Since the "I'm recovered, but..." variant of #LongCovid seemed to resonate here, let me share the next part of my personal thought process on this: we need a metric in medicine for how much effort someone has to put into feeling ok. So many people feel "conditionally ok" (1/n)
"I can feel ok so long as I do x, y and z religiously, otherwise my health gets really bad" - this is often not viewed as pathology, and this is a trap that many #LongCovid patients may fall into - fine so long as they put an incredible amount of effort into their health (2/n)
This is why historically excluded groups and people living near the poverty line will be disproportionately affected by #LongCovid: the amount of time and effort required to stay healthy will not be compatible with the lifestyles of many, leading to worsening disability (3/n)
while simultaneously experiencing a progressive retraction of health services (because they're "fine"). Creating a framework that quantifies the amount of time and effort that goes into a person maintaining an acceptable level of subjective wellness seems like a logical (4/n)
next step for adding some nuance to the very binary "sick" or "not sick" clinical world that we live in today, especially when it comes to chronic illness. Obviously shame on me if this already exists, but I looked pretty hard and didn't find anything. #SundayThoughts (end)
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