WHY THIS TOPIC? While the pandemic phase of COVID-19 is over or winding down in most of the world, the "long haulers" are still with us. Chronic sequelae of COVID-19 will exist as long as the infection remains endemic in the human population. Undoubtedly, long haulers have already presented at many if not most of your practices and will continue to do so for the foreseeable future. The purpose of this course is to expand the practitioner's tool kit of assessment and management options to deal with the complex clinical challenge of the COVID long hauler.

WHAT SORTS OF THINGS WILL BE COVERED? Case history questions relevant to COVID's impact on autonomic function, olfaction, cognition and endocrine issues will be discussed. The role of examination of balance, breathing, orthostatic intolerance, and pupil function will be covered. The value of reverse digit span and lower sacral nerve root examination will be discussed. A review of the small but growing chiropractic clinical literature on long COVID will be presented. The phenomenon of mitochondrial hijacking will be the basis for several non-pharmaceutical adjuncts for the care of the long hauler.