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One of Long COVID’s Worst Symptoms Is Also Its Most Misunderstood

The Atlantic: “Brain fog isn’t like a hangover or depression. It’s a disorder of executive function that makes basic cognitive tasks absurdly hard…And despite its nebulous name, brain fog is not an umbrella term for every possible mental problem. At its core, Hellmuth said, it is almost always a disorder of “executive function”—the set of mental abilities that includes focusing attention, holding information in mind, and blocking out distractions. These skills are so foundational that when they crumble, much of a person’s cognitive edifice collapses. Anything involving concentration, multitasking, and planning—that is, almost everything important—becomes absurdly arduous. “It raises what are unconscious processes for healthy people to the level of conscious decision making,” Fiona Robertson, a writer based in Aberdeen, Scotland, told me…Biomedical advances might take years to arrive, but long-haulers need help with brain fog now. Absent cures, most approaches to treatment are about helping people manage their symptoms. Sounder sleep, healthy eating, and other generic lifestyle changes can make the condition more tolerable. Breathing and relaxation techniques can help people through bad flare-ups; speech therapy can help those with problems finding words. Some over-the-counter medications such as antihistamines can ease inflammatory symptoms, while stimulants can boost lagging concentration…”

See also Brookings: New data shows long Covid is keeping as many as 4 million people out of work – “The Census Bureau’s June to July 2022 HPS survey found that 16.3 million people (around 8%) of working-age Americans currently have long Covid. This report uses HPS data rather than Current Population Survey (CPS) data—which is generally more robust—because the HPS asks questions specific to long Covid, and the CPS does not. The CPS asks about six specific manifestations of disability, which will likely identify some cases of long Covid, but almost certainly not all…”

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