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Now that the epidemic curves have subsided substantially, and rates of hospitalization and death are considerably reduced, the large bulge of Omicron outbreak cases are now experiencing COVID-19 long-hauler syndrome or long-COVID or post-COVID syndromes (synonyms).
For the post-COVID syndromes, the most important clinical issue is to make a diagnosis. The context is that about 50% of those hospitalized with COVID-19 develop post-COVID symptoms. Severe outpatients also are affected. Characteristic symptoms include headache, hearing loss, tinnitus, loss of olfactory function, sleep disturbance, muscle aches, weakness, fatigue, and chest or abdominal pain.
With this array of symptoms, it has been my approach to utilize testing according to prominent symptoms. For example, serious headache or neurological findings requires a head CT or MRI to evaluate for stroke and or intracranial bleeding/thrombosis.
Skin rash or bruising requires laboratory evaluation for vaccine-induced thrombocytopenic purpura. Chest pain or effort intolerance, particularly in men, calls for an evaluation for COVID-19 vaccine-induced myocarditis with ECG, and blood tests (troponin I or T, BNP, galectin-3, and ST2).
Lastly, extremity pain, swelling, or pleuritic pain/dyspnea suggests a workup for blood clots — deep venous thrombosis and pulmonary embolism. This is typically done with leg/arm ultrasound and chest CT scanning. Each one of these post-COVID syndromes has specific treatments.
This week we have on the show Dr. Weston “Wiggy” Saunders, who is an expert in post-COVID syndromes. He specifically addresses the large numbers of patients who have had the serious complications listed above ruled out — but still have constitutional symptoms that are debilitating.1 Dr. Saunders outlines the sophisticated use of the laboratory and both prescription and over-the-counter nutraceuticals and supplements to help patients through this difficult illness.
We are years away from having definitive randomized trials to address this syndrome, and it’s unlikely there will be a single drug “magic bullet.”Thus, the integrative medicine approach is a tractable approach to the empiric management of the post-COVID syndrome.
Our music segment upfront is from New Zealand’s Aly Cook — “Little White Crosses,” so listen carefully to the lyrics which directly apply to vaccine disabled and deaths.2
So let’s get real, let’s get loud; on America Out Loud Talk Radio, this is The McCullough Report!
The McCullough Report: Sat/Sun 2 PM ET Encore 7 PM – Internationally recognized Dr. Peter A. McCullough, known for his iconic views on the state of medical truth in America and around the globe, pierces through the thin veil of mainstream media stories that skirt the significant issues and provide no tractable basis for durable insight. Listen on iHeart Radio, our world-class media player, or our free apps on Apple, Android, or Alexa. Each episode goes to major podcast networks early in the week and can be heard on-demand anywhere in the world.
References:
1 http://www.drwiggy.com/
2 https://www.youtube.com/watch?v=2LGZXHRYXP8
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