[HN Gopher] Burden of post-Covid-19 syndrome and implications fo...
       ___________________________________________________________________
        
       Burden of post-Covid-19 syndrome and implications for healthcare
       planning
        
       Author : infodocket
       Score  : 175 points
       Date   : 2021-07-13 18:32 UTC (4 hours ago)
        
 (HTM) web link (journals.plos.org)
 (TXT) w3m dump (journals.plos.org)
        
       | jacquesm wrote:
       | One of those cases here. Symptoms: suddenly out of energy,
       | occasionally suddenly being unable to spell, even mild physical
       | exercise leaves me floored (and I was pretty fit for my age prior
       | to this).
       | 
       | So, 17 months in: it's _still_ not back to where it used to be
       | but if you think of it in terms of trends instead of absolutes it
       | is definitely still improving. The downs are less far down, the
       | fog is lifting and the energy levels are creeping back up. But
       | still, you can have down days every now and then. But they are
       | getting fewer and further between and the downs are less far
       | down. I hope to get it completely behind me one of these days.
       | 
       | When I had COVID I was just one small step away from calling for
       | an ambulance but that was rock bottom, after that it got better
       | and I will always wonder if I had called them earlier if I could
       | have avoided the worst of this (by having some oxygen earlier on
       | and maybe avoiding some of the damage). But I figured other
       | people had it much worse than I did (and I still believe that was
       | the case). March last year was a pretty crazy time.
        
         | taxicabjesus wrote:
         | > I will always wonder if I had called them earlier if I could
         | have avoided the worst of this (by having some oxygen earlier
         | on and maybe avoiding some of the damage).
         | 
         | I think you're quite fortunate you held out and got better on
         | your own.
         | 
         | There's some old scientific knowledge that oxygen [O2] in
         | excess is toxic. I've submitted links about toxic-O2 here
         | before, but these did not get much attention [4][5].
         | 
         | Some modern Fire/EMS first responders are well-aware of toxic
         | O2 [0]. My uncle (an MD) knows about toxic O2, but he's not
         | aware of the antidote. I was waiting for _someone_ with
         | credentials to call out the doctors for their mistaken use of
         | oxygen.
         | 
         | I did find an MD's tweet that confirms the old research [1].
         | The doctor's tread is about how ventilators are harmful too,
         | and how he can kill mice in 3 days with pure oxygen. But the MD
         | didn't mention the antidote (5% CO2) that makes O2 non-toxic.
         | 
         | I've put some effort into tweeting about
         | #MedicalHyperventilation [2] and SARS-CoV-2 [3], but no one
         | consults with a non-credentialed former taxi driver (or his
         | real-world persona).
         | 
         | My write-up: _The Folly of Medical Hyperventilation:_
         | https://www.taxiwars.org/2021/06/folly-medical-hyperventilat...
         | 
         | I've posted this with my pseudonym because it's sort of
         | inconvenient for people to realize we've driven the global
         | economy into a wall because our doctors are trained to apply
         | pseudo-medicine: "if patient's blood oxygen saturation level is
         | low, supplement pure oxygen", and more inconvenient that
         | there's an antidote that makes oxygen nontoxic to the lungs and
         | the rest of the body.
         | 
         | [0] https://twitter.com/slpearson2/status/997208010328965120
         | 
         | [1]
         | https://twitter.com/robertpdickson/status/126525483948485427...
         | 
         | [2] https://twitter.com/TaxiCabJesus/status/1407155149257154563
         | [1200] /
         | https://twitter.com/TaxiCabJesus/status/1407185919795294212
         | [110]
         | 
         | [3] https://twitter.com/TaxiCabJesus/status/1413730850626162691
         | [204/5]
         | 
         | [4] Mortality/morbidity: acutely ill adults liberal vs.
         | conservative Oxygen Tx(2018) (thelancet.com) -
         | https://news.ycombinator.com/item?id=22993262
         | 
         | [5] Space-cabin Atmospheres: Oxygen toxicity (1964)
         | (google.com) - https://news.ycombinator.com/item?id=25883728
        
         | kvnn wrote:
         | Have you seen this strategy for Long Covid?
         | https://covid19criticalcare.com/covid-19-protocols/i-recover...
        
           | jacquesm wrote:
           | No, I haven't and reading that I immediately picked out one
           | more symptom: reduced appetite. I have lost significant
           | weight, and in fact I'm still losing weight (but much more
           | slowly now). Down to about 68 Kg, 1,76 meters tall.
        
           | shaicoleman wrote:
           | You would probably also want to watch the video about it that
           | goes into more detail:
           | 
           | https://youtu.be/ZCYM2HW2Ayw?t=321
        
         | nathias wrote:
         | same, and I didn't even have it
        
         | disabled wrote:
         | In my early 30s: Pretty sure I had COVID-19 in early March
         | 2020. I had shortness of breath for a couple of days and I was
         | feverish for about 8 weeks.
         | 
         | Afterwards, I have severe fatigue. I also experienced bouts,
         | off an on for like a week or two at a time, where I could not
         | physically get warm, and I was freezing to death, no matter
         | what I did.
         | 
         | I also have severe dysautonomia (autonomic nervous system
         | dysfunction) which I had prior to probably having COVID-19,
         | which got worse. However, it is much improved now. People who
         | got dysautonomia from COVID-19, by the way, can expect for it
         | to significantly improve, or go away. Just focus on resting. It
         | is a brutal disease, trust me, but you can get through it.
         | 
         | I also had cognitive issues, with respect to memory, which has
         | improved significantly.
         | 
         | My best tip: Get a Garmin watch, that has the "Body Battery"
         | function. It's a literal lifesaver. Do not let the "Body
         | Battery" ever go under a 20 (out of 100) score, ever. You will
         | pay a huge price if you do. Use the "Body Battery" to gauge if
         | you can exert yourself or you need to rest. (It also determines
         | if you got a good night's rest.) By the way, it works based on
         | heart rate variability, and is quite accurate.
         | 
         | Here is a good Physical Therapy presentation on the current
         | situation:
         | https://www.albertahealthservices.ca/assets/info/hpsp/if-hps...
         | 
         | Other tips: This is the ultimate site on fatigue. Unfortunately
         | it is in Norwegian, so you have to use Google Translate for the
         | website (and the PDF documents--which are great):
         | https://www.kognitiv.no/psykisk-helse/ulike-lidelser/utmatte...
         | 
         | It is based on the book "Energityvene" which is called Energy
         | Thieves. Unfortunately there is not an English version.
         | 
         | I hope this helps.
        
           | johnchristopher wrote:
           | Which Garmin watch model do you have ?
        
             | aortega wrote:
             | The Garmin instinct have that function and works great.
             | There are way cheaper options like the Fitbit charge, it
             | also has a body-battery and is very accurate.
             | 
             | BTW I never had covid but if my body battery gets below 20,
             | I also feel like shit. That's the point I guess.
        
               | disabled wrote:
               | Thank you for the recommendation, which is thoughtful.
               | One thing that you may want to keep in mind: Garmin has
               | to follow GDPR, while FitBit (Google) does not.
               | 
               | You may not want Google (e.g. YouTube) serving you ads
               | when it knows you are in a very low body battery state,
               | for example.
        
             | CodeGlitch wrote:
             | Here's a list of supported watches:
             | 
             | https://support.garmin.com/en-
             | US/?faq=VOFJAsiXut9K19k1qEn5W5
             | 
             | By coincidence I was looking to buy a Garmin smart watch!
        
             | disabled wrote:
             | I have a Garmin Fenix 6 Pro, which I had before I got sick
             | with COVID-19. However, it is spendy (expensive).
             | 
             | I did a search and Body Battery is available on cheaper
             | models like the Garmin Vivosmart 4 ($129 USD). I put into
             | DuckDuckGo and verified:
             | 
             | "Garmin" AND "vivosmart" AND "body battery"
             | 
             | Link to Garmin Vivosmart 4: https://buy.garmin.com/en-
             | US/US/p/605739
             | 
             | Proof:
             | https://www8.garmin.com/manuals/webhelp/vivosmart4/EN-
             | US/GUI...
        
         | IAmGraydon wrote:
         | You were tested and diagnosed with Covid in January 2020?
        
           | eganist wrote:
           | > You were tested and diagnosed with Covid in January 2020?
           | 
           | 17 months ago would be mid february 2020.
        
             | IAmGraydon wrote:
             | Sorry you're correct - Feb 13, 2020.
        
           | jacquesm wrote:
           | No, I had it in early March, pretty much textbook, called the
           | local doctor who said don't bother testing (it was quite
           | obvious) but isolate from family, which we did as good as we
           | could. There were a couple of _really_ bad nights, and after
           | that it got better bit by bit and after three weeks I was
           | able to get up again and work a bit. From there it was a long
           | slog to get back to  'normal'.
        
             | usaphp wrote:
             | So you were never tested for covid? How do you know if it
             | was covid ?
        
               | [deleted]
        
               | jacquesm wrote:
               | Because I'm not a complete idiot.
               | 
               | - pandemic in progress: check
               | 
               | - risky lifestyle: check (as in very frequent air travel
               | for work)
               | 
               | - symptoms: O2 level drop, fluid in lungs, persistent
               | cough, extreme tiredness, dizzyness, loss of smell/taste
               | check all of these, and the rest, fortunately not. Later
               | on: crazy beating heart for no particular reason, losing
               | weight steadily but more slowly now.
               | 
               | Decision not to test was made by qualified medic, who
               | said that they needed the tests for those cases where
               | there was some degree of doubt, which in my case there
               | really wasn't, besides that there was an extreme shortage
               | of tests at that time. And to call an ambulance straight
               | away, and not my house doctor in case things got worse
               | than they were at that moment.
               | 
               | Keep in mind that there are vast numbers of people that
               | have gotten COVID that did not get tested and that
               | therefore do not show up in the various statistics.
               | Especially in the beginning the health care system was
               | totally overwhelmed and care went to those who needed it
               | most, and either wasn't administered to those who might
               | have benefited from it and many who simply didn't make
               | it.
        
               | the-dude wrote:
               | In previous Corona discussions on HN I saw multiple
               | comments from people who were convinced they had COVID,
               | tested after the fact, but the tests ( some tested
               | multiple times ) came back negative.
        
               | clairity wrote:
               | > "Because I'm not a complete idiot."
               | 
               | yah, it's the partial idiots who are hard to discern.
               | complete idiots are the easiest to dismiss out of hand.
               | 
               | many infections have long lasting effects. you'd need to
               | systematically rule them out/in via testing to be as
               | certain as you claim to be.
        
               | jacquesm wrote:
               | Right, well let's just say that coincidentally I had a
               | viral infection that has the exact same symptoms as
               | COVID, has the same long term effects as are reported in
               | many cases of COVID and which coincidentally happened to
               | be timed to match the first wave of that particular
               | pandemic, but according to you it wasn't COVID when it
               | wasn't confirmed as such with a test.
               | 
               | Consider the alternative: you would have to come up with
               | some kind of viral agent that did the same thing but
               | wasn't COVID.
               | 
               | Which to me seems to be a far more outrageous claim than
               | the one that I was simply one of many. The test does not
               | make the disease, it is merely positive confirmation, but
               | I've yet to hear of some surprise viral disease that ran
               | in parallel to this, isn't COVID but matches the symptoms
               | so well.
        
               | Dylan16807 wrote:
               | > let's just say that coincidentally I had a viral
               | infection that has the exact same symptoms as COVID, has
               | the same long term effects as are reported in many cases
               | of COVID and which coincidentally happened to be timed to
               | match the first wave of that particular pandemic
               | 
               | That happened to a lot of people. The first wave in March
               | wasn't very big compared to later months.
               | 
               | You mentioned the flu season didn't happen in a different
               | post, but that was much later, as was most masking.
               | 
               | > Which to me seems to be a far more outrageous claim
               | than the one that I was simply one of many.
               | 
               | That's a terrible way to analyze this. You were "one of
               | many" either way.
               | 
               | > but I've yet to hear of some surprise viral disease
               | that ran in parallel to this, isn't COVID but matches the
               | symptoms so well.
               | 
               | The symptoms aren't all that unique for a severe illness
               | that messes up your lungs. There's no 'surprise' involved
               | in other possible causes.
        
               | clairity wrote:
               | that's being overly invested in the idea that it's covid
               | rather than realizing that infections of all kinds have
               | long-lasting effects. individually and societally, that
               | leads to a distortion of attention and resources to the
               | wrong things. i.e., partial idiocy, the worst kind, and
               | unfortunately rampant.
               | 
               | there is a real opportunity now for medical science to
               | look comparatively at infectious diseases and attack them
               | systematically and cohesively rather than myopically.
               | hopefully we don't squander that.
        
               | saalweachter wrote:
               | I mean, I'm not even sure I would bother with a T-cell
               | test in your case. The only meaningful difference in your
               | future life would be to have the results to give people
               | on the internet, which doesn't seem worth getting two
               | tubes of blood drawn.
        
               | jacquesm wrote:
               | Precisely. If there is a benefit to _me_ I 'll get
               | tested. Even the medic I talked to was pretty clear:
               | don't bother, save the test for someone who really needs
               | it. Which at that time could have saved a life for
               | someone that needed to have an operation and required a
               | COVID test prior to admission.
        
               | felixbraun wrote:
               | You could check for T-cells at some point -- if you had
               | Covid, they are measurable even after many months. In
               | contrast, IgG titers show up in only ~80% and decline
               | steadily. Excellent recent paper:
               | 
               | > Here, we investigated SARS-CoV-2 antibody and T cell
               | responses in matched samples of COVID-19 convalescent
               | individuals up to 6 months after infection. Longitudinal
               | analysis revealed decreasing and stable spike- and
               | nucleocapsid-specific antibody responses, respectively.
               | In contrast, functional T cell responses remained robust,
               | and even increased, in both frequency and intensity.
               | 
               | https://stm.sciencemag.org/content/13/590/eabf7517
        
               | jacquesm wrote:
               | Thank you, if there is any benefit to having that level
               | of certainty (and not to satisfy internet naysayers) then
               | I may still do this, but I have received my shot (Jansen)
               | because there are still some immunological benefits from
               | that and it helps in a regulatory sense as well (lots of
               | doors are closed to people that have not been
               | vaccinated).
               | 
               | What matters to me is that I got through it, still live
               | pretty carefully even now because I don't want a re-run
               | if I can avoid it and I would advise anybody that hasn't
               | had it yet and/or has not been vaccinated to go and get
               | that done as soon as you can. This is no walk in the
               | park, I used to be pretty fit for my age, and the last
               | year has been a complete wipe-out. Avoid if you can.
        
               | lamontcg wrote:
               | You might consider it if insurance puts up a fight but
               | there's no utility in getting a T-cell test just to try
               | to win arguments on the Internet.
        
               | Amezarak wrote:
               | I don't think GP was suggesting you were dumb, just
               | trying to point out there's a lot of widespread
               | respiratory illnesses with exactly the same symptoms that
               | are endemic - not to say Covid isn't more severe at a
               | population level, but that you can't really say with any
               | kind of certainty based only on those symptoms that
               | someone has Covid. A few years ago I had exactly these
               | symptoms, plus a high fever, but in my case, it was
               | probably the flu. it was awful - I didn't really get over
               | it for several months.
        
               | jacquesm wrote:
               | Yes, but the flu season in 2020 pretty much didn't happen
               | and COVID did. So in your case the even money would be on
               | it not being COVID 'a few years ago' but if it had
               | happened in March up to today of 2020/2021 then probably
               | it would be.
               | 
               | GP is playing silly games and I'm a bit tired of those
               | given my rather personal engagement with this particular
               | virus, and frankly, if it is some other kind of virus
               | then it hardly matters now, does it?
        
               | SketchySeaBeast wrote:
               | > Yes, but the flu season in 2020 pretty much didn't
               | happen
               | 
               | Not arguing the rest of your claims, but that's
               | objectively not true. Based upon current estimates it was
               | actually worse than average[1] and its season was cut
               | short in April due to the COVID efforts[2].
               | 
               | [1] https://www.cdc.gov/flu/about/burden/index.html [2] h
               | ttps://en.wikipedia.org/wiki/2019%E2%80%932020_United_Sta
               | te...
        
         | bb2018 wrote:
         | I do wonder if this is proportional to your
         | symptoms/proportional to other ailments.
         | 
         | For instance, is someone with Covid (who was on the verge of
         | needing oxygen) more likely to have long term symptoms than
         | someone the same age who got the flu/pneumonia (and was also on
         | the verge of needing oxygen).
         | 
         | In other words - is there something unique about Covid? Or is
         | that any disease that sets you back has serious long-term
         | consequences, and Covid is just statistically much more likely
         | to do that than the flu, for example.
        
           | dennis_jeeves wrote:
           | >In other words - is there something unique about Covid?
           | 
           | No is my guess, based on anecdotes, experience and
           | observation.
        
           | jacquesm wrote:
           | Good question, and one that I would like to have the answer
           | to too. I also wonder what the effects are on longer term
           | immunity, apparently there is some evidence that if you had a
           | more serious case that your immunity will be longer lasting
           | but I have yet to find something that is conclusive.
        
           | dangom wrote:
           | The SARS-CoV-2 virus binds to a specific receptor (ACE2) that
           | is expressed in a multitude of different cells in our bodies,
           | most curiously the endothelial cells that line up your
           | vessels. Some hypothesis suggest that the disruption of the
           | systems associated with ACE2 is what causes downstream
           | effects that lead to symptoms of COVID. By virtue of
           | infecting blood vessels, the virus can cause them to stop
           | functioning properly, and thus impair the supply of oxygen to
           | otherwise healthy tissue. These hypoxic microlesions, which
           | have been found even in the brain of patient populations,
           | could in turn be responsible for some of the sequelae that
           | the infection leaves behind after the end of acute period of
           | the disease.
           | 
           | The extent to which damage is caused, and the extent to which
           | the body can recover will evidently dictate the period of
           | convalescence. Because symptoms vary wildly from case to
           | case, pinpointing general routes of treatment or estimating
           | the duration of recovery is a highly complex problem.
        
           | f38zf5vdt wrote:
           | For me varicella-zoster was the causative agent. I had a lot
           | of trouble being taken seriously by friends/some medical
           | staff after I said that I had serious issues after a bad
           | infection with it, because of most people believe it to be a
           | relatively benign disease. I think it's the case that most
           | viruses will cause chronic disease in a small subset of
           | people.
           | 
           | > "If Covid didn't cause chronic symptoms to occur in some
           | people," PolyBio Research Foundation microbiologist Amy Proal
           | told Vox, "it would be the only virus that didn't do that."
           | 
           | > Even with growing awareness about long Covid, patients with
           | chronic "medically unexplained" symptoms -- that don't
           | correspond to problematic blood tests or imaging -- are still
           | too often minimized and dismissed by health professionals.
           | It's a frustrating blind spot in health care, but one that
           | can't be as easily ignored with so many new patients entering
           | this category, said Megan Hosey, assistant professor at the
           | Johns Hopkins Department of Physical Medicine and
           | Rehabilitation.
           | 
           | https://www.vox.com/22298751/long-term-side-effects-
           | covid-19...
        
             | TaupeRanger wrote:
             | It's frustrating but it's not a blind spot - we simply have
             | no way to help these patients. You have brain fog and
             | occasionally your heart feels like it's beating out of your
             | chest for no discernable reason? Sorry, there's nothing we
             | can do...try exercising and getting good sleep, we guess?
        
           | Jefro118 wrote:
           | I believe one difference with Covid is that people often have
           | issues across multiple organs (I believe this is because the
           | virus binds to ACE2 receptors which are present over the
           | body, not an expert though) whereas with flu/pnemuonia I
           | think it's more likely to be just generic fatigue and lung
           | capacity as longer term effects.
           | 
           | I think the sheer range of long lasting symptoms is quite
           | unique to Covid, although other diseases like Ebola or
           | Smallpox would leave more severe damage.
        
         | justwanttolearn wrote:
         | I am so sorry to hear, I hope you feel back to normal soon!
         | What are you doing to manage your symptoms right now? Are you
         | exercising, taking vitamins, prescribed drugs, seeing a
         | therapist, etc?
        
           | jacquesm wrote:
           | Exercising mostly, cycle as much as I can. Vitamins, drugs or
           | therapists I haven't needed so far other than what is in my
           | normal (pretty healthy) food.
        
         | mygoodaccount wrote:
         | Another one here (Woman, 24 y.o.). Contracted COVID, had a
         | terrible three-weeks of infection. Nine months later, I am
         | having weekly heart palpitations, I'm constantly fatigued and
         | fogged in the mind and my lung capacity is half what it used to
         | be - I now require an inhaler to go on my runs. I know several
         | women my age experiencing far worse.
         | 
         | Long COVID should not be ignored.
        
           | lambdaba wrote:
           | I hope this is taken the right way, but have you tried
           | "vitamins" (broadly speaking)? Some I have seen with specific
           | effects: Niacin, Black Seed Oil (Nigella Sativa), Magnesium
           | megadoses, etc. etc. Don't dismiss these as "quack
           | medicines", I've recovered from severe chronic illness thanks
           | to some of these... I could expand if people ask, but really
           | it's quite easy, especially for the HN crowd, to level-up
           | rapidly on healing yourself or at least giving yourself the
           | best chance to do so.
           | 
           | The greatest concentrator of such info on the whole internet,
           | is, as far as I can tell, https://twitter.com/grimhood -
           | follow him and get a feel for the info he's spreading, he has
           | very valuable information on all sorts of healing protocols.
           | 
           | Lastly, one that will no doubt be most controversial, but
           | also has promising anecdotes: Ivermectin.
           | 
           | [edit] here come the downvotes, for those that do, note that
           | downvotes, at least on HN, are not meant to express
           | disagreement, they are meant for content that is
           | objectionable for other reasons.
        
             | abz10 wrote:
             | Megadose B3 2000mg per day does seem to be commonly
             | effective. The theory is NAD+. Gives me a headache so an
             | aspirin is needed as well but was one of the first
             | treatments that pulled me out of fatigue.
        
               | lambdaba wrote:
               | Thank you. Yes Niacin (vitamin B3) megadoses are
               | seemingly very effective for a wide range of ailments.
        
             | avgDev wrote:
             | I just want to add a bit to this. While there is a lot of
             | snake oil supplements, there is a also quite a bit research
             | on some supplements helping.
             | 
             | I'm speaking from personal experience here. I suffer from a
             | mild case of Erythromelalgia. During typing my fingers and
             | hands would get red and feel warm. My case is most likely
             | secondary caused by some nerve damage from a medication I
             | took. There is a doctor who had severe case of it and has
             | done some research on using magnesium/ala and it made his
             | condition 95% better and he was able to return back to
             | work. I have been following his protocol for about a month
             | now, and it has made an incredible difference.
             | 
             | Anyone who is suffering from an annoying illness, that is
             | not aggressive and require immediate treatment, should try
             | research possible supplements and diets. Clean/healthy diet
             | is always good.
        
             | sebmellen wrote:
             | I am not sure what I think of your comment, but I think it
             | at least deserves discussion.
             | 
             | I have used said supplements before. In fact, I have a
             | close friend who is very enamored with supplements and has
             | about 50 different pill bottles in his medicine drawer.
             | 
             | Out of curiosity, I once spent two weeks taking about 25
             | pills a day at his recommendation, and I'm afraid they did
             | not do very much for me -- at least that I could noticeably
             | discern.
             | 
             | The only supplement/herbal medicine I've had success with
             | is St. Johns Wort, but I've been strongly discouraged from
             | using it by a psychiatrist who emphatically emphasized that
             | an SSRI is a much safer and more controllable way to
             | achieve the same effects if need be.
             | 
             | Magnesium deficiency is relatively common, though I wonder
             | if that isn't more of a dietary issue.
        
               | ericd wrote:
               | I'm no expert on any of this, but I think the theory is
               | that many of these don't have a single strong directional
               | effect like most single-compound pharmaceuticals do, but
               | that if your body is short on something, and that's
               | causing an issue, it can grab something from the cocktail
               | of compounds, and that can help. If it's not, then it
               | doesn't.
        
               | lambdaba wrote:
               | Many of the recommendations are vitamins and minerals,
               | that are common deficiencies (magnesium is a notorious
               | one, because of soil depletion etc.). It's reasonable to
               | suspect that recovery from an illness finds one in a
               | nutrient-depleted state.
        
               | ericd wrote:
               | Ah yeah, I was thinking more about the plant extracts.
               | But your body is probably decent at filtering out the
               | vitamins and minerals it doesn't need (the water soluble
               | ones, at least, be careful with fat soluble ones like
               | vitamin D).
        
               | lambdaba wrote:
               | Obviously both vitamins and plant extracts need to be
               | treated with care, after having done thorough research.
               | Thankfully there is plenty of information available, and
               | as I've said the HN crowd should be especially well
               | equipped for this.
        
               | heavyset_go wrote:
               | > _The only supplement /herbal medicine I've had success
               | with is St. Johns Wort, but I've been strongly
               | discouraged from using it by a psychiatrist who
               | emphatically emphasized that an SSRI is a much safer and
               | more controllable way to achieve the same effects if need
               | be._
               | 
               | Yep. From Wikipedia[1]:
               | 
               | > _On average, lead levels in women taking St. John 's
               | wort are elevated about 20%._
               | 
               | It's also a relatively dirty drug, with effects on
               | typical monoamine and GABA reuptake, MAO-A and MAO-B
               | inhibition and is an inhibitor or inducer at pretty much
               | every relevant enzyme that breaks down common
               | medications.
               | 
               | I wouldn't want to become dependent on something like
               | that because the withdrawal syndrome could be pretty
               | nasty compared to something relatively more selective and
               | understood like an SSRI.
               | 
               | Even switching from SJW to something else might be tricky
               | because of the enzyme induction.
               | 
               | [1] https://en.wikipedia.org/wiki/Hypericum_perforatum#An
               | tidepre...
        
               | [deleted]
        
               | fragmede wrote:
               | I mean, if you're basically fine, then the supplements,
               | which have had studies run, aren't really going to do
               | much for you unless you're _really_ in tune with your
               | body. For extreme cases of long covid, however, the right
               | set of vitamin supplements are life saving. (I 'm _not_
               | exaggerating. eg
               | https://www.cambridgeindependent.co.uk/news/long-covid-
               | patie... )
               | 
               | There are absolutely scammers selling trash (there's
               | someone selling stem cell injections as a cure) and fuck
               | them. But don't ignore the very real problems that
               | patients are experiencing, and that they're helped by
               | simple remedies that aren't yet proven by science.
               | Science will catch up, but people are suffering dying in
               | the meanwhile.
        
               | lambdaba wrote:
               | This is my stance exactly. It doesn't hurt to try, and
               | you will learn a lot in the process. Also, some of these
               | _are_ proven by science, just remember there is a lot of
               | science out there and doctors are only aware of a tiny
               | fraction of it.
        
               | lambdaba wrote:
               | The experience you're describing doesn't disqualify
               | supplements, you say you've taken "25 [random] pills",
               | this is not what I'm advocating. There are various
               | supplements, be it vitamins or plant extracts, that have
               | definite medicinal effects. It should go without saying,
               | really.
               | 
               | For illustration, just go on pubmed and search for
               | "nigella sativa" (black seed oil).
        
             | krastanov wrote:
             | > [edit] here come the downvotes, for those that do, note
             | that downvotes, at least on HN, are not meant to express
             | disagreement, they are meant for content that is
             | objectionable for other reasons.
             | 
             | This is factually wrong. Search for posts by dang
             | frequently explaining traditions and norms in this forum,
             | including the downvote very much being a standard way to
             | express disagreement (although it is better to voice your
             | disagreement in a comment if you think the conversation
             | would be interesting).
        
               | lambdaba wrote:
               | I didn't know that, frankly I remember reading, many
               | years ago, people saying that downvotes are not meant to
               | express disagreement. Maybe that changed, I personally
               | don't agree with this and only consider downvoting if
               | someone is not being civil, is not interested in
               | discussion, or really voicing something obviously false.
               | I was careful with my comment, I'm not selling anything,
               | I was just interested in maybe nudging some people
               | towards this information.
               | 
               | [edit] seems I'm not the only one:
               | https://news.ycombinator.com/item?id=19406299
        
               | OJFord wrote:
               | It's often said, but as pointed out not the case, and
               | ~never has been for as long as there was anything
               | resembling policy - pg commented on it in early days.
               | 
               | Fwiw, I'm not really a fan of it (and don't _do_ it)
               | either. But it 's a lot harder to upvote not-
               | objectionable things (so many!) and not upvote things
               | purely because you agree (tempting!) - so I suppose it
               | makes sense. I've thought before about making a 'proof of
               | concept' type commenting system where its designed around
               | not/objectionable; the default as you scroll past things
               | would be to up-vote them (automatically), only down-
               | voting on intervention when 'this does not contribute to
               | the discussion'. Meh, might be interesting, but I'm not
               | interested enough that I've gotten around to it :).
        
             | heavyset_go wrote:
             | > _Magnesium megadoses_
             | 
             | If you're considering this (I wouldn't), be aware that milk
             | of magnesia is a very effective laxative, and other
             | magnesium salts like magnesium oxide etc work similarly.
        
               | lambdaba wrote:
               | Yes indeed, I was giving hints for research, that will
               | quickly reveal the best forms of magnesium to take
               | (glycinate, chloride).
        
           | sethammons wrote:
           | I had an awful cold or sickness about a year ago (including
           | messed up taste and smell!) and since then I've developed
           | heart racing, panic attacks, and working out is sooooo hard
           | now. My strength is down, my cardio sucks, and just getting
           | myself to work out is a chore. I can feel trouble breathing
           | sometimes. My heart can race from sitting or walking up
           | stairs. I was pretty dang fit and working out hard 5 days a
           | week. Now getting 1-3 days in in a week is near impossible
           | due to being tired.
           | 
           | I tested negative for covid antibodies. I'm not sure about
           | all the data on "post covid 19 syndrome" but I check a lot of
           | boxes for it but didn't test positive. My wife is in a
           | similar block. Just tossing some anecdata out there.
        
           | jacquesm wrote:
           | Ah yes, the heart thing. Forgot to mention that because it
           | hasn't happened for a couple of months now but I would wake
           | up at night every now and then with my heart going like I
           | just ran a marathon. But that fortunately completely went
           | away.
           | 
           | As for lung capacity: I used to play saxophone pretty
           | fanatically and I think that is one of the reasons I got
           | through this with a relatively low amount of damage.
        
             | varjag wrote:
             | Sounds terrible. Did you (and u/mygoodaccount) have loss of
             | smell among the symptoms? I recall reading somewhere that
             | it correlates with protracted recovery.
        
               | ModernMech wrote:
               | My sister had this. Even today (5 months after infection)
               | she says some things taste and smell funny. She can't eat
               | mint ice cream anymore because she says it tastes like
               | cigarettes.
        
               | jacquesm wrote:
               | During the first three weeks, yes. But afterwards that
               | came back to fairly normal levels quickly.
        
             | mygoodaccount wrote:
             | > As for lung capacity: I used to play saxophone pretty
             | fanatically and I think that is one of the reasons I got
             | through this with a relatively low amount of damage.
             | 
             | Funnily enough, I used to play the flute and sing before
             | contracting COVID. With my lung capacity halved, my ability
             | is nowhere near what it used to be. Long COVID has taken
             | all my hobbies away from me: running, singing, hip-hop
             | dancing. If anyone knows of any support groups relating to
             | Long COVID, please let me know.
        
               | loopz wrote:
               | Breathing exercises and meditation/yoga may help, both
               | with heart and lungs. Worth a try along with long covid
               | support/meetups.
        
               | disabled wrote:
               | Yep. I do breathing exercises daily. It helps with the
               | dysautonomia (long covid causes dysautonomia) too.
               | 
               | You may want to look into the Airofit Pro:
               | https://www.airofit.com/
        
               | loopz wrote:
               | One may also learn Ujjayi breath. It needs no technology
               | and has other benefits.
        
               | AnimalMuppet wrote:
               | Have you tried postural drainage for your lungs? I ask
               | because if you've lost half your lung capacity (and I
               | expect a singer and flute player would know), then you
               | must have some kind of junk in there.
               | 
               | For those not familiar with the term: You position
               | yourself with your head a foot lower than your hips (and
               | your back straight). You hold that for 15 minutes or so.
               | You let gravity pull the junk out of your lungs down to
               | where you can cough it out. Warning: It's not fun. First,
               | your head feels like it's going to explode from the lung
               | pressure. Second, when a chunk comes out, oxygen starts
               | hitting an area of your lungs for the first time in maybe
               | months. That _hurts_. (Or so my daughter says. She had to
               | do this.)
        
               | MaxBarraclough wrote:
               | That sounds like the kind of thing you should do on the
               | advice of your doctor, rather than on the advice of a
               | stranger on the Internet.
        
               | AnimalMuppet wrote:
               | Well, my daughter did it on the advice of a retired nurse
               | (her grandmother).
        
               | waterhouse wrote:
               | https://en.wikipedia.org/wiki/Postural_drainage#Risks
               | 
               | "Postural drainage is considered safe and effective, but
               | may cause some side effects. The procedure is
               | discontinued if the patient complains of headache,
               | discomfort, dizziness, palpitations,[3] fatigue, or
               | dyspnea. Patients may be dyspnic after the various
               | manuovers, since the head-down position increases the
               | work of breathing, reduces tidal volume, and decreases
               | functional residual capacity (FRC).[citation needed]"
        
               | fragmede wrote:
               | There's are many Facebook groups, and a Slack. (No idea
               | the overlap.)
               | 
               | http://survivorcorps.com
               | 
               | The particular FB group I'm in is called (creatively
               | enough) "Long Covid Support Group", but a search there
               | reveals there are many more.
               | 
               | My email is in my profile if you want to connect further
               | over this. I consider myself mostly healed by this point
               | (infected March 2020) and can share my vitamin regime
               | (its efficacy is anecdotal, my sample size is 2) but I
               | still have lingering health issues over a year later.
        
               | jacquesm wrote:
               | Gah that sucks, I really feel for you. But: you will
               | recover. For the longest time I thought that I wouldn't
               | and then bit by bit it got better. If you can find an
               | exercise bike I would really recommend you find one, it
               | is super motivating to see your distance creep up day-by-
               | day as you regain your strength and wind.
        
           | 3327 wrote:
           | Thank the lab.
        
           | atatatat wrote:
           | I (anecdotally) linked the heart heart thing to viral waste
           | in heart valves, clearing which can be helped by wild
           | blueberries (antioxidants, which yes, are real!).
        
           | satysin wrote:
           | I am having daily heart palpitations and they are almost
           | unbearable now. Sometimes I wake up and feel fine almost all
           | day but not a day has gone by in the past two months where I
           | don't have some kind of chest discomfort around my
           | sternum/xiphoid process.
           | 
           | I have had a whole bunch of scans and everything is normal. I
           | will be having an endoscopy next week to hopefully get to the
           | bottom of it. I am 'hoping' it is something simple and
           | obvious that they can treat. So far everything ends up being
           | "well it's not $insertMedicalCondition so let's check for
           | $insertSomeOtherMedicalCondition" :(
        
             | fragmede wrote:
             | Have you managed to get medication (aka beta blockers) for
             | the palpations? I am not a doctor but I _strongly_
             | recommend getting a doctor to prescribe you some if you
             | haven 't already.
             | 
             | What's been particularly frustrating with long covid is
             | because it's so new, I've had to have awkward pushy
             | conversations with doctors to get me treatment I deserve.
             | You can't get high off beta blockers, which helps assuage
             | my feelings of being an addict engaging in drug seeking
             | behavior, simply trying to get my heart rate under control,
             | but the medical industry has largely failed patients here.
             | The only reprieve is that enough healthcare professionals
             | also got sick, so the fact that there's nothing that shows
             | up on scans of my heart isn't taken as fact that there's
             | nothing wrong with it.
        
               | satysin wrote:
               | Last week my doctor prescribed me something called
               | Stresam (aka Etifoxine). Apparently it is a lot like the
               | benzo Lorazepam (Ativan) but without the whole benzo
               | addiction problem.
               | 
               | I had never heard of it nor know anyone on it before but
               | apparently it is good. Too early for me to say if it is
               | personally. I want to avoid any kind of addictive
               | medication if possible.
        
             | disabled wrote:
             | This sounds like dysautonomia.
             | 
             | I have dysautonomia, which I had long before (probably)
             | getting COVID-19. I have a rare form of dysautonomia. But,
             | dysautonomia does happen, relatively frequently, as post-
             | viral cases.
             | 
             | The good news is that post-viral dysautonomia has high
             | potential for improving and even (realistically) going
             | away. Rest will be the best treatment.
             | 
             | Check my profile if you want to email me or want help.
        
               | treeman79 wrote:
               | I acquired dysautonomia from toxic exposure.
               | 
               | Turned out to be an underlying autoimmune disorder
               | (Sjogrens) and a clotting disorder "factor 5 Leiden"
               | 
               | The exposure triggered both from mild barely noticeable
               | problems to I was completely disabled.
               | 
               | Took years to figure out it out.
               | 
               | When I got covid it was basically the same event again.
               | Took months for body to calm down again.
        
               | disabled wrote:
               | Yep, I am in the exact same position as you. I lost at
               | least a year of my life due to this post-viral syndrome.
               | I am back to where I was prior to getting COVID-19,
               | though. When I was really sick in March 2020, I thought
               | "wow, I haven't been this sick in a long time". It really
               | was like going back to square one. It was super scary,
               | too, given the health problems that I have.
               | 
               | I have autoimmune autonomic ganglionopathy (autoimmune
               | dysautonomia), which is believed to have caused my type 1
               | diabetes (autoimmune and insulin-dependent). It is also
               | believed to have caused other endocrine problems and
               | other neurological problems (I have another immune-
               | mediated neurological disease affecting my peripheral
               | nervous system). Anyways, autoimmune autonomic
               | ganglionopathy is very rare, and I have the antibodies
               | (about half of people do not), so I am tremendously
               | lucky.
               | 
               | Anyways, I would be interested in chatting with you. If
               | you want to do so, my email is in my profile information.
               | I am very resourceful and I have tips.
        
         | satysin wrote:
         | Ever since having COVID back in March 2020 I haven't been the
         | same. I still have regular fatigue but my biggest issue is
         | chest pains.
         | 
         | For the past few months I have had worsening discomfort/pain in
         | my chest. It was so bad a few weeks ago I ended up going to A&E
         | thinking I was having a heart attack. They did an ECG, sonogram
         | of my heart, chest x-rays, bloods, etc. My heart was fine so
         | not a heart attack.
         | 
         | They put it down to either a panic attack (possible) or a
         | gastro problem so I am going for an endoscopy next week however
         | I have a feeling I will end up needing a CT scan or MRI as I
         | had high lipase levels in a blood test a few weeks ago that
         | makes them want to look at my pancreas in my detail. It isn't
         | urgent as two blood tests since them have shown normal levels
         | and it isn't getting _worse_.
         | 
         | Plus random abdominal pains all over yet an abdominal scan
         | shows nothing out of the ordinary.
         | 
         | Basically COVID has fucked me up long term. When I actually had
         | COVID it didn't feel like a big deal, just a bit of a cough for
         | two days and a little drained. But two months _after_ COVID I
         | started getting a shit load of problems and over a year later
         | it is no better.
         | 
         | 37 year old male in France fyi.
        
           | dragontamer wrote:
           | I hear these stories and it makes me wonder if I somehow
           | caught SARS way back in the early 2000s. Because these long
           | symptoms people talk about were exactly what I felt back
           | then.
           | 
           | There was some dramatic respiratory illness I got that took
           | took months before I felt "like normal" again. I was a young
           | teenager so I never felt like I needed to go to the emergency
           | room. But the amount of time it took to recover back was
           | insane.
           | 
           | I know I recovered by 6 months, but... yeah. That incident
           | scared me for life. Sickness can be scary, not knowing if
           | you'd ever get better from something...
           | 
           | I can't imagine the stress I'd feel today if some illness
           | afflicted me for more than 6 months.
        
             | timr wrote:
             | From personal experience, the symptoms being described by
             | all of the posts on this thread overlap substantially with
             | depression and anxiety. It's notable that the GP went to
             | the hospital and was diagnosed with a possible panic
             | attack. Panic attacks frequently cause your heart to race,
             | skip, etc. Depression causes "brain fog" and fatigue, body
             | aches, etc.
             | 
             | So far, ~all of the reports of "long covid" are anecdotal
             | and post hoc. Which is not to say that they aren't real,
             | but that there's no way of knowing what is causes by the
             | virus, and what is caused by a year in which a significant
             | portion of the population was isolated from contact and
             | systematically terrified.
             | 
             | I've personally had "brain fog", insomnia, fatigue and
             | distraction for the last year, and never had Covid. It's
             | been a difficult, depressing, scary year, and a lot of
             | people have these symptoms.
        
               | cycomanic wrote:
               | You're wrong that long covid evidence is anecdotal. It is
               | a clinical diagnosis though (i.e. it's diagnosed based on
               | symptoms). I think you also severely underestimate the
               | effect this had on people, and symptoms are not generally
               | compatible with depression. Patients often show reduced
               | lung capacity of 60%. The brain fog is also often much
               | more severe than just not being able concentrate a bit,
               | people can't do simple calculations, can't follow
               | conversations, can't read more than a page in a book,
               | immediately forget things they just talked about. Many
               | people become completely unable to perform their usual
               | tasks.
        
               | timr wrote:
               | > You're wrong that long covid evidence is anecdotal.
               | 
               | Fine, convince me. Provide a citation from a study where:
               | 
               | 1) the results are NOT gathered by survey from a self-
               | selected population
               | 
               | 2) the study is pre-registered, with endpoints determined
               | in advance
               | 
               | 3) the study is _prospective_ , longitudinal and
               | randomized
               | 
               | 4) there is a control group
               | 
               | 5) the participants are verified to actually have Covid
               | 
               | 6) a significant effect is shown on the pre-registered
               | endpoints
               | 
               | and I'll take your claims seriously. The only current
               | study that I'm currently aware of that _remotely_ comes
               | close to this standard of evidence (but doesn 't meet all
               | of them) is this one: a controlled, retrospective study
               | of 250,000 kids, which found that kids _without covid_
               | had roughly equivalent long-term symptoms to kids who did
               | have covid.
               | 
               | https://www.medrxiv.org/content/10.1101/2021.05.05.212566
               | 49v...
               | 
               | I bring up this study only to underscore the point:
               | essentially all current "long covid" data is self
               | reported and uncontrolled, and when you start to be
               | rigorous, the claims of severity rapidly diminish. Here's
               | a relevant editorial in Nature:
               | 
               |  _" Studies of long COVID thus far--nearly all from high-
               | income countries--have been difficult to interpret or
               | compare, not only because of the lack of a consistent
               | case definition but also because of systematic selection
               | bias of cases, often without appropriate
               | controls....Meanwhile, community-based studies have
               | raised questions about the representativeness of cases
               | compared with the general population, especially those
               | using online recruitment, with many studies relying on
               | self-reported symptoms and without laboratory-confirmed
               | diagnosis of SARS-CoV-2 infection. Selection bias becomes
               | even more pronounced when people are recruited through
               | online support groups, where very high rates of often
               | nonspecific long-term symptoms have been reported, even
               | in children."_
               | https://www.nature.com/articles/s41591-021-01402-w
               | 
               | > Patients often show reduced lung capacity of 60%
               | 
               | Citation required. See above for standards of evidence.
               | 
               | > The brain fog is also often much more severe than just
               | not being able concentrate a bit, people can't do simple
               | calculations, can't follow conversations, can't read more
               | than a page in a book, immediately forget things they
               | just talked about.
               | 
               | Citation required. See above for standards of evidence.
               | 
               | > Many people become completely unable to perform their
               | usual tasks.
               | 
               | Citation required. See above for standards of evidence.
        
               | dragontamer wrote:
               | Oh, I know when I was depressed (also as a teenager, but
               | a few years after that). That was a different time and I
               | can talk about that if you like.
               | 
               | But what hit me back then was definitely not depression
               | and/or anxiety. It was some mysterious illness that took
               | me out for a week (kinda typical), but then made me
               | unable to "breath normally" for literally months. It was
               | innately a physical condition: unable to breath, unable
               | to sleep well, unable to feel physically good for months
               | at a time.
               | 
               | A mental depression is... different. I know because I've
               | been through both. In particular, depression doesn't have
               | chronic multi-month breathing issues normally associated
               | with it.
               | 
               | -------------
               | 
               | I only bring it up because the timeframes line up. SARS
               | hit in 2003, roughly the time of my mysterious illness
               | (though I never went to the doctor for it back then. I
               | only knew about SARS because of COVID19 studies today).
               | 
               | Given that SARS and COVID19 have many similarities, I
               | really do wonder if the experience I felt back then is
               | anything like what people with long-COVID19 feel today.
        
               | timr wrote:
               | > But what hit me back then was definitely not depression
               | and/or anxiety. It was some mysterious illness that took
               | me out for a week (kinda typical), but then made me
               | unable to "breath normally" for literally months. It was
               | innately a physical condition: unable to breath, unable
               | to sleep well, unable to feel physically good for months
               | at a time.
               | 
               | Sure. Pneumonia can easily cause that. It takes a long
               | time to recover from it, even if you're young.
               | 
               | Fundamentally, "covid" is pneumonia caused by a
               | particular virus, so it's not surprising that people
               | (esp. people who had serious cases) might have similar
               | kinds of lingering symptoms.
        
               | satysin wrote:
               | All valid points.
               | 
               | However as someone who was diagnosed with C-PTSD back in
               | 2009 and spent 4 months in hospital for treatment of
               | panic disorder, depression and anxiety this is
               | _different_ to what I experienced back then. It is a near
               | constant discomfort in my chest.
               | 
               | I am wondering if it is perhaps costochondritis or
               | something similar to it? Perhaps costochondritis _and_
               | anxiety that is making the whole thing worse? I wish I
               | had answers. Hopefully I will next week.
        
           | disabled wrote:
           | You may want to take a look at this:
           | https://www.ohsu.edu/sites/default/files/2021-04/Long-
           | COVID-...
           | 
           | It's basically a cheat sheet to long hauler's clinical
           | presentations, along with the diagnoses that they get. It's
           | all classified and stuff.
           | 
           | I am pretty sure that I got COVID-19 in March 2020, and it
           | messed me up severely.
           | 
           | But, your heart problems could be dysautonomia. I had
           | dysautonomia prior to getting COVID-19, though, and I have a
           | rare form of it.
           | 
           | Anyways, according to that cheat sheet that I referred to,
           | the palpitations could be:
           | 
           | "Arrhythmia related to myocardial, pericardial disease or PE,
           | dysautonomia with POTS"
           | 
           | The chest pain:
           | 
           | "Chest wall pain, GI source, pericarditis, myocarditis,
           | established CAD, thromboembolic disease, etc."
           | 
           | This is the ultimate site on fatigue. Unfortunately it is in
           | Norwegian, so you have to use Google Translate for the
           | website (and the PDF documents--which are great):
           | https://www.kognitiv.no/psykisk-helse/ulike-
           | lidelser/utmatte...
        
         | Frondo wrote:
         | Hey man, similar thing here. Every six months or so, almost to
         | the day, I've got a spell for about 7-10 days where I have an
         | immense fatigue, like sleeping 12-15 hours at a stretch, and a
         | brain fog that makes it impossible to concentrate on anything.
         | Then it all lifts, and I go back to my usual 7 hours a night,
         | thinking all day and night. This all started for me in February
         | of 2020, too, just before the lockdowns; I didn't get a
         | positive test at the time because my live-in partner did
         | receive one -- the testing clinic said with the positive
         | exposure to just stay home and go to the hospital if I can't
         | breathe -- since then we've both had the same symptoms at
         | roughly the same occurrence.
         | 
         | It sucks.
        
         | christkv wrote:
         | Seems vaccinating might help relieve long Covid
         | https://www.yalemedicine.org/news/vaccines-long-covid might be
         | worth talking to your doctor
        
         | cycomanic wrote:
         | Funny I just saw a TV program discussing long covid. One of the
         | guests was Jordis Frommhold who was elected woman of the year
         | in Germany for her work on long covid rehab. Very interesting
         | discussion.
         | 
         | One of the things she mentioned is that many of the long covid
         | patients had mild to moderate covid infections. Also at the
         | moment they don't know why some people get it and others don't.
         | So likely your not calling the ambulance did not make a
         | difference.
         | 
         | Hope you'll get better, the symptoms described sound awful.
        
         | perlgeek wrote:
         | > I will always wonder if I had called them earlier if I could
         | have avoided the worst of this
         | 
         | Given the prevalence of Long Covid in asymptomatic cases, many
         | people claim that the severity of the initial disease and the
         | long-term symptoms are not really correlated. So it's likely
         | that seeking emergency care wouldn't have changed anything.
         | 
         | Wishing you the best of luck and a good/complete recovery!
        
           | austincheney wrote:
           | Symptomatic or not if you carry the virus you should still
           | pop hot on an antibody test. You would think.
           | 
           | I had a Covid positive coworker last year cough around me and
           | directly work very closely with me immediately before taking
           | sick time. I still continued to fail the antibody tests
           | indicating either no viral contact or no immune response of
           | any kind.
           | 
           | I don't know if there is a correlation here but in a six
           | month period last year I caught the common cold three times.
           | The second of those times was a month before my coworker
           | tested positive and the third time was a week after they
           | tested positive.
        
             | bserge wrote:
             | You will test positive for antibodies for months after
             | infection.
             | 
             | Kind of the whole point of the immune system and the
             | vaccine.
             | 
             | Contrary to some beliefs, Covid doesn't spread by people
             | looking, touching or talking to each other. The latter has
             | a higher chance, though.
             | 
             | It's highly likely you've never gotten it from your
             | coworker.
             | 
             | Assuming you mean antibody blood tests, I don't know anyone
             | who would willingly take several of them in a short time.
        
             | verdverm wrote:
             | Some researchers are starting to think that the spike
             | protein is the main contributor to this issue and not the
             | virus itself, so if even if the virus is gone, the protein
             | may still be present.
        
         | manmal wrote:
         | Did you try NAC? Maybe worth a shot - this paper is about
         | ,,long EBV/mono" which might have similar mechanisms:
         | https://pubmed.ncbi.nlm.nih.gov/29228057/
         | 
         | > These data support the idea that NAC could be considered as a
         | treatment to alleviate chronic inflammatory pathologies,
         | including post-viral disease
        
           | iammisc wrote:
           | NAC is illegal in the USA now. Thank you FDA.
        
             | tguvot wrote:
             | not really illegal. seems to be sold on iherb
        
             | jamroom wrote:
             | Are you talking about N-Acetyl Cysteine? Something like
             | this?
             | 
             | https://www.swansonvitamins.com/swanson-premium-nac-n-
             | acetyl...
             | 
             | When did it become illegal? I've used it before and was
             | unaware of that.
        
               | iammisc wrote:
               | I've used it before as well.
               | 
               | Here is a story about the FDA and NAC:
               | https://www.naturalproductsinsider.com/regulatory/crn-
               | petiti...
               | 
               | Honestly, I haven't used NAC in ~2 years. Have just heard
               | about the drama from friends.
        
             | nick__m wrote:
             | They seems to have banned products claiming to cure
             | hangovers https://www.fda.gov/food/cfsan-constituent-
             | updates/fda-sends... but Nac is still available. Amazon had
             | an overly broad interpretation of those letters but it
             | appears to be available there :
             | https://www.iherb.com/pr/Now-Foods-NAC-600-mg-250-Veggie-
             | Cap...
        
         | ElViajero wrote:
         | I got CoVid in Osaka at the beginning of November 2019. The
         | symptoms lasted around 5 months. I got it again in May 2021 and
         | this time I was fully recovered in 3 weeks.
         | 
         | I got vaccinated, even during the second infection I felt
         | extremely tired and slightly confused, I want to minimize as
         | much as possible the risk of repeating again.
         | 
         | update: For all the down-votes. Time will say. But "A new study
         | shows that first cases of coronavirus infections could have
         | appeared in China between October and mid-November 2019". It
         | fits with my experience. https://www.dw.com/en/covid-study-
         | cases-spread-in-china-earl...
         | 
         | update 2: I arrived to Osaka Airport (KIX) on 9th November, I
         | had symptoms 3 days later.
         | 
         | update 3: Stop down-voting the people that says that it is
         | impossible. It may be the case, I am just sharing my personal
         | experience in case it clicks somewhere. I can be wrong and it
         | could have been a virus with very similar symptoms. I didn't
         | wanted to start a war of up votes and down votes, that adds
         | nothing to the discussion.
        
           | DeRock wrote:
           | > I got CoVid in Osaka at the beginning of November 2019.
           | 
           | Impossible, cases did not appear in Wuhan until mid-late
           | November. You must have had some other flu/virus.
        
             | ElViajero wrote:
             | Maybe you are right and it was something else. But, it was
             | very similar and the timing is quite close.
             | 
             | I just feel to share it if it may help someone to build a
             | timeline. And, as I have said in another comment, Osaka has
             | many many Chinese visitors and I was in a very busy
             | airport. I doubt that it took a lot of time to jump from
             | China to other Asian countries.
        
               | andy_ppp wrote:
               | Yes there's a small chance of it being COVID then, was
               | there an Osaka-Wuhan direct flight!
        
             | outworlder wrote:
             | Impossible is a very strong word, there are samples of
             | people from months before covid was identified in Wuhan
             | that are under investigation. Not specifically in Japan,
             | but it can't be ruled out with the current information.
        
             | andy_ppp wrote:
             | I don't think it's impossible, unlikely given current
             | information. Of course that information can change...
        
             | [deleted]
        
           | ping_pong wrote:
           | I'm sorry but Covid wasn't in Osaka in November 2019. You
           | definitely had some other disease like the flu.
        
             | c6401 wrote:
             | Given it was in the US at least in December 2019 if not
             | earlier according to the NIH retrospective serology study
             | it doesn't seem to be completely impossible.
             | https://www.nih.gov/news-events/news-releases/nih-study-
             | offe... Also similar Italian serology study by National
             | Cancer Institute showed that sars-cov-2 was circulating in
             | Italy as early as September 2019.
        
           | jjeaff wrote:
           | Do you happen to work in a biolab? How do you know you had
           | covid in November 2019? The first known cases in Japan aren't
           | until January 2020. And the first reported case in China is
           | November 2019.
        
           | gpm wrote:
           | > in Osaka at the beginning of November 2019
           | 
           | On what basis do you believe this was covid-19 and not some
           | other disease?
        
             | ElViajero wrote:
             | I had the same symptoms that I had the second time. The
             | second time was confirmed by PCR-test.
             | 
             | But, of course, it could have been an equivalent disease
             | with the same symptoms: fever, mental-fog, sore-throat.
             | 
             | It is just the timing, the fact that Osaka is visited by
             | many Chinese nationals and the feeling was so similar that
             | makes me quite sure that it was covid-19.
        
               | dtech wrote:
               | Those are symptoms of literally every airway infection
               | known to man. Is is much, much, much more likely you had
               | a flu/heavy cold instead of having Covid 1 month before
               | the first public Chinese cases and 3 months before first
               | European cases
        
               | gpm wrote:
               | Also that if the first disease wasn't covid, getting
               | covid the second time around isn't that unlikely, but if
               | the first disease was covid, getting covid again was
               | shockingly unlikely (not impossible) because of the
               | degree of immunity granted by the first infection.
        
         | axiosgunnar wrote:
         | You mean your brain was starved of oxygen for some time? (while
         | still enough to not faint)
         | 
         | Interesting, could somebody more knowledgable say if this is
         | possible?
         | 
         | Wish you a swift recovery in any case!
        
           | jacquesm wrote:
           | I made one critical mistake: it hurt a lot to try to sleep so
           | I tried to sleep on my back one night, and that cost me
           | dearly: the active area of the lungs is not symmetrically
           | divided between front and back, the back part has a larger
           | active surface. Fluid then migrates from the front to the
           | back pooling there leading to less gas exchange. I suspect
           | that this was the lowest point and after that sleeping on my
           | belly at least kept me safe. The really stupid thing: I knew
           | this already (had double pneumonia when I was in my 20's).
        
             | kbelder wrote:
             | Yeah, when I had Covid my wife was doing everything she
             | could for me... hydrating, vitamins C and D, so on, but I
             | think the treatment with the biggest effect was resting
             | face-down. The fact that that is now pretty common
             | knowledge has probably saved many thousands of lives.
        
       | sunkenvicar wrote:
       | Ivermectin improves long-Covid symptoms. Worth a try because its
       | safe and effective.
        
       | mikewarot wrote:
       | I'm fairly certain I've had it as well. I had coworkers who were
       | confirmed to have had it, and I got sick. This was back before
       | testing was widely available. I've since tested negative for
       | active infection (last June), and been vaccinated (March 2021).
       | 
       | I have almost no endurance. A trip to the store shopping for
       | groceries, and getting them back in the house, and put away, is
       | about all I can do for a day.
       | 
       | The long term consequences of Covid are just starting to be
       | recognized. I wonder how many people are going to end up on
       | disability.
        
       | halotrope wrote:
       | Is it possible to have an asymptomatic primary infection and
       | still suffer long covid? Antigen tests where negative but ever
       | since last fall I feel weird symptoms that I never had for any
       | length of time. Stuff like trouble spelling, complete lack of
       | concentration, difficulties comprehending things when trying to
       | actively learn and a general feeling of confusion and exhaustion.
       | I tend to just assume a general state of exhaustion or slight
       | burnout after a pretty intense year. Reading long-covid
       | experiences makes me wonder tough.
       | 
       | Edit: spelling...
        
         | quenix wrote:
         | Supposedly, the risk of long COVID is not correlated to the
         | severity of symptoms.
         | 
         | That's a bad thing.
        
           | IAmGraydon wrote:
           | Yes, but is it even correlated to Covid? This study lacks a
           | control group, so we don't know.
        
         | perlgeek wrote:
         | Yes, it's totally possible.
         | 
         | https://www.france24.com/en/live-news/20210615-a-fifth-of-as...
         | claims it's 20% of asymptomatic cases that develop Long Covid.
         | Even if the number is off, it's unlikely to be actually zero.
         | 
         | Good luck and speedy recovery!
        
         | inb4_cancelled wrote:
         | I'd like to know as well. Never had any covid AFAIK, yet I'm
         | currently on my second week of feeling tired and on my fourth
         | day of experiencing heart palpitations maybe once every hour
         | (feels like my heart skipped a beat and the next one is a bit
         | stronger). I've never had this before and my antigen test
         | yesterday was negative.
        
           | AnimalMuppet wrote:
           | I have those. At least in my case, it's a premature
           | ventricular contraction. What happens is that the nerve fires
           | too _early_ , and the heart muscle says: "What? LOL, no. I'm
           | still on my coffee break." But blood keeps arriving at the
           | heart, so the next beat is stronger because it has more blood
           | to move. They can get strong enough to hurt a bit.
           | 
           | In my case, it seemed to be caused by Claritin. When I
           | stopped taking Claritin, I quit having these. Years later,
           | just recently, I've started having them again.
           | 
           | Disclaimer: I am not a doctor, and this is not medical
           | advice. Your symptoms may be something else.
        
       | shaicoleman wrote:
       | The FLCCC have published the I-RECOVER Protocol for treating Long
       | COVID:
       | 
       | https://covid19criticalcare.com/covid-19-protocols/i-recover...
       | 
       | https://youtu.be/ZCYM2HW2Ayw?t=321
        
       | abz10 wrote:
       | A theory that I ascribe to is that Long Covid is viral induced
       | CFS/ME. As someone with hEDS I've battled CFS/ME for most of my
       | life. I don't want to celebrate too soon but in the last few
       | weeks do I feel like I have now won the battle. I just started
       | using a combination of very powerful but targeted drugs. I feel
       | 110% and no longer get Post Exertion Malease (PEM) which is a
       | major indicator of CFS/ME.
       | 
       | I take Low Dose Naltrexone, Testosterone Cypionate, BPC-157,
       | TB-500, Mod GRF, Ipamorelin, Thyroxine (T4), and Triiodothyronine
       | (T3). I take a ton of vitamins but the effective ones seem to be
       | the megadoses of B1 and B3. I also take NMN for NAD+ deficiency
       | but I'm not sure if that is doing anything. I eat a low carb diet
       | and take cold showers and work out every other day.
       | 
       | Low Dose Naltrexone is great for brain fog and I've been taking
       | it for 5 years.
       | 
       | The Test, hGH peptides, and T3/T4 is probably responsible for the
       | bulk of my improvement. I've only been taking them for a few
       | weeks and it's night and day difference.
       | 
       | I'm not saying this is for everyone but it definitely worked for
       | me so it may help others looking for ideas.
        
       | nprateem wrote:
       | Anyone know of any studies regarding whether the vaccines reduce
       | the risk of long covid if you catch it after being double
       | vaccinated? They're only supposed to be about 95% effective after
       | 2 shots, so if you catch it in that 5% probability how likely is
       | long covid afterwards?
        
       | f38zf5vdt wrote:
       | Severe viral diseases are no joke. I know a couple people who got
       | COVID19 and are still dealing with issues months on. One had to
       | drop out of university due to "brain fog" and concentration
       | issues.
       | 
       | > Individuals that have not fully recovered or suffer from
       | fatigue, dyspnea or depression were more likely to have further
       | healthcare contacts. However, a third of individuals (37/111)
       | that have not fully recovered did not seek further care.
       | 
       | My personal experience of getting chickenpox as an adult was a
       | high fever for almost a week and nearly two years before I felt
       | normal again. At about 6 months in I stopped going to doctors
       | because they had nothing new to tell me. What was a mild disease
       | for children turned into a protracted ordeal for me.
        
       | abystander wrote:
       | Since they claim a quarter of patients are showing symptoms and
       | one of those is depression - how do they separate the out the
       | effect of the de facto criminalization of social activity, an
       | innate human behavior ingrained in our DNA after millions of
       | years of evolution?
       | 
       | You'd get significant depression in solitary confinement too.
        
         | caturopath wrote:
         | > how do they separate the out the effect of the de facto
         | criminalization of social activity, an innate human behavior
         | ingrained in our DNA after millions of years of evolution?
         | 
         | Presumably you can tease that out to some degree by comparing
         | to folks who didn't have COVID.
        
         | TuringNYC wrote:
         | I was about to say this also -- I haven't been to the gym for
         | over a year and haven't done any real weight training or group
         | exercise for this whole time in lockdown. It would be hard for
         | me to separate the effect of that from long COVID, curious how
         | the study is controlling for this factor.
        
           | deregulateMed wrote:
           | I want to ask the commenters in this thread who have long
           | covid if they are overweight/obese or have a medical
           | condition. But... I don't want to get flagged.
        
             | ljf wrote:
             | Hey can only talk for my wife (got covid late March 2020)
             | 
             | 40yo, not over weight, was at the gym 4 days a week, could
             | squat and deadlift 50kg, very active life.
             | 
             | Only 'pre existing' was coeliac disease and very very mild
             | asthma. Like barely ever took a blue inhaler but had one in
             | the house. Other that That fit and healthy and very active.
             | 
             | Inital covid as bad, but after 2 weeks was nearly back to
             | normal, then breathing got worse, heart rate all over the
             | place, numbness, brain fog etc. Only just getting back to
             | normal now but still not ready for exercise yet.
        
         | FiReaNG3L wrote:
         | No idea why you're getting downvoted - they have no control
         | group and as you say there's 'depression' in their symptoms
         | they count for. I'm pretty sure 'depression' (which I'm sure
         | they don't count as clinically depressed, but 'im feeling more
         | depressed') went up significantly in the whole population last
         | year.
         | 
         | Also PLoS one is basically not peer reviewed - they accept
         | every paper after a short review.
        
           | buu700 wrote:
           | _No idea why you 're getting downvoted_
           | 
           | Speculation: conflation of his reasonable and factual
           | statement with the ostensibly similar far-right talking point
           | that the cure (social distancing) is worse than the disease.
        
             | spookthesunset wrote:
             | > far-right talking point
             | 
             | Expressing skepticism surrounding the efficiency of social
             | distancing, masks, "non essential business" and all these
             | lockdowns is not a "far right" talking point. None of our
             | response was in any playbook for this level of threat. We
             | threw out all our pandemic planning in a fit on hysteria
             | and panic.
             | 
             | To this day we cannot say for certain that lockdowns did
             | anything at all, let alone enough to justify their social
             | costs. Same with social distancing or even masks for that
             | matter. The fact that all this can be considered an
             | uncontrolled experiment on unwilling participants is not
             | "far right" thinking.
        
               | CarelessExpert wrote:
               | > Expressing skepticism surrounding the efficiency of
               | social distancing, masks, "non essential business" and
               | all these lockdowns is not a "far right" talking point.
               | 
               | You're absolutely right. This kind of misinformation
               | isn't limited to the far right.
               | 
               | > To this day we cannot say for certain that lockdowns
               | did anything at all,
               | 
               | LOL, what? This is a truly astonishingly statement.
               | 
               | Literally every place that instituted lockdowns saw a
               | drop in COVID transmission, and every place that reduced
               | or eliminated lockdowns saw an increase.
               | 
               | This isn't even controversial. It's an application of the
               | basic germ theory of infectious transmission.
               | 
               | You can't seriously be making this claim in good faith,
               | can you?
        
               | harpersealtako wrote:
               | I would hope we're past the point now where we can write
               | off legitimate complaints or concerns about the overall
               | direction of COVID mitigation strategies implemented in
               | most developed countries. Many well-intentioned anti-
               | misinformation campaigns have been proven misguided and
               | potentially harmful (for example, the debacle around the
               | lab-leak theory, and the subsequent censorship and
               | ostracization of anybody who dared suggest it), so we
               | should be careful when we accuse others of arguing in bad
               | faith, lest we repeat our past mistakes. This isn't 2020
               | anymore, we should be able to take a sober look at what
               | likely worked (universal mask-wearing, vaccines, border
               | closures, quick contract tracing) and what may not have
               | worked (closing otherwise safe outdoor spaces, obsessive
               | surface cleaning, the "6-foot-rule") without judgement
               | now.
        
               | spookthesunset wrote:
               | I am absolutely making this claim in good faith.
               | 
               | Where is your studies showing these restrictions worked
               | well enough to justify their immense costs to society?
               | They don't exist. To date I've yet to see a single cost
               | benefit analysis done for any of this. It simply wasn't
               | allowed to be done... you'd get shouted down by the mob.
               | 
               | It worries me greatly how little critical thinking has
               | been applied to the last 17+ months. It's appeals to
               | authority all the way down.
               | 
               | Show me the proof this stuff worked... and even then we
               | didn't know it would work going in, which makes it
               | incredibly ethically (and morally) challenged. The last
               | 17 months have shown me the depths of what humanity can
               | do when gripped with fear and hysteria... it is pretty
               | terrifying.
        
               | abystander wrote:
               | I notice a lot of run-of-the-mill liberals automatically
               | assume their opponents who aren't manifestly crazy are
               | "devil's advocates" or not making the argument in good
               | faith.
               | 
               | It seems intellectually lazy and the epitome of
               | condescension to cast away all criticism in this way. As
               | those opposing arguments are always beyond the pale and
               | not worthy of thought.
               | 
               | The overwhelming feeling I get from this type of person:
               | "there's no possibility I'm wrong."
        
               | kwthrows wrote:
               | > It's appeals to authority all the way down.
               | 
               | Welcome to the new far-right.
        
               | CarelessExpert wrote:
               | > Where is your studies showing these restrictions worked
               | well enough to justify their immense costs to society?
               | 
               | And predictably the goalposts shift.
               | 
               | First it was that we "cannot say for certain that
               | lockdowns did anything at all".
               | 
               | Now it's that the results don't "justify their immense
               | costs to society".
               | 
               | > and even then we didn't know it would work going in,
               | 
               | Again: Lockdowns are a basic application of germ theory.
               | 
               | The only way they could _not_ work is if infection didn
               | 't pass from human to human but was transmitted via
               | miasma or aether.
               | 
               | You could _absolutely_ make valid arguments for or
               | against specific lockdown policy choices (i.e. capacity
               | limits, sizes of gatherings, types of businesses
               | affected, etc).
               | 
               | But lockdowns in general? There's piles of evidence that
               | shows they're extremely effective. Heck, in my own city,
               | we saw a massive spike brewing prior to Christmas, and
               | once a lockdown was instituted, the numbers immediately
               | began to fall. That pattern is repeated anywhere you care
               | to look.
               | 
               | I honestly refuse to spend any time citing data for you,
               | as I do not believe for a second that you're arguing in
               | good faith. If you really wanted to find facts, you could
               | easily dig them up. That you haven't done so tells me
               | everything about your willingness to question your own
               | beliefs.
        
               | spookthesunset wrote:
               | > There's piles of evidence that shows they're extremely
               | effective. Heck, in my own city, we saw a massive spike
               | brewing prior to Christmas, and once a lockdown was
               | instituted, the numbers immediately began to fall. That
               | pattern is repeated anywhere you care to look.
               | 
               | That isn't proof. I could very easily claim it was
               | seasonality or things well beyond our control that caused
               | cases to go down. And I am probably right. The charts and
               | graphs all follow the same basic pattern everywhere in
               | the world regardless of restrictions in place. Clearly if
               | lockdowns worked so well you'd see orders of magnitude
               | difference between a place like Florida or Sweden
               | compared to California or New York.
               | 
               | The burden of proof is upon those forcing it upon us and
               | so far, crickets from all around. It's truly insane how
               | nobody is allowed call out the mounds of public data
               | suggesting the effects of lockdowns or any of our non
               | pharmaceutical interventions are minimal at best... we
               | pissed away well over a year of people's lives for
               | basically nothing.
               | 
               | Show me they work. And show me they worked well enough to
               | justify the extreme damage they caused to society.
               | Extraordinary claims require extraordinary evidence.
               | Where is the evidence?
        
               | wesleywt wrote:
               | This post is classic Dunning-Kruger. Florida arrested a
               | statistician who was attempting to publish the real death
               | toll. So can we seriously accept thier count as the
               | truth? California and New York were hit before they could
               | implement lockdowns. I don't understand why hundreds of
               | thousands of deaths is okay for the right wingers like
               | you?
        
               | abystander wrote:
               | > I don't understand why hundreds of thousands of deaths
               | is okay for the right wingers like you?
               | 
               | Kamala said she wouldn't take the vaccine cause it was
               | from Trump.
               | 
               | Cuomo/Murphy have clearly made massive mistakes in their
               | handling of the most vulnerable during the pandemic
               | likely directly causing 10s of thousands of deaths in
               | those states.
               | 
               | Never mind the liberals and others that called for a
               | WWII-like mobilization and takeover of private industry
               | to create ventilators that likely ended up causing _more_
               | death, meanwhile calling anyone else that objected to
               | those calls heartless murderers.
               | 
               | No one is ok with 100s of thousands of deaths and
               | implying that's true is slander.
        
               | abystander wrote:
               | > Lockdowns are a basic application of germ theory.
               | 
               | And eugenics is a basic application of evolutionary
               | biology.
        
           | CarelessExpert wrote:
           | Because the entire comment is clearly phrased to be
           | antagonistic? "de facto criminalization of social activity"?
           | Are they trying to troll people? Because that's how you troll
           | people.
        
             | abystander wrote:
             | What would the average pro-lockdown person say if someone
             | hosted a party or even got together with someone for coffee
             | without a mask? They'd be calling for jail. I've heard this
             | enough throughout the pandemic.
        
           | emodendroket wrote:
           | That part is fine but the part where he instead diagnoses
           | everyone with having been driven crazy by the (by implication
           | misguided) coronavirus response is not really thoughtful in
           | my opinion.
        
             | abystander wrote:
             | > the part where he instead diagnoses everyone with having
             | been driven crazy [...] is not really thoughtful
             | 
             | I said you could expect "significant" depression if there's
             | de facto (in some countries de jure) criminalizing of
             | social activity.
             | 
             | I think you're the one who's not being thoughtful about
             | characterizing arguments here.
             | 
             | I believe the policy is often misguided/short-sighted but I
             | never said that, you're extrapolating that valid criticism
             | of the policy would be a discredit for officials.
        
       | [deleted]
        
       | iammisc wrote:
       | When my first daughter was born in 2018, I had a respiratory
       | infection. It lasted three months before I went in to the doctor.
       | I hesitated to seek medical advice because it was clearly viral.
       | But the cough was so bad it was causing the newborn to wake up.
       | 
       | The doctor (at a walk-in clinic) told me viral respiratory
       | infections can last months and there's nothing you can do. Just
       | wait. HE gave me some pills to stop the cough since it was
       | interfering with my life.
       | 
       | That was it. It was about one year later that the cough finally
       | dissipated. It got better after about 5 months, but it took many
       | more months for all symptoms to go away.
       | 
       | I guess my question is... why did my doctor tell me that viral
       | respiratory diseases can last for many months in early 2019, when
       | according to what I gather here, doctors are surprised that COVID
       | may do the same?
        
         | perlgeek wrote:
         | With a "normal" viral cough, the infection itself lasts that
         | long. With Long Covid, the viral load is gone from your system,
         | and symptoms still persist
         | 
         | Previously, the general public wasn't very interested in
         | chronic, unspecific symptoms that people have or had (google
         | Chronic Fatigue Syndrome; it's a collection of people feeling
         | fatigue, have concentration issues etc. similar to Long Covid,
         | many long before COVID-19 was a thing). With Covid, there are
         | too many to ignore, so such things are now getting more
         | attention.
        
           | spookthesunset wrote:
           | > With Covid, there are too many to ignore, so such things
           | are now getting more attention.
           | 
           | Too many to ignore or just that we decided to put a huge
           | magnifying glass on it? We have our log levels turned up to
           | "ultra verbose" and are collecting every single scrap of
           | data. If we looked at other respiratory viruses with the same
           | amount of logging... I would bet we'd see just as much, if
           | not more, crap as we are with covid. Never has a respiratory
           | virus been followed this closely.
        
             | [deleted]
        
           | Eric_WVGG wrote:
           | My friend was diagnosed with ME/CFS after a stroke at age 27.
           | The term "myalgic encephalitis" is the preferred term, as I
           | understand it, because the public seems to be unable to take
           | a phrase like "chronic fatigue syndrome" seriously. In
           | America at least, our puritan personality insists that
           | "fatigue" is a sign of laziness.
           | 
           | If there's an upside to Covid-19, I hope that it's that the
           | symptoms of ME/CFS are taken more seriously by the public and
           | scientific community, and that the results of further
           | research on "long covid" are transferrable.
           | 
           | Those here who are experiencing Long Covid symptoms should
           | keep an eye on a drug called Ampligen. It is the first and
           | only drug that has been approved for the treatment of ME/CFS,
           | but thus far only in Argentina. There are a couple ongoing
           | studies in the United States (one in Lake Tahoe), but no FDA
           | approval yet. Recently, Ampligen has been put into trials for
           | the treatment of Long Covid as well.
           | 
           | https://en.wikipedia.org/wiki/Rintatolimod
           | 
           | https://www.clinicaltrialsarena.com/news/company-news/aim-
           | do...
           | 
           | https://www.proactiveinvestors.com/companies/news/921928/aim.
           | ..
        
           | SamBam wrote:
           | Except that Post-Viral Syndrome has been a thing since before
           | Covid:
           | 
           | > Post-viral syndrome, or post-viral fatigue, refers to a
           | sense of tiredness and weakness that lingers after a person
           | has fought off a viral infection. It can arise even after
           | common infections, such as the flu.
           | 
           | https://www.medicalnewstoday.com/articles/326619
        
         | shoto_io wrote:
         | Same here. Had a terrible, terrible flu (?) back in 2017. I was
         | weak and couldn't smell nor taste anything for months.
         | 
         | It took a long time before I was the old me.
         | 
         | Maybe it's common with virus diseases and we have an attention
         | bias now and it might be additionally more common with COVID.
        
           | iammisc wrote:
           | I think it's an attention bias thing. I mean... when I found
           | out about this phenomenon from my doctor, I was shocked --
           | how could people be walking around with these bad infections
           | and just not be able to do anything about it. But then I
           | realized that many people have medical things that I can't
           | see that they just deal with. Like many people excrete their
           | feces into a bag on their stomach. And some people have to
           | inject hormones constantly.
           | 
           | It's just life, and you can't choose what cards you're dealt.
           | I'm glad people are paying more attention to these
           | disabilities (although I hesitate to even call them that),
           | but on the other hand, we should be careful not too get drawn
           | in simply because COVID is the current story du jour.
        
         | gizmo wrote:
         | Because your doctor is right. Serious viral infections are no
         | joke. Long covid asserts that people with very mild symptoms
         | are also likely to suffer long term. This is controversial.
        
           | iammisc wrote:
           | > Long covid asserts that people with very mild symptoms are
           | also likely to suffer long term. This is controversial.
           | 
           | I'm not sure I understand. My symptoms I described above were
           | never that bad. Were it not for waking up my newborn, I
           | wouldn't have gone in to the doctor. It was just a mild
           | discomfort for a long time for me
        
         | inlikealamb wrote:
         | You aren't kidding. It isn't the norm, but I've had a viral
         | bronchial infection for almost 2 months now. All you can do is
         | wait and suppress the symptoms.
         | 
         | As a side note, having an unrelated cough during a respiratory
         | pandemic is not a good time.
        
         | deregulateMed wrote:
         | Physicians are not scientists. They repeat what was taught in
         | their craft.
         | 
         | If their professors and coworkers never mentioned this, they
         | don't know.
        
         | Ozzie_osman wrote:
         | > why did my doctor tell me that viral respiratory diseases can
         | last for many months in early 2019, when according to what I
         | gather here, doctors are surprised that COVID may do the same?
         | 
         | I don't think most doctors are terribly surprised (at least not
         | ones who have dealt with respiratory diseases before). The
         | press, on the other hand, loves stories like these.
        
         | spidersouris wrote:
         | Interestingly I had a similar experience three years ago as
         | well. I would cough non-stop and no medication was of any help.
         | It lasted three months and then slowly disappeared. The weeks
         | after I still had some respiratory problems (whistling when
         | breathing), but nothing too annoying compared to the cough.
         | Without joking, this was far from being an agreeable period and
         | it impacted my studies quite a lot as coughing all day made me
         | very tired and I was unable to study properly. Doctors never
         | found what had happened.
        
         | whywhywhywhy wrote:
         | >why did my doctor tell me that viral respiratory diseases can
         | last for many months in early 2019
         | 
         | Going out on a limb here but coughing for months my first
         | thought would be mold. Not sure why they didn't suggest that to
         | you.
        
           | iammisc wrote:
           | It wasn't coughing for months though. It started with a runny
           | nose. Then I got a cough (coincided with the baby being born
           | and waking up). I took cough suppressors for about 1.5 weeks.
           | Then I had general sinus aches and the cough stopped. Then i
           | had body aches. Then I had a runny nose and cought again,
           | until finally it became general malaise until it finally
           | dissipated.
           | 
           | I count the 'end' of the infection as the point in time at
           | which I was able to do my standard gym routine in full again.
        
         | Fomite wrote:
         | "doctors are surprised that COVID may do the same?"
         | 
         | Doctors aren't. Epidemiologists aren't. We've been discussing
         | and trying to study the long term effects of COVID-19
         | infections (and there were similar studies for SARS) pretty
         | early on - the results are just long in coming, both due to the
         | nature of the problem itself, and the pandemic.
        
         | spookthesunset wrote:
         | > doctors are surprised that COVID may do the same?
         | 
         | Because we all decided to collectively forget every single
         | thing we know about respiratory viruses and infectious
         | diseases. Somehow because covid is "novel" the world needed to
         | rebuild our entire knowledge base from the ground up.
         | 
         | A good example is how lasting t-cell immunity was dismissed for
         | the longest time (and still is in many circles). People
         | apparently seemed to think that this virus was so special and
         | new that people would just keep getting it over and over again
         | every six months or something. Is there any virus in the
         | history of mankind that does this? If we kept getting infected
         | with the same virus over and over... humanity would have died
         | off a long time ago....
         | 
         | Labeling it as "novel" let people just ignore common friggen
         | sense and completely loose the plot.
        
           | yread wrote:
           | But... we did get infected with coronaviruses (the OC43 and
           | friends) and other common cold viruses over and over again.
           | The reinfection rate of ~15% for SARS-COV-2 is comparable to
           | those
        
             | legolas2412 wrote:
             | It would have been better if reinfection was described as
             | "you'll test positive again, but it will be milder".
             | Instead the media was full of articles saying "immunity
             | lasts only 6 months"
        
               | spookthesunset wrote:
               | "There is just so much we don't understand about this
               | virus".
               | 
               | Yeah. No. It's a respiratory virus that is pretty nasty
               | in really old people but not so much in anybody else.
        
           | Gibbon1 wrote:
           | What was interesting to me is if you went back and read up on
           | how various childhood disease worked. Nothing about Covid
           | would surprise or confuse you. And one would not be blase
           | about just letting it rip.
        
           | johnchristopher wrote:
           | > If we kept getting infected with the same virus over and
           | over... humanity would have died off a long time ago....
           | 
           | But it's only recently (~50-100 years) that we travel around
           | the world so much, would covid-19 have propagated like it's
           | doing now 300 or 2000 years ago ?
        
           | ianlevesque wrote:
           | Like forgetting that respiratory viruses are airborne?
        
         | axiak wrote:
         | i think the key difference is the incidence rate. if long term
         | symptoms occur in less than one percent of cases, that's still
         | enough for doctors to see and treat without surprise. this
         | article says the incident rate for covid-19 is 25%, which is
         | shockingly high.
        
           | iammisc wrote:
           | > this article says the incident rate for covid-19 is 25%,
           | which is shockingly high.
           | 
           | To be fair, we're not fully aware of all the cases of COVID.
           | Most likely, many people had COVID but didn't know. Because
           | we didn't have proper testing for a long time, our sampling
           | of 'those who had COVID' is almost certainly wrong
        
         | [deleted]
        
       | RcouF1uZ4gsC wrote:
       | > Symptoms were present in 385 (89%) participants at diagnosis
       | and 81 (19%) were initially hospitalized
       | 
       | This is not a normal cohort. The hospitalization rates for Covid
       | were much less than 19%. This seems to be a sicker cohort.
        
       | Miner49er wrote:
       | > Third, we did not have a baseline (pre-COVID-19) assessment of
       | participants' physical and mental health. Thus, it is impossible
       | to distinguish the effects of COVID-19 from pre-existing
       | conditions. The interpretation of our findings regarding
       | depression and anxiety is further limited by the psychological
       | burden that the pandemic may impose in general [48, 49]. While we
       | tried to compare our results with estimates from the general
       | population, applicable comparison data was not available. Other
       | studies investigating longer-term sequelae after SARS-CoV-2
       | infection found a relevant excess risk for longer-term symptoms
       | among infected individuals compared to SARS-CoV-2-negative
       | control groups [9, 50].
       | 
       | Kind of hard to tell what this result means without a control or
       | baseline, IMO.
        
         | PragmaticPulp wrote:
         | I hope we don't go down the path of dismissing post-COVID
         | symptoms as mental illness.
         | 
         | Yes, some patients with post-COVID symptoms could simply be
         | presenting with mental illness. However, we can't simply
         | dismiss the patients with measurable symptoms like cardiac
         | irregularities, exercise intolerance, orthostatic intolerance,
         | and other physical issues that only occurred after the COVID
         | infection.
         | 
         | Modern medicine (in any country) is not well equipped to handle
         | complex disorders that don't yet have specific medical tests.
         | It's common for doctors to reach for mental illness as an
         | explanation, to the detriment of patients. Let's not repeat
         | that for post-COVID.
        
         | mulvya wrote:
         | > Kind of hard to tell what this result means without a control
         | or baseline
         | 
         | Yes. As pointed out in
         | 
         | Causation or confounding: why controls are critical for
         | characterizing long COVID
         | 
         | https://www.nature.com/articles/s41591-021-01402-w
         | 
         | "To address some of these biases, we and others used
         | established longitudinal cohorts recruited at the start of the
         | pandemic for regular testing for antibodies to SARS-CoV-2 and
         | thus provided objective confirmation of infection. We asked our
         | healthcare-worker participants about 72 symptoms reported to be
         | associated with long COVID, at a median of 7.5 months after the
         | development of COVID-19, and found that mental-health,
         | gastrointestinal and dermatological symptoms were as common
         | among 140 patients with mild-to-moderate symptomatic
         | seropositive COVID-19 ('cases') as in 1,160 control
         | participants who remained asymptomatic and seronegative
         | throughout the surveillance period. Of concern, 40-60% of both
         | cases and control participants reported mental-health symptoms,
         | which highlights the toll of pandemic on the healthcare
         | workforce. We also identified three clusters that included 12
         | symptoms--affecting the sensory, neurological and
         | cardiorespiratory systems--that were reported by 67% of cases
         | but also 44% of control participants, which emphasizes the
         | ongoing difficulties in characterizing long COVID."
        
       | mysterypie wrote:
       | > _enrolled 431 adults from the general population with SARS-
       | CoV-2 infection_
       | 
       | How do you control for people's willingness to enter a study? If
       | I had a mild case of Covid and no ongoing symptoms, I wouldn't be
       | too interested in participating in a study. But if I had serious
       | ongoing symptoms, I'd be very interested. It's a voluntary study,
       | so how in the world do you control for that? If you can't control
       | for that, it skews the results to make long COVID seem much more
       | common.
        
       | barefeg wrote:
       | Interested in knowing how this statistic changes for a vaccinated
       | population
        
       | ctyc wrote:
       | May not help everyone but was a mega game changer for me - extra
       | strength breath right strips, both at night when sleeping and
       | also while working out (or meditating/working on breathing
       | exercises).
        
       | mensetmanusman wrote:
       | Autopsies are showing micro-ruptures in the brain. It's not
       | surprising that the brain damage takes so long to heal and has
       | such strange side effects.
        
       | ellyagg wrote:
       | How do you disambiguate "long Covid" from the very real fact that
       | people are incredibly suggestible.
       | 
       | My father-in-law was convinced he had long Covid. He talked about
       | it all the time.
       | 
       | He was never diagnosed, but he had a cold near the beginning of
       | the pandemic and he decided it was Covid.
       | 
       | He claimed he could run up and down the steps at the park before
       | getting Covid. Now, he claimed, he was always breathless. I
       | exercise him and he'd be convinced exercise will do nothing
       | because of his long Covid.
       | 
       | Of course when he got tested he had no antibodies.
       | 
       | But it's not just that. During the height of the pandemic, did
       | you notice yourself, or notice in others, that people were always
       | thinking Covid was coming on? Every little pain or weird breath
       | and people became very worried.
       | 
       | The brain is incredible at turning normal sensations into
       | symptoms. We don't realize all the sensory input we're constantly
       | discarding until we start becoming hyperaware.
       | 
       | The incentives for the media to hype long Covid and for
       | researchers to find long Covid is incredibly intense. Every shred
       | of evidence will by hyped to the moon. Every other person you
       | meet with a panic disorder or heart condition will have a story
       | attributed to Covid. Ordinary people will have absolutely zero
       | way to contextualize the true risk.
        
         | spookthesunset wrote:
         | There are people right in this thread claiming long covid
         | without ever even having tested positive for covid... this
         | seems to be a common theme with those suffering from long covid
         | and worse, found in research about long covid.
        
       | causi wrote:
       | Yes, you can easily see symptoms that arise well after the active
       | infection is over. Personally I had complete loss of smell and
       | taste that slowly came mostly back over a two month period, only
       | to suddenly go bizarre at the tail end. Six months later I can
       | only assume something between my nasal membranes or olfactory
       | bulbs healed wrong because my sense of smell is just as good as
       | it was pre-covid, it's just incorrect. Feces, beef, chocolate,
       | and french fries all have the same stale/burnt grease smell. I've
       | essentially lost hope the problem is going to correct itself.
        
       | inglor_cz wrote:
       | Six months after the end of a mild case: occassional heart
       | arrhythmias, but getting less frequent. I got medication (Concor)
       | to control them.
       | 
       | Muscle twitching, also getting less frequent, but increasing
       | after exercise or caffeine. Incidentally, the cardiologist who
       | takes care about my arrhythmias has after-Covid muscle twitching
       | too and a few days ago told me that another of his patients,
       | fresh after Covid, has them as well.
       | 
       | So there seem to be lingering issues. Hopefully not of the fatal
       | or life-shortening kind, but this cannot really be ruled out.
       | 
       | BTW My Covid was really fairly mild, only about 30 hours of fever
       | and sweating plus a few days of blocked nose. No pneumonia or
       | even much cough at all.
        
         | dorchadas wrote:
         | That's about how mine is too. I had Covid late November/early
         | December (likely caught it from a student right before the shut
         | schools back down) and it was very mild. Only noticeable issues
         | was a sinus-like sore throat/ear, no taste/smell and being
         | cold. No fever. I even actually exercised during that time,
         | keeping to 10k steps a day walking in circles around my house.
         | All over within 5 days of first symptoms showing (and man, that
         | first good meal after getting taste back was heavenly)
         | 
         | But since then I've been having random heart arrhythmia, which
         | are also getting less frequent, as well numbness in my arms and
         | legs. Like the tingling you get when it's asleep, but without
         | any cause for it to go to sleep, etc. Never attributed that to
         | post-Covid until I talked to my PCP about it recently. Still
         | really hoping there's nothing permanently wrong, but at least
         | endurance doesn't seem to have permanently suffered -- I
         | actually sat my fastest 2mi run time on the treadmill
         | yesterday.
        
       | joeblow21 wrote:
       | I persoanlly experienced this too. I had no symptoms and after 6
       | months I still have no symptoms
        
       | seriousquestion wrote:
       | Correct me if wrong, but this doesn't appear to have a non-
       | Covid-19 control group?
       | 
       | This study on Long Covid found there was no statistical
       | difference between teenagers that had Covid compared to those
       | that didn't. Suggesting that these symptoms may be getting
       | entangled and misattributed.
       | 
       | https://www.medrxiv.org/content/10.1101/2021.05.11.21257037v...
        
         | ghastmaster wrote:
         | If you read through the limitations section of the report, you
         | will find they covered this along with several other
         | limitations of the study.
        
           | samatman wrote:
           | When a study has unsurmountable limitations, which make it
           | impossible to usefully reason about the "results" of the
           | study, is being frank about those limitations more useful to
           | society than not publishing the study?
           | 
           | To me the obvious answer is "no, you toss it in the bin, or
           | better yet you think for awhile and don't perform the useless
           | study", but opinions can differ here.
        
             | IAmGraydon wrote:
             | Completely agree. The term "limitations" is being used here
             | to mean faults. When your study has faults, its conclusions
             | are of little to no use and only serves as fodder for the
             | media. It should be binned.
        
       | standardUser wrote:
       | I had a diagnosed case of COVID-19 that hit me and my partner
       | pretty hard about 7 months ago. It lasted longer than either of
       | us expected (close to a month) but there were only a few really
       | rough days.
       | 
       | Fast forward, and I have plenty of issues. We were both fairly
       | depressed during the winter months - for me it was the worst in a
       | great many years. I've had some moments of mental iffiness here
       | and there, at least enough to notice. I had a really nasty throat
       | infection a few months after COVID. And I've had a joint issue
       | crop up in that time as well.
       | 
       | The thing is, I never once considered any of this to be the
       | direct consequence of my COVID infection. And I still don't. We
       | were depressed because, after enduring nearly a year of pandemic,
       | the weather was shit, our jobs were on shaky ground and the world
       | was re-closed. The mental iffiness? I don't know. Sustained lack
       | of stimulus and activity levels? Natural decline due to age?
       | Occasionally too much drinking?
       | 
       | I think you see where I'm going with this. I don't want to
       | dispute anyone's own experience. But I do think it's worth
       | considering that to _not_ have any ailments arise within a
       | 12-month period as unusual as this one might not be the most
       | common outcome, with or without a COVID infection.
        
       | kalaido wrote:
       | Have chronic Sinusitis from many colds I got from my little one.
       | "Long Cold"
        
       | thinkingemote wrote:
       | This is an example of attention, social media and science:
       | 
       | My anecodte. Last year I didn't get a bad infection and didn't
       | get long covid.
       | 
       | My story is not interesting, no one wants to hear it and no one
       | else will share their similar anecdotes.
        
         | [deleted]
        
       | whywhywhywhy wrote:
       | Been in lockdown for 18 months before I actually caught covid, to
       | be perfectly honest most of the symptoms described for "long
       | covid" I experienced from being locked down, after actually
       | having covid I haven't noticed much of a difference (once my
       | smell and taste returned, thankfully that was soon).
       | 
       | Low energy, out of breath, etc. You have to keep in mind most of
       | us are doing a fraction of walking around that you would do from
       | a commute and it can make a huge difference over time. I was
       | already getting out of breath running up and down one flight of
       | stairs to answer the door after 6 months staying at home,
       | embarrassingly I was one day interviewing a potential hire over
       | video chat, quickly had to collect a package and could barely
       | talk after running back upstairs, completely out of breath. I can
       | see how a sedentary life kills people.
       | 
       | This is before we get into what depression, doom
       | scrolling,Journalist created hysteria fear and dread, realizing
       | there isn't much to life once a few factors are removed,
       | loneliness, video call fatigue and isolation, lack of distance
       | between work space and life space can do to your body and mind.
       | 
       | Doubt we'll ever get a truly objective assessment for the past
       | year and a half for at least 10-15 years, if ever.
        
         | spookthesunset wrote:
         | > Doubt we'll ever get a truly objective assessment for the
         | past year and a half for at least 10-15 years, if ever.
         | 
         | My daughters children maybe will have enough distance to
         | reflect on it. Maybe her grandkids. And it won't be pretty...
         | this last year and a half has been the biggest public health
         | care fuck up in recorded history.
         | 
         | What we did with lockdowns, masks, social distancing... it's
         | all modern day rain dances. Just humans thinking they have more
         | control over nature than they actually do. Same basic mechanism
         | humans used thousands of years ago to trick themselves into
         | thinking goat sacrifices would ward off disease and famine.
         | 
         | What we did is truly horrific. But the truth won't be widely
         | recognized until most of the players involved are long dead.
         | Unfortunately...
        
           | strikhedonia wrote:
           | You think asking people to wear a piece of cloth over their
           | face and maybe not go out to eat if they're vulnerable is
           | "truly horrific?"
           | 
           | Seems to me that, for the vulnerable portion of the
           | population, the social distancing guidelines worked
           | perfectly. Spend a year chilling at home in safety, get a
           | vaccine, go back to normal. "Rain dance?" Bullshit.
        
       | OzyM wrote:
       | How likely are these numbers to be accurate? This Swiss study of
       | 431 adults gives a 26% incidence of "Long Covid" at 6-8 months.
       | 
       | But another study that I'm more familiar with that tracked 4,182
       | people (mostly from the U.K., U.S., and Sweden) says only 2.3% of
       | participants reported symptoms past the three month point. [0]
       | 
       | I feel like every time I look into this topic I find a new study
       | with a wildly different estimate.
       | 
       | [0] https://www.nature.com/articles/s41591-021-01292-y
        
         | ping_pong wrote:
         | The numbers were self-reported, so it's not going to be very
         | accurate.
        
         | peteretep wrote:
         | I am partial to the Zoe studies, as their cohort seems to be
         | large, stable, and include people who haven't been infected.
         | 
         | Write-up: https://covid.joinzoe.com/us-post/long-covid Paper:
         | https://www.medrxiv.org/content/10.1101/2020.10.19.20214494v...
        
         | amirhirsch wrote:
         | >>Symptoms were present in 385 (89%) participants at diagnosis
         | and 81 (19%) were initially hospitalized.
         | 
         | The US hospitalization rate is (2,297,764 hospitalized /
         | 33,604,986 tested positive) 6.8% so the study is a cohort of
         | extra-sick folks.
         | 
         | Also consider the selection bias of those who want to tell the
         | surveyor about it. I've been thinking about how to correct for
         | this in cohort studies, like perhaps ask people if they are
         | vegan.
        
           | OzyM wrote:
           | You lost me at the vegan part? I agree that this is a major
           | source of error in a lot of studies like these, though.
        
             | amirhirsch wrote:
             | The joke is that they go out of their way to tell people
             | about it. Like, I tried the vegan diet, but gave it up
             | after telling my cousin.
        
       | elzbardico wrote:
       | Self-reported symptoms. And now we will have the litany of
       | hypochondriacs that didn't even got tested for SARS-COV-2 but
       | swear they have some misterious long term viral syndrome that in
       | the real world, if it really exists, is extremely rare.
       | 
       | The trash that passes as science nowadays.....
        
         | Retric wrote:
         | 1 in 4 people are not Hypochondriacs. Medical research is used
         | to the way people play up symptoms and this is well above the
         | noise floor.
        
           | throwawayboise wrote:
           | I don't know about 1 in 4 but it sure seems like there is a
           | lot more of it than their used to be, just in my experience.
           | Younger people living with constant worry about "health care"
           | that I've only ever seen before among the elderly. When I was
           | in my 20s the last thing I or any of my friends worried about
           | was health care.
        
             | ziml77 wrote:
             | The worry isn't that their health is always bad. The worry
             | is that if they do happen to have something happen, whether
             | that be disease or injury, they won't be able to afford to
             | go to the hospital or visit their doctor. And death isn't
             | the only negative outcome from not getting medical
             | attention, it could be permanent effects like constant pain
             | or reduced physical ability.
        
             | quenix wrote:
             | Are you really trying to paint the fact that the younger
             | generation is taking greater steps to systematically take
             | care of their health as a bad thing? That is absurd.
        
               | rangoon626 wrote:
               | Well if that's the case, they should start with general
               | nutrition
        
         | strict9 wrote:
         | This is a shallow dismissal and isn't contributing anything of
         | value to the conversation.
         | 
         | Further it disregards the multitude of commenters experiences
         | with "self-reported symptoms."
         | 
         | https://news.ycombinator.com/newsguidelines.html
        
         | guscost wrote:
         | Your comment was not the right tone, to put it mildly. On the
         | other hand there is probably no way to bring up this
         | possibility without being attacked.
         | 
         | For anyone curious, I am not a doctor, this is not medical
         | advice, and every case is different, but state of mind alone
         | can almost certainly do real and serious damage:
         | 
         | https://www.tandfonline.com/doi/abs/10.1080/09540261.2017.13...
         | 
         | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1447278/
        
       | kamilafsar wrote:
       | Not "long Covid" but my sense of smelling/tasting is still not
       | the same after 6+ months.
       | 
       | I had mild symptoms, but my sense of smelling and tasting were
       | totally gone for a few weeks. After a few weeks it turned almost
       | back to 80% only intense smells (like gasoline, garlic and
       | diapers :shrug:) were filtered out. Since ~3 months these things
       | stink intensely with an indescribable way... (I guess the diapers
       | always did ;)) Additionally very neutral tasting stuff like
       | cucumber and paprika stink too..
       | 
       | Curious to hear if anyone totally "recovered" from similar
       | symptoms and if so, how they did it.
       | 
       | Edit: seems like loss of smell/taste like symptoms is also called
       | "long covid"
        
         | whywhywhywhy wrote:
         | I feel for you, I completely lost smell and taste and it was
         | extremely scary, you don't know how bad it is until it happens
         | and you can't tell if your teeth are clean, your clothes are
         | clean, your milk has gone off, it's crazy to put fragrance on
         | and put your wrist to your nose and there's nothing. Eating
         | suddenly becomes a miserable chore, I normally cook a lot but
         | just ended up eating ramen and fruit and only when my stomach
         | called for it.
         | 
         | Thankfully mine returned mostly after 2 weeks, some things
         | maybe smell slightly different but I think if I was one of the
         | people to have it for 6 months or not at all I'd be pretty deep
         | in depression by the end of it.
         | 
         | I saw some comments online saying long term sufferers returned
         | after taking Vitamin-D and Zinc. I was already taking D but
         | ordered zinc and started taking it as soon as it happened.
         | Could be quackery, normally wouldn't post something like that
         | on HN but only doing it in case that was the reason mine came
         | back so quickly because I know how much it impacts your quality
         | of life.
        
         | saiya-jin wrote:
         | Can't say anything about being 100% back with smell, it seems
         | more like some got back and then long plateau where I am now.
         | 
         | My story - had covid in february 2021, +-flu but complete loss
         | of smell. But not for taste - all major tastes were there (so
         | salt was salty, sour sour etc.) but all the fine tastes (ie you
         | barbecue a fine steak without any seasoning, and its amazing)
         | were gone. The result was food that didn't taste horrible, just
         | incredibly bland. I was super sporty, and started again almost
         | right after it.
         | 
         | Smell was gone 100%. I used a home made 52% apple brandy bottle
         | to test my smell continuously ( _very_ strong alcohol smell,
         | strong fruity by-smells), for maybe 2 weeks it was like
         | breathing fresh forest air, actually OK if I didn 't consider
         | what it meant. No alcohol smell. Then it gradually came back,
         | same with fruity flavors.
         | 
         | After 6 months, I would say I have my smell back. But it feels
         | like its quite toned down, all the smells are rather mild. Did
         | some test and my own perfumes don't smell so great anymore.
         | Some other previously great smells are mild or not so great
         | anymore. At least nothing smells outright horribly, and all
         | food is OK to eat (since smell affects our tastes greatly).
         | 
         | Smell is probably the least bad sense to lose, as long as its
         | just about some % loss and not making many fine things smell
         | like rotten shit.
        
       | mygoodaccount wrote:
       | RESULTS:
       | 
       |  _Symptoms were present in 385 (89%) participants at diagnosis
       | and 81 (19%) were initially hospitalized._
       | 
       |  _At six to eight months, 111 (26%) reported not having fully
       | recovered._
       | 
       |  _233 (55%) participants reported symptoms of fatigue, 96 (25%)
       | had at least grade 1 dyspnea_
       | 
       |  _111 (26%) had DASS-21 scores indicating symptoms of
       | depression._
       | 
       |  _170 (40%) participants reported at least one general
       | practitioner visit related to COVID-19 after acute illness_
       | 
       |  _10% (8 /81) of initially hospitalized individuals were
       | rehospitalized._
       | 
       |  _Individuals that have not fully recovered or suffer from
       | fatigue, dyspnea or depression were more likely to have further
       | healthcare contacts. However, a third of individuals (37 /111)
       | that have not fully recovered did not seek further care._
        
         | wk_end wrote:
         | A 20% hospitalization rate immediately throws their sample into
         | question. Here in BC (Canada), for instance, the overall case
         | hospitalization rate is 5% [0]. And, FWIW, in BC we performed
         | far fewer tests per capita (around 0.6) [1] than, say, the US
         | (~1.3) [2], suggesting that we missed cases at least as often
         | as they did in the US (per the CDC, which estimated only ~1 in
         | 4 COVID cases detected [3]). So a 20% hospitalization rate is
         | beyond generous (likely by an order of magnitude), and it
         | wouldn't be crazy to figure the same goes for the rest of their
         | stats.
         | 
         | Add to that the lack of control, and the self-reported (and
         | potentially psychosomatic) nature of symptoms...not to
         | unreasonably diminish the severity of COVID or deny the reality
         | of Long COVID or anything, but it's frustrating that people are
         | going to read - or the media is going to report on - this
         | uncritically and imagine catching COVID leaves you two coin
         | flips away from permanent disability.
         | 
         | I suppose the damage has been long-since done, and with most of
         | the west well on its way, blessedly, to being vaccinated it's
         | moot anyway. It's just hard not to be sick of the hysteria.
         | 
         | [0] http://www.bccdc.ca/Health-Info-
         | Site/Documents/COVID_sitrep/...
         | 
         | [1] https://health-
         | infobase.canada.ca/covid-19/epidemiological-s...
         | 
         | [2] https://covid.cdc.gov/covid-data-tracker/#cases_totaltests
         | 
         | [3] https://www.cdc.gov/coronavirus/2019-ncov/cases-
         | updates/burd...
        
         | justwanttolearn wrote:
         | I haven't had covid but I definitely suffer a lot of these
         | symptoms from the pandemic burn out..
        
           | gremlinsinc wrote:
           | I had bronchitis symptoms for only a week in March 2020,
           | didn't think it was covid, took antibiotics but miraculously
           | this really bad case of Bronchitis cleared up 3 days
           | later.... I get Bronchitis every year or other year... and
           | it's almost ALWAYS a 3-4 week thing.
           | 
           | since then I've had brain fog, fatigue, pain in my
           | extremities, numbness in hands/feet (off/on), body aches,
           | when I stand sometimes I have to sit back down for a minute,
           | my standing HR is about 130...just standing, AFTER getting up
           | from sleeping. My sitting is 90... Walking is just 130-140...
           | Depression, and the worst anxiety attacks of my life, just
           | panic, can't stop racing thoughts, etc...
           | 
           | Most of this stuff stopped a few months ago when I started
           | doing 2 hours of mindfulness per day after seeing some
           | "glitch" in the matrix type stuff which isn't really relevant
           | here...
           | 
           | I can't say for a certainty the weird Bronchitis was Covid,
           | but a lot of signs point to that, and it cleared up after my
           | vaccinations...so who knows...
           | 
           | Feel like 80% of normal, which is way better than the 20% I
           | was feeling just this past March.
        
       | Grim-444 wrote:
       | So, to summarize this study, they basically just asked a few
       | hundred people that had Covid in the past if they had recently
       | felt tired, depressed, had trouble sleeping, etc., and then
       | reported that a number of the people they asked this replied yes.
       | That's it. There was no medical evaluation of whether the
       | reported symptoms even had a medical cause. There was no
       | comparison to the answers a random control sampling of the
       | population that hadn't gotten Covid would have given. They just
       | asked a bunch of people that had just finished living through 1+
       | years of lockdown if they had been tired or depressed recently.
        
         | nprateem wrote:
         | A doctor friend of mine has had it for months. She's had test
         | after test after test. Things come back abnormal but they can't
         | pin down what's wrong with her to treat it. The assumption is
         | long covid - she has the tiredness, brain fog etc.
         | 
         | So right now I'm not sure if they really know how to test for
         | it.
        
       | andred14 wrote:
       | More lies for the stupid masses. Any flu or cold will have
       | lasting symptoms if you don't shake it off, do some exercise, eat
       | well and force yourself to 100%
       | 
       | Also avoid pharamceuticals.
       | 
       | I was sick in the winter 2019/2020. Took a few weeks to get
       | running again so what. It was just a flu we are being lied to:
       | 
       | https://www.bitchute.com/video/Z4s9cYZ5IBUz/
        
       | raarts wrote:
       | Maybe related to Post-Viral Fatigue Syndrome? [1]
       | 
       | [1]
       | https://jamanetwork.com/journals/jamaneurology/fullarticle/5...
        
       | reader_mode wrote:
       | It's self reported symptoms and the sample contains a massive
       | amount of hospitalization cases compared to general pop. Couldn't
       | they secure funding to do a more meaningful study where they
       | actually examined random samples of population post COVID and
       | looked for abnormalities in lung function or cognitive abilities,
       | etc. ?
       | 
       | Considering the stakes this seems like an important question to
       | answer correctly and gathering data about potential long term
       | complication sounds valuable.
        
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       (page generated 2021-07-13 23:01 UTC)