Know your Health Status

There are still many uncertainties regarding the effects the virus has on the body, and almost daily we receive new research results and case reports about possible long-term consequences and the infestation of organs other than the lungs.
The virus, which is closely related to the pathogen causing Severe Acute Respiratory Syndrome (SARS), initially triggered severe pneumonia, but it is increasingly clear that the virus can cause damage throughout the body, including, for example, the heart, blood vessels, kidneys, intestines and brain (2).
Therefore, a health check is very important especially now, as insufficiently treated pre-existing conditions such as high blood pressure, diabetes mellitus, kidney, liver, lung or especially heart disease massively increase the risk of a severe course of a Covid-19 infection.
During the examination the whole body is checked, including blood sample, ECG, ultrasound. The checklist gives you an overview of the examinations.
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1.  https://en.wikipedia.org/wiki/Template:COVID-19_pandemic_data, as per august 17, 2021 
2. https://www.pharmazeutische-zeitung.de/der-ganze-koerper-ist-betroffen-117336/ 111206

The classic symptoms of a COVID disease are now quite well known and range from completely asymptomatic courses to a mild symptomatology with breathing difficulties, loss of smell/ and taste as well as flu-like symptoms to the most severe respiratory courses with the need for ventilation.

In addition, longer-term symptoms occur in about 10-20% of patients and, interestingly, regardless of the severity of the disease. Thus, it is not necessarily the ventilated patient who show late complications (that must also be distinguished from the problems directly linked to ventilation), but also patients with only mild symptoms can be impaired in the longer term in rare cases. Incidentally, this is not specific to the COVID disease, but also occurs regularly with other viral diseases, e.g. influenza.

The most common complaints after a survived Corona infection include:

• disturbances in the sense of smell and taste
• persistent fatigue and tiredness
• respiratory problems and 
• joint pain

Other sequelae after corona

Those who have recovered also complain of depression, unclear skin changes or even cardiac arrhythmias. Some patients report “burning sensations” in the chest.

Especially the persistent exhaustion, the so-called fatigue, is more often mentioned in connection with the Post COVID Syndrome: It is already known from other diseases that were accompanied by prolonged intensive medical treatment. The main symptoms are listlessness, sleep disturbances and lack of physical and mental performance.

It is assumed that it is not the virus itself that leads to fatigue syndrome, but inflammatory reactions caused by it. This results in the release of inflammatory substances in the body, which can cause prolonged inflammatory changes in many organs. Although the person is already healthy, inflammation still seems to be smoldering in the body.

To date, little research has been done on fatigue syndrome, so doctors don’t know exactly what is happening in the body and what role Covid-19 plays.

When a post-COVID check-up makes sense

Anyone who still feels very tired and listless after overcoming an illness, or who has other complaints that cannot be attributed to another cause, should first have a check-up with their family doctor. Furthermore, there are already so-called Corona Outpatient Clinics in some places, which are specialized in patients with long-term consequences. These are to be established more widely in the future in order to ensure good care in the future as well.