I just crossed the 4 month mark of being sick w' #COVID19. I am young, & I was healthy. Dying is not the only thing to worry about. I still have a near-daily fever, loss of cognitive function, essential tremors, GI issues, severe headaches, heartrate of 150+, viral arthritis, 1/
heart palpitations, muscle aches, a feeling like my body has forgotten to breathe. Over the past 124 days I've lost all feeling in my arms & hands, had extreme back/kidney/rib pain, phantom smells (like someone BBQing bad meat), tinnitus, difficulty understanding text/reading, 2/
difficulty following conversations, sensitivity to noise & light, nonstop bruising. *Thinking* can cause headaches now. I'm not alone in the cognitive issues; it's as common a symptom as cough.

No one knows when #longcovid patients aren't contagious; many are alone for months.
People w' #longcovid weren't able to get testing until late. There are people on my same timeline who are only now learning they had strokes & encephalitis & heart attacks. MRIs/CT scans were only accessible in the ER. Drs were solely looking at the lungs for way too long. 4/
The symptoms are bizarre. There are people with brand new #allergies to the point of anaphylaxis; others whose allergies have disappeared. Post-menopausal women who are having spotting and periods again. Medications spontaneously stop working, need to be adjusted higher/lower. 5/
It causes flareups of other viruses, past surgeries, other conditions. Old injuries are raw & feel new again. My left leg & foot, injured in a moped accident in 2017, feels crushed like it happened yesterday.

Intolerance to exercise, alcohol, caffeine, & stress are common. 6/
Insomnia is common. The dreams are vivid & bizarre, often lucid dreams, often violent & nightmarish, many reports of dreaming about people who have passed away.

The symptoms wax & wane; you think you're getting better, only to be hit again. New symptoms appear constantly. 7/
The CDC is starting to acknowledge us & the #LongCovid numbers are high: 35% of people are not back to normal after the suggested 'recovery' period.

Given the US's current cases of 4.2 million, that's 1,470,000 long haulers in the US alone.

cdc.gov/mmwr/volumes/6… 8/
In patients aged 18-34 with no pre-existing conditions, that number is 20%. I was in that unlucky camp & you could be too. This life is a weird parallel one where almost everything in your old world feels alien & unreal; I don't want it to happen to a single other person. 9/
I had been isolating for 11 days on the day of my first symptoms and I probably got it on a trip to the grocery store. There is almost nothing that is worth losing 4+ months of your life in this way. No BBQ, no tech event, no haircut. 10/
This isn't the flu where you can curl up with netflix and tea for a few weeks; this is an active, awful illness with neurological effects for most.

For now we're holding out hope for #recognition, #research & #rehab. And we're doing our own research: patientresearchcovid19.com 11/
I want to add that people with myalgic encephalomyelitis (#pwme) have gone through this same thing without any of the attention #LongCovid is getting; we need to remember them & bring them along with whatever recognition & funding we receive. And IMPORTANTLY, like #ME... 12/
...we are going to be in trouble if we start getting lumped into a singular diagnosis or the dismissive "chronic fatigue syndrome"; everyone's #LongCovid struggles are different, not everyone has fatigue/exercise intolerance, advocacy for heterogeneous treatments is vital! 13/
Damn, this took off. If you want to help support our patient-led research into #LongCovid, please donate! patientresearchcovid19.com/donate/ 14/
And if you're also dealing with #longcovid, join a support group! I recommend:

Body Politic support group (on Slack) wearebodypolitic.com/covid19

Long Haul Covid Fighters (for people at 80+days) facebook.com/groups/2706248…

Long COVID support group
facebook.com/groups/longcov… 15/
#LongCovid owes so much to @edyong209, who wrote this amazing piece on long haulers back in June. After this piece doctors started believing us. theatlantic.com/health/archive… 16/
For 100+ other articles and patient stories on #LongCovid, see c19recoveryawareness.com/articles-page-2 17/
I kind of hate to add this tweet since I've scared so many people already, but I've had a pretty mild case of #longcovid. I know people w' facial paralysis, hearing loss, vision loss, encephalitis, seizures, continued loss of taste - all on the same ~4 month timeline as me. 18/
Also, kids are getting #LongCovid too. If I were a parent, there is no world in which I'd be sending my kid back to school. 19/
Here’s my piece in the Guardian summarizing all of the above as well as four policy changes that will help people with #LongCovid or #COVID19 generally 20/
Let’s add “false positive pregnancy test” to the bizarre list https://t.co/t1YVOtmumR

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More from @ahandvanish

4 Jan
Everyone and especially #LongCOVID folks - this is an exceptional article by @jameshamblin about the link between COVID & sleep. I didn't start getting better at all until I was able to sleep again, ~4 months in. I strongly suggest prioritizing it. 1/

theatlantic.com/health/archive…
It's not mentioned in here, but the glymphatic system of the brain is what clears waste and toxins from the central nervous system, and happens primarily during sleep. A faulty drainage system seems to be one theory behind post-viral illnesses. 2/
ncbi.nlm.nih.gov/pmc/articles/P…
Impaired glymphatic function has also been linked to Alzheimer's. Here's a paper that gives more detail on "cleaning the sleeping brain" 3/

sciencedirect.com/science/articl…
Read 4 tweets
27 Dec 20
Yay our #LongCovid paper is online!!!

medrxiv.org/content/10.110…

While we had a few thousand more fill in the survey, this paper focuses on 3,762 #longhaulers (sick >28 days) who got sick between Dec-May (to look at an average of ~6 months of data).

Some key findings:

1/
We looked at 205 symptoms over 10 organs systems (Neuropsychiatric, Pulmonary, Head Ears Eyes Nose Throat (HEENT), Gastrointestinal, Cardiovascular, Musculoskeletal, Immunologic, Dermatologic, Reproductive/Genitourinary/Endocrine).

On average, 9 in 10 of these were affected!
2/ Image
Of the 205 symptoms, we looked at 74 over time, looking at Weeks 1-4 and Months 2-7.

These graphs show the % of respondents who have reached each month who have these symptoms. Some of them go down (fever*, dry cough) while others don't. (*tho some have fever for months!) 3/ Image
Read 30 tweets
7 Oct 20
I don't usually do these kinds of posts, and I hope that everyone understands my intentions are good here.

But.

In a data deficient landscape like that of #longcovid, one bad data study can create narratives that persist long after new, good data is created. I want to talk 1/
about one of these.

The Kings College symptom tracker is an app. Because they track symptoms over time, it gets a lot of citations on Long Covid prevalence, and also symptom prevalence.

But there are 2 *huge* issues with it:

2/
1) Because it's an app, it gets exhausting to use, and people stop using it. This is a known and public problem, understood by Tim himself:

3/ Image
Read 19 tweets

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