Long COVID - define it. 



Symptoms after a covid infection that last past 3 months



Resurfacing of a past issue like asthma







Share some of your story. 



Exposed on March 8th



Symptomatic on March 16



Body aches, shortness of breath



Sprint run chest burning



Mental fog - it was hard to learn new things



Exacerbated an autonomic condition



I tried to keep going but some friends did an intervention



You recently presented at two conferences about Long COVID.  Give me the cliff notes.



San Diego Pain Summit - more theoretical and it is available to watch for free



NJATS - practical and scientific application for the Athletic Trainers



Some settings no longer require an RTP.  What are your thoughts?



Most RTP does not address Long COVID



Encourage Cardiac testing



Breathing symptoms and cognitive symptoms



How do you tell the difference between out of conditioning, a cold, and long COVID?



Look at a normal deconditioning response indicator like heart rate



The aerobic system is broken.



People with cardiopulmonary testing or rehab do worse on day two, typically much worse.



It may be hard for athletes to verbalize their needs and concerns.  It was hard for me as a grown adult medical provider to recognize and verbalize my needs.



The heart rate does not match what they are doing.



When I shower it may be 150 where I am 120 bpm walking upstairs.



Do they seem like they are getting sick from exercise?



What is the one take-home message for ATs dealing with Long COVID personally or professionally?



Make it simple



Crippling fatigue



PEM or PESE post-exertional symptom exacerbation



Breathing pattern disorders - hard breathing when they should not be



Mast cell activation syndrome



An estimated 50% of long covid will have autonomic dysfunction



Heat illness is a major concern



LongCOVID Physio - a group for medical providers struggling - peer support



Stop rest and think



Be intentional



Have conversations early and often



Altered taste and smell is a thing with COVID



This can lead to difficulty with student-athletes getting proper nutrition



This is a Mass Disabling event







Contact:



Daria - OnTapPhysio 



Jeremy - MrJeremyJackson



Resources:



longcovid.physio



David Putrino



Medbridge Course from Todd Davenport - use the code THESMB for your discount



Long COVID discussion with Daria on Facebook



Watch the video here