Long Covid in the media and social media 2022

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Washington Post - Covid long-haulers face grueling fights for disability benefits

(gift link - no paywall for 14 days)

Article mentions ME/CFS, but unlike other Washington Post articles it uses the term "chronic fatigue syndrome." At least it's not "chronic fatigue."

Patients and doctors say safety net is unprepared for novel claims stemming from the pandemic

Doctors said in interviews they are treating long covid patients who are clearly too sick to work but who have difficulty meeting the evidence threshold insurers demand: objective medical test results showing an inability to perform work.
...

The challenges are similar to those faced for years by people claiming disabilities based on chronic fatigue syndrome. But the pandemic has given rise to such claims on a far greater scale.

“We are seeing a mini epidemic of chronic fatigue syndrome,” said Benjamin Natelson, a neurologist at Mount Sinai Hospital in New York who specializes in such post-viral disorders.

Those of us who have been through the process of applying for disability benefits know that it's a brutal process -- and not only for patients with an ME/CFS diagnosis. It's going to be a rude awakening for so many Long Covid patients.

SSA is understaffed and underfunded. The process for getting benefits is designed to turn people down and hope they give up or die (seriously, a certain percent die while waiting for benefits). It's designed with the idea that there are a whole lot of malingering patients trying to game the system and you have to weed them out.

And getting SSDI (social security disability insurance) benefits is a piece of cake compared to disability benefits covered by ERISA law, but that's another story.

I noticed another weird item in their story about a patient applying for SSDI:

"She continued to submit additional test results after her initial application, with what she said was medical proof of 12 different diagnoses, including post-exertion malaise, chronic fatigue syndrome, dysautonomia, small fiber neuropathy, irritable bowel syndrome, and anxiety and depression."

When did PEM become a diagnosis?
 
Merged thread

Time: Researchers Are Getting Closer to Understanding Long COVID


Two years into the COVID-19 pandemic, questions about Long COVID still outnumber answers. Why do some people develop long-lasting symptoms—often after a mild case of COVID-19, sometimes even after being vaccinated—while others fully recover from their brushes with the SARS-CoV-2 virus? Why does Long COVID seem to disproportionately appear in women? How can one condition affect numerous bodily systems, causing symptoms ranging from brain fog to joint pain to total exhaustion? Is Long COVID a single diagnosis, or is it better understood as an umbrella term for a spectrum of disease, caused by a range of biologically diverse effects of the virus? Or, could it actually be a new manifestation of post-viral illnesses that have been around for decades?
Complex chronic conditions such as ME/CFS, chronic Lyme disease, and fibromyalgia have been around since long before COVID-19 existed and affect millions of people in the U.S. alone, but they have not historically received much research funding or attention from the mainstream medical community. “ME has a 40-year history that’s defined by neglect and abandonment,” says patient advocate Rivka Solomon, who has had ME/CFS for 32 years.
https://time.com/6153259/what-causes-long-covid/
 
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Merged thread

"Voices of Long COVID" (video/radio campaign)


I just heard a spot on the radio called "Voices of Long COVID" which lead me to their website here: https://voicesoflongcovid.org/

It seems to be a collection of interviews with relatively young people (ages 20 to 26) who describe what Long COVID has been like for them.

The similarity to descriptions of ME/CFS is striking, including low stamina, failures of memory and cognition, dizziness and even the delay of the onset of these symptoms until 2-3 weeks (or longer) after the initial infection.


ETA: dizziness
 
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Linda Dalton gave a moving 13-minute interview on the Pat Kenny Show on Newstalk (an Irish national radio station) yesterday, March 8 about long Covid.

It included the following:

Pat Kenny: You know this business of post viral syndrome, which is how it is being described because many viruses lead people with certain symptoms for a while and just for a while. This reminds me a bit of the battle of people with ME who are trying to persuade people that ME existed. It’s got a name Myalgic Encephalomyelitis but it took a long time for people to accept this was a real thing and not something of the imagination. There is no question that what you are suffering from is definitely as real as it gets.

Linda Dalton: Yes, Long Covid is very, very similar to ME and CFS, Chronic Fatigue Syndrome so my heart goes out to the society. They do suffer very, very similar traits to long Covid people and they’ve been suffering 20, 30, 40 years without getting their voices heard so hopefully if the doctors find some sort of cure or remedy to this, it will help them also.

https://www.goloudplayer.com/episodes/328977?$deeplink_path=podcast/47/328977&_branch_match_id=788909076450803030&_branch_referrer=H4sIAAAAAAAAA8soKSkottLXL0gxzTTRSywo0MvJzMvWd8kp9w/3dfEOTk2yVzUySUlNLQCJxxcklmTYFuSnJCcWl6gauZmYAwljIwtLc3M1sLLi7JL8gvjSohzbDJDBqsaOQAVAVF5erpeen5NfmlKQk1iZWqSXnJ8LFE4tyCzOB+qCmwIAYyxQ4Y8AAAA=

 
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(I'm not sure where to post this, or if it's already been posted.)

Long Covid - Exploring the latest science and pathways forward
From Gez Medinger's YouTube channel.

The opening presentation from the 17th Integrative Healthcare Conference, 2022 in New York. Hosted by David Brady and with a panel including Dr Bruce Patterson, Dr Richard Horowitz, Dr Tom Fabian and Gez Medinger himself. The intention is to cover the latest science and understanding of long covid and what treatments are currently being considered.



I haven't watched the whole video yet, so not sure if it's a recommendation. At the beginning David Brady (whose wife has long covid) mentions ME/CFS and how post-viral conditions are nothing new, and how dismissed and mistreated pwme and have been in past.

 
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I don't have a Nat Geo subscription, but curious if anything of note in this.

This passage stood out to me.

Susan Levine is an infectious-disease doctor in New York who specializes in the treatment and diagnosis of chronic fatigue syndrome, which has parallels with long COVID. She now sees 200 patients every week, compared to 60 in pre-pandemic times. Unlike CFS, long COVID “hits you like a ton of bricks,” Levine says. “It’s like a tornado inside your body where you’re going from working 60 hours a week down to being in the bed all day within a week of getting the infection. The action is so compressed.”

The suggestion seems to be that the ME/CFS onset is slower than LC, which is rapid. My experience of presumed LC is of slow onset (before I even recognised it) and then precipitous deterioration. I suspect it's hard for many patients experiencing this to tease it apart, as I had to look back with the retrospectoscope to appreciate it. Anecdotally people can describe recovering from a few days of acute "mild" COVID and then getting very sick a few weeks later, but some are also going straight in to the LC situation. I suspect there's similar variability in ME, also depending on inciting cause, but others here likely have a better view on this.

This post has been copied and following discussion moved to this thread:
Is Long Covid a type of ME/CFS? Discussion thread
 
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Full story can be read here.

This sounds familiar:

“I didn’t speak to most of my friends for a year because I had no capacity for anything outside what was imperative. Sometimes, walking my dog for ten minutes leaves me with full body muscle tremors for a week.”
...
“Three weeks later I had this massive crash while I was out for a run. I was in bed for five days,” she said. Since then, she has been on what she calls a 23-month “corona-coaster”. She had to leave her job last February. “It’s like being chronically hungover,” she said. “Except I’ve not drunk anything since 2020.”

Shocking statistics:

About 1.1 million people in Britain reported symptoms 12 weeks after catching Covid, which is generally agreed to be the cutoff. Rates are highest in northeast England, where 2.5 per cent report symptoms, and lowest in Northern Ireland at 1.2 per cent. One in five — 205,000 people — say their symptoms reduced their ability to undertake day-to-day activities “a lot”.
...
According to Julian Jessop, an independent economist: “If 100,000 people were unable to work due to long Covid, that would be 0.3 per cent of the workforce. In addition to the reduction in the supply of labour, productivity is likely to be hit by staff absences. A total hit of 0.4 per cent of GDP would cost the economy £10 billion a year.”
...
Patients are recovering, albeit slowly. Of the 1.1 million patients who reported long Covid in the past 12 months, 685,000 have had symptoms that last longer than a year.
 
The U.S is also running Long-Covid public service announcements (PSA) on tv during basketball games. It's centered on vaccination, but at least they are making people more aware of LC.

Here is one example:

 
Odd statement from Levine, it's obviously false. It's certainly true in some LC cases, but false in many others. And it applies to many ME cases. It basically applies to both, certainly doesn't differentiate.

What is Levine talking about? I am sick of these statements coming from individuals which have no basis in reality. People should have researched ME by now in the context of the pandemic to correct their wrong impressions about it; it is hard to take such people seriously when they continue to spread false information at this stage.

ETA: If someone is trying to compare ME and Long Covid and the upshot of what they are saying is that Long Covid is somehow "worse" or more severe, it's a sign they have not understood either topic.
 
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MIT Sloan Management Review
How Managers Can Support Employees With Long Covid
by Fiona Lowenstein

quote:
Employers can start by learning about post-exertional symptom exacerbation, or post-exertional malaise (PEM), a common symptom of long COVID and related chronic illnesses. People with PEM often have to carefully pace work tasks with rest, because overexertion can lead to temporarily or permanently worsened health.
 
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