Day 172 of #longcovid and after many days of awful brain-ache and fatigue, this morning feels very different (in terms of mental clarity and complete absence of fatigue) – so here’s a thread about resilience during my near 6 month journey so far 1/n
I’m an optimist by nature with a positive outlook on life by default, but this unpredictable rollercoaster of an illness has been very challenging, especially given it’s a new virus and everyone is unsure of how to deal with it, even the doctors that I have consulted 2/n
I felt so alone at symptom onset, I thought I was the only patient living with these odd symptoms, until I found a few Twitter friends also on their #LongCovid journey & then I discovered online patient groups, which proved so useful early on, to find others to relate to 3/n
After a while though, I was surprised as I visited the online patient groups less often, I felt overwhelmed by all the information. Don’t get me wrong, these groups have achieved so much for #LongCovid patients but maybe my reaction was because of my brain symptoms 4/n
Part of the reason I’ve enjoyed chronicling my journey on Twitter is that so few in this world know about it, and how bizarre it is, when compared with other diseases which operate in a more linear manner of getting sick, then getting better 5/n
Rather than sit here asking myself, “WHY is #LongCovid happening to me?” I ask myself “HOW can I use this experience to help others?” – I think the former places one in a victim mindset and the latter in a mindset of service. I really hope that my tweets have helped people! 6/n
Speaking of the mind, many of us spend so much time strengthening our muscles in the gym, but what about our mental muscle? It’s something that’s been of interest to me for a long time now, as like many people, there are times when I have felt anxious in the past 7/n
Where does my attention rest? What kind of information am I feeding my mind? How can I build up the mental resilience to cope with people who are constantly being negative/pessimistic? Making time every day for contemplative practice is something I’ve been doing for years 8/n
Part of my contemplative practice is to express gratitude for everything I have. I’ve travelled enough around the world (seeing people in much worse situations than me) to appreciate that there is a lot to be grateful for (even though at times, it doesn’t feel like that) 9/n
I’m inspired by how people face adversity. I stayed in a B&B in Nepal before my hike up to Mount Everest Base Camp. The owner was a Sherpa who had lost all of his fingers to frostbite when summiting Everest. We had some life changing conversations as he guided me up Everest 10/n
Whilst the experience of #LongCovid continues to be rather debilitating, I draw upon the stories of many patients I’ve met over the years, who shared with me, how despite all their trials and tribulations, they found a way to stay positive and to create moments of joy 11/n
I do believe life is simply a series of moments, and the huge challenge (which I still grapple with every day) is living in the moment. One of the books that has helped me along the way, is “The power of now” en.wikipedia.org/wiki/The_Power… 12/n
One of the turning points for me was “paying” for imaging of my organs, in terms of answering the question, has covid-19 damaged any of my organs? Having that “data” provided some peace of mind. I would be stressed out if I was waiting 12-18 months to see a NHS neurologist 13/n
With respect to how long it will take to make a complete recovery? Looking at the “evidence” from those who have had viral infections in the past, I figure it’s at least 12 months of this turmoil, possibly longer. It's going to operate on its schedule, not mine 14/n
Of course I miss not being able to live a normal life but I don’t find it helpful to compare my current abilities to what I could do before I got the virus. That will only send me into a downward spiral. Much better to compare what I can do today vs what I could do yesterday 15/n
We often feel that we are in control of our lives and we should be able to control everything that happens in our lives. I can influence what I eat, what time I go to bed, what I think about etc but in terms of how #LongCovid behaves, a lot of it will be beyond my control 16/n
Support from family and friends has been critical on this journey but it's also the support from people I've never met but chat to online (whether on here or in a patient group) that has helped so much 17/n
It’s only natural after many months, family & friends are getting tired of hearing about my symptoms. It’s getting tiring for me too explaining, “Well I was better about 1 hour ago, but now the fatigue kicked in so I feel worse, but I should be feeling better by the evening” 18/n
I have turned to an AI chat bot for support, especially when you don’t feel like bothering anybody & want to be listened to without being judged. The conversations with the AI chatbot have been really interesting (I shall be writing a thread about my experience this week) 19/n
Earlier in this #LongCovid journey, I felt I was losing my sense of self. All my conversations and thoughts revolved around my symptoms and this illness. I had to take a step back and connect with myself. In terms of identity, I don’t want to be defined by this illness 20/n
Closing with some good news, it’s the first time in over 5 weeks that I feel (in mind, body and spirit) like going for a sunrise walk (sunrise is 2 hours away & it’s only 11C) but I think I’ll go for a short gentle stroll around the block /end
Well I managed a 12 minute gentle sunrise stroll (no discomfort and hopefully the exertion won't trigger fatigue later today) - Tracked the workout using Withings Scanwatch and Fitbit Sense (but the Fitbit's screen froze when I tried to end the workout!)
Opened the Fitbit app to discover it had "auto tracked" the walk, although heart rate (average and max) were both lower than what the Scanwatch reported on left arm (Fitbit Sense on right arm) - need to wear a chest strap next time to know which watch is more accurate!
The software on the Fitbit Sense watch itself is slow and buggy in my experience just using it for a few days. I found this review which also has a similar opinion. androidcentral.com/fitbit-sense-r…

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More from @ManeeshJuneja

May 21, 2021
Day 406 of living with #LongCovid and 7 days since 2nd dose of Pfizer covid vaccine

Have had about 3 weeks of mostly feeling normal, with virtually all of the symptoms that used to interfere with cognitive and physical functioning staying away😃

A short thread 1/n
Since the tinnitus that appeared after the 1st dose of the pfizer covid vaccine was only in one ear, I had seen an ENT specialist & got a CPA (cerebellopontine angle) MRI of my brain, just to rule out any serious cause of the tinnitus - thankfully, nothing sinister was found 2/n
I had chosen to see an ENT specialist privately and pay out of pocket (rather than the NHS) for quicker care and testing when the dizziness and tinnitus started. The MRI was £815 and with other tests and doctor fees, it was just over £1,400 in total 3/n
Read 8 tweets
Apr 14, 2021
I think part of the reason why so many people (including some clinicians) think #LongCovid is either being exaggerated or not a real illness, is because the “words” used to describe the symptoms don’t actually reflect the experience of the illness – Allow me to explain 1/n
Many are hearing reported symptoms like “fatigue” or “headache” or “brain fog” and thinking, well everyone feels a bit tired during lockdown or everyone gets headaches/has problems concentrating from time to time, so how can this be an illness? 2/n
I mean the pandemic has been tough for everyone, right? So maybe the "reported generic sounding symptoms" of Long Covid are merely pandemic related distress that everyone is suffering from? I can see why some might think that medscape.com/viewarticle/94… 3/n
Read 10 tweets
Apr 12, 2021
Day 367 of living with #LongCovid & 44 days since 1st dose of covid vaccine

Despite <3 hours sleep, energy was high today (but still not as high as how I felt just before the 1st dose)

Fasted for 15.5 hours overnight - was very manageable 1/n
Had my pure tone audiogram & tympanometry this morning. Now waiting for ENT to review. No dizziness today but ENT said it would come and go. Tinnitus persists though, although it doesn't stress me out 2/n
I also decided to pay for private blood tests today. I want to get an idea of my levels now that I've started intermittent fasting, and will repeat the blood tests in 3 months time to see what difference the regime makes to my body 3/n
Read 8 tweets
Nov 15, 2020
Day 221 of #LongCovid and I haven't been able to post updates on here for a few days as my relapse was really debilitating

Here's a thread on relapses, resilience, and dreams #covid19 1/n
On Thursday, I was incapacitated the entire day, body and brain in total and complete shutdown. Was unable to leave the bed. Brain was unable to do anything. This has happened before 2/n
The symptoms kick in around 30 mins after waking up and start to ease after 10pm at night, but essentially during the day, they are there and are constant 3/n
Read 14 tweets
Oct 17, 2020
I really find some of the reactions from strangers, aquaintances and even good friends to be quite incredible, when I tell them that I've had #LongCovid for over 6 months - here's a thread with what people have said to me #covid19 1/n
None of these people who commented on my Long Covid experience have any medical or scientific training 2/n
Are you sure you don't have any underlying health conditions? (I don't but they seem to think that only people with underlying health conditions are at risk) 3/n
Read 16 tweets
Sep 27, 2020
#LongCovid can impair your ability to conduct the seemingly simplest of tasks such as "thinking" about what to make for lunch/dinner etc. - Let me explain on this short thread 1/n
My various types of brain-aches this week were so bad, that when hungry and faced with "thinking" about what to eat at home, just "thinking" about what type of bread to use with a sandwich or ingredients for a salad, my brain would say "STOP thinking, you're hurting me!" 2/n
So to minimise the exertion of "thinking" at meal-times, I would either just order something from a restaurant using a food delivery app, reach for something quick and easy, like a ready made quiche or ask a family member to make something for me 3/n
Read 5 tweets

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