Health
Think COVID is long?See your doctor first
September 2, 2022 – Many patients suffering from debilitation long covid If you have symptoms that interfere with your daily life, you may want to see a specialist right away. respiratory specialist For difficulty breathing or muscle fatigue, see a physical therapist to see if COVID is long-standing. But medical experts, including many who treat her most complicated and long-running COVID cases, recommend starting elsewhere: primary care.
“Their family physician is often the most knowledgeable about the patient’s complete medical history, and that context is critical in the process of diagnosing long-term COVID patients.” Benjamin AbramovMD, leading a long COVID collaboration for the National Academy of Physical Medicine and Rehabilitation
Primary health care providers have been at the forefront of long COVID diagnostics since the early months of COVID-19. pandemicwhen it became clear that many patients had lingering symptoms, many weeks after the initial COVID-19 infection had subsided.
One early guide to diagnosing long-term COVID in primary care is BMJMore In August 2020, it was estimated that 1 in 10 patients had long-term illness after being infected with COVID. That estimate now looks low. Her July 2022 report from the CDC found that one in five of her who contracted the virus now has her COVID symptoms for a long time.
Diagnosing long-term COVID has been difficult. This is because there is no easy way to screen for the condition and no set of symptoms that reliably leads to a correct diagnosis. Primary care providers often do detective work to sort out conditions that may explain patients’ health complaints, and the possible combination of complex symptoms comparable to the long course of COVID. We are in a good position to cast a broad net when investigating why.
Long-lasting COVID symptoms include fatigue, persistent cough, shortness of breath, loss of smell and taste, difficulty concentrating, insomnia, sexual dysfunction, chest pain and dizziness. christine englandMD, Director Cleveland Clinic Recover Cliniclong treat COVID patients.
Given how complicated this is, there are good reasons to seek a diagnosis in primary care, experts say.
Easier access to care is also a big reason. Primary care providers tend to be closer to patients’ homes, and many take time to see sick patients immediately. Specialty clinics specializing in long-term care for COVID tend to be concentrated in academic medical centers in major cities, which can result in long waits for new patients. The sooner people are seen, the sooner they may be able to start treatment for symptoms that interfere with their daily lives.
GPs who know their patients better may be better able to distinguish between symptoms specific to COVID infection and old health problems that are recurring.
“By working with primary care providers, we can avoid unwarranted and costly diagnostic tests in the first place,” he said. Kathleen BellMD, a neurorehabilitation specialist at the University of Texas Southwestern University O’Donnell Brain Institute, COVID recovery program. “Patients should always begin exploring health care issues with their physician.”
Even though many experts agree that primary care is the best place for long-term COVID diagnosis, the process is imperfect and not all of these doctors are up to the task. I also agree that no. There are still no evidence-based guidelines for diagnosing long COVID. And this diagnosis is sometimes overlooked in primary care. Especially if your symptoms are very similar to those of other chronic health problems that have become more common during the pandemic. depressionburnout, chronic fatigue.
If a patient presents with too many unexplained symptoms, primary care providers may also choose to refer the patient to a local specialist who can investigate each issue individually, he says. . Alba Miranda AzollaMD, co-director of the post-acute COVID-19 team at Johns Hopkins University School of Medicine.
“What’s really happening is that patients come to see their health care provider and are given 15 minutes to rant about all these multisystem symptoms,” she said. says. “Primary health care providers don’t have time to deal with all of these conditions. It’s gastroenterology, cardiology, neurology. We’re referring to all of these different specialists.”
Referrals often help patients be properly diagnosed, but they don’t always work because not all of these professionals are used to long COVID diagnoses, says Azola. . “They say the cardiologist says all the tests are fine and I can’t help you.
Patients with suspected long-term COVID who do not receive this diagnosis despite persistent symptoms should go to a specialized long-term COVID clinic and second opinionsay Monica Verdusco-GutierrezMD, Chair of Rehabilitation Medicine and Director of the COVID-19 Recovery Clinic at the University of Texas Health Science Center in San Antonio.
“When primary care providers have limited knowledge of the topic or treatment options, or when patients become more chronic and have multiple conditions and symptoms that need to be managed, this is a long-term multidisciplinary COVID clinic. It’s the perfect place. It’s a great option,” she says.
Prolonged COVID can be diagnosed when patients present with persistent symptoms 4 weeks after infection begins. CDCMany specialized long-term COVID clinics focus on more serious and complicated cases and will not see patients unless symptoms have resolved for at least three months.
This makes sense because many long-term COVID patients can be diagnosed and treated effectively in primary care. Tochi Iroku-MalizeMD, Founder and Professor of Family Medicine, Donald and Barbara Zucker School of Medicine, Hofstra/Northwell It’s a great place for patients to go whenever they need to.
“As the health care community continues to learn more about the long-term COVID, it’s important to start with a health care professional you know and trust: your family doctor,” she says.
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Sources 2/ https://www.webmd.com/lung/news/20220902/think-you-have-long-covid-see-your-primary-care-doc-first The mention sources can contact us to remove/changing this article |
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