Be “huffing and puffing at the slightest effort, it is eroding : I find myself in the state I was in at the exit of the hospital “ lance Gildas, soon to be 40 years. “One wonders when we will be rid of all of it “ launches this former patient of the coronavirus among the first to benefit from this multidisciplinary consultation 2: 30.
The balance sheet includes various interviews (dietician, psychologist, physiotherapist), including a doctor made the synthesis and prescribe a solution tailored to the individual.
In short, this beefy a bit stout, lends itself to the tests proposed by Selma, the physio, it passes easily the test of muscular strength of the legs. But the endurance test six-minute walk in the corridor of the service fatigue.
“I put a good month before they go up the four floors to my office. I have muscle pain in the arms “ tells the doctor Mary (name changed), 55 years old, installed on a bicycle exercise test. It speaks of a “little burnout “. On march 21, a virologic test positive (RT-PCR) confirmed infection of this framework to another hospital.
Consultations to help get life back to normal
These patients who have had a mild or relatively severe, Covid, with sometimes a brief hospital stay, have a few weeks after an outbreak of symptoms (chest tightness, dizziness, shortness of breath, pain in chest and lots of fatigue…), then they want to resume normal active lives.
This syndrome post-Covid is a factor of anxiety. “We must do something now to avoid this becoming a chronic problem, judge Dr. Nicholas Barizien Head of department of Physical Medicine and Rehabilitation, responsible for the support to the Foch hospital dedicated to non-serious Covid.
“Do the sorting in the nebula of symptoms “
The program aims first of all to the many former patients Covid who have been cared for. They do not relapse, they do not have complications of the disease Covid-19 (embolism and fibrosis of the lung…).
“To know what it is due, it is necessary to evaluate it, to find a diagnosis, a track, with solutions relatively simple. We try to do the sorting in the nebula of symptoms “.
This may be a problem of post-traumatic stress disorder, as the psychologists, the psychiatrists know how to treat hyperventilation which may explain the sore head, often when one rises, that is treated with breathing retraining, or “ deconditioning in the effort “ (loss of the capacity to the effort associated with shortness of breath, loss of muscle during illness and confinement…).
The dieticians have an important role to help rebuild the muscle lost, and reduce the fat mass, which was often replaced. Restore the nutritional balance is easier in six months, warns the doctor.
“We need to be patient “
The support can be in the city in good professionals (physios to regain the cardio-respiratory endurance, for example) and for some of the self-rehabilitation at home, ” he continues.
The hospital makes the rehabilitations more technical for people who have comorbidities (cardiac or other).
Gildas, fallen ill mid-march, has spent four days “in csr under supervision, in the absence of oxygen “ : it was her heart that concerned her.
“This new consultation, it is the stark contrast with my output of csr without knowing what was going to happen “. It lets you know “where to go to find the pleasant sensations “. “It is reassuring “. Next checkup in two months.
Mary also has lost muscle. A little more protein (dairy products, cheese…) and get back to swimming may help him to do it again. “We need to be patient “she said.
“There is more virus. Reviews heart, lung, blood, everything is normal. They are healed “says Dr. Barizien who wants to see develop in France in the consultations to improve the quality of life of patients.
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