"To understand why long Covid represents a looming catastrophe, we need look no further than the historical antecedents: similar postinfection syndromes. Experience with conditions such as myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS)..." 🧵 nejm.org/doi/full/10.10…
".. fibromyalgia, post-treatment Lyme disease syndrome, chronic Epstein–Barr virus, and even the 19th-century diagnosis of neurasthenia could foreshadow the suffering of patients with long Covid in the months and years after infection." #LongCovid#MECFS#pwME
"The health care community, the media, and most people with long Covid have treated this syndrome as an unexpected new phenomenon. But given the long arc and enigmatic history of “new” postinfection syndromes, the emergence of long Covid should not be surprising."
"If the past is any guide, they will be disbelieved, marginalized, and shunned by many members of the medical community... Because of a lack of support from the medical community, patients with long Covid & activists have already formed online support groups." @itsbodypolitic
"Unless we proactively develop a health care framework & strategy based on unified, patient-centric, supportive principles, we will leave millions of patients in the turbulent breach. The majority will be women; many will have chronic, incapacitating conditions.." #LongCovid
"The relationship of long Covid to ME/CFS has been brought into focus by the CDC, the NIH, the WHO, & Anthony Fauci, the chief medical advisor to President Joe Biden & director of NIAID.."
Learn more about #LongCovid & #MECFSmeaction.net/long-covid-me-…
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"Unfortunately, current numbers & trends indicate that “long-haul Covid” is our next public health disaster in the making. To understand the landscape, we can... apply the lessons of past failures in approaching postinfection chronic disease syndromes." nejm.org/doi/full/10.10…
#MedTwitter if you want to understand the landscape & better understand the next public health disaster, we can help you.
Want to learn more about ME/CFS mentioned in the @NEJM?
We know this is a rough time to be a healthcare provider with so much being asked of you. How about learning through a Sundance award winning documentary? @unrestfilm is on @netflix & medical education credits are available here: unrest.film/cme
One last thread on the #DysConf2018 by @rndNumGen. Hasan Abdallah of The Children's Heart Institute presented Sunday on "Stubborn POTS: Why won't my #POTS respond to treatment?" If treatment isn't effective after six months, it's important to dig deeper. (1/7)
@rndNumGen#POTS is a symptom complex rather than a disease entity in itself, with an underlying heterogenous pathophysiology. It has an unpredictable varying course, and the medical management paradigms is evolving. #DysConf2018 (2/7)
@rndNumGen To dig deeper, look at underlying pathophysiology. Look at medications that are being used--dosages, drug targets, interactions, etc. to see where you may be able to make changes. Look at comorbidities;they lead to more clinical severity and complex management. #DysConf2018 (3/7)