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HEALTH

‘Like a musician losing their instrument’ – the French sommeliers who lost their sense of taste to Covid

No-one likes to lose their sense of smell or taste - a common symptom of Covid-19 - but for the sommeliers and other wine professionals of France, it is particularly traumatic.

'Like a musician losing their instrument' - the French sommeliers who lost their sense of taste to Covid
A sense of taste and smell is crucial to a sommelier. Illustration photo: Philippe Desmazes/AFP

“It’s very hard to admit that we’ve lost these senses,” said Sophie Pallas, director of the Union of French Oenologues. “I was very affected as an individual because wine is the central passion in my life.”

She caught Covid-19 in January, and said she was still in the middle of her recovery.

“When we are robbed of these senses, our experience of pleasure and desire is amputated. I lost my appetite and totally lost my desire to drink wine,” she said.

As her senses have gradually returned, she said, the process has at least been interesting from a scientific point of view.

“It’s very interesting to rediscover the world of aromas. As a professional, I’ve been able to look at it very analytically.”

With guidance from experts at the University of Bordeaux, she has been rebuilding her brain’s internal database of smell associations that guide our ability to recognise odours – testing her nose multiple times a day.

Pallas was speaking this week at a virtual conference organised by the union, which presented a study into the impact of Covid-19 on the wine sector.

It interviewed 2,625 wine professionals between May and July, mostly from France but also Italy, Chile and other countries, of whom 68 had contracted Covid-19 in the first wave.

Of them, two-thirds lost their sense of smell and 56 percent their sense of taste.

Most – 61 percent – reported a full recovery, but 32 percent said their senses had only partially returned, while seven percent said they had not recovered at all.

“It’s like a musician losing their instrument,” said Didier Fages, president of the union.

Judging by previous coronaviruses, full taste and smell can take up to 18 months to return, and the process can be very worrying for those who rely on having finely tuned noses and taste buds.

“When the fever fell and my appetite returned, I tried wine and I could immediately tell there was a problem,” said Philippe Faure-Brac, the 1992 best sommelier in the world and current president of the Union of Sommeliers, who caught Covid-19 a year ago in the first wave.

“It was very disturbing. There was no smell. I had sensations in my mouth but they were limited and focused on basic flavours and not the subtleties. It lasted nine days – I counted.”

Basic smells began to return and he encouraged them with wines he knew well – particularly fruity or spicy vintages.

“Taste took a bit longer. There was a feeling of alcohol burn, of strong tannins… that lasted several weeks,” he said. “It was very hard to take any pleasure from taste.”

Serge Dubois, vice-president of the International Oenologues Union, had a similar experience.

“From one day to the next, I couldn’t tell the difference between a pastis and a glass of wine,” he told AFP.

Months later, he was still not functioning at 100 percent.

“When I’m testing something, there is something missing. There isn’t the full palette of flavours… It’s worrying, you are less sure of yourself.”

The union this week called on the French government to prioritise the wine industry for vaccines and ensure that people have access to the latest medical support.

“The ability to analyse taste and smell is a daily tool of decision-making for oenologues from harvest through to bottling,” said Pallas.

“It’s important to talk about it, not allow people to be isolated in a very negative psychological atmosphere.”

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HEALTH

The different ways you can make a doctor’s appointment in France

Booking a medical appointment in France can be time-consuming – especially if you are new to the country and are looking for an English-speaking doctor.

The different ways you can make a doctor's appointment in France

You do not need a carte vitale to book a doctor’s appointment in France – anyone who needs medical help while in the country is entitled to it, but you may not be entitled to any reimbursement if you are not part of the social security system.

Booking a GP’s appointment can be as simple as phoning up your friendly neighbourhood GP, or using an online service such as Doctolib. 

It helps a lot, if you have a médecin traitant – an attending GP, who adds you (and your family, if they can) to their list of patients. 

READ ALSO Explained: How to register with a doctor in France

It is not always easy to find one. Some parts of the country are short of GPs, which means doctors’ lists can fill up very quickly. But it is important that anyone who lives in France is registered with a named GP, especially if they have a carte vitale.

As well as being the main point of contact between patients and the medical profession in all its guises, it is financially responsible to be registered with a GP in France.

Reimbursement on consultations is typically 70 percent through the French healthcare system, but just 30 percent for anyone without a declared doctor. Meanwhile, top-up mutuelle health insurance companies usually require you to declare a médecin traitant and if you don’t, you may not be able to receive reimbursements on certain treatments.

Bear in mind, it is your responsibility to register with a local médecin traitant. But, even after you have done so, you can still make an appointment with any doctor, anywhere in France, and arrange specialist treatment, if you need it. 

READ ALSO 5 things to know about visiting a doctor in France

How do you go about making a GP appointment in France?

There are several options.

Some health centres – more often in larger towns and cities – operate a walk-in policy. But expect waits to be lengthy. Do not, however, assume that your GP operates a system like this.

You can phone for an appointment. This is another very common method. Your GP will have their own system for making appointments – which may even include something that looks, to the uninitiated, very much like a casual walk-in policy. 

Some may have an assistant to deal with booking appointments and other administration. Others may deal with appointments themselves, and may – for example – operate some sort of triage system based on voice messages from patients. 

What about online booking systems?

And many practitioners are now attached to websites, such as Doctolib. As of 2023, about half of all GP appointments in France were made using Doctolib.

READ ALSO How to use: French medical website Doctolib

Be aware that other online booking systems are available. Doctolib is one of the best known, but your GP may be attached to another system, like the health ministry approved site ‘LeMedecin.Fr’.

This website also has a feature where you can take an immediate online consultation with whatever doctor is available at that moment. By clicking ‘Consultez en vidéo maintenant’ you will be connected to the next doctor who is free. This option may involve an additional charge between €5-10 on top of the price of the consultation, and you will be expected to pay when booking.

If you have any trouble with either of these websites, you can go through the list of registered generalists per département on the ‘Ameli’ website. If you use this option, you will need to call the doctor to see if they are open or available for appointments.

In terms of wait times, online systems have helped to significantly reduce the delay between booking and getting an appointment.

According to a 2023 study by Doctolib, about half of all GP appointments were available within three days from the time of booking on their platform.

Similarly, you can use online platforms to check the medical professional’s qualifications and languages spoken, as well as filter based on the doctor’s English abilities. However, this should be taken with a grain of salt because not every medical professional with English listed on their Doctolib page speaks fluent English. 

An increasing number of doctorsoffer video consultations, known as télémédecine in France. This allows professionals – particularly those in more rural areas – to diagnose less serious conditions remotely. This type of consultation is usually only available from those medical practices that are attached to online booking systems. 

Some pharmacies have also begun offering walk-in télémedicine consults, using ‘Medadom’ machines. More information here.

What about specialists?

In France, you book your own consultations with specialists, even if you are referred by a doctor (your GP may offer a recommendation, but won’t always). The good news is that many specialists do use online booking services. Those that do not usually have assistants to take care of the appointments.

READ ALSO: Urgent care: How to get non-emergency medical treatment in France

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