Burden of post-Covid-19 syndrome and implications for healthcare planning • Hacker News Board

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#61

Post by perlgeek » Tue, Jul 13, 2021, 7:18 PM UTC

halotrope wrote: post #39

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…

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!

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#62

Post by shaicoleman » Tue, Jul 13, 2021, 7:18 PM UTC

kvnn wrote: post #33

jacquesm wrote: post #3

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…

Have you seen this strategy for Long Covid? https://covid19criticalcare.com/covid-19-protocols/i-recover...

You would probably also want to watch the video about it that goes into more detail:

https://youtu.be/ZCYM2HW2Ayw?t=321

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#63

Post by jacquesm » Tue, Jul 13, 2021, 7:19 PM UTC

varjag wrote: post #58

jacquesm wrote: post #14

Earlier quoted context omitted.

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.

Sounds terrible. Did you (and u/mygoodaccount) have loss of smell among the symptoms? I recall reading somewhere that it correlates with protracted recovery.

During the first three weeks, yes. But afterwards that came back to fairly normal levels quickly.

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#64

Post by quenix » Tue, Jul 13, 2021, 7:19 PM UTC

throwawayboise wrote: post #52

Retric wrote: post #34

Earlier quoted context omitted.

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.

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.

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.

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#65

Post by joeblow21 » Tue, Jul 13, 2021, 7:20 PM UTC

I persoanlly experienced this too. I had no symptoms and after 6 months I still have no symptoms

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#66

Post by standardUser » Tue, Jul 13, 2021, 7:20 PM UTC

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.

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#67

Post by [deleted] » Tue, Jul 13, 2021, 7:21 PM UTC

usaphp wrote: post #60

jacquesm wrote: post #9

Earlier quoted context omitted.

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'.

So you were never tested for covid? How do you know if it was covid ?

[deleted]

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#68

Post by IAmGraydon » Tue, Jul 13, 2021, 7:21 PM UTC

samatman wrote: post #35

ghastmaster wrote: post #22

Earlier quoted context omitted.

If you read through the limitations section of the report, you will find they covered this along with several other limitations of the study.

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.

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.

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#69

Post by perlgeek » Tue, Jul 13, 2021, 7:22 PM UTC

jacquesm wrote: post #3

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…

> 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!

Re: Burden of post-Covid-19 syndrome and implications for healthcare planning

#70

Post by jacquesm » Tue, Jul 13, 2021, 7:23 PM UTC

usaphp wrote: post #60

jacquesm wrote: post #9

Earlier quoted context omitted.

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'.

So you were never tested for covid? How do you know if it was covid ?

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.