BMJ Rapid Response: Dr Nina Muirhead

EducateME

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I just wanted to echo the other comments praising this Rapid Response.

It has the main information expressed clearly and concisely. Indeed my initial personal reaction was one of happiness to see this important information in print, outlining what we do and what we don’t currently know. However this was followed by the sad realisation that we still have a way to go when it is necessary to state strongly what ought to be an obvious starting point.
 
One of my favourite bits -

Shockingly, some are facing difficulty being believed, or told their symptoms are secondary to anxiety or depression. The Royal College of GPs have produced a short module linking long COVID to anxiety and post-traumatic stress, but many long COVID patients would not be anxious if they felt well.

Do you remember there was a list of the most stressful things that tend to happen - bereavement, losing your job,moving house, divorce or relationship breakup etc.

How is it possible that so many people who focus in mental health have failed to understand the stress involved when you suddenly become sick and face an unknown prognosis. Worse still, it's an illness where you face routine disbelief and leaves you open to wholly unwarranted character assassination.

Not only are you struggling to come to terms with your new normal and learn to cope with symptoms but you suddenly find yourself facing many of the top stressors people can face -

Loss of income
Stress on relationships - personal and professional
Future uncertainty
Possible risk of losing your home

Then because of the diagnosis all of those are magnified by the disbelief & character judgement by those who are supposed to help.

At a time when your faith in a just world view, your health and your own abilities to cope are shaken to the core, instead of providing support the very ones who should help support you, undermine you at every turn.

Instead of viewing ME (& now long covid) patients as being weak, predisposed to anxiety & depression they should really wonder at the remarkable strength of character & resilience of patients in spite of all the considerable disadvantages and prejudice we face.
 
How is it possible that so many people who focus in mental health have failed to understand the stress involved when you suddenly become sick and face an unknown prognosis. Worse still, it's an illness where you face routine disbelief and leaves you open to wholly unwarranted character assassination.
Yes, they truly do seem to have their heads up their rear ends. Cognitive constipation.
 
Symptoms flare in the hours or days after trivial physical, emotional, or cognitive effort. Many are still functioning at a fraction of their pre-COVID normal.
I think we could be shooting ourselves in the foot by mentioning that emotional effort exacerbates symptoms, an outsider reading this may conclude it's psychosomatic.
affecting tens of millions of patients worldwide.
I'm pretty sure this prevalence is based on the flawed CDC 1994 criteria.
Early advice to rest has been shown to reduce the future burden on work rehabilitation and medical retirement.
Has anyone got a reference to back this up? Wessely must be so cross if he reads this.
 
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