It’s been almost 5 years since me & millions had our lives destroyed by #LongCovid — & still no approved treatments.
Many of us are fighting for our lives to get access to off-label meds for some relief.
Where is the help? 🧵
The burden of researching & trialing potential treatments for #LongCovid has been left almost entirely on patients.
This is a disastrous public health crisis & we need medical providers to step up — & US Gov to provide guidance on the evidence to date. 2/ statnews.com/2024/10/24/lon…
I’m not convinced any meds on market will be a cure, or everyone will benefit from something — but we know there are many treatments #LongCovid pts have benefited from, sometimes significantly — but more often than not, these are pts paying exuberant private fees for access. 3/
This should not distract us from pushing for a warp speed effort on finding a cure & investing in @LCMoonshot for proper research & clinical trials. However — at current pace we’re going, this could mean many years, & patients are losing their jobs, homes & livelihood today. 4/
It’s incredibly tedious & demoralizing trialing a list of dozens of drugs that may or may not work — but finding a drug that works may mean the difference of being able to hold on until we find a cure — & all patients deserve access to try promising meds w/ medical guidance. 5/
There is enough robust evidence from both IACC literature & LC case studies for @HHSGov to provide preliminary guidelines for treatment considerations for #LongCovid. I believe we could shore up QOL significantly in patient community if we got drugs to right patients today. 6/
Lastly, 1 in 5 prescriptions already written for off-label use, this is not a blasphemous ask of #MedTwitter —what we’re asking should be table stakes: read #LongCovid & IACC research, share list of potential meds, share risk/ben — let us decide. Keep working w the patient. /end
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“The American Medical Association’s top journal, JAMA, in August published a key new study and editorial about pediatric #LongCovid. The editorial cites several robust analyses and concludes that.. LC symptoms appear to occur after about 10-20% of pediatric infections.”
“The mistaken idea that children have nothing to worry about has had some help from scientists. In 2023 AMA’s pediatrics journal published a study reporting #LongCovid in kids was ‘strikingly low’..
“The results were widely publicized as feel-good news, and helped rationalize the status quo, where kids are repeatedly exposed to SARS-COV-2 in underventilated schoolsand parents believe they will suffer no serious harm.” #LongCovidKids
“Matthew Fitzgerald, a 28-year-old former engineer at Tesla, described his #LongCovid impairment during a clinic visit: ‘I’m a shell of myself. My physical issues aren’t half as bad as my brain problems. You can say brain fog, but that doesn’t come close to doing it justice.’”
"There is now ample evidence that both older and younger people with #LongCovid and other infection-associated chronic conditions are at risk of developing #Alzheimers disease and related dementias (ADRD)." nature.com/articles/d4158…
"Over the past 30 years, US$42.5 billion have been spent on Alzheimer’s research, with limited progress."
"Whether they were hospitalized or not, adults who have had COVID-19 are about 36% more likely than uninfected people to develop GI disorders including ulcers, pancreatitis, IBS, & acid reflux, according to a study in Nature Communications." #LongCovid time.com/7027179/covid-…
"GI problems are also common among kids with #LongCovid. Stomach pain, nausea, and vomiting are telltale signs of the condition among children younger than 12, according to 2024 research published in JAMA."
"Once SARS-CoV-2 gets into your body, it infects cells by binding to a protein called ACE2, which is found throughout the body. ACE2 is prevalent in the lungs, which helps explain COVID’s respiratory symptoms—but it’s also found in high concentrations in the GI tract" #LongCovid
“Viruses hide, that’s what they do,” said @PutrinoLab. “If you’re finding evidence of them in plasma, that probably tells you that there’s a lot more going on in tissue where viruses like to hide, like nerve tissue, gut tissue, joint tissue, et cetera.” #LongCovid
“Walt’s team applied.. blood test 1,000x more sensitive than standard laboratory tests to 1,569 blood samples.. The ultra-sensitive tests, detected fragments of virus’s signature spike proteins in roughly 43% of samples drawn from those [w/] #LongCovid” bostonglobe.com/2024/10/15/met…
“They also found fragments of the proteins in 21% of those who had no symptoms. (It was not clear why the persistent virus did not make them sick, too).” #LongCovid
“In the most expansive study of its kind, researchers have for the first time shown serious and prevalent symptoms of #LongCovid in kids and teens.
The study, which followed 5367 children, found that 20% of kids (ages 6-11) and 14% of teens met researchers' threshold for LC”
“By enrolling children who had been infected with acute COVID-19, as well as those who had not, researchers were able to isolate #LongCovid symptoms in kids and teens” medscape.com/viewarticle/lo…
"It allowed us to separate symptoms related to #LongCovid with those that may have resulted from changes in a child's environment during the pandemic.
For example, learning loss & mental health changes that were caused by pandemic vs those.. symptoms associated with LC”
“The Center for Health Security at Johns Hopkins University have developed a Model Clean Indoor Air Act, which state legislatures throughout the country could use in writing new indoor air laws.”
"We—and especially our children—should be able to walk into a store or a gym or a school and assume the air is clean to breathe. Like water from the faucet, regulations should ensure our air is safe." scientificamerican.com/article/kids-a…
"Kids are headed back to classrooms—Somehow, four years into a viral pandemic that everyone now knows spreads through the air, most schools have done little to nothing to make sure their students will breathe safely."