Tom Jackman Profile picture
Apr 30 13 tweets 5 min read
A story about ME.

In the late winter of 2004, I caught a nasty virus—perhaps SARS-CoV, perhaps not—and since then my life has been a series of shrinking options and forced limits. Take too many steps? Bed. Cook a meal? Bed. Mental stress? Bed. Hangout? Bed. Enjoy the beach? Bed.
In 2011, I was diagnosed with Myalgic Encencephalomyelitis—ME—but not before the push-crash cycle left me unable to work, unable to lead a normal life. PEM, a racing pulse, breathlessness, sleep disorders, OI, heat/cold/sound/light sensitivities—sounds fun, right?!
#pwME
But interestingly, elevated liver enzyme levels were some of the first diagnostic results to raise a red flag after infection. The levels have bounced around, but have remained too high since my fateful trip to Europe in 2004. In early 2017, I was also diagnosed with NAFLD.
Now, I know what skeptics will say and they're right: Correlation doesn't prove causation. I can't prove that the viral illness that left me permanently disabled also caused my liver problems. I mean, people are allowed to have more than one streak of bad luck, right?
But given the recent uptick in hepatitis and other liver issues—at the exact same moment a new coronavirus swirls around us, one wonders.

At the very least, present caution (in the form of mask mandates and expedited pediatric vaccine approval) is warranted.
Moreover, it's important to note that members of my illness community were some of the earliest to sound the alarm that SARS-CoV-2 would likely lead to a wave of post-viral illness, and most probably a dramatic increase in people diagnosed with ME. But it wasn't clairvoyance.
Sufferers of ME made this call—which has now been proven overwhelmingly correct—because we had seen an increase in people who develop ME after other novel respiratory pathogens going back decades, including after SARS-CoV. bmcneurol.biomedcentral.com/articles/10.11…
We also knew that the sheer numbers of people getting infected would tip many into full-blown post-viral ME. After all, one thing that ME researchers have conclusively shown is that there are multiple roads leading to same place. Some people who get a bad cold even develop ME!
As the first reports of Long Covid began to circulate in the late spring of 2020, the fears of the ME community were realized: LC patients were exhibiting some of the classic hallmarks of ME—Post Exertional Malaise (PEM), unrestorative sleep, cognitive problems (brain fog), etc.
There is hope for those suffering such post-viral fates, but there's also an aura of uncertainty. Lots of new research is looking at these problems (sometimes ignoring valid older research, unfortunately), but we simply don't know whether most LC/ME is reversible or treatable.
Ultimately, it's important for governments and individuals to exercise a bit of caution and humility in the face of such uncertainty. As such, we must work to minimize COVID infections and reinfections with commonsense things like quality respirators, air filtration devices, etc.
Finally, if you or someone you know are among the unlucky ones who find themselves in a post-viral illness basket not of your choosing, know that there are things you can do—right now—to help decrease the chance of making your symtpoms worse. #StopRestPace meaction.net/stoprestpace/
#MyalgicE #mecfs #LongCovid #pwME #COVID19

Image and video courtesy of:
@MEActNet

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More from @frozen

Apr 29
As more people die daily from covid, hospitals become overwhelmed, and many—including young kids who have barely known life—are left disabled by chronic illness, it's worth reflecting that last month a seasoned public health official told us to "sing together without masks on."
Future historians will have a difficult time explaining such displays of insouciance by health officials and politicians tasked with protecting us from a world-wrecking airborne pathogen. I certainly have trouble explaining this moment to myself.
What these officials seem to be saying is that we should happily accept one or two fleeting moments of reckless joy in exchange for a potential lifetime of misery for ourselves or others. They are ok with this bargain, and they think we should be ok with it too.
Read 4 tweets
Apr 26
A day in Canadian healthcare.

Last November, I experienced a sudden onset of unexplained tremors (internal and external). I'm 42. I contacted my GP, who told me to wait and see. 6 weeks later, the tremors continued to worsen, and my GP made a referral to a neurologist.
3mo. later, no neuro appointment received, I followed up. My GP said she would expedite the appointment, and order an MRI. She also said she would see me in her office to take a look. After much back-and-forth with the scheduler, I was finally able to book an in-person appt.
Which brings me to yesterday. I arrived at my GP's office, and was immediately told by the door person to don a surgical mask in place of my new N95, or to wear one over it. In April 2022. Every staff member and doc in the clinic was wearing a baggy blue. In April 2022.
Read 10 tweets
Apr 24
In April 2022, the only person in the photo smart enough to wear a respirator, @adriandix, is also a key member of a BC government that tells people not to bother wearing a mask in most settings, let alone an N95.

I don't even know what to say. Hypocrisy thy name is Dix.
I suppose we should be happy he wears any sort of mask at all, when his pandemic partner—Dr. Bonnie Henry—is content to go maskless as she traipses around the awards circuit (while crudely preventing actual frontline healthcare workers from wearing N95s).
Let me be clear: The healthcare workers in this photo aren't wearing respirators because the BC government won't provide them with respirators. Dix's government would apparently rather keep healthcare workers at increased risk than admit it was wrong on airborne transmission.
Read 4 tweets
Mar 1
There are rumours that BC may be about to drop some pandemic safety measures, so here's a short thread, using Dr. Bonnie Henry's words, about why that would be a bad idea at this time.
#bcpoli #cdnpoli
First and most importantly, we don't actually know what comes next. As Dr. Henry says, we're in a bit of a tricky place, because immunity from vaccination is waning, and there is strong evolutionary pressure on the virus to become more transmissible and cause more severe illness.
Second, we can't accurately assess our risk at any given time, because we don't know who around us may be infectious but asymptomatic or presymptomatic.

RATs help. But most people in BC still can't access rapid tests, and are nevertheless discouraged from asymptomatic testing.
Read 6 tweets
Feb 5
From a non-Twitter friend:

"Please understand that 'living with the virus' in Canada means a permanent and significant drop in life expectancy—we are effectively no longer able to either diagnose or treat cancer, heart disease, or any of the other ailments which bedevil mankind.
My partner has been waiting for an MRI for months; it just keeps getting pushed back and back and back and there's no end and no hope in sight.
You can't just declare the pandemic over, having done nothing whatsoever to build increased healthcare capacity or increased environmental mitigation (because you prefer to deny it's airborne, because you prefer not to spend necessary $, or simply because you can't be bothered).
Read 5 tweets
Nov 30, 2021
They spent a week getting the cameras ready for our PHO. We now know the reason for the delayed pediatric vaccine rollout.

Disgusting.

This is how things are done in BC.
#bcpoli #bced
I'm honestly speechless that these resources were wasted on enhancing Dr. Henry's image.

A few months ago she was arguing that it was ok to allow kids to be infected, and now wants to be seen as the benevolent bringer of child vaccines? I don't think so, doctor!
The focus is always on Henry. Always.
Read 8 tweets

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