charlos Profile picture
Jan 2 12 tweets 3 min read Read on X
I turn 34 today — I’ve now spent my entire 30s with #LongCovid — about as long as I was in high school or college. I haven’t been on a walk since Spring 21’ & remain severely housebound — whole thing is surreal.

thoughts for 2024 🧵
The deluge of folks who develop long Covid from this current wave are going to be offered the exact same help I was offered 4 years ago. We still have absolutely zero tools for #LongCovid — which according to @CDCgov still “remains common” after infection — while few recover.
I had awful stress dreams (financial) all night — & throughout 2023. I started my SSDI app in Dec 2022 & still no resolution. I have few months of savings left.

#LongCovid pts have had a violent awakening to our failed safety net. There is no support for folks in this position.
Last year was exceptionally challenging for relationships in every aspect of my life. To those suffering #LongCovid it’s not just their life on hold & disrupted — but to all those invested in them — without treatment, these will likely be lifelong conditions. Bend -> break ⏳💣
In 2024 I’d love to see us double down & elevate our organizing & advocacy. We desperately need a more sustained USGov strategy & more offensive outside advocacy campaigns. Last yr saw so many step up in awesome ways. We need so many more joining the fight, & clear ways to do so.
I also think we could be more introspective & thoughtful about how to leverage relationships and solidarity with other communities to amplify our cause — #PodSaveJon forced our issue to positions of power like I’ve never seen on this platform. Incredible solidarity in action.
Also, reflect more on cultural undercurrents holding up our efforts — by reckoning with greater systemic forces that make #LongCovid so difficult to grapple with — I’m now v skeptical there will ever be a tipping point for society fully addressing this based on scale alone.
We see time & again otherwise reasonable good people confronted with the horror & science of LC & still remain 💯 unfazed — I think many have underestimated things like perception of chronic illness, attitudes twds disability, medicine & invisible disability, etc. #PodSaveJon
Presenting #LongCovid as new phenomenon in a vacuum hasn’t change the fundamental human response — from both the public & medicine — its because the essential nature of this condition is at the dead center of all these greater forces, no matter how we try to spin it or fight it.
Also not clear to me universal biomarkers is going to entirely change this dynamic, we already have dozens of biomarkers.

We should consider using what’s undeniably unique about phenomena of #LongCovid — size, scale, & impact — to bring rest of world into these conversations.
Anyways, that’s that’s just a long winded thought how I worry focusing on advocacy alone may not be sufficient when we are pushing them against all these greater cultural / systemic currents, we may need some focus upstream (😎) as well.
Besides that I feel slightly optimistic about 2024 — clinical trials, refined advocacy, increasing awareness, collaboration — and encourage everybody to keep sharing their story & not be afraid to learn, mess up & step up in this space.

🐲🙏

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More from @loscharlos

Dec 31, 2023
@jonfavs maybe amplify some voices with lived experience with #LongCovid — & not the most minimizing voices in the space?

Her NYT piece convinced your class of pundits of the lie “LC is real, but rare” in the name of “vax & relax” & decimated our political capital.

#PodSaveJon John Favreau retweeting Zeynep giving lukewarm lip service to long covid — with pitying remarks that quote “Omnicom data” tweets — one of the most minimizing Covid accounts of the entire Internet.
@jonfavs I get the sense you want to embrace yourself more into this issue, so please consider reading this piece in the Atlantic by the best & most trusted journalist on #LongCovid — @edyong209

@CrookedMedia / @PodSaveAmerica / @TVietor08 / @danpfeiffer / @jonlovett
@jonfavs @edyong209 @CrookedMedia @PodSaveAmerica @TVietor08 @danpfeiffer @jonlovett @jonfavs we want better advocacy, but that starts with ppl like you listening to patients — check out this recent NYTimes piece by @edyong209 on importance of that approach — and how #LongCovid changed how he viewed reporting.

#PodSaveJon @PodSaveAmerica nytimes.com/2023/12/11/opi…
Read 5 tweets
Nov 25, 2023
“On face of it, it doesn’t make sense. Once you get infected by a pathogen, your body should be better prepared.. Except it doesn’t appear be working that way for many people. Instead of being better at fighting.. they’re getting more hammered” #LongCovid healthrising.org/blog/2023/11/2…
“Thus far, the study evidence is limited, but that’s the direction it’s pointing at.. His latest study, ‘Postacute sequelae of COVID-19 at 2 years’ — found that the more times a person had been infected by the coronavirus, the worse off they tended to be.” #LongCovid
“Al-Aly’s findings were recently buttressed by a RECOVER study — which focused on a younger & healthier population.. most who were severely affected by 2nd infection had had a mild initial infection & that getting infected again was associated with an elevated risk of #LongCovid”
Read 7 tweets
Nov 17, 2023
"#LongCovid Is Not Going Away"

"Doctors from across the country who were surveyed say they are still seeing plenty of patients with LC for the first time — the persistent symptoms.. are debilitating & devastating, lasting months or possibly years." medscape.com/viewarticle/99…
"Every single provider in the United States is going to have a #LongCovid patient. So it's not just about educating those at long COVID or post-COVID centers. It's about educating the entire medical community as a whole" said @K_Bishof, of @C19LH_Advocacy
"The latest CDC Household Pulse Survey (Oct 2023), found 9.5% of American adults previously infected with COVID say they are currently experiencing #LongCovid.. Among those, nearly 30% say it has caused 'significant activity limitations' — highest since at least September 2022."
Read 10 tweets
Nov 13, 2023
Wow — from @nytimes

"Can't Think, Can’t Remember: More Americans Say They’re in a Cognitive Fog"

"Adults in their 20s, 30s and 40s are driving the trend. Researchers point to #LongCovid as a major cause."
nytimes.com/2023/11/13/ups…
“Richard Deitz, an economist at the Federal Reserve Bank of New York, analyzed the data and attributed much of the increase to #LongCovid”

“These numbers don’t do this — they don’t just start suddenly increasing sharply like this,” he said. Image
@LongCovidSOS @patientled @PandemicPatient @long_covid @MarkedByCovid @LongCOVIDPhysio @PeoplesCDC @LongCovidKids @C19LH_Advocacy @polybioRF “There are more Americans who say they have serious cognitive problems — with remembering, concentrating or making decisions — than at any time in the last 15 years, data from the Census Bureau shows.

“The increase started with the pandemic” #LongCovid Image
Read 12 tweets
Nov 7, 2023
“People infected multiple times with COVID-19 are more likely to develop #LongCovid, and most never fully recover from the condition. Those are two of the most striking findings of a comprehensive new 3-year research study” medscape.com/viewarticle/99…
“Most people do not really fully recover.

There are people who think, ‘This is a nothing-burger anymore,’ or ‘It's not an issue anymore.’ — #LongCovid is still happening with the current variants.”
“#LongCovid is not uncommon. We see it in the clinic in large numbers.”

“Not all long COVID is the same, and that's really what makes it complex and makes it really hard to deal with in the clinic. But that's the reality that we're all dealing with.”
Read 10 tweets
Oct 24, 2023
"Everyone who's engaged in #LongCovid research should now be thinking about this.. pathway," — @VirusesImmunity

"I'm impressed by the study," says Dr. Monje, @Stanford. "I think they did a beautiful job showing the causality of these changes." npr.org/sections/goats…
“The study weaves together several prominent lines of evidence on the potential drivers of #LongCovid — the ongoing presence of viral material, blood clotting and chronic inflammation — and offers up possible targets for clinical trials that can test treatments in humans.”
"Basically, we can explain some of the neurocognitive manifestations of #LongCovid through this pathway that leads to serotonin reduction," says Christoph Thaiss, a senior author on the study and an assistant professor of microbiology at the @Penn
Read 15 tweets

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