When COVID-19 Is Symptomatic (not symptomic)

What if most people, such as the president of Harvard, get sick and it’s no big deal? Even with autoimmune condition:

Harvard President Larry Bacow announced in an email to the Harvard community on March 24 that he and his wife, Adele Fleet Bacow, had been exposed to the spreading coronavirus. More than a week after they began working from home and limiting their outside contacts, both started experiencing the symptoms of COVID-19. Now recovered, he shared their experience with the Gazette.

Q&A
Larry Bacow
GAZETTE: How are you and Adele feeling?

BACOW: We are feeling much better. We were very fortunate. We never experienced any of the respiratory problems that sent so many people to the hospital. For us, this felt a lot like the flu. Not fun, but certainly not life-threatening, at least in our case.

GAZETTE: What were your symptoms?

BACOW: We both started off with a cough and then that progressed to having a fever and chills. I also had whole-body muscle aches. Everything hurt. I felt like I was 120 years old almost overnight. And then lethargy — just how you feel when you have the flu.

GAZETTE: What was going through your mind when you learned you had both tested positive?

BACOW: Well, we’d been very, very careful, and I was a little bit surprised, in truth, because Adele and I had not seen anyone except each other for close to 10 days before we started experiencing symptoms. We were completely isolated in the house. One reason we had taken such precautions is because I live with an autoimmune condition that makes me very susceptible to any kind of infection. In fact, some people questioned why I actually got tested. It’s because I’m immunosuppressed. So I was at risk. And when we tested positive I thought, “This is going to be interesting.”

I was also worried about being able to discharge my responsibilities. When I was at Tufts, I had gotten quite ill in 2004 when my autoimmune condition was first diagnosed, and I had had to take a month off of work. I realized that I needed to look after my own health. I wasn’t good to anybody if I wasn’t healthy. But beyond that, I realized I also had to give others permission to take the time they needed to recover if they got sick. So when I tested positive, I tried to model the behavior I would hope to see in others by being a good patient and doing what I was supposed to do.