There are many ways to engage with #LongCOVID patients as a researcher without joining support groups, which compromises patients' privacy.

In addition to @patientled (associated with the @itsbodypolitic support group), here are a few options researchers may not know about.

1/
The COVID-19 Research Involvement Group has been around since spring 2020 and run by patient-researcher @Know_HG. It's associated with @long_covid support group and has over 2500 patients and researchers discussing Long COVID.

facebook.com/groups/2590602…

2/
The Medical & Scientific Collaboration group has been around since summer 2020 & is run by the renowned Long Haul COVID Fighters support group (@Amy_Ant, @katemeredithp). It also has about 2500 researchers & patients discussing avenues of research:

facebook.com/groups/3018438…

3/
Countless other #LongCOVID groups have mechanisms to let researchers speak to patients directly, including but not limited to @itsbodypolitic, @patientled, @LongCovidSOS, @apresj20, @apuakoronaan, @UTc19LongHaul, @C19LH_Advocacy, @LongCovidKids, @LongCovidItalia, & others.

4/
Importantly, these groups are based on the consent of patients. They know that researchers are in the groups & voluntarily talk about their symptoms, experiences, & ideas. This is contrasted with researchers scraping data from available public forums, a questionable practice.

5/
I'd be interested to know other formats where patients and researchers connect in other illnesses, especially with #pwme?

6/
To clarify, I mean the two research-based facebook groups above have researchers in them and patients know that and intentionally opt-in. The other support groups are private and have alternate mechanisms for communication with researchers!

7/
So there’s no making assumptions re: context, the context is 1) we’re getting lots of requests for researchers to enter our patient-only support group so highlighting alternatives & 2) this paper which scraped a public support group just came out: sciencedirect.com/science/articl…

8/

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More from @ahandvanish

30 Jul
This seems to be the leaked data the CDC used to change the mask mandate this week:

context-cdn.washingtonpost.com/notes/prod/def…

There's a lot to dig in here but a few things that jump out about Delta particularly:

1/
Delta objectively spreads faster than the original COVID strain. The original strain was less transmissible than polio & smallpox; Delta is more transmissible than those as well as Ebola, MERS, SARS, & the Spanish Flu.

Delta is *as* transmissible as chicken pox.

2/ Image
Delta is associated with a higher viral load and longer duration of shedding.

3/ Image
Read 11 tweets
14 Jul
Happening now! I'll try to live tweet as I'm able.

Note: there are a few times where Q&As are welcome from the public! Questions can be pasted in the chat and will be answered during specific time slots. See the agenda for those times.

#LongCOVID

1/
First up Dr. Stanley Perlman on neurologic complications of coronaviruses generally (not just this one).

This study (from 20 years ago!!) shows that there is a discrepancy when the body tries to get rid of the virus, it causes inflammation/damage.

2/
-A specific coronavirus is theorized to be the initiator of multiple sclerosis (this is still at the theory stage)

3/
Read 59 tweets
25 Jun
Proud to have been a Subject Matter Expert to the POTUS Health Equity Task Force!

They're presenting today on what they learned about #LongCOVID (hhs.gov/live) & their presentation is so full of good recommendations that I can't even keep up.

1/
I'm thrilled at their takeaways, including 1) lab confirmation of COVID can't be required for care, 2) creating a federal advisory committee including LC patients, ME experts, & disability advocates, 3) help patients navigate the disability system & expediting claims, & others 2/
Excellent public comments from Michael Sieverts on how biases in PCR and antibody testing will trickle their way into research. Super important as research plans for #LongCOVID are currently being decided....

3/
Read 4 tweets
15 Jun
On those who participated in the survey on the clinical case definition - Patient AND Researcher is a new category (requested by @Dr2NisreenAlwan and yours truly) :)

2/
The parts of the clinical case definition that have reached consensus:

3/
Read 23 tweets
15 Jun
The CDC guidelines for #LongCOVID are out!!!

@itsbodypolitic and @patientled worked together to give feedback on these and it's really emotional to see our research, including the first report we did back in April 2020, cited here. 1/

cdc.gov/coronavirus/20…
It's going to take a while to go through & see what ended up in here, but a few things stand out to me that we pushed hard for:

A) The inclusion of a comprehensive symptom list, including PEM (and a definition for PEM!) and lesser-discussed but common symptoms. 2/
B) Instructions not to use lab confirmation: "Objective laboratory/imaging findings shouldn't be used as the only assessment of a patient’s well-being; lack of laboratory/imaging abnormalities does not invalidate the existence, severity, or importance of a patient’s symptoms." 3/
Read 6 tweets
1 Jun
This is very true. The best way to do research for #LongCOVID is to learn from people who have been working in post-viral illness for literal decades.

Here is a list of these researchers to get you started:
docs.google.com/document/d/17q… 1/
These areas of research are less known, including metabolic profiling, antiviral response phenotypes, neuroimmunology, cerebral blood flow, mitochondrial fragmentation, viral persistence, hypermobility, craniocervical issues, altered T&B cells, metabolomics & proteomics, etc. 2/
These researchers have made astounding post-viral findings in the above areas. Everyone interested in #LongCOVID should stop treating this as an illness unlike any other and instead dive into the massive amount of research that has already been done. 3/
Read 4 tweets

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