Long Covid, MD Dr. Zeest Khan

Season 2 is here! It's also episode #13 so for something spooky, let's talk about getting reinfected with the virus that changed your life forever. Today I discuss how my recent reinfection felt, how reinfection affected my Long Covid symptoms, and how I responded. I'll share how antivirals work, who they work best for, and who shouldn't take them. We'll also peruse the existing literature on reinfection and Long Covid. 

How did reinfection affect you? Email me at LongCovidMD@gmail.com

Links:
https://www.fda.gov/media/158165/download
https://www.pfizer.com/science/coronavirus/severe-covid
https://www.covid19treatmentguidelines.nih.gov/therapies/antivirals-including-antibody-products/molnupiravir/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10454552/
https://www.longcovid.org/images/Documents/Reinfections_in_Long_Covid_Survey_Report_by_Long_Covid_Support_and_Long_Covid_Kids_080922.pdf
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In the final episode of Season 1 I discuss my favorite subject, anesthesiology. I explain how anesthesia works, whether it's an injection at the dentist or general anesthesia for major surgery, and discuss how your experience with anesthesia might change now that you have Long Covid. 

Expect a break in episodes while I prepare Season 2.  It's going to be bigger, bolder and even more informative. Follow me on X to stay updated.

Links
My article about Long Covid for the California Society of Anesthesiologists
https://csahq.org/2022/06/13/experiencing-long-covid-as-a-physician-and-a-patient/
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We doctors are an odd bunch, I will admit, but the medical system is even more odd. It's complicated, it's constricting, and the business of medicine infiltrates the patient-physician relationship.  Most doctors are as unhappy about this as you are. Today I explain the constraints doctors work within that directly affect your experience as a patient, and how to work within these constraints to make the most out of your doctor visits. 

Links:
Why Doctor Visits Are So Short
https://www.kevinmd.com/2014/05/10-minutes-doctor.html

Changes in Patient Outcomes Associated With Private Equity Acquisition
https://jamanetwork.com/journals/jama/article-abstract/2813379

Physician Burnout 
https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2810256





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Some significant news hit the press this week, with significant backlash. Today I explain the news, the backlash, and how I stay up to date on Long Covid without getting swept up in the response. Emotions are important and require energy, so I share my step-by-step approach to processing heavy events without damaging my recovery. 

What do you think? Email comments to LongCovidMD@gmail.com

Links

Deep Phenotyping of Post-Infectious Myalgic Encephalomyelitis
https://www.nature.com/articles/s41467-024-45107-3

David Tuller, Virology Blog, Interview with Neuroscientist Michael VanElzakker
https://virology.ws/2024/02/28/trial-by-error-an-interview-with-neuroscientist-michael-vanelzakker-about-the-just-published-and-long-awaited-nih-study/

CDC Updated Covid Isolation Guidelines
https://www.cdc.gov/respiratory-viruses/background/index.html

Ashish Jha's X post
https://x.com/ashishkjha/status/1763661662739943810?s=20

Happiness Lab Podcast
https://www.pushkin.fm/podcasts/the-happiness-lab-with-dr-laurie-santos
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America hasn't found a cure or even a treatment for Long Covid. Today I explain why. It's about money, but it's more complicated than just money.

Links:
RECOVER https://recovercovid.org/
https://www.statnews.com/2023/08/09/long-covid-nih-trials/#:~:text=Among%20the%20trials%20announced%20so,along%20with%20several%20behavioral%20options.
AHRQ  https://www.ahrq.gov/coronavirus/long-covid.html
PAHPA https://aspr.hhs.gov/legal/pahpa/Pages/default.aspx


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Congressional support for Long Covid research influences all of us, but can be hard to understand. I researched so you don't have to, and in this episode I tell you what I've learned.

On January 18, 2024 the US Senate HELP Committee held a hearing "Addressing Long Covid: Advancing Research and Improving Patient Care." I'll explain the who/what/where and why and explain what Long Covid research funding exists today.

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Links:
https://www.help.senate.gov/hearings/addressing-long-covid-advancing-research-and-improving-patient-care

Bernie Sanders Op-Ed: "US Is Turning its Back on Long Covid"
https://www.usatoday.com/story/opinion/voices/2024/01/26/long-covid-paxlovid-costs-plaguing-american-healthcare/72337750007/

Senators Kaine/Young/Inhoff Advocate for LC
https://thehill.com/opinion/congress-blog/4181662-after-the-pandemic-ends-long-covid-still-needs-congressional-attention/
Young, Kaine Introduce Bill to Support Americans Living with Long Covidhttps://www.young.senate.gov/newsroom/press-releases/young-kaine-introduce-bill-to-support-americans-living-with-long-covid

RECOVER Initiative
https://recovercovid.org/

AHRQ funding for Long Covid
https://www.ahrq.gov/coronavirus/long-covid.html

Long Covid Moonshot
https://longcovidmoonshot.com/

Long Covid Action Project Media Release
https://longcovidactionproject.com/long-covid-activists-disrupt-senate-hearing/







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