Long-COVID Treatment Database 
Shreya Dundumalla (DO `24)
April 19, 2022
                  
                  In 2019, Shreya Dundumalla graduated from Drexel University with a bachelor of science
                     degree in journalism and a minor in biology. Ms. Dundumalla was the first in her family
                     to graduate from an American university and she was often tasked with interpreting
                     legal and medical files for her family. At Drexel, she discovered her passion for
                     work lay at the intersection of language and science, leading her to deviate from
                     the traditional pre-med route to pursue journalism, a field that requires translation
                     through storytelling.
                  
                  In speaking with Ms. Dundumalla, she shared, “Medicine is its own language for those
                     of us who are fortunate enough to have the resources to learn it. Being a doctor requires
                     the intellectual challenge of knowing how to treat your patient, but often overlooked
                     is its creative challenge of being able to educate your patient in order for them
                     to take care of themselves.”
                  
                  Ms. Dundumalla is currently involved in a long-term research project that seeks to
                     create a uniform database for those experiencing long-term effects of COVID-19. The
                     database also provides consistent treatment recommendations for physicians treating
                     patients experiencing long-COVID. Below, Ms. Dundumalla shares her journey to research
                     and the impact she hopes it will have. 
                  
                  What prompted you to pursue research?
                  
                  In undergrad, I originally pursued research thinking it was just another requirement
                     to get into medical school but ended up having a deep appreciation for how research can shape both your personal
                     and career growth. By defaulting to a textbook education in undergrad and preclinical
                     years of medical school we tend not to go outside of our comfort zones. Working on
                     research projects helped me have autonomy in an often stagnant learning process by reminding myself
                     that my own project could be making a difference, no matter how small, in the field
                     I will work in one day.
                  
                  What are you currently researching?
                  
                  There are so many uncertainties with COVID that research has expanded on in the past
                     few years. More recently research has been trying to understand COVID’s long term
                     effects. Physicians first noticed patients recovered from COVID have been coming in
                     complaining of the same symptoms. After identifying that COVID-19 can result in sequelae
                     lasting months after initial disease recovery, physician clinics specifically tailored
                     to seeing these patients with COVID sequelae, better known as ‘long-COVID’ started
                     popping up. Each long-COVID clinic has their own standards for measuring and treating
                     long-COVID symptoms. A patient complaining of brain fog 3 months after COVID may be
                     assessed and treated completely differently if they move or decide to seek their treatment
                     at a different institution.
                  
                  This variation does not give healthcare workers a greater understanding of long-COVID
                     and such treatment measures that may result in better patient outcomes. With how new
                     COVID is, our healthcare system still has not figured out a set of procedural guidelines
                     for physicians to follow when patients present with long-COVID symptoms. Our project
                     identified this deficit and aimed to close this communication gap between physicians
                     and the general public.
                  
                  We first tried to establish a database of long-COVID clinics around the country that
                     could be easily accessible to patients and clinicians. This database proves especially
                     useful for lead clinicians to refer to other institutions to improve upon their own
                     practices or to create new practices. This can also be useful for physicians that
                     are looking to create brand new clinics to look at nearby clinics in their area and
                     specifically tailor their new clinic to a niche in long-COVID treatment not provided
                     by other clinics nearby. Patients can also find this database useful while looking
                     at clinics in their area and the services they provide and clinic requirements before
                     initial patient visits. After establishing a database of over 100 clinics across the
                     country, we identified what information new and old clinics could benefit from by
                     distributing a survey to all lead clinicians.
                  
                  Where is this research being conducted?
                  
                  My mentor for this project was Dr. Benjamin Abramoff, the lead clinician in UPenn’s
                     Post-COVID Assessment and Recovery Clinic. This project was with The University of
                     Pennsylvania Perelman School of Medicine alongside other clinicians part of American
                     Academy of Physical Medicine and Rehabilitation Long COVID collaborative from The
                     University of Colorado, University of Texas Southwestern, Albert Einstein and Johns
                     Hopkins.
                  
                  What were your responsibilities in the research project?
                  
                  I was the lead researcher on this project. My responsibilities first involved establishing
                     our database of nationwide long-COVID clinics where I then had to contact the lead
                     clinician to include them in our study. From there, I was involved in creating the
                     objectives in our research study and design from what knowledge we wanted to gain
                     in the study to interpreting and portraying our data findings in a way that could
                     easily help clinicians.
                  
                  What is the broader impact of your research?
                  
                  We created survey questions focused on three major areas of these clinics 1.) clinic
                     infrastructure 2.) treatment and clinical models 3.) patient follow-up and clinic
                     collaboration. The first part of the survey would be particularly helpful for clinics
                     looking to create their own long-COVID clinic by having an understanding of the logistics
                     of how other clinics function from their patient intake to other healthcare departments
                     that work to support the clinic. Most significant was helping clinics identify their
                     own clinical obstacles as this could be a foundational basis for physicians looking
                     to create a new clinic. The second part of the survey aimed to identify a set of guidelines
                     all physicians could follow in treating specific long-COVID symptoms to reduce clinical
                     variation between institutions. The last part of the survey examined how clinicians
                     would follow-up with patients including multi-disciplinary methods of extended treatment.
                     This part also aimed to establish a long-COVID collaborative network between physicians
                     at different clinic institutions to share resources, ideas and guidelines for a more
                     cohesive long-COVID treatment nationwide.
                  
                  *The work of Ms. Dundumalla and her team was cited in the article “The Implications
                     of Long-COVID on Rural Communities,” which was published in the Journal of Rural Health. 
                  
                  
                  
                  
                   
                  
                  
                   
                  
                     
                     
                        
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