cover of episode Post-Viral Epidemiology (LONG COVID) Part 1 with Wes Ely

Post-Viral Epidemiology (LONG COVID) Part 1 with Wes Ely

2025/3/12
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Ologies with Alie Ward
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Wes Ely: 我最初不相信长新冠，但通过与患者交流和研究，我确信长新冠是真实存在的，它与普通病毒感染后的不适有很大不同，其严重性和持续时间更长，且在人群中广泛存在。长新冠是一种感染相关的慢性疾病（IACC），其血管特性和免疫系统激活作用是重要因素。长新冠与HIV等慢性病毒感染疾病有相似之处，都可能导致免疫系统长期失调。长新冠的两种主要理论是病毒持续存在和免疫系统失调，它通常被认为与自身免疫性疾病有关，可能既是病毒持续攻击的结果，也是自身免疫系统过度反应的结果。长新冠与其他由病毒引发的自身免疫性疾病（如格林-巴利综合征）具有相似性。目前尚无用于诊断长新冠的商业化检测手段，但可以根据一系列症状进行判断，例如极度疲劳、认知障碍、运动后无力等。长新冠与ME/CFS（慢性疲劳综合征）症状存在重叠，但两者并非完全相同，许多长新冠患者同时符合ME/CFS的诊断标准。目前尚无针对长新冠的特效药，治疗方案需根据患者的个体情况进行个体化调整，例如针对心血管症状、胃肠道症状或认知障碍等不同症状采取不同的治疗方法。新冠疫苗接种可以降低感染新冠病毒和患上长新冠的风险，但疫苗接种也可能导致长新冠样疾病，但这与感染新冠病毒后患长新冠的风险相比要低得多。预防长新冠最有效的方法是避免感染新冠病毒。医生在治疗长新冠患者时，应首先放下偏见，认真倾听患者的病史，并进行个体化治疗。我以谦卑的态度对待每一位长新冠患者，认真倾听他们的故事，并尽力提供帮助。 Allie Ward: 作为主持人，我主要负责引导访谈，提出问题，并对Dr. Ely的观点进行总结和补充。我关注的是长新冠患者的经历和感受，以及如何更好地帮助他们。

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Chapters
This chapter explores the initial skepticism surrounding Long COVID within the medical community and how the prevailing view evolved. It emphasizes the importance of believing patients' experiences and contrasts Long COVID with other post-viral illnesses.
  • Initial disbelief in the medical community regarding Long COVID's reality.
  • Shift in perspective after observing numerous cases and patient reports.
  • Distinction between Long COVID and post-viral malaise highlighted: prolonged symptoms and larger-scale epidemic.

Shownotes Transcript

What is Long Covid? Is it real? What does it feel like? Do you have it? And how do you cure it? With fatigue and brain fog, you don’t want to spend hours scrolling through conflicting opinions. So we’ve got you covered with the wonderful and highly-respected pulmonologist and intensive care physician and Long Covid expert, Dr. Wes Ely.  So tuck in, breathe deep and let’s load you up with true facts about what Long Covid is, how it differs from other post-viral illnesses, variants and Long Covid risk, why people say it’s not real, advice for caregivers, changing opinions in medicine, similarities to HIV, treatment options, auto-immune issues, POTS, post-exertional malaise, the best way to prevent it. Next week: Part 2 with even more info. 

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A donation went to the Critical Illness, Brain Dysfunction, And Survivorship (CIBS) Center)

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Other episodes you may enjoy: Surgical Angiology (VEINS & ARTERIES)), Cardiology (THE HEART)), Disability Sociology (DISABILITY PRIDE)), Molecular Biology (PROTEINS + SCIENCE COMMUNICATION)), Nephrology (KIDNEYS)), Diabetology (BLOOD SUGAR))

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