Clinical

Even patients who recover quickly from COVID-19 infection may continue to struggle with brain fog months after they’re past physical symptoms of the virus, according to a new research letter published online by JAMA Network Open. Perhaps most surprisingly, cognitive dysfunction showed up in patients between 38 and 59 years more than 7 months post infection. The data were drawn from the cases of 740 patients tracked through a Mount Sinai Health System registry between …

At this time last year, COVID-19 vaccines were still months off and many Americans were grappling with the headaches of remote work and school, social distancing, and acute awareness of their own hygiene practices. One of the few upsides to that was reduction of exposure to seasonal influenza. Consequently, we had a relatively light flu season. Now, however, with several COVID-19 vaccines available and caseloads and hospitalizations slowly coming down, people are getting together in …

The good news that COVID-19 cases, hospitalizations, and deaths are on the decline among the general population is being tempered by the fact that cases among children are creeping up, as well as foreboding messages from federal and state health officials. The increase in pediatric infections was not unexpected, given that kids now have a couple of months of in-person school under their belts, and the trend could reverse itself once younger children are able …

The Food and Drug Administration approved booster doses for COVID-19 vaccines from both Moderna and Johnson & Johnson, while also noting that the boosters can be given interchangeably with any of the other vaccines. There are still conditions regarding who is eligible to receive a booster, however. Patients who got two doses of the Moderna vaccine are eligible for a third dose of any COVID-19 vaccine at least 6 months after they received their second …

People who are opposed to receiving the COVID-19 vaccine often list unknown risks as their rationale for declining. Once you’ve pointed out the known risks of the virus, there’s not much else you can say to convince them. People who cite misinformation in decrying the value of the vacciune are another story however—and each week seems to bring more clinical evidence that could help you answer their concerns. The latest, called out in an article …

Hard evidence is catching up with anecdote when it comes to assessing the prospects for long-lasting effects of COVID-19. A new article based on review of 57 studies and published by JAMA Network Open reveals that mental health, pulmonary, and neurologic effects are the most likely to prevail in people who have survived SARS-CoV-2. This led the authors to conclude that long-term persistent acute sequelae of COVID-19 (PASC) “must be factored into existing healthcare systems,” …

While patients in the midst of atrial fibrillation may feel like they’re having a heart attack, most often their fears are unfounded. Often, an electrocardiogram to confirm there’s no imminent risk and a recommendation to follow up with their primary care provider or cardiologist are enough to put their fears to rest (which can actually be helpful in mitigating the episode). This doesn’t mean there’s no risk associated with AFib, of course. Causative factors need …

Calling it a “silver lining” might be a stretch, but an article just published in The International Journal of Clinical Practice reveals that COVID-19 can actually provide valuable insights that are useful in distinguishing among chronic respiratory conditions in patients with the virus. Given that a number of those conditions have symptoms in common with each other and with SARS-CoV-2, and that patients with some conditions are more susceptible to severe illness with COVID-19, this …

After months of increasing cases of COVID-19, accompanied by rises in associated hospitalizations and deaths, data amassed from state and local health departments by The New York Times indicate that the country may have turned a corner in its fight against COVID-19. From September 22 to October 5, new infections were down to approximately 102,000 per day while deaths fell 22% compared with the previous 2-week period. That good news comes simultaneously with ongoing confusion …

For every person who incorrectly insists the COVID-19 isn’t safe because it was rushed through the approval process there’s one who has already gotten the vaccine and is now teething at the bit to get a booster shot. While it’s unclear at this time what role boosters will play in fighting the pandemic down the road, for now the Centers for Disease Control and Prevention has specified that urgent care providers and other healthcare professionals …