As soon as some of these doctors stop thinking of themselves as the Gatekeeping Cops of the medical world, the sooner they'll start actually trying to center their care on their patients.
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If you think I'm being an asshole to some of my peers, well, if the shoe fits.
They deserve it. Sanctuary & institutional trauma from invalidation in medicine is a thing.
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Literal 63 & 68 year old cardiologists I know: "POTS isn't a thing."
Doctors of all ages that follow the science:
"PASC can present with a non-specific constellation of signs and symptoms, (4) some of which appear to be autonomic in nature. These include, but are not limited to, orthostatic intolerance, palpitations, tachycardia, syncope, orthostatic hypertension, labile blood pressures, dizziness, fatigue and exercise intolerance. (5) The most common autonomic diagnoses associated with PASC are orthostatic intolerance and postural orthostatic tachycardia syndrome (POTS), which often follow a viral infection. (5) Other common features of PASC which may be related to autonomic dysfunction include cognitive impairment (often called “brain fog”), headache, insomnia, neuropathic pain, gastrointestinal and genitourinary dysfunction and allergic symptoms suggestive of mast cell activation, such as pruritis, urticaria, flushing, angioedema, wheezing, food sensitivities and others."
Here's 48 more pages for your edification.
https://pmc.ncbi.nlm.nih.gov/articles/PMC9538426
[#]LongCovid #Dysautonomia #PASC #Covid19
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Well I won't lie, this headline gets to the meat of it eh lads/lasses?
"Dysautonomia following COVID-19 is not associated with subjective limitations or symptoms but is associated with objective functional limitations"
https://pmc.ncbi.nlm.nih.gov/articles/PMC8656177/
Translate: "Stop being invalidating bio-bigots. It's not hysteria."
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Scottish Matched Case-Control Study comparing 33,281 Confirmed vs 62,957 Never-Had Controls:
"individuals were followed-up via 6, 12 and 18-month questionnaires and linkage to hospitalization and death records. Of the 31,486 symptomatic infections,1,856 (6%) had not recovered and 13,350 (42%) only partially."
" Previous symptomatic infection was associated with poorer quality of life, impairment across all daily activities and 24 persistent symptoms including breathlessness (OR 3.43, 95% CI 3.29–3.58), palpitations (OR 2.51, OR 2.36–2.66), chest pain (OR 2.09, 95% CI 1.96–2.23), and confusion (OR 2.92, 95% CI 2.78–3.07)."
"Vaccination was associated with reduced risk of seven symptoms."
[#]Covid19 #PASC #LongCovid
https://www.nature.com/articles/s41467-022-33415-5
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Year 3 numbers:
"Here we built a cohort of 135,161 people with SARS-CoV-2 infection and 5,206,835 controls from the US Department of Veterans Affairs who were followed for 3 years to estimate risks of death and PASC.
Among non-hospitalized individuals, the increased risk of death was no longer present after the first year of infection, and risk of incident PASC declined over the 3 years but still contributed 9.6 (95% confidence interval (CI): 0.4–18.7) disability-adjusted life years (DALYs) per 1,000 persons in the third year.
Among hospitalized individuals, risk of death declined but remained significantly elevated in the third year after infection (incidence rate ratio: 1.29 (95% CI: 1.19–1.40)).
Risk of incident PASC declined over the 3 years, but substantial residual risk remained in the third year, leading to 90.0 (95% CI: 55.2–124.8) DALYs per 1,000 persons.
Altogether, our findings show reduction of risks over time, but the burden of mortality and health loss remains high in the third year among hospitalized individual"
https://www.nature.com/articles/s41591-024-02987-8
[#]COVID19 #PASC #LongCovid
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PASC Prevalence (Long Covid):
By quartiles of a year:
"Based on different assessment or follow-up timepoints after acute COVID-19 infection, PCS prevalence estimated at ≥ 3rd, ≥ 6th, and ≥ 12th months timepoints were each 45.06% (95% CI: 41.25–48.87%), 41.30% (95% CI: 34.37–48.24%), and 41.32% (95% CI: 39.27–43.37%), respectively."
By region:
"Based on continental regions, pooled PCS prevalence was estimated at 46.28% (95% CI: 39.53%-53.03%) in Europe, 46.29% (95% CI: 35.82%-56.77%) in America, 49.79% (95% CI: 30.05%-69.54%) in Asia, and 42.41% (95% CI: 0.00%-90.06%) in Australia."
By the two year point:
"This meta-analysis shows the presence of post-COVID symptoms in 30% of patients two-years after COVID-19. Fatigue, cognitive disorders, and pain were the most prevalent post-COVID symptoms. Psychological disturbances as well as sleep problems were still present two-years after COVID-19."
[#]PASC #LongCovid #Covid19
https://www.journalofinfection.com/article/S0163-4453(23)00590-X/fulltext
https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-024-19264-5
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While I'm sure a lot of researchers are doing a lot of important work on COVID19, I am heartened to see Hannah Davis so widely cited in the literature, and not in a derogatory manner.
When the impacted advocates lead, science feels just more whole & fulfilling.
[#]covid19 #PASC
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"Rule of Law" aka "hnnnghh hnnngh guess I'm a fascist now."
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Put another way: unless you have a well planned out commitment to freeing say 669 Jewish kids from Nazi terror and the ONLY way to achieve this is by remaining a relatively unremarkable cog in the wheel of fascist machinations, you're a fucking asshole for complying at all.
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To be clear, we are about 40,000 light years in Delta Quadrant travel speak from needing to comply with this bullshit, and would be better served physically resisting in place and fighting hand to hand at our stations if need be, a la the Kapp Coup attempt.
These assholes are far more Kazon than they are Hirogen.
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The main point again is NEVER TO FUCKING COMPLY IN ADVANCE.
And even arguably only as a last resort should one comply in desperate situations if doing so leads to a substantially more important victory that is forseeable only if they remain in their position of influence.
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After a certain part of consolidation of power and headway made in co-opting the machines of governance from covert or subtle fascism to overt fascism, some will have to do a calculus of how far to comply with a certain amount of actions in order to maintain positioned to resist more effectively at more critical junctures as fascism trudges on.
A good example is Quark in the mirror universe, who only lasts I think half an episode. Would perhaps he have been more effective in the long run lasting longer? Did he already make certain compromises in order to maintain his position of influence for a righteous cause?
or Kai Opaka, somewhat more or less disagreeably, when she ratted her son out to save the slaughter of a valley settlement.
Your mileage may vary, but the point is to AVOID GETTING TO THAT POINT in the first place by stridently resisting in place, like a tree in the river as that famous Capn America speech goes.
[#]Resistance #DS9 #AllStarTrek
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Well, bye.
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"They Thought They Were Free"
Subtitled:
"Despite having to use Russian & Taiwanese piracy sites to access 90% of their scientific research"
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Be careful with that curse word to disable AI Google Search
Better off just using udm=14 Google Searches tbh.
Unless you're a fan of videos of Genghis Khan fucking or defecating.
https://udm14.com/
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One way to resist fading to despair is to show gratitude & thankfulness to those fighting in foxholes alongside you.
It worked for me in March 2020 when someone smuggled us N95s at the hospital.
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Seeing way too much proactive obedience & compliance going on.*
Maybe 50 years of "rule of law" rhetoric wasnt a good call, DNC.
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Canadians want to know how to help.
DBS works yeah.
But the optics of booing the national anthem into submission, tearing US flags apart, and burning the US flag would shock a lot of Americans into awareness or at least out of their privilege-informed stupor.
We think of ourselves as your good neighbors.
Let us know how you feel about our abusiveness.
If you feel bad about it - stop. Its called feedback & freedom to assemble & speak.
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Yeah.
Had to block, unblock, mute that guy "not ever justified" reply guying a black woman re: resisting fascism with force.
Cya.
Good on Jürgen though for confronting them.
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text/gemini
