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Getting Help for Long-Term Post-COVID Symptoms [Podcast]

Posted April 25, 2022 by Ted Shaub, M.D. & Brian Bauman, M.D.

Listen to this episode of the Healthy Vitals Podcast.

While most people with COVID-19 recover and return to normal health within a few weeks, others have symptoms that linger for months after recovery. Even people who have had mild versions of the virus can experience persistent or late symptoms. These people are often referred to as "long haulers" and the condition has been termed post-COVID syndrome or "long COVID-19."


Featured Guest:

Ted F. Shaub, M.D. was born and raised in the Akron area and was the first sub-specialist to join Summa Physicians Inc. He is married and a father of four boys. The goal of his practice is to reduce suffering and prolong quality of life.

Dr. Brian Bauman was raised in the Akron area. He attended medical school at Case Western Reserve University in Cleveland. Following his residency and fellowship at the University of Michigan, he returned to Akron to practice at Summa Health System. He volunteers at Open M clinic in Akron and spends his free time with his wife and children. He specializes in pulmonary medicine (pulmonary critical care) and lung nodules, with expertise in advanced bronchoscopy (EBUS and navigational bronchoscopy).

Transcript:

Scott Webb: We've learned a lot about COVID-19 since the beginning of the pandemic, especially those who experienced symptoms long after their initial illness, otherwise known as long-haulers. Joining me today for a look at COVID long-haulers from pulmonary cardiac and neurological perspectives are pulmonologist, Dr. Brian Bauman; And cardiologist, Dr. Ted Shaub; all of whom work at and help patients at Summa Health.

This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. So doctors, thanks so much for your time today. It's hard to believe we're in our third year of COVID-19, and we're still talking about COVID-19, both people who have sort of short-term symptoms and treatment, I guess, but also the long-haulers. And that's really what we want to talk about today, is the effects on people longterm. And just to kind of set the scene a little bit, Dr. Bauman, if you could explain to folks, what does it generally mean to be a COVID-19 long-hauler?

 

What does it mean to be a COVID-19 long-hauler?

 

Dr. Brian Bauman: A long-hauler, I don't know where the term came from, honestly, but it's essentially people with persistent symptoms after the acute phase of the infection has resolved. So most people, who get COVID will initially get some sort of viral syndrome, which often includes a fever and sometimes respiratory complaints, sometimes just a runny nose or sneezing, similar to a cold or a flu virus. And then oftentimes, there's a delayed response that occurs anywhere from about one to two weeks after that initial phase, which we still consider the acute phase of COVID, but it is probably an immune-mediated response and that's where the severe lung injury can occur. But those parts are all part of the initial acute phase of COVID. And then, after people recover from those things, usually a period of months after having had COVID infection, some people develop persistent symptoms, which are oftentimes multi-system. So it can affect not just your breathing, but almost any system in the body, such as the brain, the heart, the joints, the skin, et cetera. And so those are kind of the people we're talking about when we talk about long-haulers.

Scott Webb: Yeah. And I was going to ask you, is there a sort of a down period or a lag where the acute symptoms have passed before what we're now calling long-hauler symptoms would present. And as you said, it can be a number of months and, geez, like we didn't have enough to worry about with COVID-19. Now, we have to wonder, after we've recovered from the acute symptoms, are we potentially a long-hauler? And if we are a long-hauler, I want to have you talk a little bit about what some of those persistent symptoms might be and specifically persistent pulmonary COVID-19 symptoms.

 

After recovering from acute COVID-19 symptoms are you potentially a long-hauler?

 

Dr. Brian Bauman: Actually, a lot of the people don't necessarily recover and then develop long-hauler. They actually just never have resolution of a lot their symptoms. There may be a period where their breathing gets better, their fevers go away, but then oftentimes, they have persistent shortness of breath. The most common long-lasting symptoms would be fatigue, is probably the biggest one, just severe fatigue. Oftentimes, shortness of breath or cough. And then, oftentimes, people have difficulty concentrating or have memory issues. And those are some of the more common ones. But there's also, like I said, it can really affect any organ in the body. And so some people get persistent joint symptoms, they get rashes, people lose their hair sometimes, cardiac things that Dr. Shaub can comment on more, but a lot of people get a syndrome, we call POTS syndrome or kind of an inappropriate tachycardia or a kind of a racing heart rate syndrome that tends to happen to people after they've had COVID-19. Some people can have actual cardiac dysfunction too, where their heart doesn't pump, or they get inflammation of the heart itself. And that can give chest pain symptoms or can be related to shortness of breath. And there's a myriad of other problems, but I would say the most common things would be persistent shortness of breath, fatigue, and sometimes memory issues.

Scott Webb: Well, it all sounds entirely awful. And I guess the natural follow-up, is there a concern? Are you and other experts concerned that some folks, some long-haulers just may never fully or completely recover from COVID-19?

 

Is there a concern that some long-haulers may just never recover from COVID-19?

 

Dr. Brian Bauman: There's definitely that concern. And it's been interesting to follow this as the pandemic has progressed. And we at Summa set up our post-COVID, we call it post-COVID clinic because it deals with people who are recovering from acute infection, as well as people who may have persistent long-hauler symptoms. So we see both kind of groups of patients. But by doing that, we've been able to really see what happens to people because, being a new disease, nobody really knew what to expect. And the good news is that most people who haven't had a discrete severe lung injury, so excluding the people who were in the hospital on ventilators or had respiratory failure, most of the people who have a long-hauler COVID with multiorgan symptoms get better over time. That is good news. Sometimes it can take months to even years, but the vast majority do get better. I would say most people actually, their symptoms resolve with kind of a general good healthcare. And there are some people who don't completely get better, but their symptoms don't completely resolve, but they do improve. And so that's been a nice thing to see watching these patients over time is that we do see them improve. And really, I think the key is just really taking good care of them in general. So taking care of their other health issues, making sure you focus on exercise programs, good diet, lots of sleep, and really making sure that any other medical condition they have is really optimized.

Scott Webb: Yeah. I'm glad we had you on because it's good to hear some good news. Unfortunately, COVID-19 has been around long enough now that we've had the years to know whether or not most folks would fully recover. And it's good to hear that most do. And Dr. Shaub, I want to bring you in, let's talk about cardiac conditions, let's talk about post COVID-19 syndrome that can affect athletes and, just in general, how does COVID-19 affect the heart.

 

How does COVID-19 affect the heart?

 

Dr. Ted Shaub: Fortunately, it's actually unusual to affect the heart. We've been following this, like you had said, and Dr. Bauman had said, for a number of years now, and we see a number of athletes in my practice post-COVID. Most initially, the athletes that we were seeing, because we really didn't know exactly what to do for the first year and a half, two years, is that we were evaluating all the dynamic athletes, those are the folks who play football, basketball, soccer, that run up and down the court. If they have a diagnosis of COVID, we were clearing them to get back to their sport of choice. In most of those kids who quite frankly were feeling well, there were a group of students that also they realize that when they got back onto the track, court or field, that when they were running up and down and doing their activities, that they were short of breath. This was in the acute phase, meaning within the first one to three weeks post their infection. And quite frankly, their lungs were still healing. This would not be a long-hauler. These are just folks that the lungs are still healing. And we just said, "Look, it's going to take some time." For a number of those folks, we would give them inhalers or a steroid inhaler, or even a steroid tablet to take to bridge them until their lungs got better.

It was interesting initially when COVID came out, there was a large study that came out that was not randomized, that came out of Ohio State and with very good intentions in which they looked at a number of athletes that had COVID-19. Fortunately, none of those athletes were ill, but they scanned these students and found that they had a possibility where a percent of them could have had myocarditis or actually scarring of the heart. And that set up a lot of angst amongst everyone, including the NCAA and high schools and all colleges in general. And what we found was that these changes that we see with the heart, both inflammation and potential scarring could actually be a normal finding in young, healthy, dynamic competitive athletes, meaning if you took prior to COVID and scan these students, they would find these findings on the cardiac MRI, which is what Ohio State used. It could be a normal finding just because of there's such a dynamic in the athlete and they work hard.

Fortunately, what we found over the last several years that actually myocarditis in this group, it's not unheard of, but it is unusual. For a number of the universities locally, we screen the Division One students with an EKG prior to even coming onto the field, meaning when they're coming in July to play football or get ready for fall, we would scan these kids with an EKG, we had that record in our hands. So when they develop COVID, we would repeat the EKG and use that for comparison. Quite frankly, I've seen a lot of student athletes. I probably have just seen one that may have had myocarditis. And that was from one of the universities in Southern Ohio and that student recovered.

I agree with Dr. Bauman, that most of the folks that aren't so sick, that they get into the intensive care situation, that most of them actually do well at least from a cardiac standpoint. Again, we look at these student athletes as two-fold. We have the initial where their lungs are just recovering, because this is a virus that affects the lungs. Then, you have the long-haulers. And again, they're separated by time, not necessarily a grouping of symptoms, because both have symptoms, but it's just the time. If we're two months out and we're still dealing with shortness of breath and wheezing and decreased exercise tolerance, and then it's more related to what Dr. Bauman does on a day to day basis, rather than a cardiac. We screen them with an EKG, good physical examination and an echocardiogram. And most of the time, we see just good hearts that are structurally normal.

It was interesting what Dr. Bauman said that we see this tachycardia post COVID. I clearly see that. And quite frankly, I don't think we know the cause of that. I think it's multifactorial. Is it's their lungs? Is it deconditioning? Does this virus actually affect the conducting system of the heart in ways that we don't really know? But fortunately, most of these student athletes do quite well.

Dr. Brian Bauman: It is interesting that the tachycardia syndrome, there's several other cardiologists that work with us and some data out there that COVID has a predilection for nerves. And so it's probably not actually the virus attacking the nerves, but the immune response to the virus that then attacks nerves in the body. And there's some thought that the tachycardia syndrome may actually be a nerve problem, not a heart problem. The nervous system actually controls our heart rate and the virus can affect the nerve that tends to keep the heart rate normal or going slower. And so there's some thought that it's related to a nerve issue. And it doesn't actually damage the heart necessarily, but it does give people symptoms.

Scott Webb
: And of course, Dr. Shaub, none of us really want COVID-19. But does it help to be young and healthy if we just simply can't avoid contracting it? In other words, when we think long-term or think in terms of long-haulers, is the prognosis better for the young and healthy?

 

Is the prognosis of COVID-19 better for young and healthy individuals?

 

Dr. Ted Shaub: It's interesting. And these studies have been done in December, the CDC released data that looked at young people, meaning 12 through 17. Those are young and we see high schoolers, so we see in mid-teens on up. But the chances of being hospitalized with a COVID infection, that's just hospitalized, that doesn't mean not sick at home, recovering, but hospitalized was about between five and six out of 100,000. So young people do well. But you have to look do they have cystic fibrosis? Do they have underlying pulmonary disease, type 1 or type 2 diabetes? Are they obese? Are they immunologically suppressed? Those are the kids that we really worry about, but those are the kids that typically are not the athletes that we see.

Your point is well made, that the healthy kids usually does very well. And those studies have been done, a nice large study of almost 7,000 dynamic professional athletes across the United States and in Europe were looked at and essentially none got so sick they had to be hospitalized with significant issues. So it's a very unusual problem to affect the heart. That's what we've learned. Yes, it can, but it is unusual and that's fortunate. Most of the issues were in Dr. Bauman's line, is more pulmonary.

Dr. Brian Bauman: I think Dr. Shaub would agree too though, and this is kinda what I stress to people when I talk about vaccination, for example, is that the odds of getting very ill or dying from COVID when you're young and healthy are very low. But we do see a fair number of people who get more of the long lasting symptoms, and it's actually interesting in our practice in our clinic here. We don't see very many long-hauler people, long-hauler patients who have been hospitalized with COVID. Most of them never got treated for COVID specifically. They didn't get antivirals, they did not get steroids. And those tend to be the people who get the long lasting symptoms. And that includes young, healthy athletes. And Dr. Shaub can comment, we've taken care of together, a number of patients who developed pretty significant long-lasting shortness of breath primarily as a result of COVID that prevented them from competing in their sport that they maybe have a scholarship, for example.

The good news about it is that a lot of those patients actually develop asthma. It's not necessarily a direct injury to the lung from COVID. It's priming of the immune system that then triggers another disease state that is immunologically-mediated. And the good news about asthma is it's very treatable as Dr. Shaub mentioned with steroids, with inhalers and a lot of those patients get better fairly quickly once you get them on treatment for asthma.

Dr. Ted Shaub: What we also found, a lot of the student athletes would say, "Look, I don't want to get vaccinated. I'm not going to get sick with this. We know that the chance of me being hospitalized is low." However, what I tell them is similar to what Dr. Bauman just said, that if you would get this infection and it affects your lungs, it could actually just squeeze out the entire season. You wouldn't be able to play, meaning if you're in the middle of or the beginning of football season or basketball season or whatever season you're in and you get this infection, you could be out for weeks to months during the prime of your career in college or in high school playing your sport. So we're recommending to athletes to get vaccinated to prevent significant issues that would prevent them from recovering and get back on the field.

Scott Webb: Yeah, absolutely. The vaccines, boosters and everything. Thank you both. And you both stay well.

 

Learn more about Summa Health's COVID clinic

 

To learn more about the Summa health post COVID clinic, or to make an appointment visit Summa health.org/lung.

And if you found this podcast to be helpful and informative, please share it on your social channels and check out the entire podcast library for additional topics. This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. Stay well, and we'll talk again next time.

About the Authors

Ted Shaub, MD

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Brian Bauman, MD

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Elizabeth Boes, D.O. provides an educational overview of erectile dysfunction. Learn about symptoms, causes, treatment, and more.

Juneteenth: What It Is and Why It’s Celebrated [Podcast]

Dr. Yoleetah Ilodi & Iriel Hopkins discuss Juneteenth and its importance. Listen and learn more in this episode of Healthy Vitals.

Why Are Tick-Borne Illnesses On The Rise And What Do I Need To Know?

This summer as you head out for hikes in the woods, camping and other fun outdoor activities, beware of unwelcomed visitors — ticks.

The tick population is on the rise and expanding their geographical range, and with that comes an increase in tick-borne illnesses. In fact, the annual number of cases of tick-borne diseases in the United States has nearly doubled since 2004, according to the Centers for Disease Control and Prevention, with Lyme disease representing the…

Multiple Sclerosis: Symptoms, Treatment, and More [Podcast]

Dr. Dmitri Kolychev, a neurologist at Summa Health, discusses the influx of Multiple Sclerosis diagnoses in the United States. Learn about MS symptoms, treatment options, and more in this episode of Healthy Vitals.

Nurses Week: Celebrating Nurses and Their Commitment to Our Community [Podcast]

Tiffany Collins discusses her journey and passion for nursing.

Viral hepatitis: What you need to know

The liver is one of the largest and busiest organs in the body. Your liver spends its days processing nutrients, filtering blood and fighting infection, among other important jobs.

That’s why the hepatitis virus, which infects the liver, can be a major threat to this vital organ. When your liver is inflamed or damaged, it cannot function correctly.

The most common hepatitis viruses in the United States are hepatitis A, B and C. These viruses cause liver infections and…

Maternal Health in the Black Community [Podcast]

Dr. Cheryl Johnson leads a discussion focusing on empowerment in the African American community, especially maternal health.

Testicular Cancer: An Overview from Prevention to Treatment [Podcast]

Dr. Dankoff provides an overview of testicular cancer. Learn about symptoms, prevention, and treatment options.

What Makes a Great Doctor - Personal Insights, Advice, and Why they Chose Medicine [Podcast]

Dr. Shanu Agarwal and resident Kortnie Broschinsky discuss their journey into healthcare.

Occupational Therapy: What Is It, How Does It Help, Who Should See An OT [Podcast]

Craig Wood leads a discussion focusing on occupational therapy, its benefits, and why he got into the field.

Our Commitment to Creating a Healthier Community [Podcast]

Iriel Hopkins and Marlo Schmidt discuss ways in which Summa Health System contributes to a healthier community.

Sudden Infant Death Syndrome – What You Need to Know [Podcast]

Karen Frantz DeSeptis and Ericka Malone lead a discussion on SIDS, and important information you need to know.

An Overview of Osteoporosis: Prevention to Treatment [Podcast]

Natalie Hiltbrand, an Osteoporosis Specialist at Summa Health, leads a discussion on osteoporosis treatment, as well as prevention.

What You Know About Sepsis Could Save Your Life

Whether it is a urinary tract infection, sinus infection, or an infected wound, most people consider these things to be a part of life. While many infections clear up on their own or with antibiotic medications, some infections progress to a life-threatening condition called sepsis.

According to the Sepsis Alliance, 1.7 million Americans are diagnosed with sepsis every year. What’s more, sepsis is the leading cause of death in U.S. hospitals, accounting for 35% of all…

Addressing Common Pelvic Health Issues [Podcast]

Dr. Megan Cesta and senior physical therapist Amy Senn discuss common pelvic health issues women may experience.

Why is it so important to get your flu shot this year?

Last winter, the community took several precautions to help stop the spread of COVID-19. From masks and social distancing to virtual work and school to cancelled events, an unforeseen positive side effect was a less intense flu season.  

Flu cases documented during last year’s flu season were historically low by a wide margin. Medical professionals haven’t seen anything like it.  

So with many precautions still in place amidst an ongoing pandemic, you may be…

How to tell the difference between COVID-19 and seasonal allergies

At the first sign of a scratchy throat or cough, people can’t help but wonder whether they’ve contracted COVID-19 — and rightfully so.

But just because you have a sore throat and cough, doesn’t necessarily mean that you’ve contracted COVID-19. Pollen counts are high, affecting you or someone you know with seasonal allergies.

COVID-19and seasonal allergies both affect the respiratory system and share similar symptoms, so it can be difficult to…

Coughing etiquette 101

When you are suffering from a respiratory infection, you risk spreading the infection through your cough. In fact, each cough expels thousands of tiny, infectious droplets that travel up to six feet away.

Those droplets can be inhaled by others or land on their face. Droplets also can fall on and contaminate nearby surfaces, where they can be easily transferred to another’s hands.

Coughing etiquette, combined with facial coverings and social distancing, is the best way to…

5 unusual COVID-19 symptoms you need to know about

Fever, dry cough and shortness of breath are the telltale signs of a COVID-19 infection. But, those aren’t the only symptoms that have been linked to the virus. Other symptoms include chills, muscle or body aches, sore throat, fatigue and congestion.

As we learn more about this dangerous virus and its full range of symptoms, doctors are uncovering yet another set that are unusual and uncommon. From lesions to vomiting to deadly blood clots, doctors are discovering COVID-19 is…

All About Sleep Apnea [Podcast]

Dr. James Bavis & Dr. Ketan Deoras explain sleep apnea as well as signs, symptoms, and what to expect.

Breast Cancer: The Importance of Knowing Your Risk [Podcast]

Dr. Keristen Brantley & Dr. Victoria Van Fossen discuss Breast Cancer Prevention and Treatment.

Alzheimer’s Awareness: Symptoms, Stages, and Support [Podcast]

Amanda Harvan sheds light on the symptoms, stages and support of Alzheimer's.

Importance of flu shots—even in a pandemic

With an ongoing COVID-19 pandemic and influenza (flu) season now upon us, getting the flu vaccine should be at the top of your family’s to-do list this fall.

The Centers for Disease Control and Prevention (CDC) believe both the flu virus and COVID-19 could be running rampant this season. That’s why many medical experts agree this year the flu shot is more important than ever before.

Influenza activity often begins to increase in October and peaks between December and…

Men’s Well-Being: All About Prostate Health [Podcast]

Dr. Kevin Spear discusses men's health and different risk factors and how to ensure optimal well-being.

Summa Health's infectious disease specialist Dr. Thomas File offers the latest updates on COVID-19

We’ve learned a lot about the novel coronavirus (COVID-19) in the past six to eight months since the virus infiltrated our lives and bodies. We now know much more about how it’s spread, symptoms to watch for and how to treat some of them, as well as successful ways to protect ourselves from transmission. 

But, there’s still a long road ahead. There are many unknowns about the virus, including immunity and long-term effects. Summa Health sits down with…

The Latest Updates on COVID-19 [Podcast]

Dr. Thomas File shares the latest updates on COVID-19.

The Latest Updates on COVID-19 [Podcast]

Dr. Thomas File shares the latest updates on COVID-19.

Can Obesity be Considered a Disease [Podcast]

Dr. Adrian Dan discusses obesity as a metabolic disease.

Breaking the Stigma of Mental Illness [Podcast]

Emily Hionides-Horner discusses 7 ways to overcome mental health stigma.

The Modern Guide to Heart Health [Podcast]

Dr. Peter Bittenbender shares his insight on the modern guide to heart health.

Tips on Maintaining Fitness and Physical Health During the Pandemic [Podcast]

Dr. Cipriani discusses tips on maintaining physician health during the pandemic.

Tips for Managing Anxiety [Podcast]

Dr. Leslie Zaynor discusses tips for managing anxiety.

Are outdoor activities safe amidst the COVID-19 pandemic?

As weeks pass by under Ohio’s stay-at-home order, cabin fever is starting to set in for many of us. With nowhere to go and calendars cleared, families are jumping at the chance to get outdoors. Taking your activity outside is a great way to boost your health and wellbeing however, we must take extra precautions to slow the spread of Covid-19.

With summer around the corner there are many things we all look forward to doing outdoors. From cleaning up and planting our…

Myth vs. Fact: What you need to know to protect yourself from COVID-19

New headlines and reports about the novel coronavirus (COVID-19) are infiltrating the Internet, TV, and social media channels daily, if not hourly. Much of this information is vital for our safety and protection against the virus. However, amidst this global pandemic, there are many myths being passed around that could potentially do more harm than good.

 

Summa Health is getting to the bottom of the most pertinent questions it is hearing to separate the myths from facts.…

Fighting Coronavirus: When and how to self-quarantine

Handwashing and social distancing help prevent the spread of COVID-19, but certain situations may require more. If you have been in an office or gathering with someone who developed a confirmed case of COVID-19, you may be concerned that you have become infected as well whether you are exhibiting symptoms or not.

Should you quarantine yourself? If so, how and for how long? The Centers for Disease Control and Prevention (CDC) recommend self-quarantine only if you have a medium…

How COVID-19 Affects People With Chronic Diseases

What is COVID-19? 

COVID-19 stands for “COronaVIrus Disease 2019.  COVID-19 is the disease caused by SARS-CoV2 which is a type of coronavirus.  It is characterized by fever, cough, and shortness of breath, but it is only one of many viruses that can cause similar symptoms. In the context of the current outbreak, COVID-19, SARS-CoV2, and coronavirus are often used interchangeably.

Novel Coronavirus: How Summa Health is preparing for any scenario to help keep their staff and patients safe

Everywhere you turn, there are new headlines reporting on the increasing number of cases and unfortunate deaths due to the novel coronavirus. It’s a respiratory infection that was first identified in Wuhan, China, late last year.

At the time of this post, the outbreak has been detected in more than 35 countries, including those in the United States. The virus has been named “SARS-CoV-2” and the disease it causes has been named “coronavirus disease 2019…

5 Things You Need to Know About HPV to Protect Yourself

Reviewed January 2025

By now, you’ve probably heard about human papillomavirus (HPV). Maybe you heard about it in a TV commercial, read about it in a magazine, or maybe you or your child’s doctor recommended the HPV vaccine. But, why is everyone talking about it? Should you be concerned?

According to the Centers for Disease Control and Prevention (CDC), HPV is the most common sexually transmitted disease in the United States and nearly 80 million people in this…

Novel Coronavirus: Here’s what you need to know

Everywhere you turn, there are new headlines reporting on the increasing number of cases and unfortunate deaths due to the novel coronavirus. It’s a respiratory infection that was first identified in Wuhan, China, late last year.

At the time of this post, there have been more than 9800 confirmed cases in China and a dozen other countries, including the United States, and 213 deaths due to the coronavirus.

The Centers for Disease Control and Prevention (CDC) considers the…

Hepatitis: What you need to know

Did you know the liver is the second largest organ of the entire body, after the skin? It’s also incredibly important: essential for food digestion, stores a large amount of your body’s energy and is a cleaning machine, eliminating toxins in the body. Hepatitis, usually caused by a type of virus, is an inflammation of the liver.

There are 5 types of Hepatitis, but Hepatitis A, B and C are the most common. Each type has different symptoms and treatment options.…

Should my teen get the HPV vaccination?

The human papillomavirus (HPV) is a group of more than 150 related viruses. Each HPV virus is identified by a number, known as its “type or strain.” Some of these viruses do nothing at all, some strains lead to genital warts while others can lead to serious types of cancer.

HPV is very common. In fact, at least 14 million people become infected each year. Some estimate at least 40 percent of Americans have at least one strain. The virus is transmitted through intimate skin-to-skin contact with someone who has the virus, during vaginal, anal or oral sex. HPV is so common that nearly all men and women come in contact with an HPV virus at some point in their lives.

Why Adult Immunizations Are Important Too

August is National Immunization Awareness Month. While we mostly think of trips to our child’s primary care physician for shots, it’s very important to maintain our immunization record as we age. Even if you received all of the recommended vaccines as a child, the protection on certain immunizations can decrease over time. You could also be at a higher risk for certain diseases due to travel, job, age, lifestyle or other health conditions.

Ticks and Lyme Disease: Why are rates so high?

Warmer weather is in full force now, and for many of us this season means outdoor activities including camping and exploring, plus the insects that call these spots home.

According to the Centers for Disease Control, there are more than 36,000 cases of Lyme disease reported each year and hundreds to thousands of cases go unreported. Since the CDC began tracking this disease, the number of annual cases has increased dramatically. Between 2004 and 2016, researchers found cases almost doubled from 19,804 to 36,429.

Before we get into possible causes of this increase, let’s explore what Lyme disease is and how to tell if you may have been infected.

PrEP An important tool in HIV prevention

In the United States, about one million people are living with HIV infection, but it’s estimated that 1 in 7 of those infected is not aware that that he or she is HIV positive. Pre-Exposure Prophylaxis, or PrEP, is where HIV-negative people take a medication to reduce their risk of getting HIV. Currently the only FDA-approved medication for PrEP is Truvada, which is taken once daily for prevention.


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