 5'3" and 278.
Is this the one for women only?
No, males too. And as I have seen medical docs post on other threads, BMI charts are an accurate indication of "healthy weights", despite society's wavering standards on what a "healthy weight" is. I used to be 6'1" and weighed 205-215, and even though I was bordering on medical obesity, I thought I was just "a little overweight". I am now 180 lbs, finally a normal weight and I can see that this should have been my target weight the whole time.
Jesus. Just cant imagine how 136 pounds could be considered normal for a 5'11" tall man.
Rubble
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Glad to know that my 6'4" 175lb ass is in the middle of normal. And people call me a walking stick
Goodbull_19
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GE said:

Goodbull_19 said:

GE said:

Keegan99 said:



Trying to imagine 5'3" and 278.
Is this the one for women only?
No, males too. And as I have seen medical docs post on other threads, BMI charts are an accurate indication of "healthy weights", despite society's wavering standards on what a "healthy weight" is. I used to be 6'1" and weighed 205-215, and even though I was bordering on medical obesity, I thought I was just "a little overweight". I am now 180 lbs, finally a normal weight and I can see that this should have been my target weight the whole time.
Jesus. Just cant imagine how 136 pounds could be considered normal for a 5'11" tall man.


I mean you can definitely look at the lowest number on the scale and that is very thin. But go back and look at old footage of WWII soldiers, those are guys who mostly all fit somewhere on the "normal" scale, but would look emaciated next to your typical American.
bigtruckguy3500
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I'm seeing lots of anecdotes of Marines that were positive and recovered having shortness of breath with minimal exertion. Minority of recoveries, but it's there.


Also, on the BMI discussion I had a classmate who assisted in delivering a baby for a woman with a BMI of 84. She held up one leg, another resident help up the other leg, and the 3rd resident went in to get the baby.
Reveille
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Marcus Aurelius said:

Saw a post covid in office today. She was sick in ICU with viral pneumonia, hypoxia. Never intubated. Discharged 7/13. COVID neg 7/21. Still dyspneic and dry cough. CXR dffuse interstitial subtle fibrosis. PFTs - mod - severe restriction/reduced TLC (though her BMI is 49 - can cause some restriction) and DCLO. Obviously going to follow her. Other than losing weight not sure how to treat this. But it's real.


I'm curious what you are trying? I'm seeing some patients also with poor spirometry post Covid-19. They present similar to yours with a obstructive/restrictive pattern and decreased DLCO. I am also frequently seeing a reduction in FEV1. CXR with interstitial thickening could be some possible fibrosis

My first one had no history of asthma, nonsmoker and BMI of 29. Now 8 weeks out from Covid and was not hospitalized.
But still with dyspnea and dry cough.

I tried symbicort 160mg bid and aspirin 81mg for a month and saw only minimal improvement in symptoms or FEV1. Just switched to trelegy and singular. Considering nebulized pulmicort respules or even a long oral steroid taper. Curious what you are trying?
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