Salvatore Mattera Profile picture
Apr 30 16 tweets 3 min read Read on X
I posted about how there are treatments for Long COVID and a few people responded that the treatments that are out there are completely inaccessible to the average person. Well, here's a short guide on how you can seek treatment:
if your only option is to work with a run of the mill GP, don't emphasize your Long COVID. Emphasize specific symptoms that you have that can respond to various treatments. For example, if you have a racing heart rate, you can emphasize that and many GPs will give you beta blockers
You can build a relationship with your GP and
. convince them to prescribe increasingly exotic things. If what they're giving you isn't working, and they've been seeing you for a long time, and you start to bring them research, they may write a script for something you want
Another tactic you can use is to see a private or concierge doctor for a couple of appointments. They'll generally be far more willing to prescribe things but they cost money and often your insurance (if you have it) won't cover
But you don't have to see them forever. You can get them to write the first prescription, take it for awhile, then go back to your GP and just ask for a refill. Doctors are much more likely to prescribe refills than they are the initial prescription.
A lot of medications that can help Long COVID, such as rapamycin, LDN, and metformin can be gotten through telehealth websites. Costs money, but under $100 per month
I haven't done it personally, but people I trust have told me it's easy to order various prescriptions and have them shipped from India
You can find a Long COVID or ME/CFS clinic that actually prescribes medication. They exist. Not all of them do, so you have to ask. But you can find them.
You can find specialists, particularly immunologists, cardiologists, and neurologists that will take insurance and prescribe treatments that can help Long COVID. Getting in isn't always possible or straightforward, but that is true for any disease
I think a lot of people, especially people who were previously young and healthy before long covid, don't fully appreciate how bad so much of the medical system is, and how bad so many doctors are even apart from long COVID
And if you are fortunate enough to have money, then it's really only a matter of persistence and asking around. Start with private, functional medicine doctors and go from there. Make friends in the community and ask them for suggestions. People know who the good doctors are.
That was the driving motivation behind this. To try to make finding a decent doctor easier helpforlongcovid.com/care-providers
If you know of a decent doctor or anyone else who can help, please add them with a review so that other people can find them.
"I don't have the energy for this. I don't have the money for this. I don't have the time for this." Yeah, absolutely, I totally feel you. It completely sucks. But, unfortunately, that's also true for many major illnesses.
That's why we should try to stop the spread of COVID to save anyone else from having to deal with this
Long COVID can be worse than cancer. It's a major illness. Even when there are approved treatments, I think it's very unrealistic to expect that dealing with it will ever be simple or easy

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More from @SalvMattera

Apr 25
Here's a list of health trends that I think are driven by Long COVID:
Creatine gummies. Many people with Long COVID supplement with creatine and report an improvement.
Electrolyte powders. Especially ones that are high in salt. Many people with Long COVID develop dysautonomia, often POTS, and drinking salt water is widely regarded as the most effective treatment
Read 6 tweets
Apr 24
Adding a new feature for Help for Long COVID - overview summaries of all the reviews posted online for a given treatment. Check out the first one for LDN:
If you don't have the time or energy to write your own LDN review, you can simply vote on the accuracy of this summary. Or you can leave a thumbs up or thumbs down on LDN. Just create an account and log in.
Read 6 tweets
Apr 20
When it comes to getting treatment as a Long COVID patient, the biggest gap is around masking and prevention. I've been to 2 Long COVID clinics at major universities, and dozens of different doctors and specialists. Almost none of them emphasized masking or prevention
The Stanford Long COVID clinic told me that reinfection wasn't a big deal in their experience - that most patients who were reinfected experienced a temporary set back, but ultimately, it didn't matter.
This is completely contrary to the evidence, which shows that reinfection is very dangerous for people with Long COVID, often leading to a permanent decline in their health Image
Read 10 tweets
Dec 13, 2024
There are two camps within the long COVID patient community, and I've never really identified with either:
The first is convinced that long COVID is the same thing as ME/CFS. They typically point to a particular meta analysis that shows somewhere around 45% of people with long COVID meet the diagnostic criteria for ME/CFS: pmc.ncbi.nlm.nih.gov/articles/PMC95…
But other studies, including a new one from Japan, put the percentage much lower. But even if we assume it is 45%, that's still not 100% -- what about the other 55% of people that don't have ME/CFS?
Read 10 tweets
Dec 7, 2024
1 in 5 Americans have had lingering symptoms from a COVID infection. Many people recover naturally after a few months, but others are sick for years. If this happens to you, don't expect to get any form of treatment from your doctor. Instead, you'll have to experiment yourself:
Since there are no approved treatments, the way doctors approach it varies wildly. The most conservative doctors (likely the majority) will give you nothing at all, instead letting you suffer in pain and try to accept whatever is left of your life.
If this happens to you, and if you time, money, and insurance, you can doctor shop, going from one doctor to the next until you get some form of treatment. Eventually, you might run into someone who is willing to prescribe some things.
Read 17 tweets
Dec 3, 2024
~1 in 5 Americans have had lingering symptoms following COVID. Often, they're mild and resolves quickly. Sometimes they are severe and last years, which is what happened to me. Unfortunately, if this happens to you, you are screwed. This is what it's like trying to get care:
I'll start by saying that I have a lot of advantages 95%+ of people do not have, and despite these advantages, my experience seeking care has been terrible.
I live within driving distance of some of the world's best hospital systems. I have enough disposable income that I can afford to spend (and have spent) tens of thousands of dollars on treatments. I have one of the best, if not the best, health insurance plans you could have.
Read 25 tweets

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