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

Posted by jeindc @jeindc, 6 days ago

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.

To jeindc —

Thank you for the link to the interview with Dr. Iwasaki on the AMA channel. She is a lead researcher on LC, and she speaks concisely and articulately. In this interview Dr. Iwasaki explains where we are at today with LC research, and what we need to do next.

This interview left me feeling optimistic: LC research is making progress!

— friedrich

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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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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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I’m so sorry for everyone suffering with Long Covid. My PT has it & has multiple patients with it.

My loved one has Chronic Fatigue Syndrome (CFS) and has been treated at Stanford’s clinic since 2016. They’ve changed the clinic’s name to add Long COVID to it, since there’s considerable overlap between CFS & Long COVID.

Sure wish there were better & more effective treatments.

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Oh @hicopd thanks. For your loved one, we are grateful there is support. CFS is so like long COVID - it strikes people differently. It is to me astounding that with the numbers of us with this - and my guess is there are many more that have not been 'counted' because like many of us here in this group, their doctors told them to go away (but we here are persistent!), there was nothing that could be done - they are not counted.

As you know, any autoimmune illness is awful. Was with a colleague today who had lyme disease and the disruption to their body has been horrific with little to be done other than a diet change and trying different meds.

I'd be happy to have even something to put on the very itchy rash!

Thank you for empathy.

Joan

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Yes, it’s very frustrating because people are always saying “you look great,” as if you’re supposed to look awful and be ugly and dumb because you have a chronic invisible disease. It’s very frustrating. So many providers give up because there aren’t many treatments and the ones that exist aren’t that helpful. 😜😝🥵😰

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Review Again, I'm 70 now. A retired scientist. COVID March 2020. Raynauds Diagnosis March 2021. Severe leg neuropathy March 2021. Neuropathy mostly fixed within two months by a strict Gluten free diet which continues today. Leg strength regained over 6 months from 1500 mg l-proline a day, the active AA in collagan. I can't use collagen, it makes me nauseous. 12 severe skin infections from simple bug bites or cat scratches which required Doxycycline. Radical diet change did not correct this. Added one ounce of ground pumpkin seeds, Oct 2024. This appears to have corrected the infection issue. Note high potassium and phosphorus content for those with CKD. The "peeling heels" YES YES, i asked my PCP in 2020 he said you are getting older. Use a moisturizer. Tried over a dozen NONE worked, however, the proline appeared to fix this and my heals were better after taking the proline for six months. An interesting change. I have had verrcusa warts on my hands since college in 1976 and have gone to the dermatolosist every year to freeze them off. GUESS WHAT? They are all gone now. This happened in 2024. Was this due to a realignment of my gut microbiome. two meals a day of organic rolled eats, blueberries, and Vega protein + greens and the elimination of gluten, red meat and ultraprocessed foods? or did the spike proteins from COVID attack the HPV! I have NO FREAKIN idea.

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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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Can you please let me know which Kaiser is doing the research?
Kaiser Northern California MDs have not accepted that I am wrestling with Long Covid. Thanks for any information.

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@geraldb

Can you please let me know which Kaiser is doing the research?
Kaiser Northern California MDs have not accepted that I am wrestling with Long Covid. Thanks for any information.

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It is through KP Colorado, but a specific doctor is doing the research and has a limit of 300 people. If I glean info from the zooms this and next month, I will share it with the covid group here. My LC may have been easier for doctors to accept because the cardiovascular symptoms were blatant. There are a number of peer-reviewed (aka boring) medical papers on covid and LC in ResearchGate. Research is a slow process. LC is a difficult invisible disease and I hope you have a good support network. Pretty much we have to change our lives, how we exercise, diets, and manage the emotional and physical tolls of the disease.

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I have found in the three years I have had LC, I have run the gambit of symptoms of many other autoimmune diseases. I have hear others say this as well. Thank you for posting the article. Hang in there.

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