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The article is a bit on the nose about the fact that they were all involved in B12 research, though.
(Off topic!) There's a long story behind that, actually. B12 was used as a kind of weapon against the Gottfries Clinic, which probably played a big part in them having to close down. Gottfries and others at the clinic had been involved in ME reseach for more than 20 years, so it was an immense loss for the ME community in Sweden. The clinic had a biomedical approach.

In short: three public healthcare physicians filed an official complaint to IVO, The Health and Social Care Inspectorate, sometime before March 2015, objecting to Gottfries offering ME patients B12 injections as a part of their treatment, arguing that it's not evidence based. They also objected to the part of the contract with the regional council that states that after initial investigation, diagnosis and treatment at the Gottfries clinic, patients are to be sent back to the primary healthcare centers who from then on will be responsible for continuing their care, treatments (including B12), writing the necessary papers for sickness benefit/compensation, insurance purposes etc.

The use of B12 was misrepresented in the media, one thing led to another, and the regional council stopped funding the clinic in 2017 which led to the clinic having to close down. The regional council gave the contract to a clinic with a BPS/MUS approach instead :grumpy:

More info here, for those who are interested.
 
Oh God, that's awful. I do find it telling that it's always physicians who file these sorts of complaints, and never the patients themselves. That said, an ubiquitous supplement was never going to be the key to curing ME, and it's a shame that things went downhill over a treatment that will be futile in most cases.
Thanks for providing the background to this topic, though.
 
Inside 'post-Covid' clinics: How specialized centers are trying to treat long-haulers

https://www.nbcnews.com/health/heal...specialized-centers-are-trying-treat-n1258879


In case anyone is still somewhat envious of the attention long haulers are getting, don't:
Nearly four months later, Martinson has no detectable virus in his system. But he still gets winded easily. To increase his blood oxygen levels, his rehabilitation at the Mayo Clinic has included breathing exercises, light cardio and weightlifting.

He's also learning how to do household chores, like vacuuming, in ways that use less energy. Instead of standing in one spot and moving the vacuum with his arms and his upper body, Martinson now operates the vacuum in a way that resembles mowing the lawn.
Makes total sense to combine an exercise program with strategies to use less energy while vacuuming, a very low exertion chore. No contradiction here. Much common sense. Penny-wise pound-foolish taking an interesting twist here.
NBC News found that there is no medical standard of treatment for post-Covid-19 patients. Therapies vary from traditional physical therapy to medications to mindfulness. Some patients have improved; many others haven't.
Often, the only real options for clinicians are to work with patients on the basics of a healthy lifestyle, including sleep, diet and exercise.
Clinicians are also taking cues from what's known about other, similar long-lasting illnesses, such as chronic fatigue syndrome and fibromyalgia.

"Many of these patients throughout the history of medicine had been marginalized, just because it was a very fuzzy type of diagnosis," said Vanichkachorn of the Mayo Clinic.
"Taking cues" apparently means making all the same mistakes and never budging away from a failed approach.

And when you definitely understand the concepts such as brain fog:
To help with brain fog, a commonly reported symptom, the Post Covid Recovery Team at Family Health West in Fruita, Colorado, uses speech therapists to help patients find the right words while speaking.
It's been a year and everyone is still stuck behind the starting line. What a dysfunctional mess. The whole first year utterly wasted on fools' errands. Leading to this, most of which could have been avoided had people worked smart instead of hard:
Patients who were physically fit before Covid-19 infection — special operations military personnel, airline pilots and runners — tend to have more severe long-term symptoms, another mystery of the disease. Up to 30 percent of long-haulers are so debilitated that they have been forced to quit work, according to the Mayo clinic's estimates.
 
Video
From struggling to breathe and move – to aches and fevers that never went away – there are thousands of people who say they are experiencing symptoms months after first contracting Covid-19. They are a community struggling to find answers, care and compensation. The Guardian spoke to five people suffering with long Covid

Copy and paste to go to video
Code:
https://www.theguardian.com/society/video/2021/mar/01/voices-of-long-covid-we-are-the-people-that-never-recovered-video
 
It's good, except complete naive that it is a common problem, certainly no need to go back a full century to look for examples, which says a lot. Medicine has completely dismissed and trivialized brain fog, psychologizing it as usual, and now some of the very people who would gaslight it have had their lives ruined by it.
Jördis Frommhold, the doctor leading the study at Heiligendamm, Germany’s oldest sea-bathing resort, said that about half the long Covid patients showed signs of neurological damage. “These patients are often very young, between 20 and 40,” she said. “Usually they had a mild to moderate initial infection, then everything seemed to be relatively OK again, and then they develop these symptoms.

“Typically they exhibit unbelievable faintness, exhaustion, the symptoms of fatigue, but also severe neurological impairments that go all the way up to dementia, that really look like dementia. [Some] patients can’t form sentences, they have trouble finding words, they can’t concentrate. We have 19 and 20-year-olds who can no longer continue with their studies.”

Frommhold’s conjecture is that these symptoms may result not so much from the virus but from the body’s overzealous immune response to it. Her theory is that some patients develop antibodies that turn on their own healthy tissue, including their nervous systems. She pointed out that the 1918 Spanish flu pandemic was followed by a wave of neurological problems.
These doctors are so unaware that brain fog is a thing that already exists that they have to dig back a full century to find examples that make sense to them. Amazing.
Frommhold said that it was impossible to estimate how common the disorders were but she was concerned that they were being overlooked by doctors. “These patients experience an incredible amount of helplessness. Often they’re passed from doctor to doctor because no one takes them seriously,” she said. “It’s also alarming that many of these patients don’t get the necessary diagnostic tests, even when they’re young and were never sick before.”
Yet another article that describes us yet does not name it. Ironic that in speaking about neglected patients, it completely neglects the millions of us already living with this.
It is too soon to say how effectively these symptoms can be treated. Early results suggest that the respiratory and physical therapies lead to statistically significant improvements in lung function, anxiety and depression but patients appear to recover much more slowly from the neurological problems.
Bears repeating that generic psychometric questionnaires of no specificity are entirely useless. Because some people are really slow at understanding it while others are too committed to ignoring reality to care.
 
I think Dr Frommhold is the one from the documentary I've posted before. I'm sure depending on the underlying problem lots of people do benefit from physical therapies. It's crucial to filter out the ones with real PEM/PENE right away though to not make them worse.

Prof. Scheibenbogen from the Charité has been very outspoken about a possible LC - ME overlap so any doctor who takes LC seriously as a physical problem must know about ME.
 
Medically Clear
Long-Haul COVID: A Contested Illness is Born

Ballard, Dustin MD

Sees Long Covid as a problem for doctors

https://journals.lww.com/em-news/Fu....aspx?context=FeaturedArticles&collectionId=3
I read this more as "we will make problems for those patients" from someone who intends to make problems to those patients. None of this is serious, reality is too abstract to these people, they are moving pieces on a board without any understanding that those represent lives like their own.

Though in a nutshell this shows how "contested illnesses" come about, how it's completely arbitrary and can be summed up as: "I contest and will fight these people until they give up".
 
Brilliant opinion piece, well worth a read :) Please click through to the article to increase its traffic/stats!

De som har långtidscovid kan inte viftas bort lika lätt som de ME-sjuka

https://www.altinget.se/artikel/kro...an-inte-viftas-bort-lika-latt-som-de-me-sjuka

Google Translate, English

Google Translate said:
Those who have long covid can not be waved away as easily as those with ME

Agnes Arpi

Now a just awakened muddle-headed Sweden will have to meet the needs of the new patient group with long-term covid. At the same time, tens of thousands of similarly ill people are still without care and security after many years.

Covid-19 swept the world, and in its wake a new group of patients emerged. The long-term sick, who have only now begun to be recognized in earnest in Sweden. Research funding has been invested and a few specialized clinics have opened.

At the same time, the awareness is slowly improving that, for example, organ damage is not always visible on basic tests in primary care.

Long covid becomes "anxiety" in the journal


The victims have a lot to deal with in their new reality. In addition to unpleasant and frightening symptoms that do not go away, many people have suddenly realized that they are no longer considered credible.

Healthcare and authorities have been unprepared. There is no basis for a decision, says the Swedish Social Insurance Agency, when the still sick are to be forced back to work. And when you do not know better, it is always easy to say "psychological" - therefore "anxiety" is a diagnosis in the medical records.

Similarities with the lives of ME patients

Everything sounds so familiar. If you have not both closed your eyes and covered your ears, that is.
I think of ME, sometimes called ME/CFS, more rarely "chronic fatigue syndrome". The disease is often triggered by an infection. The postviral fatigue does not go away. Many people associate the disease with this enormous fatigue, but in addition there are flu symptoms, hypersensitivity to sound and light, pain, stomach problems, exertion-induced deterioration and much more.

Patients are mistrusted. In Sweden, healthcare professionals can choose whether to believe in the diagnosis, despite [the official Swedish healthcare information website] 1177 articles and promises of specialist clinics in different regions. It is safe to go ahead and portray patients as crazy and demanding, without consequences.

Head tilted

Back to long covid. This is where the same types appear. As early as last summer, there were a bunch of general practitioners and CBT supporters, who, despite the meager state of knowledge, claimed that they should stop thinking so much and instead increase their activity to get healthy. Other opinion leaders have wilfully misinterpreted international studies in the battle for the concept "cultural disease".

People get upset and angry - here a new, terrible disease has taken away their health, work and a functioning family life, then someone comes with their head tilted and says "but little friend, you have become ill from talking to other frightened people on Facebook, have you tried to take a walk?”.

The problem can not be waved away

The difference is that this time it takes place in plain sight. Covid-19 affects the whole society. Everyone has been affected. When thousands of previously healthy people, many of them in healthcare professions, fall ill and then do not recover, it is not possible to dismiss the problem.

It is not possible to do the usual, to look for faults and shortcomings in individuals, when so many are hit so hard at the same time. When they are then kicked out of the social insurance system, despite the fact that many of them fell ill when they were working on the front lines against the infection, society vibrates with indignation and politicians promise to immediately review the system deficiencies.

The infection-triggered long-term sick people who were kicked out of the social insurance system a long time ago can only politely watch when this "new" phenomenon is being given attention.

ME patients have the right to live

It sometimes happens that the media shows the ME-sick interest. This is especially true when one of the most severely affected has taken his own life because the pain has become extreme, often aggravated by the healthcare they have been offered. Then suddenly the shortcomings become clear for a short while. Then the debate tends to culminate in the issue of the right to die. What it should be about more often is not the right of ME patients to die, but their right to live.

There is only one specialist clinic left in Sweden for this patient group of an estimated at least 10,000 people, largely referred to the care and support of family and relatives.

A just awakened muddle-headed Sweden

Now a just awakened muddle-headed Sweden will have to meet the needs of the new patient group with long covid, which has been estimated to include up to 160,000 people.

At the same time, tens of thousands of similarly ill people, with similar symptoms and problems getting help, are still after many years without care and security. Their questions are hanging in the air: What's new? Have you not learned anything?

ETA: Please do "like" and retweet/share:


ETA: Link to Altinget's Facebook post:
Code:
https://www.facebook.com/1498384680401285/posts/2884205678485838/
 
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It is a great article @mango. Good job Agnes Arpi.

People get upset and angry - here a new, terrible disease has taken away their health, work and a functioning family life, then someone comes with their head tilted and says "but little friend, you have become ill from talking to other frightened people on Facebook, have you tried to take a walk?”.

It is not possible to do the usual, to look for faults and shortcomings in individuals, when so many are hit so hard at the same time. When they are then kicked out of the social insurance system, despite the fact that many of them fell ill when they were working on the front lines against the infection, society vibrates with indignation and politicians promise to immediately review the system deficiencies.
 
Commentary: Understanding the survivorship burden of long COVID, Iqbal et al, 2021
The concept of ‘survivorship’ provides healthcare professionals, researchers and policy makers with a communal lens through which they may frame holistic interventions aimed at reducing the overall burden of living through a condition. This term encompasses the physiological, psychological, social, functional and economic impact of living with a chronic condition for an affected individual and their family members/caregivers [2]. Despite its predominant use in oncological literature, we can draw several parallels between the journey of long COVID and many cancers; both patient cohorts typically describe (i) the psychological impact of an unexpected diagnosis and duration of symptoms; (ii) a complex set of evolving physical symptoms; (iii) on-going changes in physical function; and (iv) an associated change in lifestyle, finances and interpersonal relationships [3].
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00047-X/fulltext
 
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