InitialConditions
Senior Member (Voting Rights)
According to the Freeview online TV guide, there is case of long covid on tonight's episode of GPs: Behind Closed Doors at 7pm on Channel 5 (UK)
According to the Freeview online TV guide, there is case of long covid on tonight's episode of GPs: Behind Closed Doors at 7pm on Channel 5 (UK)
We can learn a lot about long COVID from years of diagnosing and treating chronic fatigue syndrome
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While some long COVID symptoms are unique (microclots, lung scar tissue, or organ damage due to acute infection), most resemble the clinically very similar disorder myalgic encephalomyelitis, more commonly known as chronic fatigue syndrome.
While the term myalgic encephalomyelitis is preferred by many patients who have fought to have the illness recognised as an illness that affects the brain rather than just tiredness, we’ll use the term chronic fatigue syndrome here for simplicity.
As similar post-viral illnesses, there is much we can learn about long COVID from our years of diagnosing and managing chronic fatigue syndrome.
Managing post-viral illnesses
Looking at how chronic fatigue syndrome is managed has proved useful in managing long COVID, with the current management guidelines closely mimicking each other.
This includes educating and supporting patients to manage and monitor their symptoms, rehabilitation from a multidisciplinary team (which may include physicians, physiotherapists, occupational therapists, psychologists and others), and modifying lifestyle and work routines.
Techniques often used in chronic fatigue syndrome are also likely to be useful in long COVID patients. These may include activity-pacing, sleep hygiene, pain medication, and increasing fluid and salt intake, which can help manage rapid increases in heart rate experienced by some patients when they get up from sitting or lying down.
It may also be beneficial to refer long COVID patients to clinicians with expertise in chronic fatigue syndrome, particularly for health professionals who are less familiar with treating post-viral fatigue syndromes.
Post-viral illnesses are not new, and long COVID may represent the latest addition to this family.
When Judith first came down with Long Covid, in March 2021, she couldn’t imagine being able to return to her job: a demanding role in business development for a global engineering company. She suffered from fatigue, brain fog and breathlessness so debilitating that she had to ask her parents to care for her and her two children.
She counts herself lucky that, about six months later, she was able to resume full-time hours. It was the culmination of a careful increase in activity guided by an occupational health specialist experienced in chronic fatigue, provided by her employer.
“The support kept me restrained from increasing my hours too fast,” says Judith, 43, who did not want her full name published. “I had no experience of this condition — or any idea of what I needed to support me.”
She is one of 2mn people in the UK — about 3 per cent of the population — that the Office for National Statistics estimates is suffering from Long Covid. It defines Long Covid as a strain of the disease in which symptoms persist for more than four weeks, although most sufferers were first infected more than a year ago. For about three quarters of these people, Long Covid symptoms affect their day-to-day activities and, for one-fifth, those abilities are limited significantly.
Judith has also had relapses, brought on by Covid-19 reinfections, which have required her to temporarily reduce her hours. And her recovery is not yet complete, despite the progress she has made. But she has learned how to ration her energy, to keep her symptoms at bay.
https://www.ft.com/content/fb77b3ef-0ad6-4bc6-a44b-fd6e0bdfe846Practices adopted for other long-term conditions with overlapping symptoms, such as chronic fatigue syndrome, have proven effective for many Long Covid sufferers, occupational health experts say. A central concept in managing CFS is ‘pacing’, which warns sufferers against pushing themselves to the limit to avoid so-called boom-and-bust cycles. In CFS, as well as many Long Covid cases, overexertion is counterproductive. Experts say it is important to take an individualised approach because symptoms vary and, in some cases, returning to work may not be possible.
That's not rehab, though. That's convalescence. Enough with this crap. Those resources are completely wasted just being there while some improve and others don't. This is all even more worthless than freaking homeopathy. It's literally built for the medical professionals to feel good. Somehow, despite being as useful as a potted plant in the corner. Why do they actually enjoy being less useful than furniture?Why Long Covid rehab must be very, very slow
https://www.ft.com/content/fb77b3ef-0ad6-4bc6-a44b-fd6e0bdfe846
That makes two of us. Poor journalist (I did praise the article itself though).Young Christchurch woman fed through straw, lives in darkness with chronic fatigue after Covid-19 (Stuff, NZ)
Good article, quotes Warren Tate. I've emailed the journalist and asked if the title could be changed to "chronic fatigue syndrome".