So it appears there is some association with positive SARS-CoV-2 pre-op in kids with appendicitis -- including kids who tested positive but were asymptomatic. A story about how this relates to #MECFS (1/6) #LongCovidKids#LongCOVID
My own story is that I had LRQ pain and was taken to the ER as a kid. It was baby's first medical gaslighting: they made us wait in the ER for hours, never scanned for anything, said I had probably eaten something bad (like I was 1 instead of 8) and sent me home. (2/6) #MECFS
Then, in graduate school, the same pain started up again, this time lasting weeks. Experience is a hard teacher. I did everything I could on my own, too much to list here. My efforts made a dent, and after 1-2 months, it died down to a dull roar. (3/6) #MECFS
Finally, during my ME diagnosis a few years later, my specialist doctor's fingers unerringly found the spot and *pressed down*. I screeched, shocked. It isn't every day that someone palpates there, so I had no idea how bad it still was. (4/6) #MECFS
This was part of his diagnostic algorithm for ME/CFS (along with palpating the place where the skull joins the spine). He didn't press anyplace else. He's the one who diagnosed me. (5/6) #MECFS#LongCOVID#CCI
It still hurts, all the time. But unless someone presses there, it's a 1/10 on the pain scale. Very background-noise.
I asked my GP about chronic or recurring appendicitis.
(If you haven't been in the chronic illness community long, "it's rare" makes some doctors think they'll never see it. They don't do the math re: how many patients they see per year.)
Did we know that Neil Young had post-polio syndrome?
Post-polio syndrome is one of many post-viral complications, & is frequently discussed in ME/CFS literature. Percentage affected by long-term symptoms is similar to #COVID19's #LongCOVID.
There's an article here that talks about how polio ripped through LA County, listing the many, many well-known folks affected. jonimitchell.com/library/view.c…
I got the rest of the funding for the pilot from a private donation! (2/3)
Provided the proof of concept work makes sense, I will have some funding from a much larger grant, coming through this spring... so I will be able to enroll patients and test the idea more thoroughly.
It's a proposed biomarker for PEM. We'll see. 👍🏼 (3/3)
Glad to be a panelist at Project ECHO on #LongCOVID & #MECFS today! Fruitful convo on #POTS & comorbidities. The big meetings, starting next week, are open to all.
To register for any of the sessions: echo.zoom.us/webinar/regist…
Family Health Centers of San Diego, the ECHO Institute, University of Washington, and University of Colorado have collaborated to provide a CDC-funded monthly webinar-style ECHO learning session to rapidly disseminate Post-acute Sequelae of SARS-COV-2 infection (#LongCOVID) (2/5)
& Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (#MECFS) findings & emerging best practices. This large-scale national monthly ECHO series will offer didactic presentations by subject matter experts, ex. of emerging best practices & models of care, & a facilitated Q&A. (3/5)
The chronic illness community saw it coming and did our best to prepare folks. #MEAction had a coordinated response. But the chronic illness community is not a public health agency, and cannot coordinate a response on the level necessary to educate the public as a whole. (1/7)
We're told patients should ensure researchers study #MECFS rather than CDC/NIH ringfencing funding. At the public health level, we were left to do our best to educate about the potential for post-viral chronic complex diseases like #LongCOVID. I'm not sure how many heard. (2/7)
I mean, I'm still hearing that #LongCOVID is a 'mystery' & "who could've predicted--?" & I'm VERY worried about who has been identified as an expert in the #LongCOVID space who is not a patient. They largely have no experience with post-viral disease before COVID. (3/7)
Just had a funny convo with my uncle. "I said you're coming for Thanksgiving and some of my friends asked if you know @davidtuller1?"
"Yes, I know David--"
"He writes about ME"
"Yes --"
"I read one of his articles, about cognitive behavioral therapy.. (1/7)
"...and exercise and how they just throw this at ME patients and of course it doesn't help but that National Institutes of Health in UK changed this. Did you know about that?" (2/7)
"...Anyway I don't think David will be there, I just think it's cool we share some friends-of-friends."
Someone wrote me an email asking about results for Survey 1/Chapter 1 of the Chronic Illness Survey Adventure! That survey is still open, so I can't respond in detail, but I can tell you a few things about our progress: (1/8) #SC4D#NEISvoid#MECFS#LongCOVID#MCAS#POTS#hEDS
We definitely need more healthy controls. Please ask your healthy friends & relatives to take the survey! Each section is taking most people less than 15 minutes so it's very straightforward and really helps our community. (2/8) #SC4D#NEISvoid#MECFS#LongCOVID#MCAS#POTS#hEDS
Overall, we have over 2K responders who 'crossed the finish line' in Survey 1. That means they completed the survey and meeting inclusion criteria (which were coded into the survey itself), and so on. Thousands more signed up and sat on it (as one does). (3/8) #SC4D