Carolyn Rogers of Hendersonville, 55, is one of countless COVID-1

9 survivors now facing long-term complications.

Nashville, Tennessee

COVID-19 began as a headache for 14-year-old Madison Foor of Dundee, then turned into shortness of breath, which did not go away weeks after she was supposed to recover.

Her mother, Mariha Foor, knew something was not right. Her energetic and physically physically fit daughter, a dancer competing in ballet and jazz tapping, could not walk up the stairs without the wind.

Madison’s doctors referred her to a specialist at CS Mott Children’s Hospital at the University of Michigan, who admitted that the 8th grade student was one of thousands of Americans who had the virus and had not fully recovered.

Madison and others, like her, had a long history of contracting COVID-19, also known as COVID-19.

They continue to have debilitating symptoms at times, which can spread to any organ system in the body, from the lungs to the blood vessels, the heart, the gastrointestinal tract to the nervous system, and is also related to changes in Mental health, from emotional problems to anxiety and depression.

And although the condition is well known to adults, children are not immune to it.Michigan Medicine has treated more than a dozen cases of children and teens with persistent COVID, such as Madison’s.

Even people with early mild coronavirus infection can develop these chronic, ongoing effects later. That’s why Michigan Medicine has launched two new clinics to treat and study COVID-19 symptoms in little-understood adults and children.

“The whole idea is to help patients overcome the long-term effects of COVID … when it becomes clear that patients with COVID do not need a full recovery,” said Dr. Rodica Pop-Busui, director of the new multidisciplinary bureau. The COVID-19 adult clinic at UM.

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“At first, we thought, like everyone else, this appears to be related to the severe form that requires hospitalization primarily. But after that, we and others noticed that it doesn’t have to be, even for people with mild and Never admitted to treatment (At the hospital) onset of many of these symptoms, such as pain, fatigue and inability to concentrate, and so on. “

Pop-Busui said the work will be funded in part by the National Institutes of Health and will help doctors better understand why some people develop long-lasting COVID-19 and others don’t.

“We are very interested in patients with preexisting conditions,” she said, “such as diabetes, obesity and chronic kidney disease … mechanisms that seem to explain why some people have these long-term effects are there. A lot as well Corresponds to the causes of diabetes patients with complications in the kidneys, cardiovascular system, nervous system, etc. “

It is not clear how prevalent COVID-19 is among adults.

One new study suggests that six months after being infected with the virus, 20% to 30% of people have continued complications, according to research published April 22 in the journal Nature that examined the results of the virus. Nearly 90,000 COVID-19 patients in health United States Department of Veterans Affairs Administrative Database

If the statistics are true, it means that about 170,000 to 250,000 people in Michigan alone may suffer from prolonged symptoms of COVID, as data from the state’s department of public health shows that more than 840,000 Michigan people are infected with the virus.

“We want to give people the best care possible. But we also want to learn what drives these (cases), so we can be prepared and prevent them if we can, ”said Pop-Busui, a diabetes professor. University of Michigan and Vice President of Clinical Research in the Department of Internal Medicine.

The adult clinic is open Friday and offers both virtual and one-on-one appointments at Domino’s Farms in Ann Arbor.

Initially, the aim was to enroll hospital admissions due to COVID-19.Eligible clinical patients were required to:

  • Be 18 years or older with a confirmed laboratory history of COVID-19.
  • Be recommended by your primary care provider or inpatient provider when released
  • Have an underlying health condition, such as diabetes mellitus, obesity, a thyroid or adrenal gland diagnosis with ongoing symptoms after COVID-19 including fatigue, shortness of breath, joint pain and muscle weakness, dizziness, sore. Chest and memory problems

However, Pop-Busui said the clinic could be expanded if there was a high demand to include people who were not hospitalized.

“We have to start somewhere,” she said. “It’s a good start and if we need to expand, if the need is there … we’ll be happy to do that.”

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For children like Madison, Michigan Medicine is also launching a clinical for children after COVID-19. It will be carried out from CS Mott Children’s Hospital and will include treatment not only Not only for children with COVID-19, but also for people with a pediatric multi-systemic inflammatory disease called MIS-C.

Children must:

  • Under the age of 21 with a confirmed history of COVID-19 in a laboratory.
  • Be recommended by your primary care provider
  • Continued symptoms include weakness, shortness of breath, joint pain, chest pain, and cough that persist for more than two months or 60 days after being infected with COVID-19.
  • No other disclosures or explanations were made for new or worsening symptoms.

As for Madison, she had trouble walking on the treadmill for 15 minutes without stopping breathing. The easiest job made her exhausted.

“I’m very worried,” says Mariha Foor. “She’s 14, she’s been competing for five years now. I mean, she’s muscular, and she’s used to walking and dancing and … full of energy. This is not normal for her. Will suffocate walking around. “

Madison underwent a heart attack at Mott, which was normal, then was treated by Dr. Carey Nien-Kai Lumeng, professor of pediatrics in the pediatric lung disease department at the University of Michigan.

He explained that the prevalence of COVID-19 among children for a long time is not well understood.

Many children were not seriously ill with their first viral infection. So when they develop these long-lasting COVID-19 complications, their cases are often not recorded by a doctor or hospital system.

“We really don’t know the magnitude of the problem, and there are very few studies in terms of the number of children with long-term symptoms,” Lumeng said. Long one level

“I think there are 115,000 children diagnosed with COVID-19 in Michigan, many of them,” he said. The joint which is the most common symptom “

As a pulmonologist, Lumeng treats children with respiratory symptoms and shortness of breath.

“We’ve seen patients referring to us who had never been sick, had no prior problems, were infected with the coronavirus and are now having more prolonged shortness of breath,” he said. They’ve been in sports, be it gymnastics, dance, or basketball, and when trying to get back to their activities, they found they couldn’t do the way they used to. It can be done. “

The goal of the pediatric clinic is to be a center where children with long-term COVID-19 can go to Michigan for treatment and help them recover.

And Lumeng said he wanted to study the phenomenon. “To understand what happened and how to help in the long term.

“We’ll be with these for a while, and I think this demand will expand,” Lumeng said. “But to be honest, I don’t know how many patients we will have in this clinic.”

Madison is already a patient. In addition to headaches and shortness of breath, Madison has a strange taste in her mouth that hasn’t been gone since the COVID-19 diagnosis in mid-January.

Lumeng discovered whether Madison used an albuterol inhaler before exercise, her lung function improved 38%, Mariha Foor said.

“She’s still tired,” said her mother. “Better and better, now you have to rest less.”

And she doesn’t need to use a ventilator often when she’s dancing.

“But this is sad because she never had to worry about something like it,” says Mariihafor.

Contact Kristen Shamus: Follow her on Twitter. @kristenshamus

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