Table of Contents
From the Editor
- COVID-19: An unwelcome guest that won’t leaveLong-lasting economic and societal effects, and lingering post-infection symptoms. 
The Clinical Picture
- Koebner phenomenon from insulin injectionRepeated insulin injections in the abdomen led to large red scaly plaques. 
- Fibrous epulis: A tumorlike gingival lesionA 40-year-old woman presented with an enlarging mass measuring 20 mm by 18 mm. 
COVID-19 Curbside Consults
- Post-acute sequelae of SARS-CoV-2 infection: Caring for the ‘long-haulers’An estimated 10% of COVID-19 survivors continue to experience symptoms weeks to months after symptoms appear. 
Review
- Vaccinating the unvaccinated adultNumbers of unvaccinated children are on the rise, but when they grow up, some of them come in for care. 
- Quetiapine for primary insomnia: Consider the risksIts cardiometabolic effects and potential for abuse warrant caution in off-label use. 
- CABG: When, why, and how?The surgery has developed beyond a “cookie-cutter” generic cardiac operation. 
Letters to the Editor
- Prostate cancer screeningThe costs of PSA testing—both financial and to the patient’s well-being—are not worth it. 
- In Reply: Prostate cancer screeningThe debate about screening remains fraught, and passions run high on both sides. 
Correction
- Update in perioperative cardiac medicine 2021The following article contained an error: Cohn SL. Update in perioperative cardiac medicine. Cleve Clin J Med 2021; 88(4):216–220. doi.org/10.3949/ccjm.88a.21014 





Commentary
We are still early in our understanding of COVID-19 and its many manifestations.