Long Covid in the media and social media 2023

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I wonder if excessive use of antivirals may have the same problems as with antibiotics? Can a virus mutate into becoming more resilient to antivirals?
The question then is 'what is excessive ? The main concern about antibiotics is not their use for bacterial disease in humans, but their (pointless) use in non bacterial and non bacterial risk diseases in humans PLUS the mass unwarranted use in farmed animals with its consequence of release of antibacterials into the wider environment. So far antivirals aren't widely subject to the same pitfalls, also virus chemistry is different to bacterial chemistry and there's perhaps some constraints of specificity that can be applied to viruses that are not so easily applied to bacteria.

Even so, there is probably cause for concern - an opinion piece so not definitive science, but note the worry about environmental exposures via waterfowl: Potential Emergence of Antiviral-Resistant Pandemic Viruses via Environmental Drug Exposure of Animal Reservoirs also Why the veterinary use of antivirals in Egypt should stop?
 
My wife and I did not catch all of this, but my wife caught part of it where a 45 year old woman says she has had to give up work and struggling to get by, because she just feels so ill and shattered all the time. And that when she goes to her doctor he just gives her anti-depressants and tells her to keep herself moving.

https://www.bbc.co.uk/programmes/p0dxqqx0
Thanks for pointing this out. I’ve just listened to whole segment.

With BBC radio 4 editorial perspective and women’s hour having a strong bias in favour of establishment interests I had expected a painful listen. As was indeed the case.

They had invited Dr Binita Kane to give the perspective of people looking for preventative public health environmental measures and to advocate for medical care for LC patients. She described these patients as seriously ill. As a medical consultant she was well placed to give her opinion and as a parent of a very sick child had intimate family connection as well as her professional relationship to the subject.

Dr Kane had- in desperation since no other was available-taken her child for untested treatment in Germany. This treatment worked very well for her daughter who has been able to resume her education and childhood activities.

However this decision to seek experimental treatment for her daughter made Dr Kane an easy target (it is my suspicion that this is at least in part why she was chosen as the voice for change) for the opposition guest who was strongly arguing for not going outside of evidence based treatment. This meant no treatment. Instead volunteering to do rehab. Good results were claimed for these “specialist” Long Covid clinics. However no actual evidence was presented.


In summary Drs suffering longer lasting effects of LC will be advocating for infection control, environmental mitigation measures, biomedical research and treatment. Whereas those not effected will continue to peddle “lifestyle” as means to “recovery”.


If anyone is curious about the discourse but looking to conserve energy, I suggest a listen to first and last 3mins that should more or less cover it.

Please note the tone of voice of the NHS Long Covid clinic Dr as she has her last word.
 
My wife and I did not catch all of this, but my wife caught part of it where a 45 year old woman says she has had to give up work and struggling to get by, because she just feels so ill and shattered all the time. And that when she goes to her doctor he just gives her anti-depressants and tells her to keep herself moving.

https://www.bbc.co.uk/programmes/p0dxqqx0

Interesting because Melissa Heightman is a specialist in respiratory, just like Benita Kane - but of course Benita has direct experience from a daughter with Long Covid.

This seems to flag the one-dimensional focus of someone in respiratory running a service and the issue of them 'fixing the bit in their area' then shoving off to wherever - which always seems to be physio or psych for no good demonstrated reason.

I'm not sure she didn't need to resort to a bit of answering a different question to that answered re: HELP apheresis. She described the German stuff as research ie trials, and then said 'in drug-thinning meds' and then said it wouldn't be useful to offer as treatment due to it needing a trial. WHich is basically circular? Isn't it?

Then of course a lot of banging on about their preferred territory of evidence-based bla bla - yet didn't answer why aren't they trialling it here?

And not really answering it by fibbing about saying physio is effective. But she must know - as she made a point of saying at the start the clinic has a very mixed sample of patients with ME-type long covid as well as those with 4 weeks after or breathing issues - that isn't true for the same condition, so isn't it naughty to cite effectiveness for respiratory when it is talking about those for whom the same treatment isn' effective and could be harmful?

Yes her tone/tactic is patronising - I think the host was trying to keep it on topic and ask her whether they are actually deprioritising and helping people properly. Lots of cliches in reply with buzzword galores like measuring, evidence-based - which makes you wonder why they aren't following the stats and doing the measuring to pick up on it not working for PEM/PESE. 100% agree @Ash that she kept citing 'people really do benefit from' and then citing generic things like support with mental health, pain fatigue but all empty - no stats and no specifics. Disappointing really, but I guess she'd been prepped to give nothing - so noone could disagree with nothing etc

well done on Benita for noting PEM/PESE, tho a shame she couldn't point out how many/what a proportion that is - rather than it being an anomolie or unusual. It's a shame to have the two-speed element created by having the droning party-line having to intersperse the reasonable questions from someone who was at least as expert in the same area as the woman she was asking. Stuff like this highlights the issue of the 'balance' line when only one side is playing ball of answering questions put to them and staying on topic as it is having someone whose objective is to keep it off a debate about the topic derailing the point of something.. but hey ho, seems to be the common issue nowadays

EDIT: also sad on Melissa for stopping learning because Benita has the knowledge about the area Melissa doesn't at all (both have the same in respiratory), and yet she closes her ears as if it doesn't exist. I'm not sure her condescending tone works when you are trying to talk down to someone who is at least on your level with what you do know and way above you on what you don't. She should, if she had enough humility to be capable of learning, feel silly for that. It's clearly a new technique of 'if you adopt the tone' people will forget the 'knowledge difference' is the other way around?
 
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“Long COVID can lead to #chronicfatiguesyndrome. Doctors are working to help patients manage.”

https://bit.ly/3XsVwmZ

Sympathetic 7-minute segment on Texas radio focusing on ME/CFS & its connection with #LongCovid.

Includes a transcript.

A journalist, Amanda Morris, who covers disability for the Washington Post is interviewed & tries to get across what #MEcfs patients have told her about the symptoms, etc.

 
As the pandemic enters its 4th year, there's still much to learn about long COVID

Researchers estimate at least 65 million people worldwide have suffered from long COVID. NPR's Steve Inskeep talks to Dr. Eric Topol about a paper he co-authored on what we know about long COVID.

https://www.npr.org/2023/01/20/1150...g-covid?utm_source=dlvr.it&utm_medium=twitter

Another interview about the Nature paper where Topol fails to mention ME/CFS. It is incomprehensible to me why he would choose to do this.
 
Long Covid article from The New York Times with brief mention of ME:

Long Covid Is Keeping Significant Numbers of People Out of Work, Study Finds

quote:

“A lot of people can’t afford to not work and so they’re working when they really shouldn’t be, continuing to work while they’re sick,” said Ms. Bach. She said that the experience of people with similar post-viral conditions like myalgic encephalomyelitis and chronic fatigue syndrome suggests that some people who work despite their long Covid may have harder recoveries. “When people who have a condition whose hallmark symptoms are fatigue and brain fog go into work, they’re not going to be as productive and they’re probably reducing their odds of improvement,” she said.
 
Another interview about the Nature paper where Topol fails to mention ME/CFS. It is incomprehensible to me why he would choose to do this.
It's certainly mentioned in the actual paper, so I would suspect this is a deliberate strategy in scientific communication to the public.

It's possible he recognises the stigma/bias/failure so wants to keep the focus on "LC". Mentioning ME/CFS in a general interview also risks confusing the audience, as you or the journalist are almost forced to detour off-message to explain the long and compound medical term and its history. It might also focus undue attention on fatigue, which we know is an inadequate term that is misunderstood by both lay and professional audiences.
 
It's certainly mentioned in the actual paper, so I would suspect this is a deliberate strategy in scientific communication to the public.

It's possible he recognises the stigma/bias/failure so wants to keep the focus on "LC". Mentioning ME/CFS in a general interview also risks confusing the audience, as you or the journalist are almost forced to detour off-message to explain the long and compound medical term and its history. It might also focus undue attention on fatigue, which we know is an inadequate term that is misunderstood by both lay and professional audiences.
Sadly, that is probably true. :grumpy:

The reality is that we are probably going to be largely riding on the coattails of LC, for a while at least.
 
Announcement by the Swedish Covid Association on Twitter earlier today (25th January):
Images of text auto-translated said:
We have met with the government
A proposal for a national action plan has been submitted

Ministerial meeting
Today, the Swedish Covid Association met with Minister of Social Affairs Jacob Forssmed and Minister of Health Acko Ankarberg's State Secretary. With us were several post-covid experts from research, clinical practice and research funding.

If we are to live with the virus, we must be able to manage its long-term consequences. A national action plan is needed for this.

Our proposal

* Give the SBU [the Swedish Agency for Health Technology Assessment and Assessment of Social Services] an expanded and extended mandate. Global surveillance must be improved.

* The National Board of Health and Welfare should develop a national clinical knowledge aid. Knowledge must be disseminated if we want to have equal care.

* Establish a national knowledge centre to accelerate learning.

* Earmarked money for multidisciplinary clinics in each health region. Postal code does not determine care needs.
 
Carinas son har levt med postcovid i flera år – nu kan han få hjälp
https://sverigesradio.se/artikel/carinas-son-har-levt-med-postcovid-i-flera-ar-nu-kan-han-fa-hjalp
Auto-translate said:
Carina's son has been living with post-covid for years - now he can get help

In 2020, 14-year-old Linus in Mölltorp was diagnosed with covid-19, and the effects of the disease still plague him.

But now there has been a turnaround, and after a long search, Linus will now get help, after his mother Carina took a chance.

"You feel like 'finally'," she says.
The Swedish Covid Association comments on Twitter:
"After 3 years, a family gets in touch with a doctor who knows something about their son's condition. That it's newsworthy says quite a lot about the country's #postcovid care"
 
One of the top politicians in Nordnorge county in Norway is stepping back due to long covid:
https://www.nrk.no/nordland/fylkesradsleder-i-nordland-gar-av-1.16273778 (In Norwegian)

I'm impressed they mentioned why he is stepping down (but have been told by someone I know who live in the same area as he does that it is well known he has been ill since his covid infection).

This has become a larger article at NRK, now with a nice quote from Remi saying he has chosen to be open part due to his public figure so he can help show others how damaging low covid can be :)

Flottorp makes an appearance midway through recommending GET, but this is directly followed by Remi talking about how he felt he was better and had a nice progression, went back to work and ended up back on sick leave. It ends with another short mention of an athlete that recently quit a reality show due to long covid. There has been a few other athletes recently who have talked about things "not being right" after covid also.

Norwegian: Trekker seg fra politisk toppverv på grunn av «long covid»: – Det er mange av oss som sliter
Google translate: Resigns from top political office due to "long covid": - There are many of us who are struggling
 
The linked article in the above article (translated):

Doctors and psychologists disagree about "long covid": - Too easy to blame the patients
If you worry less, you will recover from the coronavirus faster, doctors believe. If that is true, the psychologists must be mobilized, says the psychologist.

Among other things, the head of research at FHI, Signe Flottorp, says that being afraid of getting sick in itself can intensify and keep the same symptoms.

My experience is that when medicine does not understand how to solve a medical challenge, they start talking about psychological factors, says Fjelltun.

- It is noticeable when they highlight the psychological. This is not the case, for example, with cancer or a heart attack. That's when they don't have a very good overview of the research.

Jonas R. Kunst is professor of psychology at UiO. He says he has not heard of any peer-reviewed research on Long Covid that supports that you get a shorter course of illness from corona if you are less worried.

- These claims are problematic because they make medical illnesses mental, he says.
 
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