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Re:Long-Covid R&D is collapsing: investors won't fund, scien... by davidmurphy on Thursday September 19, 2024 @03:11PM (#41595266)
outrageous.

gov't should be massively funding at an absolutely epic scale

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by ck2 on Thursday September 19, 2024 @03:55PM (#41595751)
Senator Bernie Sanders has a plan with several co-sponsors to try to make a 10-year "long-covid moonshot" but given how politics work in this country it will never happen unless watered down to something useless and meaningless.

https://longcovidmoonshot.com/

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by wkat4242 on Thursday September 19, 2024 @04:48PM (#41596239)
Well unless big pharma can cash out on it like crazy. Then it'll be a huge success.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by nradov on Thursday September 19, 2024 @03:16PM (#41595322)
Why? Is this a higher research priority than other medical conditions such as cancer or HIV? Are there plausible reasons to think that epic scale funding would significantly accelerate results?
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by kbelder on Thursday September 19, 2024 @04:36PM (#41596145)
I agree. We should research it at a level appropriate for the damage long covid is causing. Which is probably a lot, because it seems like a real thing that is impacting lots of people; but it's far from the most important medical problem we have.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by wkat4242 on Thursday September 19, 2024 @04:52PM (#41596277)
This same phenomenon isn't unique to Covid either. Other illnesses can lead to similar debilitations. Research into this will give great insight into processes we hardly understand.

Of course it's not the #1 healthcare priority now but who says we should only solve problem #1 and leave all the others hanging?

I know a health worker that worked hard to save lives during the first phases of Covid and her life is now ruined due to this. I doubt she can be 'cured' but at least this may be prevented for others.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by stodor89 on Thursday September 19, 2024 @04:47PM (#41596233)
I think he's being sarcastic.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by Diti on Thursday September 19, 2024 @08:14PM (#41597611)
Per Poe’s law, which most of the Hacker News community is familiar with, assume sarcasm doesn’t exist unless the commenter explicitly tells it’s sarcasm.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by dchftcs on Thursday September 19, 2024 @09:28PM (#41597981)
I'd argue chronic conditions that are debilitating should have at least the same priority as cancer, assuming their prevalence in the general population is similar. Long covid is more like to affect productive age people compared to cancer, so a government would be wise to prioritize it.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by Llamamoe on Friday September 20, 2024 @03:09AM (#41599571)
Higher? No. But causes of chronic fatigue like ME/CFS are already massively underfunded relative to their impact on society and people's lives. Both HIV and most types of cancer are pretty manageable nowadays while having a much lower QoL impact than LCOV or ME.

Further, many of those conditions share enough common traits that it's plausible that insights into one will generate insights into others.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by LorenPechtel on Thursday September 19, 2024 @05:13PM (#41596441)
This is talking about private funding. The problem is that we don't have enough understanding to know where to start and private funding works very poorly in such situations.

And I'm sure public funding is tied up in politics. Covid is too politicized.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by tiahura on Thursday September 19, 2024 @07:50PM (#41597502)
That seems really foolish. A certain percentage of the population will always have the latest, I have no energy and can’t work disease: long COVID, chronic fatigue syndrome, Lyme disease, fibromyalgia, gulf war syndrome, etc. Just wait a few years and it will be a whole new “epidemic”.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by Llamamoe on Friday September 20, 2024 @03:06AM (#41599557)
> Just wait a few years and it will be a whole new “epidemic”.

Considering COVID is still around and harming people... yes, yes it will, what are you even trying to say?

That everyone who's disabled due to undiagnosed fatigue and trying to find answers is just malingering?

If so, f you, that's a really bad faith argument.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mjfl on Thursday September 19, 2024 @04:16PM (#41595961)
how is long-COVID distinguished from hypochondria??
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mystified5016 on Thursday September 19, 2024 @04:20PM (#41596016)
How is ignorance distinguished from stupidity??
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by proto-n on Thursday September 19, 2024 @05:07PM (#41596404)
The same way any other illness is, I guess
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by LorenPechtel on Thursday September 19, 2024 @05:20PM (#41596493)
So you stick to the party line despite vast evidence to the contrary?

My SIL has never been the same (her words) since she got it--note that she does *not* live in the US where it's a political issue.

The fundamental problem is that "Long Covid" is one of these "diagnoses" that are just a description of a widely varying set of symptoms and do not identify the actual problem. For a similar example consider AIDS. There we could at least identify the vector but until we discovered HIV we weren't very effective at dealing with it. This time around we know the underlying pathogen but not the mechanism of action.

SARS had many of the same lasting effects and was never thought to be hypochondria.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by ck425 on Thursday September 19, 2024 @05:55PM (#41596760)
Wow, is long covid legit a "political issue" in the US??
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by AnthonBerg on Thursday September 19, 2024 @05:29PM (#41596556)
With measurement of known biomarkers corresponding to well-established symptoms from decently well understood physiological damage which stems from the ability of the virus to do this and that. For instance.

How do you get out of bed in the morning? Do you fall out our do you have someone to assist you?

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mjfl on Thursday September 19, 2024 @06:58PM (#41597206)
what biomarkers???

The outright rage you display combined with your inability to articulate any actual concrete details suggests to me this is a deeply emotional, psychological issue, and perhaps not a rational one.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by chownie on Friday September 20, 2024 @04:47AM (#41600048)
I went looking for the outright rage you're talking about and I don't see any signs of it, given your small collection of replies with a decent number of them flagged are you sure that this isn't projection on your behalf?
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mjfl on Friday September 20, 2024 @05:03PM (#41605487)
He asked me if I needed assistance getting out of bed in the morning. This is a pretty pejorative attack. Meanwhile I am being flagged for just asking questions. Clearly hacker news has become biased towards hyper sensitive passive aggressive nerds. By the way, going through someone's comment history is the signature of the passive aggressive nerd, making you a typical passive aggressive nerd.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by chownie on Wednesday September 25, 2024 @04:45AM (#41645226)
I didn't look at your comment history at all, I just have showdead on so I could see all the your flagged, dead replies in this thread.

I think HN has become biased against people who default to weird angry outbursts more than anything.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mjfl on Wednesday September 25, 2024 @07:04PM (#41652795)
Characterizing my asking a question - "How is long Covid different from hypochondria?" - as an angry outburst is further passive aggressive nerd behavior.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by chownie on Thursday September 26, 2024 @11:35AM (#41659617)
Fair enough! You seem to be the expert.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by randerson on Thursday September 19, 2024 @05:48PM (#41596700)
When you have millions of formerly healthy, active people reporting the same thing, unable to get out of bed for more than a few hours a day, unable to do complicated tasks or do the things they enjoyed, something is clearly going on.

I had Chronic Fatigue Syndrome after getting Epstein-Barr virus as a teen. I was told by many doctors that it was not a real illness and it was all in my head. I tried to make myself believe that, and eventually convinced myself that I was indeed crazy. It took about a decade to recover enough that I can live life, but I still get exhausted easily. And during that time CFS became more widely accepted as a real illness.

Now doctors are saying there is a lot of similarity between CFS and Long COVID

[dead]
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by OgsyedIE on Thursday September 19, 2024 @03:53PM (#41595730)
It shows up in blood tests...
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mjfl on Thursday September 19, 2024 @04:19PM (#41596000)
what markers?
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by ck2 on Thursday September 19, 2024 @03:57PM (#41595777)
It is very real and documented in many many many studies after four years now.

AI analysis of all those studies has come up with at least four different kinds.

Plenty of people like you who were deniers who end up getting it for years now, including many doctors themselves.

https://covid19.nih.gov/news-and-stories/researchers-identif...

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by rossant on Thursday September 19, 2024 @04:23PM (#41596039)
Classic reaction of incompetent and arrogant doctors: "I don't know what that is so it's fake/in your head/your fault/etc."
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by imperialdrive on Thursday September 19, 2024 @05:33PM (#41596581)
This has very little to meaningfully do with anything, but I know someone that had long covid, and it ruined their life and career etc. because of barely being able to function more than a few "good" hours a day. They got covid again about two year later, was moderately sick for a week, and then completely healed, 100% back to normal. Absolutely blew my mind.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by bsder on Thursday September 19, 2024 @06:21PM (#41596946)
A lot of the hypotheses about Long <insert virus here> are about how well your body cleared the remnants. You can have a persistent reservoir of something for quite a long time until your body finally decides to clear it out.

One of the canonical examples of this are warts from HPV. There are documented cases of people having persistent infections until they "injured" a wart somehow, their body finally took notice, and then their body proceeded to completely clear all of them.

Modern medicine really does not deal with active viruses or their aftermath very well.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by nextaccountic on Thursday September 19, 2024 @09:07PM (#41597863)
Perhaps this suggest that a treatment for long covid might be a new exposure to covid itself - or maybe a safer drug that mimics covid, like a vaccine or something analogous, that gives the benefit of "restarting" the immune response, but without the complications of real covid.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by pixl97 on Thursday September 19, 2024 @09:35PM (#41598018)
I think a lot of the problem here is the stunning complexity of the immune systems in living systems. A huge part of our immune system isn't our own, it's other viruses and bacteria that live in symbiosis with us. The war of the viruses and bacteria was going on for billions of years before cells decided to clump together and make anything complicated.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by Panzer04 on Thursday September 19, 2024 @09:35PM (#41598021)
That's really interesting. I wonder if the immune system is modal - I know there are tons of systems in place that kick it into gear for response to an infection, so I guess its reasonable to assume that the body prefers to keep it as dormant as possible the rest of the time to minimise auotimmune disease risks and the like.

If these sorts of disorders creep in underneath it, and persist at a sufficiently low level not to trigger it, I suppose these things can hang around. I wonder why the immune system can't clear it out otherwise though (since presumable plenty of other immune systems have to always be active, to prevent infections from cuts and the like from being imminently fatal..)

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by renewiltord on Friday September 20, 2024 @02:58AM (#41599517)
If this is how it is, then that explains why all of the people I know who have Long Covid are hyper-neurotic people. They didn't get the repeat exposure to rid themselves of the other one.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by dimal on Thursday September 19, 2024 @07:21PM (#41597344)
I’ve had chronic fatigue for long stretches my entire life, sometimes for years at a stretch. I think I would qualify for a CFS diagnosis, but no doctors treat it, so no one ever thought to diagnose me. They’d just say my tests are fine and shrug.

The fact of the matter is that the medical industry has no clue what to do about chronic health conditions like ME/CFS or Long COVID. They have no game plan at all. Everything I ever did to improve my symptoms and get my energy back was stuff I either did myself or just dumb luck that my body recovered.

> Instead of funding novel medicines like Ampligen, the NIH has directed most of its RECOVER resources to observational studies designed to learn more about the condition, not treat it.

So, this seems like a good decision. Observational studies aren’t giving up. They are the basis of the whole “evidence based medicine” pyramid of evidence.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by mcdeltat on Thursday September 19, 2024 @08:45PM (#41597756)
It's come to fascinate me how modern medicine is simultaneously miracle-performing and devastatingly primitive. We can repair tiny structures, regrow organs, eradicate diseases from existence. And yet, you could fall unwell with something like ME/CFS which ruins your life, and medicine has literally nothing to give. A total blind spot.

Perhaps a reality check that the human body is immensely complex, and medicine is not magic. We've just been doing our best all along, and we need to continue doing so with support for medicine and science.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by dimal on Thursday September 19, 2024 @10:12PM (#41598178)
I agree and disagree. Maintaining the health of a human body in a complex industrialized society is the most complex problem in the known universe. The amount of variables involved is astounding. But we’ve settled on a system that is more of a bureaucracy than a scientific endeavor and we wonder why it fails. We haven’t been doing our best. We could do better.

We should support science, but give up on medicine for health maintenance and chronic illness. Medicine as a practice is centered on curing acute illnesses and fixing acute injuries. I went to the emergency room recently for a really bad cut on my hand. The experience was fantastic. That’s the type of problem they know how to solve. It’s a completely different type of problem than a chronic illness, which depends on behaviors, environment, diet, exercise, etc.

And not just “you should exercise“. To recover my energy, I had to find just the right amount of the right type of exercise that would increase my energy without overexerting myself and making my symptoms worse. There’s no way that industrialized bureaucratic endeavor like modern medicine could help with that, unless of course I was rich. The medical industry can’t change. I’ve given up on it. We need a new science.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by binary132 on Thursday September 19, 2024 @10:45PM (#41598337)
A loved one in my family was sick for years with a very painful chronic illness and all of the tests were completely useless except to rule out a myriad of possible causes. Thankfully she did happen upon a very effective treatment (Zoloft) and her quality of life is immensely improved now, with basically zero pain, and she’s able to function again. It was devastating to her health and she had nothing to go on whatsoever.
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by DiscourseFan on Friday September 20, 2024 @02:52AM (#41599493)
Zoloft does have some very strange applications
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by ntlk on Friday September 20, 2024 @08:12AM (#41601201)
In the UK the NHS recommends “pacing” for ME/CFS, which is a very slow, gradual increase in activity without triggering over-exertion - same as what you found effective. I believe there are some materials and support groups available to people who qualify for them, it’s definitely one of the recognised treatments. [1]

Changing a lifestyle in support of recovery is of course much harder than taking medication. Can people’s jobs adapt? Can the benefits / social security systems? Do people have support networks which they can rely on? So I agree that maintaining health is super complex, and there are additional social/economic challenges here.

1: https://www.cambscommunityservices.nhs.uk/Bedfordshire/servi...

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by loceng on Thursday September 19, 2024 @09:28PM (#41597982)
https://covid19criticalcare.com/protocol/i-recover-long-covi...

They also have a "Find a provider" page under "RESOURCES" section.

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by r721 on Friday September 20, 2024 @04:17AM (#41599882)
>covid19criticalcare.com

>The Front Line COVID-19 Critical Care Alliance (FLCCC) is a group of physicians and former journalists, formed in April 2020, that has advocated for various unapproved, dubious, and ineffective treatments for COVID-19 (e.g. hydroxychloroquine, ivermectin, and other miscellaneous combinations of drugs and vitamins).

https://en.wikipedia.org/wiki/Front_Line_COVID-19_Critical_C...

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by loceng on Friday September 20, 2024 @08:05AM (#41601161)
Re:Long-Covid R&D is collapsing: investors won't fund, scien... by ck2 on Friday September 20, 2024 @07:50AM (#41601073)
Be aware that FLCCC, Dr. Pierre Kory, Dr. Bruce Patterson are all considered quacks or at least very sketchy by long-covid advocacy groups

There are a lot of desperately ill people with long-covid and like everything else in this world there are plenty who are more than willing to take advantage of that desperation

https://www.motherjones.com/politics/2022/01/desperate-patie...

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by loceng on Friday September 20, 2024 @08:04AM (#41601159)
Are you aware of all of the lies Pfizer, the FDA, Fauci et al told us at the beginning of and throughout the pandemic?

Can you list what Pfizer et al lied about, what they said then, and what is publicly-official known to be the truth now?

And are you aware there were active demonization campaigns, exposed expressly in the Twitter Files investigative journalism and in US government hearings - that even highly credible Stanford, Harvard, etc, experts - were suppressed-censored for truth/facts they were sharing?

Serious questions.

Below aren't necessarily the best interviews to start off with to understand the situation, however they're most recent on my mind:

"Dr. Jay Bhattacharya on COVID Lies, Vaccine Truth, and the Breakdown of Science" https://www.youtube.com/watch?v=eO3mOUyk5FE

"Council of the Canceled" https://www.youtube.com/watch?v=lhUZ-xu_M4o

And before you comment, you'll likely have heard and recognize Dr. Jay Bhattacharya as a demonized name, considered a "quack" or at least "very sketch" - so instead of believing those utterings, I highly hope you'll listen intently without passing judgement before critically thinking through to hear what they're saying, rather than perhaps reactively dismissing them, avoiding them, and therefore not getting a chance to hear a full enough of their perspective that makes sense. Jay on Dad Saves America podcast, where they touch on this a bit:

Re:Long-Covid R&D is collapsing: investors won't fund, scien... by DiscourseFan on Friday September 20, 2024 @02:57AM (#41599513)
I had long covid before, I was literally wasting away, I had no appetite, was losing weight rapidly, and my strength diminished everyday. I got out of it by force-feeding myself and forcing myself to do high-intensity exercise. My energy levels, I don't think they ever fully recovered, but I'm fine doing work and I do still exercise but not nearly as often as I used to. Nothing I can do about it, but I'm certain that the body works this way pretty reliably: you have to push until you die, and you will never know how far that is, so you just got to keep pushing and with some luck you'll grow ever stronger.
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