u/ImpossibleReturn244

Hey people. I am 26 years old and I started to have air hunger after a viral infection, its been over 2 months now and I still have it.

I can walk easily and I do not feel out of breath, but I did smoke for at least 10 years now.

I did spirometry test and the results seems good, but my CT scan shows some stuff, I am really afraid I destroyed my lungs and can`t do the things I love in the future.

My personal doctor said the test is fine, and I should now worry, but I am still waiting for my Pulmonologist opinion.

this is the CT result translation; I also added the Spirometry test image.

CT Chest Findings

This is a direct translation of my radiology report; I have not been diagnosed with COPD.

"The examination was performed without intravenous contrast.
No prior examinations were available for comparison.

• Mild emphysematous changes in the apices of both lungs.
• Mild fibrotic changes in the apices of both lungs.
• A small subpleural nodule in the left lower lobe.
• No evidence of pulmonary infiltrate.
• No mediastinal lymphadenopathy.
• Evaluation of the hilar lymph nodes bilaterally is limited due to the absence of IV contrast.
• No evidence of cardiomegaly.
• No pleural or pericardial effusion.
• No obvious bony pathology.

Conclusion:
No evidence of obvious pathology."

https://preview.redd.it/29ipvssfgfkh1.png?width=537&format=png&auto=webp&s=3162ee306701578552488e946970b55cbe701a6f

I’m 26 and I’m not sure if what I’m experiencing is Long COVID, post-viral symptoms, or mainly health anxiety.

2 months ago, I got sick about 3–5 days after arriving in Koh Phangan, Thailand.

I never tested for COVID, and the doctor there just looked at my throat and said "infection" and gave me antibiotics, so I don’t know what I actually had. (also, I did get some hard workouts with this feeling and it didn`t actually affected how I feel, but now I`m scared to do any kind of workout)

I was sick for around two weeks with a bad cough, lots of phlegm, sore throat, congestion, headaches, weakness, and generally felt terrible. I eventually recovered and felt normal again.

About a week after recovering, I developed this weird “air hunger”, I can breathe normally and take a full deep breath, but I frequently feel the urge to take another deep breath, like normal breathing isn’t satisfying enough.

It’s been about 1.5 months and has gradually improved. The weirdest part is that it disappears when I’m distracted. If I’m talking to someone, laughing, concentrating on work, eating, etc., I completely forget about it.

I also sleep deeply without breathing problems. But when I’m alone monitoring my breathing, it becomes much more noticeable.

At one point I went to the ER convinced I couldn’t breathe and was about to pass out.

As soon as I saw the doctor, it basically disappeared. I even did 30 full push-ups in front of him without any problem because he wanted to see if my heartrate goes up (it was 53 when he asked me).

I can also walk for 1+ hour without unusual fatigue or exercise intolerance.

So far I’ve had normal oxygen saturation, blood tests, ECG, chest X-ray, and excellent spirometry (around 120% predicted on average).

My chest CT was also essentially reassuring with no clear significant pathology, and my doctor doesn’t think this is Long COVID.

An important part of this is that I’ve had severe health anxiety for about five years because of a heart condition (WPW).

I spent years convinced I could die at any moment. I finally had a successful ablation earlier this year, and now it feels like my hyper-awareness has shifted from my heart to my lungs/breathing.

Another strange detail: this same type of illness has happened to me on previous trips to Koh Phangan, almost systematically about 3 days after arriving, with basically the same symptoms and recovery timeline. So I don’t even know whether this infection was COVID.

I’m 26 and I’m not sure if what I’m experiencing is Long COVID, post-viral symptoms, or mainly health anxiety.

2 months ago, I got sick about 3–5 days after arriving in Koh Phangan, Thailand.

I never tested for COVID, and the doctor there just looked at my throat and said "infection" and gave me antibiotics, so I don’t know what I actually had. (also, I did get some hard workouts with this feeling and it didn`t actually affected how I feel, but now I`m scared to do any kind of workout)

I was sick for around two weeks with a bad cough, lots of phlegm, sore throat, congestion, headaches, weakness, and generally felt terrible. I eventually recovered and felt normal again.

About a week after recovering, I developed this weird “air hunger”, I can breathe normally and take a full deep breath, but I frequently feel the urge to take another deep breath, like normal breathing isn’t satisfying enough.

It’s been about 1.5 months and has gradually improved. The weirdest part is that it disappears when I’m distracted. If I’m talking to someone, laughing, concentrating on work, eating, etc., I completely forget about it.

I also sleep deeply without breathing problems. But when I’m alone monitoring my breathing, it becomes much more noticeable.

At one point I went to the ER convinced I couldn’t breathe and was about to pass out.

As soon as I saw the doctor, it basically disappeared. I even did 30 full push-ups in front of him without any problem because he wanted to see if my heartrate goes up (it was 53 when he asked me).

I can also walk for 1+ hour without unusual fatigue or exercise intolerance.

So far I’ve had normal oxygen saturation, blood tests, ECG, chest X-ray, and excellent spirometry (around 120% predicted on average).

My chest CT was also essentially reassuring with no clear significant pathology, and my doctor doesn’t think this is Long COVID.

An important part of this is that I’ve had severe health anxiety for about five years because of a heart condition (WPW).

I spent years convinced I could die at any moment. I finally had a successful ablation earlier this year, and now it feels like my hyper-awareness has shifted from my heart to my lungs/breathing.

Another strange detail: this same type of illness has happened to me on previous trips to Koh Phangan, almost systematically about 3 days after arriving, with basically the same symptoms and recovery timeline. So I don’t even know whether this infection was COVID.

Hi everyone,

I'm a Portuguese citizen and I'm planning to start an e-commerce business using Shopify.

The business will mainly sell to customers outside the EU, and I'm trying to understand the best way to set everything up from the beginning.

I have a few questions:

• What type of company would you recommend opening in Portugal for this kind of business (Unipessoal Lda., sole trader, or something else)?
• What's the correct process to get everything set up properly?
• Are there any things you wish you had known before starting?
• Can anyone recommend a Portuguese accountant who speaks English and has experience with Shopify/e-commerce businesses?

I'm looking for someone who can help with the company setup as well as ongoing accounting, VAT, and tax filings.

Any advice or recommendations would be greatly appreciated.

Thank you!