In addition to processing speed, deficits in executive functioning are also common in cognitively impaired #longcovid survivors. What do these look like? Problems with planning and organizing, shifting from one task to another, juggling multiple projects, interacting with technology, driving, etc. @CIBScenter

I'm amazed but not surprised by how everyone and their brother seems to be an expert on the #NIH and what the #NIH needs. Reading comments here today, I see scores of people with wild hair and pitchforks cackling in glee about the deep cuts to NIH indirect costs. All I can say is - be careful what you wish for. The NIH is the premier science agency in the world and in a sad twist of irony, many of the people who would seemingly be happy to destroy it, have benefited greatly from the science it produces, whether they acknowledge it or not. Lord, have mercy!

I'm sad to say but not surprised that as Donald Trump has ascended in recent weeks. conservative Christians who tout their faith in Christ in their short bios on X have become even more comfortable than usual sowing racist, hateful, and anti-Christian rhetoric on this site. It is incredibly painful to witness and reminds me of 2 Timothy 3:5.

@DannyDrinksWine The Rockford Files

@PaulKuharskyNFL Paul! I’m crying a little bit sitting in my car as I read this tender tribute. So lovely! Thank you!

@mom2d2 You've been reading my mind . . . I'm thinking about it and likely will do it.

I'm tearing a up a bit this morning as I sit at my desk and reflect on the passing of Tony Campolo . . . He was truly "one of the good guys." He challenged the evangelical church to care about poverty, inequity, malnutrition and so many other issues that were ignored and, these days, ridiculed and mocked. As the saying goes, he comforted the afflicted and afflicated the comfortable, possessing a prophetic voice that I'm trying to hard to heed. May his tribe increase!

@EleonoraSberg @UniofOxford I was just there, and it IS like a fairytale - what a great experience and what a rich and amazing place in which to learn. Keep up the good work :).

@JenniferEValent @alangodwin52 It really is slanderous . . . she seems to do it with enthusiasm and without any self-reflection. A problem here is that she wields a lot of influence and as such, she misleads so many people.

@Spiritually1991 @megbasham @NancyAFrench This simplistic, binary, all or nothing thinking is what has caused many of the political controversies we’re having today.

I think that perhaps you're missing the point - which is that faithful people can and do disagree and that reflexively impugning them with the most cynical and impure motives because they endorse political positions you disagree with even as they embrace theological positions that are fully orthodox is completely at odds with what Francis Schaeffer famously called "The Mark of a Christian."

Megan, your "guilt by association" strategy, in which you make the worst and most cynical assumptions about individuals who have a connection - whether incidental or small or meaningful - with an organization you've deemed to be "bad" is honestly not befitting a follow of Christ. It is overly simplistic and unfair, and it contributes to the current climate in such a corrosive fashion. I'm hoping that one day with humility you will move away from the aggressive stance you take toward people who name the name of Christ and endorse historic orthodoxy but who don't align with you on issues of the day.

I'm grieved by the "Christian nationalism" that so many people currently embrace. The Carpenter from Galilee transcends culture and nationality and He calls me to be a citizen of His kingdom and reminds me that my ultimate home is in another country.

We often focus on people who were thriving until they were derailed by Covid-19 but there is another group we overlook - people who were already struggling, with prior difficulties, on the margins, underwater. For them the impact of #LongCovid is so profound. @CIBScenter

A reminder - "OCD" is not a superpower, an enviable trait among the highly organized. Rather, it is an often debilitating condition that distresses and isolates and causes people - like my patient who was afraid that she would lick a toilet seat if she used a public restroom - to live in fear. If you have #OCD, help is available.

When medical providers hear the term "brain fog" they often shrug their shoulders but a "brain injury" diagnosis can lead to action, as it should. Let's call significant cognitive impairment after covid what if often is - a brain injury, not brain fog. @CIBScenter #PICS #LongCovid

I once had a patient who was traumatized by a previous surgery that she refused to get another one - minor, safe, and medically necessary in order to function. It cost her job, her income, her livelihood but that is what medical trauma can do. #PTSD @CIBScenter

@Jeff_Palouse @megbasham It is amazing . . . Doug Wilson, the intellectual successor to Tim Keller - this was not on my bingo card. It says a lot about the state of the American evangelical church that two of their heroes are Donald Trump and Doug Wilson. Never would I have thought this.

A new study in Neurology (October 8th, 2024) showed that driving after Covid is comparable to driving after alcohol use or with a seizure disorder. This is the result one would anticipate in the context of deficits in attention, executive functioning, and processing speed and it fits with what patients tell me almost every day. See part of the abstract below: The study suggests that acute COVID-19, regardless of Long COVID status, is linked to an increased risk of car crashes presumably due to neurologic changes caused by SARS-CoV-2. These findings underscore the need for further research into the neuropsychological impacts of COVID-19. Further studies are recommended to explore the causality and mechanisms behind these findings and to evaluate the implications for public safety in other critical operational tasks. Finally, neurologists dealing with post-COVID patients, should remember that they may have an obligation to report medically impaired drivers. #LongCovid

The effects of "mild" cognitive impairment are often far from mild. Even slight declines in cognition can "change the game" for people - making them less able to reason, to recall names, to multitask, to process information, to attend. @CIBScenter #longcovid