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Where Discovery Creates Hope

Chad's Story: It's not just about surviving COVID-19, it's about recovering from it.

Chad Glirbas most likely contracted COVID-19 doing the job that he’s dreamed of since childhood: Police work.

The 26-year veteran of the Brooklyn Park force administered lifesaving CPR to someone who later tested positive.

Watch Chad's Story

Seven months later, Chad is one of an alarming number of patients who, no matter how hard they work at it, can’t seem to get back to full strength.

“I wouldn’t think twice about doing it again – even knowing what I know now,” Chad says, pausing at times to catch his breath from lungs still compromised by the virus’s vicious attack.

Chad Glirbas Fishing

“Some patients were agitated. Others confused. Some were even hallucinating.”

Help is on the way from the likes of Dr. Farha Ikramuddin, a physical medicine and rehabilitation physician at the University of Minnesota who noticed, early on, the multiple physical and even mental issues facing COVID-19 patients at discharge.

Most at risk, she says, are people like Chad who, in order to pull them through the toughest stretch of the virus’s siege, were sedated and intubated– some for unprecedented lengths of time.

In addition to the multiple organ damage the virus can wreak on its own, intubation, especially when it lasts for weeks, can cause issues, too, like muscle atrophy and cognitive impairment.

At this point, Dr. Ikramuddin has more questions than answers, but, through science and teamwork, she hopes to develop a rehabilitation program.

She’s already opened an Adult Post-COVID Clinic, one of several M Health Fairview clinics specializing in the recovery of COVID-19 patients. Other plans are to provide a support group so patients can remotely share their harrowing experiences.

“It takes a village to care for these people,” she says. “I’m just one of the many working in this area. And humbled to be of service.”

Chad Glirbas at his desk in uniform

“Without sounding cliché, I like helping people.”

Much of Chad’s hospitalization is a blur. But he does vividly recall thinking that his prospects were slim when doctors told him he needed to be intubated.

He was also fully aware that he might never hold his beloved wife Tanya again.

Twelve days later, Chad awakened to find the tube providing him with oxygen gone. He pushed Dr. Ikramuddin to help him recover enough strength so he could be discharged as soon as possible.

It took him all of six months to be well enough to go back to work, but only behind a desk at the station, not in a patrol car. It’s very difficult, he says, hearing his fellow officers on the radio calling for back up and not being able to respond.

But, maybe, just maybe, with the help of Dr. Ikramuddin, who recently called to check up on him and suggest pulmonary therapy for his lingering breathing issues, he might one day be able to continue the career he loves.

“I’ve been reaching out to more people than ever and just making sure everybody’s doing good. And the funny thing is they sort of go, ‘Shouldn’t you be worried about yourself?’ No, I tell them. I can still talk to people. I can still be there for people.”

Doctor in ppe

How COVID-19 Impacts Different Areas Of The Body

Covid Science Illustration

The Brain

The hallmark symptom of COVID-19, loss of smell/taste, can persist long after recovery. Brain inflammation can result from overstimulation of the immune system. Some patients suffer strokes due to blood clots or hemorrhaging in the brain. Lasting symptoms commonly include: brain fog, trouble thinking, mental fatigue, and memory loss.

The Lungs

COVID-19 can cause pneumonia, acute respiratory failure, and acute respiratory distress syndrome. Shortness of breath is often a long-term symptom, even in people who did not experience severe respiratory complications.

The Body

Complications as diverse as blood clots, bleeding into muscles, toe blisters, rash and rough skin occur. For people who have been on ventilators, the sedatives, muscle relaxers, and painkillers can cause serious muscle atrophy needing rehabilitation. Many people experience long-term muscle, joint, and other body aches.

Other organs

COVID-19 can damage the internal organs with blood clots and in other ways. It can cause liver problems, kidney injury or chronic kidney disease (reversible with dialysis), heart inflammation, or intestinal damage. All of these can last longer than the disease itself.

Throat, Mouth

After intubation, when a patient has a tube run through the throat to the lungs so that a ventilator can support their breathing, patients may need therapy to regain normal swallowing and voice production.

Persistent

Some patients, called “long haulers,” continue to have significant symptoms after they have recovered from the main illness and test negative for COVID-19.

Common symptoms include severe fatigue, shortness of breath, cough, headache, muscle pain, dizziness, and diarrhea. Patients who are still experiencing symptoms one or more months post COVID should see a doctor.
Dr. Jakub Tolar

Dr. Jakub Tolar

Dean of the University of Minnesota Medical School

“Science,” he often says, “is our best answer to almost everything that is broken with human bodies.”

But, he adds, science can’t do it alone.

“Outbreaks are inevitable,” he says. “But pandemics are avoidable. We better learn that lesson and say, ‘How are we going to be better prepared next time around with PPE, with ventilators, with social controls, with advocacy?’”

Dr. Clarence Shannon

Dr. Farha Ikramuddin

ASSISTANT PROFESSOR, DEPARTMENT OF REHABILITATION MEDICINE University of Minnesota

COVID-19 may have brought humanity to its knees. But it also brought out the best in us. We learned and became stronger as a result of it. The development of new platforms of telemedicine and unparalleled teamwork will have a lasting impact.

She adds that understanding common risk factors of patients with a more severe form of COVID-19 will offer a perspective on global health risks. Our responsibility now is to learn from this.

Resources:

Inspired

M Health Fairview Adult Post-COVID Clinics

M Health Fairview ICU Survivorship Clinic

M Health Fairview Adult Post-COVID Clinic

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