Finally: Diagnosis. Oddly: symptoms have come in stages. Others?

Posted by jeindc @jeindc, Apr 8 2:47pm

A long post in hopes of learning of others who have had symptoms that were not initially experienced but came on in waves. After reading this interview from the AMA (I have a google alert set for "Long COVID" and try to read much of what I receive) I thought I'd post again.
>>Long COVID 2025: Symptoms, diagnosis, post-COVID treatments and the latest long COVID research | AMA Update Video | AMA
https://www.ama-assn.org/delivering-care/public-health/long-covid-2025-symptoms-diagnosis-post-covid-treatments-and-latest
I've posted before, as each symptom arose. It began after what I think was my second round of COVID in late March/early April 2023. (I think I got it early on - a mild case - in early March 2020 before there were tests or vaccinations. I'd traveled to speak at a conference when it was thought contagious from touch v. airborne. I was on 4 long flights and two long airport layovers, plus with others at the conference.

It's taken me a long time to finally have the symptoms confirmed as long COVID. Other docs - even those who, affiliated with teaching hospitals, were considered COVID experts - decided different things were wrong with me and then chose to stop seeing me bec they didn't think it was LC.

Finally a different uni-affiliated med center infectious disease specialist said it was LC given the symptoms and when they began and the changing ones.

In order of appearance - just picture the curtain opening on my journey for each act, er symptom!
-initial rash right leg (thigh and ankle) continues - in a different form and far worse now.
-peeling bottoms of heels - blisters form (and I'm not walking more than 3-5 feet at a time now bec of exhaustion) and immediately post-COVID in '23, had just tested negative before going to ER for rash - and the blisters which were diagnosed by 2 diff ER docs and my dermatologist as .. well, they didn't know.
-"rash" in mouth - right side again - has never stopped and dentist has no idea. It is not triggered by any foods. It is not helped by anything even a special mouth rinse that just numbs it for a bit.
-severe dry mouth and raspy voice/sore throat - horrible for someone who teaches online. I often lose my voice if talking for more than 35 minutes. Not conducive to teaching a 3.5 hour class.
-edema in both legs and feet but worse on right where rash lives on thigh and lower leg
-excess mucus when eating anything
-burning feet and legs, mostly at night that wakes me up
-small spots of fungus on my left leg - they don't know if it's related but I didn't have it before.
-tinnitus and musical tinnitus, the latter so annoying and yet so fascinating - my 'channels' change and do not seem triggered by anything - not "ear worms"; just musical tinnitus.
-severe hearing loss and finally hearing aids that help.
-abdominal pain that with already diagnosed (before this) of spinal stenosis, makes walking even a few feet so painful.

The exhaustion didn't come on until much later - late '24/early '25. I am still working at almost 78 and I have days when showering and getting dressed enough to appear on Zoom is more than I can do. If I go out - which I rarely do - for any reason (frequent doc appts that will now be more frequent*, periodic haircuts, theatre now and then) - me in a wheelchair, husband pushing bec the exhaustion adds to the incredible discomfort and I just can't stand up.

We all ask "is it just me?" don't we?

Next up: echocardiogram recommended by the Infectious Disease Specialist and now a cardiology specialist.

*About the more frequent doc visits: If others are on Medicare, the new policy that went into effect 4/1/25 tho' has been extended until 'Sept. is that there are very very few exceptions for which Medicare will pay for televisits. It is absurd since Medicare negotiates the fees and they are greater for in-office than televisits. PLUS we are all more at risk in a medical setting since in the article I posted at the start and from my docs, getting this again (and friends till are) would no doubt "do me in." If you have a voting Representative and two Senators, WRITE about this - that the physical and mental and financial cost to GO to a med office is nuts when it's just to get rest results or check in.

Ta-dah. Done. Thanks, if you made it through this. If others are still getting symptoms it would be good to know. To those of you who've suffered for more than 2 years - some of you for 5 - my heartfelt sadness. At 2 years, I'm just ready to lie down and be done.

Joan

Interested in more discussions like this? Go to the Post-COVID Recovery & COVID-19 Support Group.

@law59

Hi @mayfl0wer. I am so sorry you are experiencing the difficulties so many here face. May I suggest you contact your healthcare systems patient advocate thru your pcps referral. That advocate in turn can hopefully do all the work needed to obtain an enhanced care manager to have diabetes thoroughly evaluated with requesting hopeful further care of trauma level mental health provider, neuro physical therapist etc. for your realistic daily needs etc due to the complexities of your post covid🤞Know how daunting all this is and we are here to help you maneuver for the quickest healing journey possible🌈

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Thank you. I called this morning and attempted to request a patient advocate and was told they don’t have them. I was also told that I can’t find out if a doctor treats long COVID until I’m in an appointment because it’s considered a consultation and requires an appointment. This is what I’ve been dealing with when I try to get help. It’s such a waste of spoons. I’m better off staring at a wall.

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@jeindc

I so understand! You have no idea - and I hope you'll read my response to law59's response to you.

I too have felt horribly cold most of the time - and shaking from it. Gastro issues have just begun and they are awful. It will mean yet another doctor I'm sure. I'm so tired of it all. And without my Care Coordinator (see post noted) I absolutely couldn't do this. JUST being on hold to make an appt. and explain is exhausting, isn't it?

I am 'pleased' that my initial post has generated so much discussion. I feel horrible for us all AND am glad "it's not just me".

This is one horrible journey and it will make me retire from work I love too soon. I'm almost 78 and self-employed and had no plans to stop working until I died. Alas no longer can I do so. Even getting dressed well enough to be on Zoom takes too much energy and time. I've thought about wearing hats so I don't have to get haircuts which takes even more energy. I laugh as I write this - it's what a friend and I call our "organ recitals" - and I know how not funny it is.

To us all and to Mayo, thanks for this place to compare and gain comfort from others - get ideas to recommend to our doctors - even if we are told that probl won't work on "my" symptoms.

I long for one night of sleep in a bed instead of a non-recliner chair and one day - just one to not be greedy - of not having the old symptoms flare up and new ones appear.

In this season for many of renewal, may the doctors and scientists doing research continue to do so and help us. Enough is enough.
JE

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I’m thankful you posted as well. Your care coordinator sounds phenomenal. It is completely exhausting trying to just make calls, especially when they are dead ends.

Hearing you mention washing your hair and being presentable for zoom meetings reminded me of another early symptom. My hair was breaking off and I was worried I was going to go bald. I joked about having to invest in hats. We have to find the humor still, right!?

Thanks again 🫶🏼

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@mayfl0wer

Symptoms coming in waves/changing is extremely frustrating. My LC started in Oct 2023 with food aversion, gastrointestinal issues, feeling extremely cold & shaking, but the shaking wasn’t related to temperature. Some of the symptoms that have come up since the beginning include brain fog, cognitive difficulties that I call decision paralysis because I struggle with making decisions. I can no longer handle emotional or mental stress. Autonomic dysregulation, PEM, body aches, racing heart rate, coat hanger pain along my neck & shoulders, and anxiety and depression. I’ve also been diagnosed with fibromyalgia & POTS (although I cannot find anyone who will do the tilt table test.

I’m still struggling to find appropriate medical care. I believe I’ve developed diabetes as well due to A1C being 9%. This was through a biometrics test at work & although I mentioned it and my concern to my rheumatologist, PCP, and Infectious Disease doctor’s nurse, they all seem to think Simone else should deal with it.

I struggle between giving up and continuing to advocate for myself on a regular basis. Feeling disbelieved is exhausting.

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Wow, not to wish any ill for anyone here, but it is good to know I’m not alone in some this nonsense. Sometimes it seems it’s all in my head when test after test comes back with nothing definitive. I’m a 57 yr. old male with numerous spine issues/fusions, type 2 diabetes, IBS-C, GERD. I contracted COVID back in November 2024 and while it wasn’t “fun”, it wasn’t the worst thing I’ve endured. However, since then, I have developed the following: fatigue (extreme sometimes), brain fog/cognitive issues, shakes/tremors (it seems to be related to stress or even excitement not how cold it is out), balance/coordination issues, depression and sleep issues I’ve had for a while now but it has gotten much worse. Also, I seem to have developed an issue where my heart rate spikes seemingly out of nowhere. Just yesterday, after my usual breakfast, it went up to 155/160 bpm while doing nothing in particular and stayed there for a couple of hours. Usually, when it isn’t this bad, I can remedy by doing deep breathing exercises but this left me totally wiped out for the rest of the day unfortunately.
My last fusion surgery was C3 to T1 just over a year ago at Mayo Jacksonville and the rehab seemed to be going decent with the exception of some pretty bad rhomboid pain that doesn’t seem to want to go away. Wondering if this fits with “coat hanger” pain and may be related to the other COVID stuff?
After having lots of bloodwork, an EEG, nerve study and brain MRI it seems all of that is normal, which does eliminate most of the scary stuff like MS, Parkinsons, ALS and brain tumors but at the same time it leaves me feeling like I am losing my mind. Along those lines too, my wife, even though she really is trying to be supportive gives the vibe that maybe it is all in my head (or maybe that’s just me being overly sensitive). However, it could also be that she just doesn’t know what to say or do since there hasn’t yet been an actual diagnosis of anything. I know this bugs me often since I just want to know what it is that I am fighting.
My docs are thinking this could be COVID related also but unfortunately, the closest Post COVID specialty clinics for me are in Miami and Jacksonville. Since I have already been to Mayo for other stuff, I plan to reach out and see if they can help.
One thing that has helped me to describe my situation to family is something called “The Spoon Theory” ( type it into any of the search engines and you should find it easily). Years ago when my daughter was dealing with severe Crohn’s issues, she showed me this and “WOW”, I get it now!
Anyway, I plan to keep on fighting and pray that everyone here has the strength to do the same! Please keep posting the things you’ve tried that help you and I’ll do my best to do the same (providing my brain is working that day 😊 )

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@mayfl0wer

Thank you. I called this morning and attempted to request a patient advocate and was told they don’t have them. I was also told that I can’t find out if a doctor treats long COVID until I’m in an appointment because it’s considered a consultation and requires an appointment. This is what I’ve been dealing with when I try to get help. It’s such a waste of spoons. I’m better off staring at a wall.

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Oh @mayfl0wer. Sounds like your healthcare system similar to my sons which uses the grievance process to escalate assistance needed. This is not a legal or punitive action as so many would think as it is required for the system to show the need for the requested care. In other words, if no advocate is available, and no further level of help offered, request a formal grievance processed immediately over the phone due to your physical and life affecting needs. Hope this gets you that needed forward motion!🌈

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@mayfl0wer

I’m thankful you posted as well. Your care coordinator sounds phenomenal. It is completely exhausting trying to just make calls, especially when they are dead ends.

Hearing you mention washing your hair and being presentable for zoom meetings reminded me of another early symptom. My hair was breaking off and I was worried I was going to go bald. I joked about having to invest in hats. We have to find the humor still, right!?

Thanks again 🫶🏼

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Now and then, @mayfl0wer , I step outside myself and yes, laugh. I too have lost hair which I couldn't afford to do to keep some self-esteem.

Care-coordinator: If you can find someone do. I'll ask mine if there's a network of people who do this work. For me, because she knew me/my medical history and how I was BEFORE, it helps especially. Still anyone who will deal with the nightmarish systems and hoops we have to go through is worth their weight in gold.

To us! To humor when and where we can find it!

JE

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@geraldb

I am a retired Kaiser Cardiologist whose first LC symptom was AFlutter requiring Cardioversion. That was March 2020 so not thought related to LC. Long Covid worsened with multiple bouts of Covid and much worse after spinal surgery to treat my ( probably LC related ) back and leg pain. I will be in Boulder CO this summer if you have any suggestions of MDs within or outside of KP, I would love to try to find someone who will listen.
Thanks,
Gerry

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Oh Gerry, what's so troubling is that you are part of the community of docs and are not listened to. You, I'm guessing, would be more knowledgeable than most about your own health and know what to ask and how to delve deeper.

That alone tells us so much about how ignored we all are, or if not ignored, given no encouragement.

I hope you find a doc in Boulder to listen.

Joan

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@cpivyca

Since LC I've had periods of one or more canker sores in my mouth all the time and while it's not a rash I've found a product called Propolis that limits the severity and duration of them. My symptoms come and go also - right now I'm struggling to follow conversations and have muscle pain. Sitting at home is bad for my mental health so I smile and nod a lot when with people! My heart goes out to you

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Thanks, @cpivyca. I guess what I call a 'rash' is more like little canker sores that yes, come and go tho' are mostly present and have been now for 2 years. Painful when they are 'full blown'; tolerable when not.

I'll look into Propolis. Thank you.

I work in a home office and have days when just getting dressed and to my desk by noon is a big deal. I try to schedule no Zoom meetings or other things before then. THIS from someone who until my 70s loved early mornings - would be up and doing by 7 - fully showered and dressed. This noon thing is annoying but it just takes me forever to even get the energy (mental and physical) to do so. Yes, muscle pain too. I was doing a great job of tracking symptoms daily and then THAT got to be too much of a task.

My heart goes to you too. We are like a secret society, aren't we? Each with different symptoms, sharing some (which is a gift of this site to know from others), and managing responses to those who say "I got COVID and I'm fine - what's wrong with you?" or how others tell us we look great as noted by others and we try to explain and they don't want to acknowledge it's real.

One day, they will know. I hope we manage until then and are the first helped.

Joan

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@kayabbott

I'm signed up for a short LC research study; nice thing about Kaiser Perm is they have all my health records. I'm 70 and caught covid from a fellow cyclist, March of 2023. I was vaccinated 6 mo before but it was a super spreader, and I have autoimmune diseases. I was sick with usual symptoms, then felt OK other than PEM. I went back to biking but far fewer miles with naps. Chest pains started a month later, along with high BP and hard pounding; I had a stress test that was OK, but with symptoms the cardiologist said minimal exercise until my long covid was gone. The LC or associated stress caused my collagenous colitis to flare. At 8 months the PEM and heart problems calmed down (no damage), but my ophthalmologist found drusen in my eyes so I now have dry AMD, and at 16 mo diagnosed with stage 3a chronic kidney disease; other than age I have no risk factors for either. My colitis calmed down after a few months on oral budesonide, a designer corticosteroid. At two years, it feels like covid aged me 10 years, but I can still do all the stuff I did before covid, just for 3 hours instead of 8. It is good to keep a journal of one's health and diet, keep exercising and eating healthy, and find things to look forward to every day. I'm setting 70 as my use by date, just so every new day will be softer.

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Oh @kayabbott how horrible all you have been through. And a cycling superspreader?? Guessing it was before or after activities because weren't you outside otherwise - and "they" say we can't get it outside.

Your eyes are not one I'd heard. I have dry eyes - stopped wearing contacts years ago because of it - and noticed some vision changes. That too has to be dealt with - among all the others. Each trip to any doc is a production!

I think I'm past my 'use by' date and somehow keep pushing past it.

To softer days ahead.
Joan

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@mayfl0wer

Thank you. I called this morning and attempted to request a patient advocate and was told they don’t have them. I was also told that I can’t find out if a doctor treats long COVID until I’m in an appointment because it’s considered a consultation and requires an appointment. This is what I’ve been dealing with when I try to get help. It’s such a waste of spoons. I’m better off staring at a wall.

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I'm reading out of order and am SCREAMING for you. WHAT nonsense! I'm guessing they all are trying to figure out any new rules or guidelines but this is so obnoxious.

I'll ask my Patient Advocate about others. Are you comfortable telling me what part of the country you're in? I'm in DC and she's in the Maryland suburbs of DC.
IS there a way to be able to send DMs to each other or through Mayo if we agree?
Joan

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@jeindc

Oh @kayabbott how horrible all you have been through. And a cycling superspreader?? Guessing it was before or after activities because weren't you outside otherwise - and "they" say we can't get it outside.

Your eyes are not one I'd heard. I have dry eyes - stopped wearing contacts years ago because of it - and noticed some vision changes. That too has to be dealt with - among all the others. Each trip to any doc is a production!

I think I'm past my 'use by' date and somehow keep pushing past it.

To softer days ahead.
Joan

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Part of the route wasn't safe due to narrow shoulders, so an hour in a van next to the contagious person was a high viral load. The covid didn't hit me until 3 days later, but biking 70 mi/day and hot days probably didn't help. I have had dry eyes for years, and hypothyroidism and the dry climate here don't help, but the drusen and dry AMD started within a year of the covid and the stage 3a CKD a few months later. Related? Who knows. I have no risk factors for either. Best to live in the day and look forward to better times, warm days, hot chocolate, and friends.

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