As an umbrella, #LongCovid refers to the long-term symptoms and sequelae of SARS-CoV-2 infection🧵
You can have delayed pulmonary embolism for sure! We perfectly know cardiovascular and clotting sequelae are key factors in Long Covid, often protracted from the acute phase
It's *crucial*, in my opinion, not to confuse the clinical definition of post-covid condition by the @WHO, or the name PASC, or other non-patient made term with #LongCovid. They aren't synonyms. Long Covid focuses on the long-term disease process from infection onwards
#LongCovid is a sophisticated patient made term. It came into being collectively, via the shared experiences of thousands of people, many of whom are scientists and healthcare professionals. It accounts for both disease development across time and sequelae from acute organ damage
We perfectly know many in #LongCovid have a range of multi-system, multi-organ impairment, which may appear in different moments across the disease course. We know covid can have delayed peaks in severity. It can bring about a huge range of damage across different body systems
I hope the various clinical definitions and terminologies that are not patient-made and patient-driven, aren't used to leave some with #LongCovid beahind because they don't fit a given idea of the condition, developed by those who haven't experienced the disease themselves.
A strength of #LongCovid as a *collectively* made patient concept, is that it builds upon *both* the lived experience of thousands that may have experienced different disease pathways *and* the varied expertise of people with different professional, social and health backgrounds
When thinking collectively about #LongCovid, we variously discussed concepts of disability across different cultures; and shared knowledge about diverse care pathways across the world; while prioritizing mutual support and recognizing individual experiences of disease in covid
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👉 a wide range of cardiovascular disorders noted
👉 mechanisms can be multiple
👉 disease burden is vast: the authors expressly recommend policy makers to prepare for potential huge increase in patients
👉 huge control group (from existing medical records)
This study (coupled with similar large-scale follow ups, for example of long-term kidney injury) provides further, overwhelming evidence that
👉SARS-CoV-2 is far from being a benign virus
👉 those with #LongCovid who've been reporting cardiovascular symptoms were totally correct
I'm truly sad to hear there are plans for covid care to be rationed in Australia.
This is what's been happening throughout the pandemic.
We need honesty from public health.
An unleashed or poorly controlled SARS-CoV-2 spread *will* bring *any* healthcare system to its knees 🧵
We saw in early 2020 Wuhan and Lombardy already how SARS-CoV-2 can literally wipe healthcare out. People were left to die at home with no care. We've seen the Italian Army bringing the coffins of covid victims out of Bergamo because the local crematorium couldn't cope.
We know SARS-CoV-2 can led to long-term symptoms and sequelae in a large percentage of those infected i.e. #LongCovid. Many of people with Long Covid aren't receiving any medical care because healthcare systems remain stretched all over the world. Some have died.
An easy-to-read account of the recent paper by @resiapretorius et al. on micro-clotting in both acute and #LongCovid
In the community, we've been discussing the need to address coagulation problems in Long Covid. Not only from a research, but also from a clinical perspective!
Original scientific paper attached below 🔽
We've been discussing how some in #LongCovid with proven clotting and coagulopathy have been benefiting from appropriate treatment.
Unfortunately, not everyone has access to appropriate imaging or diagnostic
We need to ascertain how common these problems (coagulopathy etc.) are, which treatment could be beneficial, how care can be deployed as fast as possible for those who need it.
We have known covid is prone to clotting and cardiovascular events since early 2020!
The emerging scientific evidence shows that a non insignificant percentage of children develops long-term symptoms and sequelae following SARS-CoV-2 infection
Davis et al (2021) characterize #LongCovid in a large cohort of patients at 7 months from symptom onset. Patients come from support groups in many different countries.