Georgia’s Story
This isn't my story.
It belongs to my daughter, Georgia. Someday, when she is well enough, I hope she will tell it in her own words. For now, I will do my best to share it through the lens of her mother, confidante, cheerleader, and advocate.
Georgia became ill with the Omicron variant of Covid-19 the day after Christmas in 2021. She was only fifteen at the time, too young to receive the Covid-19 vaccine booster that would be approved by the FDA for her age group only a few weeks later. She was moderately miserable cooped up in her room for a week. We laughingly dropped off her meals and Covid tests on a rolling tv stand we dubbed the alter of doom positioned just outside her door, not really worried.
All the news reports assured us that kids breeze right through a Covid infection and she seemed to be doing just that. She had a sore throat for a few days and ran a fever for less than 24 hours, so we were relieved when the virus ran its course fairly quickly. She joined us for New Year's Eve board games via Facetime on my laptop and her antics had us in stitches as she tried on every Memoji character throughout the evening and cracked endless jokes.
We let her leave her room with a mask on after a week, but she continued to complain of fatigue, so still spent a lot of time in bed. As winter break came to a close, the school nurse cleared her to return to school, but she still wasn't feeling strong enough. We let her stay home longer to rest, but as the days rolled into two weeks, we began to pressure her to return. I remember I picked her up early the day I convinced her to tough it out; in the car on the drive home she told me her head was pounding and her leg muscles ached with a heaviness that felt like she had run a marathon.
I began reading about Long Covid that afternoon. What I learned was terrifying. There were literally hundreds of manifestations associated with the post-viral syndrome, and the most common matched her descriptions perfectly: crushing exhaustion exacerbated by the slightest exertion, pain and body aches, brain fog, headaches, dizziness, and a rapid heart rate that left her feeling faint whenever she stood up. Very few doctors understood what this was and even the latest research was vague and undecided. The only consensus was that there was no approved treatment and no answers yet.
For adults with Long Covid (or LC), the outlook was bleak, but the hope of a clinical trial was at least something. For kids, there was nothing. We live in Portland, so I searched for a Long Covid clinic for pediatric cases and found one at Oregon Health and Science University. Unfortunately, patients need to have symptoms for three months before meeting the diagnostic criteria for Long Covid when the clinic would agree to schedule an appointment. Our hopes were so high when that day finally arrived, only to be dashed when the myriad of specialists the clinic referred us to had nothing to offer beyond advice to drink more water and increase her salt intake. We waited another three months to see one of only three pediatric rheumatologists in the entire Portland metro region (all of whom are in the same group). After an hour long interview, we were hopeful this time we would get some answers, only to be devastated by the uneducated response:
"Long Covid isn't real, kids certainly don't get it, and she just needs to practice better sleep hygiene and this will go away."
She didn't even bother to draw her blood.
Long Covid Statistics across the Globe1
10-30%
Incidence of Long Covid
65M
Global Long Covid Sufferers
3
Months of Symptoms to Meet Criteria
18
Minimum Age to be Eligible for Clinical Trials
Georgia's life was put on hold. She could not return to school, rarely left her room, and essentially existed in a state of self-imposed solitary confinement. She spent each day laying down with curtains drawn, lights out, and no stimulus in an effort to recover what little ATP2 her damaged mitochondria could produce. She awoke unrefreshed each morning, as though she had been awake for days, and struggled to complete basic self care tasks. Showering and brushing her teeth sent her heart rate up into the range of strenuous exercise and exhausted her energy stores for the rest of the day. In time, we learned that enforcing extreme rest and doing even small things like filling her water bottle for her could prevent her symptoms from progressing further. She was eventually diagnosed with Postural Orthostatic Tachycardia Syndrome, or POTS, and later both Chronic Fatigue Syndrome (ME/CFS) and Mast Cell Activation Syndrome (MCAS), all common hallmark conditions falling under the collective umbrella of Long Covid.
To date, Georgia has not yet recovered.
We have been fortunate to find caring, compassionate professionals over the past three years to offset the plethora of unhelpful, dismissive, and even harmful medical opinions we were forced to endure. Although I do not have a medical background, as an engineer who happens to be diagnosed with a separate autoimmune condition, I am comfortable reading scientific research; I was able to educate myself quickly on her condition and stay abreast of the latest research. Along the way, I convinced Georgia to try an innumerable quantity of supplements and home remedies progressing in craziness as time dragged on until she finally put her foot down.
She has seen small improvements here and there, though always short-lived until her symptoms were again exacerbated by any number of triggers. We amassed a body of knowledge, research references, and resources we became eager to share with others suffering. As her eighteenth birthday approached, hope grew with the anticipation of the world of new options that would open up to her in adulthood. Every week I scanned the clinical trial database hoping to see the right opportunity arise.
At the end of May, not quite two months after she reached eighteen, my mother called me excited she had found a clinical trial near her in Spokane. We prepared to relocate Georgia to live with her grandmother for a year until we learned a trial site would also be starting in Portland at OHSU. I searched online for the medical director, fittingly named Dr. Hope, and found his university email address on a paper he had written some time ago. I emailed him directly and begged to have Georgia included in the trial. He arranged for Georgia to meet with the trial coordinator and she became the very first participant in the NIH-sponsored Phase II clinical trial for dysautonomia at our trial site.
This is the part of Georgia's story that hasn't been written yet.
Follow her journey to recovery as we document her progress and share everything we learn along the way in the hopes her experience helps someone else who is struggling. The road has been long, and will be longer still, but it is paved with endless hope.
- Statistics for Long Covid vary across research sources and change over time. Current data shown reflects this recent report from July 2024 published by the CDC: Prevalence of and Risk Factors for Post–COVID-19 Condition during Omicron BA.5–Dominant Wave, Japan ↩︎
- ATP stands for adenosine triphosphate and is the source of all energy used by the body’s cells. Source: Physiology, Adenosine Triphosphate ↩︎





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