#LongCovid was defined by the patient-advocate-researchers who first identified | named the condition as a prolonged form of severe covid, indeed 🔥
This is in the 2020 peer-reviewed | medical literature
Policy makers are trying to minimize it to promote erroneous policy
For example, prominent #LongCovid researcher Prof. @felicitycallard successfully and powerfully questioned the "mild covid" narrative in a May 2020 academic publication
In "How and Why Patients Made Long Covid" @felicitycallard and I make clear many early #LongCovid advocates | patient researchers had severe, life threatening covid
Many were left at home with no care in extreme conditions. These are real people
In this @bmj_latest piece from 1 October 2020, my co-authors and I clarify again that Long Covid rejects the concept of "mild" --- including in the young
I define covid | #LongCovid once again as a multiphasic, prolonged disease
In this pre-print from early 2021 @felicitycallard and I criticize again early official guidelines that saw covid as respiratory disease only, "mild, short" in the young
We demonstrate how patient-made #LongCovid blew this narrative away
In this cutting-edge contribution from spring 2020 @ahandvanish and the @patientled team blew apart the official narrative of covid as a short-term, mild respiratory disease in most
I just shared here some publications from early adopters and patient researchers in #LongCovid --- among many others available
These are papers and contributions that are cited in official guidelines on Long Covid worldwide and across the wider scientific | academic spectrum
If you look for the stories and contributions of many early #LongCovid patient researchers and advocates, you will clearly see many had severe, sometimes life-threatening disease
Many were refused admission only because hospitals were overwhelmed. Some risked to die.
#LongCovid had been presented in some press and by some policy makers as "mild disease" and "fatigue" only for political reasons
Long Covid comes as a spectrum. Some have milder disease. Some have life threatening disease and are refused proper care
I recommend reading this great thread about the long-lasting effects of SARS-CoV-2 infection
Again, this isn't news. We patient-researchers in the first wave had correctly, scientifically, defined covid as a multi-system and prolonged disease ---> #LongCovid
The narrative that covid was a respiratory disease, mild and short in the young, was wrong. It was blown away by patients in the early 2020, including in academic peer-reviewed pieces
I also suggest to read this great piece by physician-researcher @zalaly in the @guardian on the critical impact of #LongCovid patient-led advocacy and research in medicine
This is just news. Thus, not to be taken as a medical record. Notable if #Omicron | partial immune escape even in the vaccinated: two doses only, here, apparently | the possibility of relatively severe disease | presence of at least mild hypoxemia | deterioration days from onset
Overall, and in view of the caveats above = using informal and not official clinical records: #Omicron | covid are not a "cold" or a "little flu" even in those who are vaccinated. Please let's keep vigilant and use all the safety measures at our disposal like airborne prevention
The US is on a monstrous, largely unleashed SARS-CoV-2 spread.
Almost 2000 new deaths. Over 104.000 people in hospital. Almost 20.000 people in ICU. One million new official cases.
This is horrible and not "mild"
We know, scientifically many wil develop #LongCovid
Even if most of the new cases are indeed "mild" and not leading to prolonged disease in view of vaccination, some, at least, will. Maybe many. This is out of 1 million people
We know scientifically that most of those hospitalized or in ICU will develop long-term health issues
We could be facing a monstrous reality where at least 100.000 people --- just to provide a very crude estimate --- could be becoming chronically sick, ill with a prolonged disease, or permanently disabled *only today*. In a single country. From a single disease.
A note on scientific peer-review as regards the controversial @JAMAInternalMed study on #LongCovid
I submitted a rapid response, which JAMA declined to publish
In so doing, I stumbled upon a couple of key issues about how the review of papers published there works
These issues can help explain how the very controversial paper in question might have been published in a medical journal of good standing despite its obvious shortcomings and scientific inconsistencies
Long 🧵 with some technical comments about academic peer review
You, basically, submit your paper via an online platform. One key point is that you can list, in the system, a good number of reviewers of your choice by name. Reviewers are experts who will read your manuscript, and suggest the journal whether to publish it or not.
I stand again with @apresj20 and the other patient-led advocacy groups against poor research on #LongCovid, which has been, sadly, published even in a reputable medical journal like @JAMAInternalMed
We need only the top biomedical and patient-researchers to work on Long Covid
Unfortunately, we have seen a few very poor studies, such as the one recently published in @JAMAInternalMed, make it into medical journals with a good standing in the discipline. Such studies are led by psychiatrics or psychologists with no specific expertise on #LongCovid
#LongCovid, the funding made available to study it, and the paradigm shifts this pandemic is bringing about in medicine, are a once-in-a-generation opportunity to transform how we approach the spread of pathogens, post viral diseases, concepts of disability etc.
This is a key point about coagulopathy in #LongCovid and (I'd think maybe) a subset of acute covid too 💉
Many have normal ddmer levels because the ddmer is the degraded remnant of clots breaking down
The process of breaking clots down seems impaired in (some) in Long Covid