Trajectories of persisting Covid- 19 symptoms up to 24 months after acute infection: findings from the Predi-Covid cohort study, 2025, Fischer+

They should have included prevention as well. It’s not like covid has disappeared.

 

12 is the World Physiotherapy briefing paper:
https://world.physio/sites/default/...Covid-FINAL-English-202107.pdf?logged_in=true

 

They recruited very early after a positive test, which reduces selection bias based on how long your symptoms lasted.

 

This is a bit of «the people that didn’t recover didn’t recover», but it’s interesting to see how the average symptoms increased over time in the group that did not recover.

Fig 1

Fig 3

They included more symptoms in the M12 etc. questionnaires as they learnt more about LC, but they don’t have the trajectories from baseline.

Fig 4

And important caveat regarding the increase in symptoms later on:

Edit: another drawback is that we don’t have pre-baseline symptoms.

 

I think an important take-away from this study is that LC is not just about having a long recovery time. Some simply don’t report getting better (or even get worse).

It seems to me like many politicians and society in general believes that LC is temporary so there is no rush to fix it because it will resolve on its own if we give it some time. That’s clearly wrong for a subgroup of LC patients.

 

That's because many physicians have simply asserted this, based on misinformation. Based mostly on us and "Imagine a world"-based medicine. False assertions made for bad reasons, amplified to cover up reality, serving the rich and making people feel better about burying millions alive.

This study seems above average, in that it describes reality far closer than usual. Usually symptom resolution for mild cases is rather quick, debunking the entire premise of those long rehabilitation programs. But of course the idea behind those isn't connected to reality, so that's expected. And of course plenty of cases start mild and go on worsening, and no one knows how to predict that yet. The very idea of rehabilitation will be abandoned one way or another, it just sucks that the only realistic way is long after it will make a difference. Just like with peptic ulcers, the scam industry will just die out, but it won't be killed. No such thing as accountability here.

Although it remains that we could, and in some cases have, said all those things for decades. We have still learned nothing since day 1. Hence:

There is no reason why any amount of guidelines should help manage things when they are either not based on reality, or are unrealistic. We can't just "solve this problem" when we don't understand what the problem is, and even less so when there is a strong majority opinion that is basically delusional about it. The idea of pacing is nice in principle, but it basically amounts to suggestions to remain ambulant as much as possible after a broken leg, in a world where walking aids simply don't exist.

It still all looks like medicine is just completely out of its depth dealing with problems like this, and doesn't seem capable of producing useful... anything. Literally all the useful advice out there came from the patient community and pre-dates LC by decades. The medical profession has simply not added a single useful bit of information to it, and way too many mountains of bullshit.

It should be useful to have studies like this, I just mostly expect that it will be ignored in favor of psychosomatic squirrels.