It has over 200k views & several hundred citations, & informed policy in many countries & orgs, including the US, UK, Belgium, Spain, the WHO, CDC, & others.
The bad news:
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Most of this info is still not common knowledge to the general public & new patients. So many have no knowledge that cognitive dysfunction, memory issues, neurological issues, post-exertional malaise, dysautonomia (incl temperature & heart issues), & more are SO COMMON.
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#LongCovid patients have an average of 56 symptoms (not uncommon for a multi-systemic illness), not just 1-2 like is often talked about in the news or bad studies.
Some of these have names & can be at least partially treated (occipital neuralgia, POTS, MCAS, reactivations)
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It's been hard to watch, especially knowing that the earlier people get care, the more likely they are to recover.
So today in anticipation of the biggest wave of #LongCovid to date, I will be retweeting this thread of year-old tweets.
If someone in your life has new heart issues/tachycardia, vertigo, cognitive dysfunction, memory loss, extreme exhaustion, exercise & alcohol intolerance, new allergies, reversed sleep schedule, migraines, nonstop fevers, tremors, etc after COVID, they're not alone. #LongCovid 6/
Please help them get help. A good first step is joining @itsbodypolitic, which has a massive number of resources & competent provider recommendations. wearebodypolitic.com/covid19
And share this info.
In the next 2 months, this is likely to affect at least some of you. #LongCovid
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-Endothelial dysfunction (ED) is associated with high cholesterol!
-3 symptoms were associated with ED: fatigue, cognitive dysfunction, & shortness of breath. Others, including loss of sense of smell & cough, were not!
-Reduced Left Ventricle GLS (Global Longitudinal Strain) was associated with #LongCovid (which I believe validates findings from @PutrinoLab et al?)
-There's a note that beta blockers were associated with reduced Long Covid symptoms
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It might not be obvious to those without kids or those who aren't following COVID data closely, but schools are creating & normalizing some of the worst COVID policies. My friend is a teacher who was exposed to 2 students (both positive) during close in-person tutoring...
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But the school doesn't count it as an exposure because they were all masked & she doesn't have symptoms (yet - they take 5-6 days to appear).
They have a substitute teacher shortage (obviously) so she isn't even allowed to self-quarantine; they made her come back to work.
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Another school I know of started out saying a class only has to quarantine if 2 kids are positive; that moved up to 4 kids, then half. So if half minus one students in the class test positive, the class doesn't quarantine 🤯
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I mentioned treatments on this panel today - #LongCovid providers need to learn what is available from existing post-viral illness & myalgic encephalomyelitis experts.
This list of treatments is from the ME/CFS Clinician Coalition & is super useful:
It's been a rough week of learning that the Covid info in the general public is way worse than I understood.
I didn't understand that doctors are *still* telling people they're 100% safe from transmission/transmitting if they're vaccinated, even if they're 8 months out from vax.
I didn't understand that people are sending their kids to school despite someone in the house having Covid.
I didn't understand the cognitive games & justifications people were using to go out with friends even if their partner is ill.
I've reached a new level of hopelessness I didn't think was possible. The amount of information that needed to be communicated to the public like 4 months ago is just not happening, and people are taking advantage of that to be selfish.
This is an average number which has improved over time. In the first wave, when tests were not available, the best case estimate is that there was 1 recorded case for every 33 unrecorded cases! #LongCovid
Interestingly it does show a possible small reduction in the likelihood of getting certain #LongCovid symptoms, including fatigue and possible cognitive and neuropathy symptoms, & a possible small increase in other LC symptoms (headache, abdominal symptoms). More data needed!
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And it does show a substantial decrease in severe acute outcomes, like ICU admission, respiratory failure, death, psychotic disorders, and thromboembolisms, as well as a substantial decrease in loss of sense of smell.