sharon sanders
Editor-in-Chief & President

Michael L. Barnett
@ml_barnett
The problems of post-COVID-19 syndrome are not getting enough attention. I am seeing patients every single session with persistent fatigue, generalized weakness and other weird symptoms like partial anosmia. There's nothing to offer them, even the barest thread of information
4:40 PM ? Jul 21, 2020?TweetDeck
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Michael L. Barnett
@ml_barnett
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Jul 21
Replying to
@ml_barnett
The implications of a prolonged post-COVID-19 syndrome are really staggering. There are 3.9 million confirmed Covid cases in the US - and we know that is only a fraction of total cases. Let's say we have 6 million total cases.
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Michael L. Barnett
@ml_barnett
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Jul 21
Let's combine this with an extremely optimistic interpretation of the report on persistent COVID-19 symptoms from Italy in
@JAMA_current
At a mean follow up of 60 days (n = 179), 53% of patients still had fatigue and 44% still had worse quality of life. https://jamanetwork.com/journals/jama/fullarticle/2768351…
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Michael L. Barnett
@ml_barnett
?
Jul 21
Now this is follow-up for hospitalized patients, so rates of persistent symptoms are likely to be worse than for people with mild-moderate disease. Anecdotally though, I am seeing plenty of persistent symptoms among people who just weathered out COVID-19 at home.
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Michael L. Barnett
@ml_barnett
?
Jul 21
If even a small fraction of the millions of cases in the US result in a chronic fatigue-like syndrome, that's hundreds of thousands of Americans with a new, miserable chronic illness. Who knows how this will shake out - data is thin and I am extrapolating a lot. But I'm worried.
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