Thank you to Mike for this piece on our #LongCovid work at @patientled & @itsbodypolitic in the context of what we're up against: a long history of medical gaslighting. Many illnesses (AIDS, cancer, MECFS, colitis, MS) were dismissed before their biomedical cause is found. 1/
The toll of doing advocacy in this environment is high (for us now, & also everyone who came before us).
It's been hard for me to be this vulnerable about this experience so extra thanks to @mikesmariani - a #pwME himself - for treating this topic with grace. 2/
The gaslighters are loud, but they're a minority. And they are quickly being shown to be not just historically cliched, but medically wrong, given how much #LongCovid research is already available. 2 years into this we already have evidence of...
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microclots, immunologic dysfunction, neuroinflammation, nerve damage, impaired oxygen extraction, viral reactivations, endothelial dysfunction, impaired antibody creation, autoimmunity, & multiorgan damage, to name just a few of over 5k #LongCovid studies that now exist.
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A note: we talked about so many other #LongCovid advocates, not only in @patientled/@itsbodypolitic, but the entire international movement. The piece ended up focusing on me, but I'm a tiny part of a huge community. All of what we've accomplished could only be done together. 6/
Thank you so much to @RepPressley for meeting with leaders of the #LongCovid & disability community to talk about major treatment, research, and policy needs, and her call to the CDC to #CountLongCovid!
A thing that stood out to me: Dr. Bateman (1:02:59), who spent her career seeing v disabled ME patients, saying:
"I was completely stunned by the disability & severity of illness in #LongCovid...the amount of cognitive impairment & physical impairment is just unbelievable."
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It focuses on 2 most common & debilitating #LongCovid symptoms: fatigue & cognitive impairment. Unlike other studies which don't include cognition or only include 1 impairment (i.e. difficulty concentrating), this includes memory & more comprehensive cognitive symptoms.
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A really key finding is that fatigue and cognitive impairment were not statistically significantly different between hospitalized and non-hospitalized patients!
This is a major point as the public assumes that non-hospitalized cases are "mild".
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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-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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