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A comment on Debugging the Doctor Brain: Who's teaching doctors how to think?.

Re:Debugging the Doctor Brain: Who's teaching doctors how to... by thenerdhead on Saturday April 20, 2024 @10:08AM (#40097443)
In 2021 I presented my doctor a hypothesis that a COVID infection I had recently was persisting in my body leading to long term symptoms. They told me I was completely wrong and that RNA viruses do not do that.

Fast forward to today and the NIH director and leading scientists believe this has backing proof.

https://www.ucsf.edu/news/2024/03/427241/covid-19-virus-can-...

https://www.science.org/content/article/long-covid-trials-ai...

It has taken me almost three years to convince my doctor on the rationale of using therapeutics acting as COVID antivirals to treat my chronic symptoms. I now have to wait until clinical trials present data hopefully this summer to at least try.

So I hope this is a story to show that patients are helping doctors think. And it is very slow going.

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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by pc86 on Saturday April 20, 2024 @10:30AM (#40097610)
In 2021 there was almost no evidence of persistent long-term symptoms because very, very few people had COVID far enough in the past (and survived) to have these symptoms start to show up. It's completely reasonable for a front-line GP physician to not go down a rabbit hole like that because their lay patient has a hunch.
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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by thenerdhead on Saturday April 20, 2024 @10:34AM (#40097639)
Not true. There has been evidence of long term symptoms months after the first wave in 2020. By 2021 established hypotheses of viral persistence existed.

Viral persistence(2021): https://www.frontiersin.org/journals/microbiology/articles/1...

Persistent symptoms(2020): https://pubmed.ncbi.nlm.nih.gov/32644129

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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by randm_sequence on Saturday April 20, 2024 @04:17PM (#40100661)
I've come to the same conclusion about long COVID in April May of 2020. The evidence is shockingly overwhelming and has been grossly ignored. Some of us have found cocktails that work. Would love to discuss if you are interested.
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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by gavinray on Saturday April 20, 2024 @10:12AM (#40097470)
Hypothetically, if one had good reason to believe a certain medication/treatment would work, and has some degree of risk-tolerance, they could acquire said medication online from other countries without trying to convince some doctor willing to listen to prescribe it.
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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by thenerdhead on Saturday April 20, 2024 @10:16AM (#40097499)
People have and have been successful. Especially repurposing HIV/AIDS drugs and ordering Paxlovid from India. Mostly due to USA prices being ridiculously high and insurance companies refusing to prescribe more than a 5 day dose.

The other major challenge is that certain approved drugs in other countries can be held by shipping due to FDA approval.

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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by bingbingbing777 on Saturday April 20, 2024 @11:49AM (#40098249)
Not sure why you would be taking Paxlovid for long covid.
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Re:Debugging the Doctor Brain: Who's teaching doctors how to... by thenerdhead on Saturday April 20, 2024 @12:04PM (#40098337)
There is rationale in the science article I posted above. The current hypothesis is viral reservoirs that are replication competent. Here is the blurb as well:

> Paxlovid targets virus that is rapidly replicating—which may or may not be the case for the virus lingering in Long Covid cases.

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