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Jun 17 19 tweets 4 min read Read on X
As with most of the harmful #LongCOVID rhetoric that gets occasionally flung in my direction, I was going to ignore this particularly egregious take, but a few members of the community who I respect asked me to respond and this account also chose to sling mud at someone that 1/
I truly admire, @VirusesImmunity, and I just cannot let that stand. Let's start with the obvious: we are not "heroes", we are not "saviors". We are people. People who saw a disaster occurring and did our best to lend a hand. I am fallible, I am frequently wrong and if you 2/
follow me or have seen my tweets you know that I am open to constructive feedback and honest, good-faith communication. I have 5 years of receipts on that in this community and 2 decades of receipts in other communities. Now, let's get specific about the roadmap document. In
3/
2022, myself, Akiko and some other colleagues were approached with an ask: the government was talking about fully reopening after quarantine and the only strategy on the table for that reopening was "let it rip". In contrast, we were asked: what would be the most responsible
4/
way to reopen the country? Can a team of experts come together and write a whitepaper that provides the best-practice guidance on a safe path froward, from a biosafety perspective, for a nation that is reopening regardless of what we do? Seemed like a reasonable ask at the
5/
time, so we helped out. If you read to document, you will see that wrote about:
- Clean air: HEPA filters and good ventilation
- N95s for everyone
- Vaccination strategies
- Disability equity and protecting children and other vulnerable populations
- Strategies to defend
6/
against the next pandemic
- Strategies to expand viral testing beyond COVID-19 and into other viruses and pathogens
- Long COVID care strategy
Was it perfect? No - we were on a tight deadline to pull it together. Was it ideal from an advocacy perspective? Also no - we were
7/
advised by the lead organizers that if a document like this were to gain any traction, it should appeal to a bipartisan readership, so utterly dismissing the idea of reopening the country was not considered advisable. Did myself and Akiko and some of our colleagues agree with
8/
everything in this document? Also no. In fact, in the document itself, we state that not all authors agreed with all statements made. In fact there were some heated and vehement disagreements about some of the content, but ultimately we all believed in the purpose behind it to 9/
form consensus and push through. Finally, did the whitepaper work? No. After all the advocacy in those pages to care for folks with disability, initiate clean air initiatives, protect the vulnerable, educate the public on #LongCOVID, etc the document got embarrassingly little 10/
traction in congress, no protections at all were initiated and the CDC really did just say "let it rip" (something I have openly and publicly protested ever since). So, if you want to give me feedback on this document from 2022 and tell me "you know, in hindsight maybe you
11/
shouldn't have even bothered - it didn't age well". I'll hear what you have to say, I'll reflect on it. If you, like this account attacking us, want to shout me down and say that we're "pro-infection", "grifters" and other inflammatory nonsense for attempting to engage in a
12/
conversation about advocating for the safe reopening of the US in 2022? If that's your 'smoking gun', then I'm sorry - your argument is in bad-faith and I think that you know it. To all who operate in good faith, I hope the thread so far explains this white paper. Now, re: 13/
this account that has been launching a hateful attack on myself and my colleagues. As a wise and great man once said,
"don't tell no lie about me and I won't tell truths 'bout you"
Too late. Let's drop some truth:
1) All this noise from an anonymous account. When I speak,
14/
it's from me. My name, my rep, my voice. This account could be anyone - pharma rep, paid agitator, lonely troll. No name = no accountability = no need for integrity.
2) Scroll their feed: vulgar ad hominem attacks, not just on researchers, but on other people with #LongCOVID
15/
3) Look to the people championing their tweet - a veritable "who's who" of fellow anonymous accounts who have a track record of stalking, doxxing, threatening, DARVO-ing the LongCOVID community. This is an unserious account spinning harmful rhetoric that is geared toward
16/
creating division, not unity in the #LongCOVID community.
I've said many times: I'm not sick with LC, I can't imagine the anger, frustration and negative emotions that some people must be feeling. I will always work with the community and never stop engaging in respectful,
17/
productive discourse. What is on clear display here is not respectful, productive, truthful or in good faith. For people that behave like this, please know: I'll block you today and I'll forget you ever existed tomorrow, because you're the 0.01% of a community that I deeply
18/
care for, and I'm not about to tolerate this sort of behavior aimed at me, my team, my colleagues or the millions of people with #LongCOVID who want actionable science and clinical innovation: not drama fabricated in bad faith by anonymous bad actors. Do better.

/end

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More from @PutrinoLab

Jun 14
Since I posted two threads about PEM yesterday, some general feedback themes have been coming up, so I just wanted to address them:
1) Thank you to those who rightly pointed out that in my description of PEM I should have mentioned that PEM can have permanent consequences to
1/
someone's baseline. Not dissimilar to what we see in multiple sclerosis, some people can bounce back from their PEM without a noticeable effect to their baseline, whilst others appear to experience progressive loss of function with every bout of PEM (or a combo of the two).
2/
Since we can disambiguate who is who, it is CRUCIAL that clinical providers educate PEM on pacing to help folks manage their daily energy budget without pushing into PEM.
2) A few people took exception to me calling pacing the "magic word". That's fair. I didn't mean to imply
3/
Read 6 tweets
Jun 13
Ok, so after that (unintentional) cliffhanger, let's talk about energy production infrastructure and post-exertional malaise (PEM) in people with infection- and exposure-associated chronic illnesses (IACIs) such as #LongCOVID, #MECFS, chronic #Lyme and more. Let's start with 1/
how cells produce energy. ATP is the body's energy currency, and we only know how to make this currency from glucose, so our bodies need to turn glucose into ATP. They can do so either aerobically (using oxygen and mitochondria) or anerobically (fast, but inefficient, no 2/
mitochondria). Energy is never free in this universe, so both processes produce both ATP and waste
- Aerobic: 36-38 ATP units per glucose unit, producing reactive oxygen species (ROSs) as waste
- Anerobic: 2 ATP units per glucose unit, producing pyruvate and lactate as waste
3/
Read 25 tweets
Jun 13
Wanted to put forward a thread about #PEM since there have been some new developments and also because I just need to get some of this out of my head and work through it. Folks with infection- and exposure-associated chronic illnesses (IACIs) like #LongCOVID, #MECFS, 1/
chronic #lyme and other tick- and vector-borne illnesses will often experience post-exertional malaise (PEM). In fact, it is often thought of as a cardinal hallmark of many of these diagnoses. To start, a simple working definition of PEM: it is a condition that emerges when 2/
somebody physically, mentally or emotionally exerts themselves beyond a certain point, causing a delayed worsening of symptoms that can last days, weeks or even months. NB: There is much more to PEM than this definition, and one of my favorite explainers is @LongCOVIDPhysio's 3/
Read 25 tweets
May 17
A few comments that might be helpful after a phenomenal couple of weeks learning from brilliant people in #MECFS, #LongCOVID, chronic #Lyme and infection-associated chronic illness (IACI) communities and still buzzing after yesterday's @polybioRF meeting. These illnesses are 1/
complex and are going to require equally complex science to solve. When it comes to studying and managing these illnesses, I rarely feel sure about anything, but if I'm sure of one thing it is this: anyone telling you that one drug/one approach will solve all cases of an IACI 2/
is probably selling that one drug/one approach. These illnesses are complex: Biomarker-driven, personalized dispensation of combination therapies are going to be crucial to addressing the problem. Let's talk through an example (an example that assumes a perfect world where we 3/
Read 16 tweets
May 15
Quite disheartening to return from 10 days working with some of the most important and relevant #MECFS and #LongCOVID researchers in the world and to read this drivel being allowed through from @bmj_latest. Let's be unambiguous about this: BMJ has 1/

bmj.com/content/389/bm…
allowed an OPINION piece to be published about #MECFS that flies in the face of:
1. current consensus science
2. recent NICE guidelines that were corrected so as to not include recommendations based on fraudulent/discredited data (PACE Trial)
3. voices of ME/CFS patients
2/
Not only should this be a point of shame for @bmj_latest and their editorial team, but we really should be asking about the legal ramifications of continuing to invite researchers to push an agenda that is no longer supported by consensus science and has NEVER been supported 3/
Read 6 tweets
Mar 25
Excerpt of an email received by a mentee of mine who is currently transitioning to independence as a career researcher. This is happening all over the country right now. The “equity research” my mentee was proposing was centered around novel neurotechnologies that increase the 1/ Image
safety, privacy and independence of people with disabilities. Canceling programs like this doesn’t make America great, it makes America weak, behind the times, not at the bleeding edge of innovation and just kinda mean. Canceling programs that uplift early career scientists 2/
doesn’t “cut waste” and put “America first”, it encourages promising scientists to leave because opportunities are better elsewhere and they can more easily do great science in another location. America loses out so that the 1% can thrive further by creating environments that 3/
Read 4 tweets

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