Wired Magazine: The Painful Truth About Long Covid by Alan Levinovitz, 2026

NYT columnist Zeynep Tufekci has clashed with Alan about the piece. Now she's re-X'd my post about how the article did not clearly represent an exercise study at University of Virginia, belittled the UVA law professor who protested, and then provided enough details about her that anyone could identify her. This is bad journalism on multiple counts:

Didn't he say she is “out of her depth” earlier on this thread. Because it seems a bit projection, like actually he was journalistically out of his depth.
 
Didn't he say she is “out of her depth” earlier on this thread. Because it seems a bit projection, like actually he was journalistically out of his depth.

Something along those lines, yes. That he was extensively familiar with all the literature, etc, and she didn't know what she was talking about--kind of like what he said to Megan Stevenson as well. He clearly violated core journalism principles. Hard to see how this got past Wired. A student in a journalism course at Berkeley would get failing grades if they pulled these kinds of stunts.
 
The forum rarely feels so vigorously alive as when a proponent of some cognitive-behavioural techniques for recovery turns up and tries to argue their case!

Most of the time we only talk among ourselves about these people. When an actual opponent turns up people enthusiastically leaps into the action to tear their arguments to shreds!

It also seems like we where joined be a couple of new members. Welcome @neurophusion, @hapl808, @Joni and others!
 
I understand the argument, but if that's the case why were there no significant between group differences in objective or long term subjective outcomes in PACE, FINE and all the other CBT/GET clinical trials?
This is sounding dangerously like those that argue ME is the real biomedical condition and that those with CFS have a psychological/psychogenic condition.
I have seen no evidence of systemic bias in the patient community against the concept of psychogenesis.
But, Liie, is it really a valid ethical endeavour to put psychosomatic labels on anyone at this time?

I would really like to discuss this but I unfortunately don't have the mental energy. I think that there are important questions here. I'm really not sure about what I think.

I will try to write a bit more about what I think in some other thread at a later point.
 
but not one person mentioned delayed PEM, or the sickness symptoms I experienced after exertion. I thought I had an entirely different illness, and assumed it would resolve on it's own, only to discover that it made my stamina/energy worse over time, including depleting my cognitive energy.

Exactly my experience.

Even for myself, I didn't understand sickness after exertion. I thought I weakened my immune system somehow (it started after a sickness), so I always thought I was 'fighting off a cold' because I was always pushing through. I'd work a long day, then feel sick the next day or two. I'd think: oh, maybe one of the people I worked with had a cold and now I'm fighting it off.

Somehow justified that I was just 'one of those people who got sick easily', even though I rarely *actually* got sick, just felt like I was 'fighting off' something every day.

Took me many years (and a decline into much worse stamina) to realize even cognitive exertion or a long conversation could give me delayed symptoms. That never occurred to me, and I still find it bizarre - even though it's happening to me, and I understand the various hypotheses.

So it's 'funny' to see people going: you're afraid of PEM. Huh? Afraid of what? For the first 10-15 years, I'd only read about MECFS in passing and kept trying to find other (treatable) explanations. Even now, I don't love the term ME/CFS because of how loosely it can be defined.

Anyone 'afraid of exercise' sounds more like an anxiety disorder, not to be judgmental. I was the opposite - constantly exercising for the first 1-2 years of significant ill health, and just making myself worse and worse - weightlifting, climbing, yoga, etc. As someone who tracked my workouts carefully, the decline was obvious - and I still refused to see it.
 
To be fair, I don't think anyone's tested hot-scotching either. That's good for a solid dozen trials, which would only take 10-15 years. Let's wait for this to deliver. Then let's try, I don't know break-dancing.

The reason 'break-dancing' works, is because we need to 'break' the maladaptive brain loop that causes illnesses ranging from MECFS to glioblastoma.

That's actually where the 'break' in break-dancing originally comes from. In Roman times, they used the famed head spin to treat illnesses of the head. In fact, in the Roman era, there is no evidence of a single diagnosed case of glioblastoma.

I'm just saying - why aren't we allowed to talk about break-dancing and glioblastoma, since we currently don't have a cure for the disease. Sure, the opponents will say, "Oh, but it could cause traumatic brain injuries!" But this negativity has had a chilling effect. Not a single study on 'doing the robot', when we know for a fact that robots don't get glioblastoma!

I have to add a '/s' because this explanation is not that much more ridiculous than the pseudoscientific explanations used by brain retraining advocates, so I don't want anyone to take it seriously.

Unless Jason Kehe at WIRED - who seems to have commissioned Alan's article minimizing biomedical causes of chronic illnesses…for reasons - would like a follow-up. Then I'd be happy to write a meandering article about break-dancing in the Roman era and its relevance to modern medicine for $2 per word.
 
so I always thought I was 'fighting off a cold' because I was always pushing through
As someone who tracked my workouts carefully, the decline was obvious - and I still refused to see it.
Can relate very much to everything you wrote here. Sometimes I wonder how much of the ME/CFS cohort we could capture just by asking people if they had a long period of constantly ‘coming down’ with something that never turns into a cold.
 
Didn't he say she is “out of her depth” earlier on this thread. Because it seems a bit projection, like actually he was journalistically out of his depth.
Funny thing about Zeynep is that AL agrees with her about LC far more than he seems to notice. She was a bit controversial a few years ago because of this, it just seems like she is less into tolerating bad research than he is.
 
Anyone 'afraid of exercise' sounds more like an anxiety disorder, not to be judgmental. I was the opposite - constantly exercising for the first 1-2 years of significant ill health, and just making myself worse and worse - weightlifting, climbing, yoga, etc. As someone who tracked my workouts carefully, the decline was obvious - and I still refused to see it.
Similar story here. It is one of the main reasons I am so opposed to the exercise 'phobia' and deconditioning framing. It cannot possibly be correct in my case, and quite clearly in many many others. Our experiences are hard disproof of that claim.

But, as we all know, facts don't matter to the psychosomatic ideologues.
 
Considering that the vast majority of clinical trials in LC, and in ME/CFS, have been on exercise rehabilitation or forms thereof, this was a very bizarre thing to focus on. It is remarkable in that it's necessary to misrepresent the issue to make it appear "spooky". I'm surprised we haven't been accused of corrupting the youth by playing rock music backwards in order to get them to do the reefer, or whatever.

The idea of HIIT is particularly absurd in either illness, it frankly boggles the mind that anyone would think this is a good idea, but nevertheless it has happened. Hundreds of exercise trials have been performed, what the hell is the value of doing a single more? The idea that a single letter would be enough to derail a trial is genuinely funny, and shows complete ignorance of the entire history of this illness. This ideology is completely dominant, the people doing trials like this don't give a fig about us or what we think. There is typically more than one published each week, going back for years, and no one ever admits even a single mistake, everything they do is always perfect and irreproachable.

Specifically on HIIT:
Fatigue Exacerbation by Interval or Continuous Exercise in Chronic Fatigue Syndrome (2016) Sandler, C; Llloyd, A; Barry, B
Functional Limitations and Exercise Intolerance in Patients With Post-COVID Condition A Randomized Crossover Clinical Trial, 2024, Tryfonos et al
Effect of Combined Rehabilitation on Post Covid 19 CHRONIC FATIGUE SYNDROME, 2024, Abdul Latif
(Recruiting) Exercise Intolerance in Post-COVID Patients, 2022, Lundberg et al

To be fair, I don't think anyone's tested hot-scotching either. That's good for a solid dozen trials, which would only take 10-15 years. Let's wait for this to deliver. Then let's try, I don't know break-dancing. Yeah, whatever why not? Good for at least a decade by mixing and matching all sorts of dancing styles. We could do one strictly about following the routine Raygunn, maybe it's doing the kangaroo that is the magic trick. Then maybe another decade on yo-yoing, followed probably by finger-dancing, that ought to interest a lot of folks in Ireland (maybe I mixed my traditions here).
I’m just gutted it wasn’t hot scotch, I reckon if I could get a afew hot toddies in me I’d give Raygunn a run for her hoppity kangaroo money.

I suppose we should be flattered? That Al chose to come here and engage, unlike those plebs over on Reddit who he didn’t bother with /s
 
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Thirty six pages of this?
Lawd amighty.

If it’s proof of the deleterious effect of poorly researched pseudo-scientific drivel that you need, here it is.

It triggers us because you can’t prove BRT’s lack of efficacy any more than you can prove the non-existence of a Christian God.

“Recent findings and the History of medicine both strongly suggest” is not the same as ironclad proof that the author’s thesis is a vapid and recurring cliché. So we doubt. And debate.

And waste what little resources we have. Carry on, by all means. It’s important to pick this sort of piece apart.
 
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Similar story here. It is one of the main reasons I am so opposed to the exercise 'phobia' and deconditioning framing. It cannot possibly be correct in my case, and quite clearly in many many others. Our experiences are hard disproof of that claim.
But wasn't there an attempt by some British PACE investigators or apologists to account for those like you (and me) who still could / can exercise (a bit) and did/ do that?

I think it went like this:

30% of pwME are under-active due to avoidance behavior and therefore severely deconditioned and tired all the time, 30% are doing too much in relation to their current alleged deconditioned state and therefore crash regularly and for 30% no particular pattern could be established.

Sorry, not able to look for the paper now, but I remember I thought the findings could be interpreted differently, less as evidence in support of but more as a counter-evidence for their fear avoidance and deconditioning theories...
 
But wasn't there an attempt by some British PACE investigators or apologists to account for those like you (and me) who still could / can exercise (a bit) and did/ do that?

I think it went like this:

30% of pwME are under-active due to avoidance behavior and therefore severely deconditioned and tired all the time, 30% are doing too much in relation to their current alleged deconditioned state and therefore crash regularly and for 30% no particular pattern could be established.

Sorry, not able to look for the paper now, but I remember I thought the findings could be interpreted differently, less as evidence in support of but more as a counter-evidence for their fear avoidance and deconditioning theories...
Was it this one?

J Psychosom Res
2020 Aug:135:110154.
doi: 10.1016/j.jpsychores.2020.110154. Epub 2020 May 23.

Patterns of daytime physical activity in patients with chronic fatigue syndrome​

E King , M Beynon T Chalder, M Sharpe, P D White

Abstract​

Objectives: To classify patients with chronic fatigue syndrome (CFS) by pattern of physical activity and determine the clinical associations of each type.

Methods: 579 out of 641 participants with CFS from the PACE (Pacing, graded Activity, Cognitive behavioural therapy: a randomised Evaluation) trial wore an Actiwatch (accelerometer) for between 3 and 7 days before any trial treatments, which provided a measure of physical activity. Participants' activity was categorised into one of four patterns (pervasively inactive, pervasively active, boom and bust, or indeterminate) primarily using a priori definitions of activity. Clinical associations were sought with each group using an exploratory logistic regression with the indeterminate activity group being the reference group.

Results: 124 (21%) of the participants were classified as pervasively inactive, 65 (11%) as pervasively active, 172 (30%) showed a 'boom and bust' pattern of activity, and 218 (38%) had an indeterminate pattern. Pervasively inactive patients were more physically disabled, those in the pervasively active group were more anxious, and those in the boom and bust group had more sleep disturbance.

Conclusion: We were able to classify patients with CFS into groups by their daytime activity pattern. The different patterns of activity were associated with important clinical variables, suggesting that they might be helpful in determining prognosis and targeting treatments. These associations need replication.

Finally, it may be that the heterogeneity found regarding physical activity in CFS may explain the counter-intuitive finding that rehabilitation therapies, such as CBT, are effective for CFS without increasing activity [21, 27]. It may be that the physically inactive group improve by doing more, the physically active group by doing less, and the boom and bust group by stabilising their activity with no consequent change in overall activity levels. This hypothesis requires testing. Whether these sub-groups do predict treatment outcome will be assessed in a future paper.
 
Ah yes, I found that paper hilariously ridiculous.

How can there be a condition where the cause of disability is both fear of activity and being too active. And where there is nothing physiologically wrong, yet people crash and become very ill when they are normally active so they need to be told not to be active. How they could publish such drivel is beyond me. I guess it's what results from being so convinced you have to be right that nonsense can be presented as sense and get published.

It makes no sense at all.
 
PACE seems to be covered in these 30% and 30% and 30% quotes.

In unrelated news, when I was at unit there was a big issue one year because the lecturer just gave everyone the pass mark. He was only interested in the top few students and the rest of us were at a loss (he didn’t teach us anything so we stopped attending).
Very lazy of him, he couldn't account for it when investigated.
 
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