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    BONUS Episode: The Long COVID Programme with Dr Ben Kelly and Paula Moore from Nuffield Health

    enJuly 04, 2021

    Podcast Summary

    • Discussing self-care through travel essentials, lab-grown diamonds, and holistic recovery programsInvest in high-quality, ethically-sourced essentials, consider lab-grown diamonds for affordability and quality, prioritize holistic recovery programs, and understand the potential role of VO2 max in long COVID recovery.

      Quinn's offers high-quality, ethically-sourced travel essentials at affordable prices, while Blue Nile provides beautiful lab-grown diamonds with the same quality as natural diamonds. The Doctor's Kitchen podcast discusses the impact of long COVID syndrome, which can leave patients with varying levels of disability, and the importance of holistic recovery programs like the one offered by Knuffield Health. Paula Moore, a guest on the podcast, shares her personal experience of recovering from chronic stress and fatigue. The podcast also mentions the importance of VO2 max, the maximum rate of oxygen your body can use during exercise, in recovery from long COVID and mitigating symptoms such as fatigue and breathlessness. Overall, the podcast highlights the importance of self-care, whether it's through travel essentials, diamonds, or holistic recovery programs, and the potential role of VO2 max in recovery from long COVID.

    • Understanding the importance of individualized approaches for managing long-term health conditionsPaula and Ben's personal and professional experiences emphasize the significance of focusing on non-pharmacological interventions and individualized treatment plans for managing long-term health conditions, including long COVID.

      Both Paula and Ben have had personal and professional journeys that led them to understand the importance of taking control of their perceptions and focusing on non-pharmacological interventions, especially in managing long-term health conditions. Paula's experience with stress and burnout led her to prioritize calmness and relaxation, while Ben's background in clinical research and precision medicine drove him to focus on optimizing lifestyle interventions for those with long-term conditions. In the present context, they discussed long COVID, a complex condition that requires individualized treatment approaches due to its multi-organ impact. While research continues, it's essential to address each patient's unique symptoms and tackle the issue on a case-by-case basis. Their shared passion for improving healthcare outcomes through faster translation of research into practice further highlights their commitment to making a difference.

    • A holistic approach to managing health conditionsImproving aerobic capacity through exercise is crucial for overall health, especially for those with muscle and skeletal pain. Tailored interventions and expert guidance from healthcare professionals are essential for recovery and coping with daily life.

      Managing conditions like anxiety, stress, depression, and long COVID syndrome requires a holistic approach that addresses both the physical and mental aspects of an individual's health. Exercise, specifically improving aerobic capacity, is a crucial component for overall health and can be particularly beneficial for those suffering from severe muscle and skeletal pain. However, it must be approached carefully for those with cardiac fatigue. The importance of individualized care and support cannot be overstated, as every patient presents with unique symptoms and challenges. The expert guidance and tailored interventions provided by healthcare professionals can significantly aid in recovery and coping with the demands of daily life. Additionally, the assessment of aerobic capacity through VO2 max testing is a strong predictor of all-cause mortality and morbidity, making it an essential focus for those capable and suitable for such interventions.

    • Navigating the Challenges of RecoveryRecognizing and addressing cultural expectations and mindset shifts can help individuals with long-term illnesses manage daily life challenges and progress towards recovery.

      Individuals recovering from long-term illnesses often face invisible symptoms that are not well-understood by their workplaces or support systems. This lack of understanding and support can lead to significant stress and frustration, making it crucial for rehabilitation specialists to provide patients with the tools and mindset shifts they need to manage their daily lives effectively. For many people, including the speaker, cultural expectations of strong work ethics and the need to prove oneself can contribute to stress and pressure that exacerbate the challenges of recovery. Normalizing the recovery process and focusing on self-help strategies can help individuals overcome these obstacles and make progress towards recovery. It's essential to acknowledge that it's okay not to be okay and that the journey to recovery is unique to each individual. By addressing these cultural and mindset issues, programs and interventions can help fill the gaps and support individuals in their recovery process.

    • Predicting health outcomes through aerobic capacityResearch shows that understanding an individual's aerobic capacity and their potential for improvement through training is crucial in predicting health outcomes, especially for those with long COVID. Tailoring rehab programs based on response to resistance training could be more effective.

      Understanding an individual's aerobic capacity and their potential for improvement through training is crucial in predicting health outcomes, particularly for those with long COVID. This concept stems from research by Bouchard, Timmons, and others, who discovered both predictive and genetic components to fitness levels. Not everyone responds to cardiovascular exercises in the same way, and tailoring rehabilitation programs based on an individual's response to resistance training could be more effective. The number of people suffering from long COVID is currently estimated to be over a million in the UK and between 5-8 million globally, but the true number is likely higher due to those who have not reported their symptoms. This highlights the importance of continued research in this area to better understand and address the needs of those affected by long COVID.

    • Northfield Health's 12-week Long Covid programNorthfield Health's free 12-week Long Covid program combines physical and emotional interventions, involving experts, clinicians, and the NHS. It addresses sleep management, nutrition, movement, and emotional well-being through virtual and in-person support.

      Northfield Health, a trading charity, developed a free 12-week Long Covid program in response to the pandemic. The program combines physical and emotional well-being interventions, with a focus on prevention and community support. Experts, clinicians, and the NHS were involved in its creation. Participants receive virtual and in-person support, including gym access and one-on-one calls. The program's success lies in its holistic approach, addressing sleep management, nutrition, movement, and emotional well-being. With staggered rollouts, the number of people benefiting continues to increase. This program exemplifies the importance of preventative care and whole systems approach medicine in addressing long-term health conditions.

    • Virtual rehabilitation program for Long Covid patients shows promising resultsVirtual rehabilitation program improved breathlessness by 40%, functional capacity by 29%, emotional well-being by 52%, and aerobic capacity by 46% for Long Covid patients.

      The virtual rehabilitation program for Long Covid patients, which currently supports around 1800 patients with plans to expand, has shown promising results based on real-world evidence. The program, which combines virtual and face-to-face care, has led to significant improvements in breathlessness (average 40% reduction), functional capacity (average 29% improvement), emotional well-being (average 52% decrease in anxiety), and fitness (average 46% increase in aerobic capacity) for participants. These outcomes were measured using standardized tools such as the Dyspnea Twelve questionnaire, the Dasey questionnaire, GAD 7, and the 30-second sit-to-stand test. The program, which is open for replication, is designed to be practical for individuals to track their own progress at home. Despite the challenges of working with the complex and unpredictable nature of Long Covid, the program's early success demonstrates its potential to make a meaningful impact on patients' lives.

    • MyCOVID Recovery program's success in helping Long COVID patients recoverPersonalized approach, human support, blended model of care, NHS partnership, and commitment to sharing methodology drive MyCOVID Recovery's success in helping Long COVID patients recover

      The MyCOVID Recovery program, run by Nuffield Health, is making significant strides in helping people recover from Long COVID, with remarkable findings showing substantial improvement even in those with low functioning abilities. This program's success lies in its personalized approach, providing real human support, and the ability to adapt and expand through a blended model of in-person and virtual care. The partnership with the NHS and open collaboration ensures the best possible outcomes for patients. Despite the challenges of scaling up in a bureaucratic organization like the NHS, the MyCOVID Recovery team is committed to sharing their methodology and supporting other organizations to deliver similar programs.

    • Balancing scale and personal touch in healthcarePaula prioritizes maximizing social return and ensuring access to quality care over competition. The challenge lies in maintaining the personal touch and community aspect while scaling.

      Providing quality care and support, whether it's to a commercial competitor or part of the health service, is not about competition for Paula and her team, but rather about maximizing social return and ensuring as many people as possible have access to quality care. However, there's a challenge in balancing scale and maintaining the personal touch and community aspect that builds accelerated recovery and fosters friendships. This is a common issue in various fields, including nutrition education. For instance, in Culinary Medicine, the nonprofit Paula started, the in-person learning experience adds an emotional connection that's hard to replicate in a virtual environment. When it comes to talking to patients about what they should eat, Paula emphasizes a holistic approach, focusing on providing fundamental information that may seem basic but can significantly change individuals' approach to diets. This includes portion control, understanding the role of food in emotional well-being, and avoiding negative eating habits. The goal is to support patients in making informed choices without pushing specific diets or trends.

    • Prioritize self-care for managing long-term COVID-19 symptomsAccepting current state, focusing on personal well-being, and utilizing resources like Nuffield Health's website are crucial for managing long-term COVID-19 symptoms.

      Consistent adherence to core fundamentals of a healthy lifestyle, along with prioritizing psychological well-being, are essential for managing the long-term symptoms of COVID-19. Accepting the current state and putting oneself first, without feeling guilty, is crucial for recovery. Overcoming the urge to be everything to everyone and focusing on personal well-being before helping others, is a key aspect of the conversations between healthcare professionals and patients. The Nuffield Health website offers resources and information for those suffering, even if not enrolled in their program. Remember, self-care is not selfish, it's essential.

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