Today is #SevereMEDay. People with severe ME/CFS live out their lives bedbound in a darkened room, with headphones, seeing no one, because even passive sensory input depletes them of energy. Many with #LongCovid will end up here. It is one of the worst illnesses that exists. 1/
Right now as I’m resting my brain in the dark and quiet, I’m thinking of everyone who has to spend all of their time like this, in a place absent from the world, and sending you love. 2/
Women have higher false negative rates on PCR & less accurate antibody tests compared to men. One metastudy estimated that 58% of people initially have a false neg test. The result is stories like these: people, mostly women, denied care & participation in #LongCovid research.
Last month, the US Census released data showing that 7.5% of the entire US is *currently* experiencing #LongCovid for at least 3 months. That's 1 in 13 people!
If that seems high to you, here's a thread to understand how it can be true.
Last week, a report was published on how COVID information was intentionally hidden from the public.
Among the details:
1/
Testing was seen as hurting Trump politically, so testing guidelines were intentionally made narrow for that reason. Direct quote: "Case identification is bad for the president’s re-election."
(This is absolutely still happening).
2/
7 inaccurate narratives were pushed by a WH pandemic adviser, including that children were immune, football players couldn't get seriously ill from COVID, and that COVID was like the flu.
It's hard to communicate that there is no restaurant, concert, event, conference - nothing - that is worth #LongCovid and the resulting illnesses (ME/CFS, dysautonomia, blood clotting). In most cases, Long Covid will destroy your ability to do any of these things regardless.
Not having these things in your life is absolutely a huge loss and I'm not trivializing it - it's unfair of our governments to put us in these positions, because it's totally possible to make events and places safe from COVID.
2/
But #LongCovid is life destroying. We've all had an old phone that doesn't hold a charge - imagine that but with your body.
It is hell. You can do a few small things a day, and then you have to stop. You can't remember the people and things that matter to you most.
3/
I helped work on this paper on #LongCovid clusters with N3C. It's based on EHR data, which is very biased in Long Covid for multiple reasons, but it's a start. I'd like to see more research factoring in common diagnoses of ME/CFS & dysautonomia.
EHR data is biased towards documented cases, which means:
-more severe/hospitalized cases
-those with access to healthcare
-more respiratory-focused findings (the neurological findings are conspicuously sparse)
2/
Common symptoms/conditions that clinicians are unfamiliar with - like ME/CFS, post-exertional malaise, dysautonomia - don’t get documented.
Very, very few LC symptoms are documented - only a few ever get written down.
3/