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a day for at least three months. Smell therapy has shown promise in some clinical trials. Getting smell back At Cleveland Clinic, doctors are offering stellate ganglion blocks to long Covid patients, with the Official Nephyrus Let’s A Have Good Time Shirt it is in the first place but hope of launching a clinical trial. Jennifer Henderson, 54, of Franklin, Ohio, got Covid in January 2021 and immediately lost the ability to taste or smell anything. A year later, her senses came back, but were wildly distorted. She first tried olfactory retraining “religiously” for months, without success. Peanut butter and ranch dressing still smelled like chemicals. Chicken was the worst, she said. “It tasted like rotting flesh. I had to spit it out.” Finally, in November last year, she received the stellate ganglion block at the Cleveland Clinic. The effect was immediate. She held a fresh cup of coffee up to her nose and burst into tears. “It was the best smell ever,” Henderson said. “I just cried like a baby.” Watch: Patient regains ability to smell after experimental procedure MARCH 24, 202301:16 Dr. Christina Shin, a physician specializing in pain management at the Cleveland Clinic, said that nearly every day at least one or two patients are referred to her from the long Covid clinic affiliated with the hospital system for help with their smell and taste. She has treated roughly 30 long Covid patients with the block. About half get better, she estimates, though the level of improvement varies between 25% and 90%. Dramatic responses like Henderson’s have made the rounds on social media, igniting enthusiasm in long Covid communities. But many doctors are cautious because no one really understands how it works. Dr. Christina Shin has treated roughly 30 patients with long Covid-related smell disorders with the stellate ganglion block procedure at the Cleveland Clinic. The technique has been used for decades to treat conditions such as PTSD.NBC News Some experts theorize that it may increase blood flow to the brain. Others suggest the block acts

as a “reset button” for the Official Nephyrus Let’s A Have Good Time Shirt it is in the first place but sympathetic nervous system. Some question whether it works at all. “There is no scientific evidence that this is effective,” said Dr. Justin Turner, an associate professor in the department of otolaryngology–head and neck surgery at Vanderbilt University Medical Center in Nashville, Tennessee. “Given the lack of data suggesting efficacy, it’s really hard to advocate for this for patients who have a problem that typically resolves with time,” he said. As many as 80% will recover on their own within about six months, said Dr. Zara Patel, a professor of otolaryngology at Stanford University. That’s because stem cells in the nasal cavity have the ability to turn into brand new olfactory receptor neurons that detect odors. “Throughout our lifetime, probably every three to four months, each olfactory receptor neuron dies off, and a new olfactory receptor neuron comes in and takes its place,” Patel said. Sometimes those new neurons get confused after they regenerate, leading chicken to smell like rotten flesh, as in Henderson’s case. Distorted smell, called parosmia, isn’t just about difficulty during mealtimes. The condition can have a profound and deeply upsetting impact on a person’s life. In 2021, researchers in the United Kingdom surveyed people with Covid-related parosmia. Some worried about the effect it had on how they felt about their children. “A lot of my maternal bonding feelings for my children are tied up with smell,” one woman said in the study. More news on smell disorders Phantom smells may be a sign of trouble. Smell disorders, such as detecting burning hair, may be more common than thought. Loss of smell may be a warning sign of Alzheimer’s

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