Sam Mattera Profile picture
Nov 8 14 tweets 3 min read Read on X
I'm at the point now where it's been well over 6 months since I've felt 95% recovered from Long COVID. But now I realize there's another aspect to this illness: The fear of reinfection. I understood intellectually that reinfections are dangerous, but
It doesn't really sink in fully until you're feeling like your old self for a while and realize on a very gut level that this isn't over and won't be over anytime in the foreseeable future.
When you're very sick, you only wish you could feel better. But then you feel better, and you realize your life just can't go back to the way it once was. You know too much.
Of course, there are many folks with Long COVID who suppress this, turn to denial, and go back to playing normal. Maybe that'll work for them - who knows? - but the data is clear: the odds are not in their favor.
So you recover and still your life isn't the same. If you're honest about your experience, you know it can't be. Even if you found the drug or the solution or whatever that you think was the key to your recovery (and who even knows if that's true, maybe it was just luck)
You might get reinfected and develop some other version of Long COIVD that doesn't respond to your tricks. What then?
Long COVID cannot be separated from the ongoing pandemic. Even if we find a few drugs that make people feel less tired (and in fact we already have some - LDN, etc.) this doesn't end until the pandemic ends. And if the pandemic never ends, this will continue to be an issue.
At this point, I think I've long blocked all the people who would jump in with "but we'll never make everyone mask!" - there are other possibilities: sterilizing vaccine, air quality, prophylactics etc
This is why I have criticized the ME researchers and the like who go around to conferences and don't mask. They simply do not get it. They are selling people nonsense. They are part of the problem.
Also I'll admit I have a big bias here that I've had from the beginning and I can't apologize for it: I have kids, and I think about their own health more than my own. I'd happily live the rest of my life feeling horrible if it meant they didn't have to.
If the pandemic keeps going, the possibility that one or both of them eventually gets sick hangs heavy in my mind. I think a lot of Long COVID folks that I've seen recover and run back to the bar and pretend nothing happened are younger and childless
Maybe if that was me, I'd do the same? But I can't. I have to keep going here
Being a parent doesn't give me any special powers here tho. To be honest, I've met some parents with Long COVID who I think are so deeply terribly afraid of their kids getting Long COVID that it just doesn't enter their mind at all.
Knew a parent with Long COVID whose kids had strange health issues that fit into a LC bucket but they wouldn't even acknowledge it. They saw it with themselves, but when it came to their kids, shifted to what we see in the broader culture of "these health issues are a mystery"

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More from @SalvMattera

Sep 10
Long COVID shares similarities with other chronic illnesses, and other post-viral syndromes, but on a society-wide basis it's more devastating because of how much more common it is:
I have a fairly large family and have known many friends, classmates, coworkers etc over the course of my life. Before COVID, I knew of exactly one person with Chronic Lyme, one person with fibromyalgia, and literally no one with ME/CFS, CIRS, GWI, etc.
But I now know about a dozen family members, friends, and coworkers that have or had some version of Long COVID. All people I knew for years before 2020. And I seem to hear of someone in my extended circle developing it at least every few months
Read 11 tweets
Aug 4
Well, it's been about 4 months now since I've consistently felt 90-95% recovered from Long COVID.

A lot of people talk about what helped them recover, but here's some things that DIDN'T help me recover:
Reducing stress - the last 4 months have included some of the most stressful days of my life.

Back in May my wife suffered from 4 strokes. The surgeon woke me up in the middle of the night to tell me that she was about to die, and that they needed to do emergency brain surgery.
I spent the next few hours alone, completely stressed and terrified, wondering what I was going to say to my daughter if my wife died.

Turns out this had no effect on my recovery.
Read 20 tweets
Jul 29
The evidence for Long COVID is simply overwhelming. There are now thousands of studies, validated biomarkers, reports and surveys from millions of people from virtually every country going back since the pandemic began. And yet, still widespread denial and gaslighting - why?
It's because the reality of the situation is far too horrible for most people to seriously contemplate. The best evidence says somewhere between 1 and 10 and 1 in 3 people suffer from Long COVID symptoms, at least in some form, including children.
These symptoms can and often are, completely disabling. While I often write about my own attempts at treatment, there are no formally approved treatments - there is no way to even reliably treat the symptoms.
Read 22 tweets
Jul 16
I went to the Stanford Chronic Fatigue Syndrome Clinic today. If you're in California, and you have Long COVID, and you're unable or unwilling to pay for a private doctor, it's probably your best option for finding treatment:
My expectations going in were low based on some of the reviews people left on the helpforlongcovid website, but I was pleasantly surprised. They prescribe several treatments, order blood work, and were willing to work with me to try to get other treatments I'm curious about
I would contrast this with Long COVID clinics I've been to, including Stanford, which only offers a couple treatments, doesn't really care about blood work, and the appointments basically consist of a long interview with not much offered, as if they are just collecting data
Read 18 tweets
Jul 15
I continue to remain 90-95% recovered from my Long COVID. But what did I recover from? I went back through my symptom journals, and here's a list of all the Long COVID symptoms I had at one point then recovered from:
Heart palpitations. Sometimes they would last literally all day, like 16 hours. And occur in different parts of my body (legs, neck). It really used to freak me out, to the point where I wouldn't even tell my doctors how bad it was.
Numbness, tinging and odd sensations in my hands and feet. Sometimes specific fingers would go numb for hours. With my feet, I'd feel like someone was touching them with their fingers, or if I had stepped on a bug.
Read 24 tweets
Jul 13
I don't have much sympathy for people who complain about the COVID lockdowns because my lockdown experience was worse than 90% of the people in this country. And yet, I would gladly relive the COVID lockdowns 10 times before I would live one year of being sick with Long COVID:
At the time, I lived in Seattle, which was one of the most locked-down and later lawless cities in the country. It's interesting to me that so many people don't remember this, but there was this thing called the CHAZ where protestors basically took over a few blocks of the city
My apartment was nearby, and so I was surrounded by constant civil unrest. Throughout the summer, there were roving street protests around my building: Cars were burned in front of my apartment. One time, police shot a canister of tear gas into the lobby
Read 20 tweets

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