Three years ago today the patient-made hashtag #apresJ20 was coined. Apresj20 ("after 20 days") drew attention to people with persistent symptoms, who hadn't recovered from Covid in 2 weeks. Early in the pandemic, "15 days" max. was what covid, we were said, was to last for most
Patients from many early hotspots, however, were coming together on social and other media, like Twitter, to challenge the view that Covid was a "short", "mild", "respiratory" illness in most people, including the "young" and "healthy".
Instead, Covid was, often, a prolonged, heterogeneous, multi-systemic, painful, and severe disease even in those who had not been hospitalized, or were supposed to be at "low risk", because they had "no commorbities" and were "young"
In that early, dramatic, early pandemic months, #apresJ20, a patient-made name and hashtag, contributed to catalyze the growing patient community in France and internationally. It connected people, experiences, patient-led research, advocacy, collaborations and contributions
It is thanks to patient-made contributions like this, that the #LongCovid patient-driven advocacy and research movement was born, and achieved open recognition for Long Covid by the WHO already in August 2020. Congratulations #apresJ20 special day
Two new studies offer "compelling and reliable evidence that SARS-CoV-2 infection is linked to a substantially increased risk of developing diverse new-onset autoimmune diseases after the acute phase of SARS-CoV-2 infection."
In a retrospective study looking at over 800,000 PCR-proven Covid cases from 2020-1, Chang et al showed a "significantly higher risks" for a large spectrum of autoimmune diseases post Covid, compared to people who didn't get Covid (controls=~3 millions)
The spectrum of autoimmune diseases documented post covid included rheumatoid arthritis, ankylosing spondylitis, SLE, Sjögren's, mixed connective tissue disease, vasculitis, IBS, psoriasis and type 1 diabetes mellitus. There was also increased risk for mortality
"It will always be hard for me that I don't get to see how fast I could be or go to an Olympics."
British elite rower and Olympic hope Oonagh Cousins has announced she's stepping down from competitive sport because of #LongCovid skysports.com/tennis/news/12…
"There are times when I just feel like my body has let me down"
Oonagh Cousins contracted SARS-CoV-2 in early 2020. Her initial symptoms, like some cough and loss of taste and smell, were apparently "mild", Cousins already said in a 2020 interview
"On the worst days you wake up, and you're like, 'I can't wait until it's night time again'.
"You don't want to get out of bed, you don't want to go and eat, you don't want to talk to your friends, you just want to stay in bed and hide under a rock." Cousins reported in 2020
"It's been something I could never have prepared for. I leave the house once every two weeks, only for an hour, and then it takes me five days to recover"
"Right now, tennis is not on my mind. I think I have to focus mostly on my recovery and being able to live like a normal 21-year-old again." Tanya Dissanayake, a former rising star, says. She played at Wimbledon, perhaps the top tennis tournament, early in her career
"Initially I thought I wasn't really going to be that unwell, and then I was. I still thought I'd recover in less than two weeks, like all of my friends did," Tanya Dissanayake explained.
The pandemic isn't over. One reason why it's not, it's that it offers opportunities for economic profit, and more, to certain sectors of society. The corporations. Big firms. People building a career as pundits and "experts". What's human life for these people, these interests?
What's mass infection of children, if the masses can keep working for a wage, sometimes small, and consuming? What's a cancer patient getting Covid in the hospital, when the hospital can get rid off the masks, which some in power had called the "Scarlett Letter" of the pandemic?
What's a person with dementia dying from Covid, painfully, alone, in a nursing home—dying without even knowing why— for some policymakers, who can now announce triumphantly something like "the pandemic is over, and we had a good success with it?
Please be aware that autoimmune encephalitis i.e. a group of diseases where the immune system mistakenly attacks the brain, is being actively discussed in the context of both acute and #LongCovid. Physicians must be up to date with the scientific literature
"A Sharp Rise in Autoimmune Encephalitis in the COVID-19 Era: A Case Series."
The authors report a "case series of 12 patients who presented with neurologic symptoms and positive autoimmune encephalitis antibody titers in Los Angeles."
A kind reminder many survivors of the first SARS were ill for years and at least some (where analysis is done or first-hand testimonials are available) never recovered. I don't know how people can think mass infection with SARS-CoV-2 is ok, including for children
But it was already known before the current pandemic: SARS left many people who survived the acute phase of the disease with prolonged ill health, prolonged disease. A thread of mine on the topic from 2021, where you can find more sources