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    New Report Underscores the Seriousness of Long Covid

    The National Academies said the condition could involve up to 200 symptoms, make it difficult for people to work and last for months or years.One of the nation’s premier medical advisory organizations has weighed in on long Covid with a 265-page report that recognizes the seriousness and persistence of the condition for millions of Americans.More than four years since the start of the coronavirus pandemic, long Covid continues to damage many people’s ability to function, according to the National Academies of Sciences, Engineering and Medicine, a nongovernmental institution that advises federal agencies on science and medicine.“Long Covid can impact people across the life span, from children to older adults, as well as across sex, gender, racial, ethnic and other demographic groups,” it said, concluding that “long Covid is associated with a wide range of new or worsening health conditions and encompasses more than 200 symptoms involving nearly every organ system.”Here are some of the National Academies’ findings, drafted by a committee of 14 doctors and researchers:How many people have long Covid?The report cited data from 2022 suggesting that nearly 18 million adults and nearly a million children in the United States have had long Covid at some point. At the time of that survey, about 8.9 million adults and 362,000 children had the condition.Surveys showed that the prevalence of long Covid decreased in 2023 but, for unclear reasons, has risen this year. As of January, data showed nearly 7 percent of adults in the United States had long Covid.Diagnosis and consequencesThere is still no standardized way to diagnose the condition and no definitive treatments to cure it. “There is no one-size-fits-all approach to rehabilitation, and each individual will need a program tailored to their complex needs,” the National Academies said, advising that doctors should not require patients to have a positive coronavirus test to be diagnosed with long Covid.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Weed and Exercise: Why Some People Use Cannabis Before a Workout

    Some exercisers say cannabis eases their pain and anxiety — and makes fitness more fun.The first time Samantha O’Brien took a boxing class at her building’s gym, she was overwhelmed with anxiety. The instructor was loud and intimidating and ran the class like a boot camp. If someone fell behind, everyone had to work harder.Ms. O’Brien, 36, left the class thinking she’d never return. A few days later, her partner came home with some cannabis gummies he said might offer her a burst of energy. She thought of the boxing class, and how she wanted to show the instructor he hadn’t scared her off. So she ate half a gummy, got into her workout clothes and went to the class.The shouting didn’t bother her anymore. “I was brighter, lighter,” Ms. O’Brien said, adding that the small dose kept her going through the session. Now she frequently mixes cannabis and exercise, regularly attending the boxing class along with Pilates and boot camp workouts after taking weed products.Scientists have refuted the idea that marijuana is a performance enhancer for competitive athletes. But some amateurs are turning to it before exercise because it eases their chronic pain and anxiety — or just because it makes working out more fun.Alex Friedrichs, 30, a manager of a chiropractic clinic in Vancouver, Canada, said that cannabis puts her in the moment during exercise. “I appreciate what my body is capable of, what my body is doing and the things I’m seeing around me,” she explained, “like running in a beautiful area or a pretty day.”Addressing Chronic PainIn a small 2019 study, the top reasons people used cannabis before exercise were to increase enjoyment and focus. But close behind was pain relief. Research has shown that marijuana can help some patients alleviate chronic pain, which affects some one in five people around the world. When the pain is treated, people become more functional, said Dr. Alan Bell, a physician and assistant professor at the University of Toronto who was the lead author on a set of clinical practice guidelines for using cannabis to treat chronic pain.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Could Long Covid Be the Senate’s Bipartisan Cause?

    Senator Roger Marshall’s voice was shaking with emotion as he made the case for speedy and focused research into long Covid. Marshall, the junior senator from Kansas, is a Republican and a medical doctor. But addressing the first-ever Senate hearing on long Covid last month, he wanted the audience to know that his interest wasn’t just professional and it definitely wasn’t just political. It was also personal.One of his loved ones, he explained, suffered from severe long Covid. “We’ve taken my loved one to dozens of doctors,” he said. “I’ve talked to 40, 50, 60, 80. I’ve read everything there is to read about long Covid, talked to other members of the Senate that have had long Covid. What are they doing? So I share your frustration.”It was personal for many in the audience, as well. Four years after the Covid pandemic began, leaving millions of people suffering from long-term health effects, the hearing had been announced with about a week’s notice — a scramble for people who were ill and, in many cases, in dire financial straits. But somehow the room was overflowing.Many in attendance told me they were worried that the political polarization around everything pandemic-related would thwart even belated progress on this important issue. I came away with a very different view.Bernie Sanders, the chair of the Senate Health, Education, Labor and Pensions Committee, kicked off the hearings by making an impassioned plea on behalf of the patients. He said the medical establishment had been too dismissive of their plight, and he conceded that Congress had not done nearly enough to help.But it was Marshall who spoke with precision about the scientific literature. He rattled off the leading theories about why some people with long Covid are debilitated and described specific symptoms in detail.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Living and Struggling With Long Covid

    More from our inbox:Being Jewish in AmericaBlack Voters, Beware the G.O.P.Liz Cheney’s Book: ‘Too Little, Too Late’Students Know We Need Free SpeechHolly StapletonTo the Editor:Re “What Reporting on Long Covid Taught Me,” by Ed Yong (Opinion guest essay, Dec. 22):As a Covid long-hauler (going on three years now!), I found it validating and even supportive to read Mr. Yong’s essay. It was particularly validating to have the acknowledgment of post-exertional malaise (PEM). This so aptly describes much of my life.For example, I apologize to my dog before going on a shorter-than-usual walk. I have to plan for seemingly mundane tasks of self-care and home care: taking a shower, changing clothes, doing the dishes, sweeping my apartment, doing laundry, etc. I put these tasks in my calendar, and even then the expectation of the aftermath makes me feel incapable, desperate and overwhelmed.I appreciated Mr. Yong’s astute acknowledgment that symptoms are often dismissed because of sexism (I’m transgender). And I was denied disability because it was determined that I was functional enough to wrap silverware in napkins. Yes indeed, treatment is not only a medical issue, but also a social one.Mr. Yong made it clear that his journalism has been transformed by doing research in a more integrative manner, especially actually being with current long-haulers. I’m immensely grateful to him for his journalism and to The Times for publishing it.(I earned my Ph.D. in 2012, and it’s taken me two days to write this.)River Jackson-PatonDallasTo the Editor:Ed Yong’s guest essay is right on point. Long Covid is real, and the public needs to be educated about it.My experience with Covid is that of a former registered nurse in the thick of it. I watched so many patients and co-workers get sick, some dying, some getting better, and some who are still struggling with long Covid.It is very hard for me to hear someone, usually an anti-vaxxer, say, “They should just let everyone get Covid and get it over with.”I hear this quite often and my response is always, “Are you familiar with long Covid?” I always get one of two responses: “No” or “That’s made up.” Then I try to educate.Donna HuntAtascadero, Calif.To the Editor:I appreciate Ed Yong’s extraordinary reporting on long Covid and his opinion piece about the health care system’s failure to take chronic illness patients seriously. What many do not realize is that years and even decades before the pandemic caused long Covid, many patients, including me, struggled to find doctors and treatments for many of the same health problems that long Covid patients face.I cannot give you a single name for our illness because it does not yet exist. I and countless other patients have a slew of diagnoses, including autoimmune diseases, mast cell disorders, connective tissue disorders and dysautonomia. Many of us are disabled and homebound or bedbound.Doctors for these disorders were already hard to find, and the surge of long Covid patients has made accessing knowledgeable care more difficult. I hope the increased demand will inspire more doctors to study and treat these conditions. Now that even more patients are suffering, we need to stop dismissing this constellation of illnesses.Rachel GravesTacoma, Wash.Being Jewish in AmericaPhotographs of some of the hostages captured by Hamas on display by the Western Wall in Jerusalem.Ohad Zwigenberg/Associated PressTo the Editor:Re “Why I Can’t Stop Writing About Oct. 7,” by Bret Stephens (column, Dec. 20):American democracy has promised a land, as Mr. Stephens says, “in which you didn’t have to hide.” Mr. Stephens writes despairingly about the loss of this promise, and there’s no doubt that, today, America’s promise feels remote to many. For Jews, an eroding democracy brings with it a profound sense of trauma and fear.Yet the most appropriate Jewish response to this challenge is not despair, but determination. If our institutions are buckling, let’s reinforce them with forums for civic learning. If our civic culture is fraying, let’s repair it with opportunities for dynamic and respectful conversation. If our democracy is under threat, let’s take actions that strengthen it — right now, and in communities across the country.For nearly two and a half centuries, even amid painful setbacks, the United States has offered one of the last, best places to be Jewish — not because it catered to Jews, but because its democratic pluralism, albeit aspirational and imperfect from the beginning, allowed minorities like ours an opportunity to live freely.When that democratic pluralism struggles, we shouldn’t prematurely mourn its loss. We should repair it instead. This is not naïveté; it’s the agency our parents and grandparents came here looking for.Aaron DorfmanNew YorkThe writer is the executive director of A More Perfect Union: The Jewish Partnership for Democracy, a network of synagogues and Jewish groups.Black Voters, Beware the G.O.P.Kshaun Williams says he has seen his life become harder because of rising inflation under President Biden.José Ibarra Rizo for The New York TimesTo the Editor:Re “Black Voters in Georgia Say Biden Has Forgotten Them,” by Mara Gay (Opinion, Dec. 24):Ms. Gay cautions that Black voters in Georgia feel ignored and abandoned and may desert the Democratic Party in the coming presidential election. While her conclusions are highly debatable, there is no such doubt regarding the alternative.The Republican Party of Donald Trump has rolled back voting rights, gerrymandered predominantly Black districts, eliminated or scaled back social programs that aid the poor and sent federal troops to crack down on anti-racism protests.Should Georgia’s Black voters leave the Democrats for the Republicans, they will quickly learn the real meaning of abandonment.Tom GoodmanPhiladelphiaLiz Cheney’s Book: ‘Too Little, Too Late’Jonathan Ernst/ReutersTo the Editor:It’s with some relief that I read Carlos Lozada’s Dec. 21 column, “Liz Cheney’s Checkered History of the Trump Era.”Ms. Cheney worries about the prospect of another Donald Trump tenure in the White House, but I worry just as much about Ms. Cheney’s rush to sainthood as she plugs her new book and her ostensibly revised views.As Mr. Lozada reminds us, Ms. Cheney, right along with other Trump molls and henchmen in the G.O.P., long pledged obeisance to Mr. Trump. She — no less than the people she now criticizes — got us to this awful, scary time and place, and she shouldn’t get a pass now for what is at best a clear case of “too little, too late.”Beth Z. PalubinskyPhiladelphiaStudents Know We Need Free SpeechTim EnthovenTo the Editor:Re “Students Can Show Us the Way to Free Speech,” by Sophia Rosenfeld (Opinion guest essay, Dec. 18):Ms. Rosenfeld’s essay thoughtfully reminds us that we, as the parenting, teaching and older generations, don’t always have better answers to questions about free speech than our children and students. Indeed, as Ms. Rosenfeld writes, “The sky really isn’t falling.” Our youth are more capable of finding reasonable solutions than we think.I recently attended my son’s college graduation. For weeks before going, I loathed what I thought would surely be a depressing carnival of elite righteousness. Instead, I experienced something far more reassuring about our future.I conversed with my son’s classmates to hear their views about free speech, wokeness and education. Not surprisingly, they are intelligent, insightful, compassionate, but most of all, keenly aware of what is broken. They are respectful and friendly to each other, even when they disagree.Now is the time for the preachy older generations to step aside and trust the younger generations. They can and are navigating the treacherous waters of our time just fine.Nao MatsukataBethesda, Md. More