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America is about to wind back the clock on all kinds of healthcare, not just reproductive healthcare. What are people's thoughts and plans to help our patients through these next 4+ years?
  • In general it’s terrifying, we will need to be especially kind, helpful, and understanding to patients who risk losing disability benefits and similar through cuts. I don’t know how much we’ll be able to trust federal research either. I’m not too familiar with how the NIH etc is structured so I’m not sure how much RFK and Trump will be able to change things.

    In my field I’m worried about a complete federal erasure of Long COVID, banishing it without funding and expertise in a sort of semi-recognised void. Clearly the incoming government does not want to acknowledge any negatives of COVID at all, and I’m worried it will lead to much suffering.

  • Applications wanted for Genetics Post-Doc specialised in ME at University of Vienna
    www.s4me.info ME/ CFS post doc post at Medical university of Vienna

    In case it's of interest for someone [MEDIA] ME/CFS genetics postdoc post available at the Medical University of Vienna. The position is either...

    ME/ CFS post doc post at Medical university of Vienna

    cross-posted from: https://mander.xyz/post/19804345

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    Applications wanted for Genetics Post-Doc specialised in ME at University of Vienna
    www.s4me.info ME/ CFS post doc post at Medical university of Vienna

    In case it's of interest for someone [MEDIA] ME/CFS genetics postdoc post available at the Medical University of Vienna. The position is either...

    ME/ CFS post doc post at Medical university of Vienna
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    We Just Got More Evidence That Long COVID Is a Brain Injury
  • This channel has a bunch of short (5 mins long videos) about ME to educate people.

    There’s also a slightly outdated (but still worth the watch) oscar nominated documentary about it, which has been made free and put on youtube recently It’s Unrest by Jennifer Brea

    One of my patients also runs this excellent website with a bunch of resources about the disease.

  • We Just Got More Evidence That Long COVID Is a Brain Injury
  • I’m sorry I really shouldn’t be giving medical advice. It’s been a long time since I studied neurology. I’ve spent the past decade only on post viral diseases like ME.

    But please please find yourself a doctor that listens and cares if that is possible. Because it clearly sounds like you need tests and you need a doc thats available for you. Maybe join some local MS support groups and ask if anyone has docs that do a really good job and try from there.

    I’ll tell you this as a doctor. I would stay the hell away from some of my colleagues. Not every doctor is anywhere near good at their jobs. Some don’t care, some barely passed and don’t want to learn anything new, some like to always assume their patients have psychological problems. Find yourself a good doctor who is proactive and cares, and everything will be so much easier. Sending you good luck.

  • We Just Got More Evidence That Long COVID Is a Brain Injury
  • Hey I’m a researcher who works on ME (in the past called CFS).

    ME/CFS is currently classified as a disease/biological illness according to the CDC.

    ME is a disease state in itself. We don’t know much about it, but it can’t be explained by other diagnoses, as the defining factor, neuro-immune abnormalities including immune activation showing up post exertion is unique to it. You’re completely right that we don’t yet have a reliable biomarker. We have a test that differentiates from healthy controls, but it was discontinued for ethical reasons because conducting the test leads to a sometimes permanent worsening of the illness.

    In the past it’s been mixed up and jumbled a lot, but the picture is getting clearer.

    There have been a few case reports of degenerative forms of the illness. But in general it takes a more classical relapsing remitting pattern. Although even in less bad stages some patients are severely functionally disabled, even bedridden and tubefed. It has a really wide range of severities with the least severely affected able to work part time and walk and travel, while the most severe might not even be able to communicate.

  • We Just Got More Evidence That Long COVID Is a Brain Injury
  • Couldn’t have said it better. And yes, science journalism often is basically repeating and dumbing down what a study says, but in science, and especially in medicine, a lot of studies tend to be wrong, make false assumptions, or overstate their findings, while journalists tend to take them for their word. There’s a reason you hear of a new cancer treatment in the news every other week but few actually make it past FDA approval.

  • Fake 'Leftists'
  • I agree this meme is bullshit but you’re comparing two sources that shouldn’t be compared.

    Your number for Gaza’s children is from the (hamas run) Gaza health ministry. While your number from Ukraine is from the UN has confirmed.

    The Ukrainian government has a much higher estimate for dead children than the UN. And the UN has confirmed far far low children deaths than the gaza health ministry.

  • Fake 'Leftists'
  • What? Initiated by Israel you mean?

    Yeah a lot of people are ignoring Russian war crimes and I agree that’s a problem. But I don’t think you really understand what’s happening in Gaza given the meme you made.

  • This is a real tweet by Walz
  • I mean there’s a lot of ways to interpret it that’s for sure. But if you look at the entire response that quote is located in, it’s in the beginning of the debate when he’s really nervous and kind of all over the place. He somehow continues after that sentence talking about Trump crowd sizes. It’s almost gibberish to make any sense from his response there. But I think the message of it was something along the lines of Israel should defend itself against Iran and the US will support it in that endeavour.

  • This is a real tweet by Walz
  • If I was editing wikipedia and saw your statement I’d add these two tags:

    [dubious claim: discuss] [citation needed]

    I know you’re taking a quote from the debate but it seems really out of context. If I remember he was talking about Israel’s response to a potential Iranian attack.

    Not the Israel-Palestinian conflict.

  • World’s oldest known (representational) artwork in Indonesian cave dated using lasers
  • Well the problem is we know very little. So a movie like that would be complete guesswork.

    You might enjoy the youtube channel “Stephan Milo” though. His videos are well sourced and have a lot of expert interviews. And he focuses on this kind of stuff.

  • World’s oldest known (representational) artwork in Indonesian cave dated using lasers
  • Cool.

    Title might be a bit clickbait though.

    It’s oldest known representational art. Not oldest known art.

    For example the carvings in the Blomos cave in South Africa are atleast 75’000 years old.

    Edit: Thank you for editing the title! That’s pretty weird mistake by Nature I thought they had high standards. Well they have peer reviewed and approved some dodgy research in my field recently so maybe I should be more skeptical.

  • Galectin-9 and Artemin may serve as Long COVID biomarkers
    www.frontiersin.org Frontiers | Exploring the role of galectin-9 and artemin as biomarkers in long COVID with chronic fatigue syndrome: links to inflammation and cognitive function

    This study aimed to assess plasma galectin-9 (Gal-9) and artemin (ARTN) concentrations as potential biomarkers to differentiate individuals with Long COVID (...

    Frontiers | Exploring the role of galectin-9 and artemin as biomarkers in long COVID with chronic fatigue syndrome: links to inflammation and cognitive function

    ELI12 TLDR: Decent accuracy was found ~80% when using these to differentiate between people with Long COVID versus people who had recovered. People with Long COVID tend to have high Artemin which is linked to nerve cell communication problems and the elevated levels found may provide a clue into the cognitive problems many of these patients have. High Galectin-9 levels (which were also found here) are often associated with immune issues such as overactivation, which seems to fit well with all the immune abnormalities we see in these patients.

    Abstract: This study aimed to assess plasma galectin-9 (Gal-9) and artemin (ARTN) concentrations as potential biomarkers to differentiate individuals with Long COVID (LC) patients with myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) from SARS-CoV-2 recovered (R) and healthy controls (HCs). Receiver operating characteristic (ROC) curve analysis determined a cut-off value of plasma Gal-9 and ARTN to differentiate LC patients from the R group and HCs in two independent cohorts. Positive correlations were observed between elevated plasma Gal-9 levels and inflammatory markers (e.g. SAA and IP-10), as well as sCD14 and I-FABP in LC patients. Gal-9 also exhibited a positive correlation with cognitive failure scores, suggesting its potential role in cognitive impairment in LC patients with ME/CFS. This study highlights plasma Gal-9 and/or ARTN as sensitive screening biomarkers for discriminating LC patients from controls. Notably, the elevation of LPS-binding protein in LC patients, as has been observed in HIV infected individuals, suggests microbial translocation. However, despite elevated Gal-9, we found a significant decline in ARTN levels in the plasma of people living with HIV (PLWH). Our study provides a novel and important role for Gal-9/ARTN in LC pathogenesis.

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    Medical Education on Post-Exertional Malaise and Pacing in ME and Long COVID patients (Video) Dr Brayden Yellman et al.
    youtube.com Medical Education on PEM & Pacing #MedEdMonday

    #MEAction and Patient-led Research Collaborative have created a four-part video series focusing on post-exertional malaise and pacing. Each video includes an...

    Medical Education on PEM & Pacing #MedEdMonday
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    Patients with severe ME at risk of starvation
  • And patients with psychological issues tend to realise their issues are psychological in nature and vice versa. Although both have downstream effects. And in my above example. The psychological burden of thinking you have (having) a debilitating psychical illness but being disbelieved by your doctors must be enormous.

  • Patients with severe ME at risk of starvation

    Nearly 200 health professionals have written to the health secretary saying that patients with the illness are being left to ‘languish behind closed doors’

    The Times (UK)

    Doctors have said that NHS patients with myalgic encephalomyelitis (ME) risk starving to death because of unsafe and “unconscionable” standards of care.

    The letter calls for the government to take action to address the “serious patient safety concerns” for patients with ME, an illness which affects about 250,000 people in the UK.

    More than 200 health professionals including GPs, hospital consultants and nurses have written to Wes Streeting, the health secretary, saying that patients with the illness are being left to “languish behind closed doors” because specialist NHS services to provide safe care “do not exist”.

    ME, also known as chronic fatigue syndrome, is a complex neurological disorder that leads to symptoms including extreme exhaustion. Severe cases can be fatal, with patients bedridden and unable to eat or drink, but these patients currently “fall through the cracks” as there is no specialist NHS care provision.

    A letter signed by 202 doctors and NHS staff calls on ministers to convene an ME clinical task force providing “emergency specialist guidance in cases where patients are hospitalised”, as well as to commit to holding NHS trusts “accountable” for care.

    They write: “There is little access to truly specialist ME care or treatment within the NHS and paradoxically, the sicker a patient is, the less care they receive.

    “Even if doctors and healthcare professionals are knowledgeable and willing to treat patients, the infrastructure to provide safe and appropriate care does not exist.”

    […]

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    Microvascular and Immunometabolic features of Post-Exertional Malaise in Long COVID and ME/CFS
    link.springer.com Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome - Infection

    Background A considerable number of patients who contracted SARS-CoV-2 are affected by persistent multi-systemic symptoms, referred to as Post-COVID Condition (PCC). Post-exertional malaise (PEM) has been recognized as one of the most frequent manifestations of PCC and is a diagnostic criterion of m...

    Towards an understanding of physical activity-induced post-exertional malaise: Insights into microvascular alterations and immunometabolic interactions in post-COVID condition and myalgic encephalomyelitis/chronic fatigue syndrome - Infection

    Background

    A considerable number of patients who contracted SARS-CoV-2 are affected by persistent multi-systemic symptoms, referred to as Post-COVID Condition (PCC). Post-exertional malaise (PEM) has been recognized as one of the most frequent manifestations of PCC and is a diagnostic criterion of myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS). Yet, its underlying pathomechanisms remain poorly elucidated.

    Results

    Upon physical activity, affected patients exhibit a reduced systemic oxygen extraction and oxidative phosphorylation capacity. Accumulating evidence suggests that these are mediated by dysfunctions in mitochondrial capacities and microcirculation that are maintained by latent immune activation, conjointly impairing peripheral bioenergetics. Aggravating deficits in tissue perfusion and oxygen utilization during activities cause exertional intolerance that are frequently accompanied by tachycardia, dyspnea, early cessation of activity and elicit downstream metabolic effects. The accumulation of molecules such as lactate, reactive oxygen species or prostaglandins might trigger local and systemic immune activation. Subsequent intensification of bioenergetic inflexibilities, muscular ionic disturbances and modulation of central nervous system functions can lead to an exacerbation of existing pathologies and symptoms

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    🐊🐓🦖

    If you’re confused: Birds are dinosaurs, crocodiles aren’t; note the “closest living relatives

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    Poems @reddthat.com Neurologist @mander.xyz
    Plague Poems
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    interestingasfuck @lemmy.world Neurologist @mander.xyz
    A chart showing the handful of companies which own the majority of american news outlets
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    Political Memes @lemmy.world Neurologist @mander.xyz
    Efficient distribution of labour my ass
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    Aerial Photo of Lake Chad

    cross-posted from: https://mander.xyz/post/16143715

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    InitialsDiceBearhttps://github.com/dicebear/dicebearhttps://creativecommons.org/publicdomain/zero/1.0/„Initials” (https://github.com/dicebear/dicebear) by „DiceBear”, licensed under „CC0 1.0” (https://creativecommons.org/publicdomain/zero/1.0/)NE
    Neurologist @mander.xyz
    Posts 13
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