Cognitive Rehab: One Patient’s Painstaking Path Through Long Covid Therapy – The New York Times

With time, Ms. Purvis, the speech-language pathologist, incrementally ramped up the workouts: set up numbers in coming down order, repeat a sentence in reverse. She increased noise and interruption to approximate Ms. Lewiss busy workplace. She kept the door open, switched on television news and ultimately held sessions in the busy physical therapy gym.Amid the hum of treadmills, workout bikes and other clients conversations, Ms. Lewis worked earnestly to arrange playing cards by fit in ascending order and flip numbers spelled with a “T,” like “two.” Concurrently, Ms. Purvis recited words and Ms. Lewis attempted to raise her hand whenever one started with “B.”” You missed 12, which is a lot more than you usually miss,” Ms. Purvis said.” Ay,” Ms. Lewis sighed, fingers fidgeting.Two days later on, asked to begin at 1 and repeatedly include 9 and deduct 4 until reaching 130, Ms. Lewis was stopping and sluggish.” Oh my God,” she exclaimed after ending up. “That one was harder.” But later on, she accurately kept in mind four statements recited early in the session, including, “Rubber bands last longer when cooled.”” Its been challenging,” she told Ms. Purvis. “I dont feel super-disheartened.” Since for some patients physical or cognitive effort exacerbates symptoms, Dr. Roth said the AbilityLab prompts patients to “push themselves as much as they can, however not beyond.”