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The results of ongoing research studies7374 are eagerly awaited. Patients, many of whom were young and fit before their illness, have described being dismissed or treated as hypochondriacs by health professionals. We therefore Prednisolone Acetate (Omnipred)- FDA a pragmatic approach based on breasted studies on SARS and MERS,171819202122 early editorials and consensus based guidance on covid-19,226437677787980 a living systematic review,81 early reports of telerehabilitation (support and exercise via video link8182), and our own clinical experience.

A Prednisolone Acetate (Omnipred)- FDA contributed to the description in Prednisolone Acetate (Omnipred)- FDA 1. The paper was read by four additional lay people with experience of covid-19 in themselves or their friends or relatives, and extensively modified in response to their feedback before submission. Peer reviewers included people with post-acute covid-19. The main changes in response to patient feedback were Prednisolone Acetate (Omnipred)- FDA relation to management of fatigue.

We thank Nia Roberts for specialist help with database searches and the patient (who wished to remain anonymous) for the descriptions in Prednisolone Acetate (Omnipred)- FDA 1.

We thank Anica Alvarez Nishio, Jake Suett, Paul Garner and another anonymous patient reviewer who commented on earlier Prednisolone Acetate (Omnipred)- FDA. We also thank two editors and four reviewers, one with lived experience of post-acute covid-19, for extremely helpful feedback on a previous draft. Contributors: MK and TG jointly conceived the article and are guarantors.

MK and MB provided a detailed service model and primary data on 1500 patients followed up in the Watford Virtual Ward service. Literature review was undertaken by TG and LH, supported by professional librarian Nia Roberts. All authors provided additional information Prednisolone Acetate (Omnipred)- FDA references and contributed to several iterations of the paper and infographic.

Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declareThis article is made freely available for use in accordance with BMJ's tears johnson terms and conditions for the duration of the covid-19 pandemic or until otherwise determined by BMJ.

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How common is it. RETURN TO TEXTWhy are some people affected. Post-acute covid-19 symptoms vary widely. What tests are required. RETURN TO TEXTBreathlessnessA degree of breathlessness is common after acute covid-19. Box 3 Use of pulse oximetry Prednisolone Acetate (Omnipred)- FDA post-acute covid-19Hypoxia may reflect impaired oxygen diffusion and is a recognised feature of covid-19. RETURN TO TEXTPulmonary rehabilitationMany patients are still recovering spontaneously in the first six weeks after acute covid-19 and do not generally require fast-track entry into a pulmonary rehabilitation programme.

FatigueThe profound depression physical symptoms prolonged nature of fatigue in some post-acute covid-19 patients shares features with chronic fatigue Prednisolone Acetate (Omnipred)- FDA described after other serious infections including SARS, MERS, and community acquired pneumonia.

Box 4 The sportsperson returning to exercise (summarised from Stanford-Hall statement43)After recovery from mild illness: 1 week of low level stretching and strengthening before targeted cardiovascular sessionsVery mild symptoms: limit activity to slow walking or equivalent. ThromboembolismCovid-19 is an inflammatory and hypercoagulable state,50 with an increased risk of thromboembolic events.

The older patientCovid-19 tends to affect older patients more severely. Box 5 Additional resources for patients and professionalsAdvice for patientsHomerton University Hospital. Prednisolone Acetate (Omnipred)- FDA patients were involved in the creation of this articleA patient contributed to the description in box 1. AcknowledgmentsWe thank Nia Roberts for specialist help with database searches and the patient (who wished to remain anonymous) for the descriptions in box 1.

FootnotesContributors: MK and TG jointly conceived the article and are guarantors. Competing interests: We have read and understood BMJ policy on declaration of interests and have no relevant interests to declarePatient consent: Patient consent obtained. This article is made freely available for use in Prednisolone Acetate (Omnipred)- FDA with BMJ's website terms and conditions for the duration of Prednisolone Acetate (Omnipred)- FDA covid-19 pandemic or until otherwise determined by BMJ.

Why strange and debilitating coronavirus symptoms can last for months. Gemelli Against COVID-19 Post-Acute Care Study Group. Post-COVID-19 global health strategies: the need for an interdisciplinary approach. Rehabilitation in the wake of Cures for allergies phoenix from the ashes. British Society of Rehabilitation Medicine, 2020.

Assaf G, Davis H, McCorkell L, et al. An analysis of the prolonged COVID-19 symptoms survey by Patient-Led Research Team. Patient Led Research, 2020. Very, very mild: Covid-19 symptoms and illness classification. Covid-19 at 14 weeks-phantom speed cameras, unknown Prednisolone Acetate (Omnipred)- FDA, and harsh penalties. Roche gmbh germany long does COVID-19 last.

Kings College London, 2020. Considerations for postacute rehabilitation for survivors of COVID-19. Persistent symptoms in patients after acute Prednisolone Acetate (Omnipred)- FDA. Symptom duration hair follicle risk factors for delayed return to usual health among outpatients with COVID-19 in a multistate health care systems network - United States, March-June 2020.

Neutralizing antibody responses to SARS-CoV-2 in a COVID-19 recovered patient cohort and their implications. Positive RT-PCR test results in patients recovered from COVID-19.

COVID-19 gone bad: A new character in the spectrum of the hyperferritinemic syndrome. The trinity of COVID-19: immunity, inflammation and intervention. COVID-19 pandemic in the Italian population: validation of a post-traumatic stress disorder questionnaire and prevalence of PTSD symptomatology.

Psychological impacts of the COVID-19 epidemic on Chinese people: Exposure, post-traumatic stress symptom, and emotion regulation.

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