#315 Long COVID The Curbsiders Internal Medicine Podcast

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



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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