We need better care for long covid and ME/CFS

As a patient with severe long covid and myalgic encephalomyelitis (ME), I was pleased to see Dean’s article about a long covid clinic.1 I went from working on-call as a consultant to being unable to stand or feed myself with long covid. I remain severely affected a year later and now face losing my job. Altmann and colleagues estimate that one in 10 people who contract covid-19 will be affected by long covid and describe the effect of long covid on health systems, populations, and economies as “so large as to be unfathomable.”2Around 2-14% of patients with long covid develop postural orthostatic tachycardia syndrome (POTS) six to eight months after covid infection, and up to 60% show some symptoms of POTS,3 yet there are no agreed guidelines for POTS in long covid. Espinosa-Gonzalez and colleagues4 outlined an approach to managing POTS in primary care that could greatly improve diagnosis and…
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