Salvatore Mattera Profile picture
Dec 25, 2023 27 tweets 5 min read Read on X
With COVID spiking again, I wanted to write about my experience this year dealing with a very mild form of long COVID. I hope this can be a cautionary tale for people who are still convinced that healthy "low risk" people have nothing to worry about from a COVID infection.
As I've written before, I was a healthy 33 year old with no obvious pre-existing conditions. No one would consider me to be "high risk" as I detailed here:
After I caught COVID for the third time at the beginning of January 2023, I just sort of never recovered. At first it was like I was sick for almost 3 months straight. I continued to work at a high level, but on the weekends, all I could do was lay on the couch.
This put a lot of stress on my wife, since we have a toddler, and I could barely help take care of her at all. I would just be on the couch, dozing off, half asleep, feeling like garbage all weekend for months.
I had all sorts of symptoms that would come and go on a daily basis. Lots of excruciating chest pain. Parts of my body would vibrate, or go numb. Vision issues. Dizziness. Random shortness of breath episodes while I was just sitting at my computer.
And many other things. Fortunately, as the year progressed, I did slowly heal, and many of these symptoms have stopped happening. But at the time, it was deeply unsettling, especially because no doctors were willing to help.
I have great insurance, so I can see basically any doctor or specialist that I want. For most of the year, I was averaging one doctor visit of some kind of every single week, trying to figure out what was going on and if I could get any sort of treatment.
Virtually none of it was worthwhile. Many tests were ordered but nothing much was found. At times, I was told that I might have HIV, MS, or adult onset hydrocephalus. Thankfully I have none of these things, but it was very stressful and nerve wracking
having a doctor tell me this and have to wait weeks to get my test results back. At one point, a doctor was convinced that I had hydrocephalus and frantically called me at night and urged me to get a brain MRI right away.
But as it turns out the waiting list for a brain MRI in California is like 2+ months. So I had to spend my lunch breaks at work calling different hospitals to see if they could get me in. Finally I got an appointment, but the day before it was supposed to occur, their machine
broke. And they called me and told me it would be another month. And then they accidentally messed up my booking and it got pushed back again. All the while I'm remembering this frantic phone call thinking my brain is filling with fluid
I went to the ER several times. At first it was from the chest pain. It felt like someone was sitting on my chest, or stabbing my heart with a knife. Then it was after half my face went numb - maybe I was having a stroke?
Thankfully it wasn't a heart attack or a stroke, but no one could give me an answer. "Yeah I had really bad chest pain for at least a month after COVID too" the one ER doctor told me. "You guys are like a lab experiment" the other one said.
I had to cancel both my vacations for the year because I was simply too sick to think I'd enjoy them. I did take one trip to Arizona for a friend's bachelor party. But just standing in the heat sent my heart rate up above 150 bpm. One of the days, we were supposed to
hang out at this pool party at a hotel. But I had to sneak away and go sit by myself in the lobby and recover in the AC for at least 10 minutes about once an hour. And I was this guy who literally less than a year earlier was drinking at Burning Man and dancing in 100+
degree heat in front of Mayan Warrior like it was nothing. And here I am now and I can't even be with my friends in a cabana for more than an hour without my heart feeling like its about to explode
For that matter I completely lost the ability to drink alcohol and for a long time, caffeine (I can drink it again now thankfully). Any amount would make all my symptoms 10x worse for hours or even days.
I spent a lot of time looking for a decent primary care doctor. The first few straight up refused to believe me. My current doctor is great, but as she told me last time I saw her - she doesn't really know what to do.
My mental health has always been excellent. I had never seen a therapist or any thing along those lines my entire life. But as I was going through this, I thought maybe I'd try and see if they could give me a little support. What a mistake.
The first one didn't believe me. The second recommended looking at the FLCCC protocol (if you don't know, it's an anti-vaxx org that pushes ivermectin). The third started mentioning COVID conspiracy theories.
So if this happens to you, don't expect much support or understanding from your therapist, let alone your doctor.
As time has passed, my health has gotten better. I still can't smell much. I can't drink alcohol. My joints hurt sometimes for no reason. I'm not sure how my body will react to the heat - I'll test that out next summer I guess. Maybe I'll eventually heal in another year or two
But even if I do, I'll remember 2023 as being one of the worst years of my entire life, and I can't imagine having another year like this again. Right now, I know there are many people who actively sick with COVID as I write this, and some of them will have a 2024 like my 2023
And my heart breaks for them, because I know no one has really explained this to them. And they think COVID is no big deal. And they're going to go to their doctor and their doctor isn't going to be able to help them and they're not going to know what to do
and maybe they'll end up much sicker than me, because as I said, my experience is actually on the mild end compared to so many others. And maybe they won't get any better, they might actually get worse, as many people do
I don't want to shut the world down. It's obviously impractical. But as society is currently functioning, we're dooming millions of people to this fate, and we're not even telling them. Barely even a warning. Hidden in the fine print at most.
No one wants to hear this stuff. I'd probably be better off personally keeping it to myself, waiting until I fully recovered and then pretending it never happened. But I just can't. Because my story isn't rare. People should know the risks they're taking

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More from @SalvMattera

Jun 24
People have called me a conspiracy theorist for this, but I believe that COVID (and maybe even the COVID vaccine) damages the Achilles tendon and increases the odds of suffering an Achilles tendon rupture (ATR). There's no proof, but evidence continues to pile up:
This is fresh in the news since an ATR may have just determined the outcome of the NBA finals. Early in the game, the Pacers' star player Haliburton suffered an ATR. Because of that, he had to leave the game early, and without him his team lost the finals.
But Haliburton's injury wasn't the only ATR in the NBA playoffs this year. Several other players sustained them as well, making it the worst year for ATRs in the NBA's history. Image
Read 22 tweets
Jun 22
We actually don't know if our civilization can survive infinite COVID reinfections. We're just sort of hoping that's the case and pretending the evidence to the contrary doesn't exist. It makes me wonder what the American Indians thought and said to each other back in the 1500s
I'm not such a doomer that I think anything that catastrophic will actually happen. But it's a novel virus. No one understands what Long COVID even is. The political and leadership class across the world is mostly in outright denial. We just don't know
It's interesting to remember that arguments like this were being made by major figures in China prior to their reopening. Then omicron came along and they sort of...forgot about it. But nothing has fundamentally changed. We don't have any new data to make us more optimistic
Read 6 tweets
Jun 18
I've tried ~50 different interventions for Long COVID, and have talked to hundreds of other patients and read accounts online for years. If you haven't tried much, these are the things I'd look into. I'm going to rank these by the easiest to get up to the most challenging:
Easiest (OTC or supplements): creatine, NAC, glutathione, H1 and H2 blockers, nicotine patches, probiotics, nattokinase, CoQ 10, quercetin
Requires a doctor, but many PCPs will prescribe if you emphasize your specific symptoms and/or give them some case reports and research: SSRIs (yes, long COVID is not psychosomatic, but these do help some people), Ativan, metformin, modafinil, beta blockers
Read 9 tweets
Jun 8
I haven't written about this really, because I didn't want to give the impression in any way that Long COVID is a good thing, but I do think it might have actually "fixed" a different long term health problem I had since I was a kid:
When I was a teenager, I was diagnosed by a neurologist with delayed sleep phase disorder. That basically means I am (or was) an extreme night owl. They told me I might grow out of it, but I never did. So, for most of my life, I found it impossible to go to bed before 1 or 2am
It didn't matter how hard I tried to go to bed early. I tried all the tricks: melatonin, a strict bed time, working out in the morning, restricting caffeine etc. Nothing really worked.
Read 16 tweets
Jun 5
In the last two months, I've felt about 95% recovered from Long COVID, up from maybe 80% a year ago. I credit most of this improvement to luck, and to having some money. But along the way, I've intentionally tried to avoid some thought patterns I see others fall into:
Refusing to try any treatments that aren't "approved". I met a guy who was on the verge of losing a job that paid nearly $1M/year because he was too sick to get out of bed. I asked him what he tried, and he told me nothing because there was no evidence that anything worked
It may take years before there are any approved treatments, if there are any at all. Obviously, people need to decide for themselves, but I've never hesitated to try things as long as they weren't too risky
Read 15 tweets
May 15
I'm a finance guy, not a doctor. I don't understand much about medicine, but I do understand risk. I think a lot of problems with medicine come from the fact that it doesn't price risk correctly.
In most systems, individual participants bear some risk. "Let the buyer beware," and so on. But this isn't really the case in medicine.
Most of the risk in the medical system is transferred up the chain to a sort of amorphous bureaucracy. Drugs are given a stamp of approval at the highest level by people who will never actually treat the patients consuming them.
Read 19 tweets

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