“One of the big issues with #LongCovid… is that the people who are the most motivated to do something about it have the least amount of energy and ability to cause a scene,” @LisaAMcCorkell said calmatters.org/health/coronav…
“..countless stories of #LongCovid Californians. Recent CDC surveys suggest 5.5% of California adults — roughly 1.5 million people — currently experience the.. debilitating collection of symptoms that make up long COVID. A majority of them, 82%, have limits on their activity.”
“While most of society rushes eagerly back to pre-pandemic life, these patients, known as ‘long haulers,’ have been largely left behind by their communities, doctors and policymakers.”
“The Senate Special Committee on Pandemic Emergency Response was not reinstated this year. A spokesperson for Sen. Josh Newman, a Democrat from Fullerton who chaired the committee last session, said there hasn’t been any conversation about #LongCovid since last year”
“Instead, policy legwork has fallen on 2 people: @LisaAMcCorkell & Art Mirin.. McCorkell & Mirin have drafted budget proposals, solicited letters.. & met with legislators... They’re doing work that political power players pay lobbyists millions.. to organize — so far to no avail”
“She and Mirin wrote last year’s budget proposal for the state to fund research, training and treatment centers at UC medical campuses and other academic centers. Mirin said it has been challenging to find a champion for this issue.”
“Officials with the California Department of Public Health plan to create a new COVID-19 Control Branch to monitor variants and outbreaks and support #LongCovid research, said State Epidemiologist @ericapanMD_CDPH.”
“Mintz avoided COVID-19 for more than two years, but in August he went to a bar to celebrate his 59th birthday. It’s there where he most likely contracted the virus. By September, Mintz found he didn’t have the physical or mental stamina to do much of anything.” #LongCovid
“After two-and-a-half hours of activity, his limbs would get heavy and his thoughts would muddle. You could almost set a clock to it,” Mintz said. “Suddenly it would be very difficult to put one foot in front of the other.” #LongCovid
“In January, Mintz was stacking chairs at a local bar where he works as a security guard. Within 10 minutes he got dizzy & couldn’t lift his arms anymore.”
“I actually cried then. I’ve been depressed over this and frustrated,” Mintz said. “I couldn’t believe I’m so weak.”
“Mintz went to his primary care doctor in Fresno for help. He said he thought he had #LongCovid and was met with skepticism.”
“His first reaction was that he hadn’t really heard of it,” Mintz said.
“COVID-19 first hit Mindy, a 37-year-old SF native, like a mild flu.. But on day 5 of her illness she looked at a text.. and couldn’t make sense of the words. It looked like gibberish.”
“That really scared the shit out of me,” Lym said. “I knew it had gotten into my brain.”
“She has spent every day since then chasing after an elusive recovery. Like McCorkell, Lym #POTS & wears compression garments like stockings & a corset to improve blood circulation. She also has mast cell activation syndrome”
“For three months, Lym, who formerly worked as a music teacher and theater performer in San Francisco, could barely walk and needed a full-time caretaker to dress and bathe.” #LongCovid
“The demand has been extremely high,” said Dr. Linda Geng, co-director of @Stanford#LongCovid clinic. The clinic sees about 12 to 15 new patients each week and has an eight-month average wait time.”
“Yet even as patients like Mintz and Lym struggle to get into a specialized clinic, UCLA physician Viswanathan said she has heard from multiple colleagues at other facilities that are considering closing their #LongCovid clinics or reducing hours”
“How do health care systems invest in programs like #LongCovid clinics, like hiring more clinicians? Health care organizations have been battered over the last few years, but I don’t see any government relief.”
• • •
Missing some Tweet in this thread? You can try to
force a refresh
“A growing trove of research shows that PEM has physiological underpinnings… When ME/CFS patients & those with #LongCovid exercise, David Systrom discovered their veins were not moving blood to the heart efficiently, or ‘priming the pump.’”nationalgeographic.com/premium/articl…
“He also found problems with oxygen exchange by the exercising muscle. Through skin biopsies, he sees nerve damage in most patients he tests. ‘It’s not what we’d expect in pure deconditioning,’ Systrom says.” #LongCovid
“Systrom’s work points to a dysfunctional autonomic nervous system, which controls functions like breathing & circulation.. & moves blood and oxygen through the body during and after exercise…This all impairs the body’s ability to recover.” #LongCovid
The fundamental flaw in the discussion around reinfections — Is the overwhelming inability to accept that majority of #LongCovid cases (75%+) result after mild infections. These people will not interact with healthcare system upon acute infection, & likely never be documented.
The continuing narrative by “the adults in the room” — Is the catastrophic presumption that if somebody does not interact with the healthcare system upon acute infection their long-term outcome is negligible.
All of the data about #LongCovid points to the exact contrary.
“We found that a staggering 90% of people living with #LongCovid initially experienced only mild illness with COVID-19,” researchers Sarah Wulf Hanson, PhD, MPH, and Theo Vos, MD, PhD, both of the University of Washington, webmd.com/covid/news/202…
From feedback we’ve heard from @US_FDA folks leading up to today — it’s clear when they’re making decisions to approve drugs, they are evaluating benefit/risk largely based off their **subjective** experience of hearing from patient — Today’s testimonies were so important.
Thank you to everybody who took the time & energy to participate — testimonies I heard were incredibly powerful and effective — I felt very represented — plan to listen to those I missed later in week.
If you’re looking for something to do this week — and you were unable to share your perspective or feedback— You can also submit written public comments to the public docket. Due by June 26. #LongCovidregulations.gov/document/FDA-2…
Just finished my @PlzSolveCFS Congress House meetings on #LongCovid — had 3. Two Dems, one Republican — Every meeting basically said: “How are you dealing with the issue that anything Covid spending related is dead on arrival for Republicans right now?” 🧵
I also learned they are seeing movement with Republicans by talking & emphasizing other post viral issues and how this is not new or isolated to covid, & the reality of how it will be an ongoing issue beyond covid, etc. This was core strategy in getting a Republican cosponsor.
I was also pretty shocked at how the majority really knew little to nothing about #LongCovid & I asked how often are you hearing from your constituents about this issue: “I guess a little bit lately?”
“Physically, they are debilitated and in pain: unable to walk up the stairs, focus on a project, or hold down a job. Facing the end of the federal public health emergency.. many people.. say they feel angry & abandoned by policymakers eager to move on.” #LongCovid
"Patients are losing hope," says Shelby Hedgecock, a self-described #LongCovid survivor from Knoxville, Tennessee, who now advocates for patients like herself. "We feel swept under the rug."
The idea that #LongCovid is a problem that is too big to fail — might be true. However, whether we start getting answers in 2-3 years or 15-20 years is 100% up to patients.
Letting the world respond to this problem on its own terms couldn’t be more unwise.
Also my first year sick, I thought it would be impossible there would be no treatments by now — considering how many people were sick, yet we are still years away as of today. I think we have a tendency to underestimate how much people are willing to ignore our suffering & pain.
The current slate of NIH clinical trials will take years to complete, & we have absolutely no sense to whether they plan to even do more trials. Every trial wasted right now is years lost — & if they get more funding for trials next year when do you think those will start?