Hacker News new | past | comments | ask | show | jobs | submit login

The possibility of getting brain fog from long Covid terrifies me so much that I will probably wear a mask indoors for the rest of my life.



Have you realised that recovery is often very likely? I had brain fog for three months, and it spontaneously vanished after that. I don't know why people act like all 'long covid' is a death sentence. It's just like the fatigue that can come after certain other infections (e.g. EPV) where the vast majority will recover fine, but it might take quite a while (6 months to a year). Very few end up with actual CFS.


Having a foggy brain for 3 months would mess up my life more than wearing a mask.


This implies that wearing a mask will prevent covid infection. It will not, look at a place like South Korea or Singapore to see why that's just not reality.

Anyway, yes, it sucks, the only way I got through it was by reassuring myself that for the vast majority of people issues like brain fog do tend to resolve depending on their underlying cause. I won't lie and say it wasn't scary though. Essentially it deleted three months of my life.


> This implies that wearing a mask will prevent covid infection.

There are at least two orders of magnitude difference in efficacy depending on what type of mask you happen to be wearing and what the fit is[1].

And that's assuming OP is the only party wearing a mask. If all parties are wearing them then it's four orders of magnitude depending on mask type/fit.

I don't know what the actual time-to-infection is for Omicron. But that's quite a spread in mask efficacy to blithely encapsulate with the single word "mask." Given that, I don't think it makes sense to talk about "masks" without specifying which category of mask. It's like talking about "latency" in audio-- unless users prefix it with "round trip" they are almost certain to misunderstand what it is they are measuring and will end up just confusing themselves further.

> It will not, look at a place like South Korea or Singapore to see why that's just not reality.

But OP is OP, not an entire country of citizens. And we already know a subset of citizens called "nurses" can learn to wearing a tight-fitting, uncomfortable NIOSH-approved N95 for extended periods of time. If OP wants to do that when buying groceries, OP will likely lower the risk of infection for themselves. And hell, at some point somebody is probably going to create a decent mask that is both tight-fitting and not so painful to wear. Maybe by that point there will even be a better indication of what the actual time to infection for Omicron is.

1: https://www.acgih.org/covid-19-fact-sheet-worker-resp/


Yes, it's a reasonable point that truly effective masks do exist. I'd be very surprised if most individuals were prepared to wear them in all situations where infections could occur though. A lot of transmission is household transmission - would many people be willing to wear a fitted n95 mask or equivalent as a precaution when visiting friends or family - potentially indefinitely?


We all know the answer to that is "no".


Companies have created much better masks by now, such as https://katharoslabs.com/ (disclaimer: the founder is a friend of a friend)

At this point, I generally find it more inconvenient to remember the mask than to wear it for extended periods of time, even at the gym doing lifting.


From the headline: "ULTRA FIT™ MASK Filtration like an N95 Breathability of a 3-Ply"

From the FAQ:

"Are ULTRA FIT™ masks rated as an N95 respirators?"

"No. N95 respirators are intended for healthcare workers and, if used correctly, must be fitted to the user’s face in a specialized process called “fit testing.” A professionally fitted N95 respirator will provide more protection than an ULTRA FIT™ mask but will be much less breathable and much less comfortable than an ULTRA FIT™ mask. N95 respirators are designed for front line healthcare workers looking after COVID patients. N95 masks are not suitable for general community use, because most people will not reliably wear an uncomfortable mask in low risk community settings. ULTRA FIT™ masks are designed for comfort, compliance, and better protection than any other mask for general community use."

But then they go on to show some decent results from their ASTM testing!

They desperately need a copywriter, marketer, or someone else who's going to put a little more thought into what they're communicating.

If you dig deep, it looks legit. On the surface the claims are impressive. But right below the surface— where many scam-averse PPE shoppers will be lurking— you start to see warning signs. They're comparing it to an N95 too much but the qualifiers are awful. That FAQ answer is both condescending in the way scam copy is, and fails to offer any justification for why THEY made the comparison. They don't mention the ASTM certification, let alone the impressive tests results. The only efficacy numbers they show are at the bottom of a linked PDF.

Seems like a good product but a great example of how communication isn't making something look and sound nice. A mask made by two doctors, one also a medical engineer, working in two of the best hospital systems in the country, will look no different than some random factory pressing stuffed animal batting into the shape of KN95 masks without the proper communication.


Just quickly skimming, I notice that a) the clip compares it to the efficacy of a surgical mask, and b) it hooks around the ears rather than going around the head fully.

If it gets listed on that site of NIOSH approved masks I'll certainly give it a shot, though.


I think people are underestimating the sheer magnitude and infectiousness of this virus. Even if chances of longer effects are on par with the flu, it's MUCH more prevalent and infectious. Over the past year, we've had about one wave per season. We're quickly reaching a point where it's reasonable to expect most people will catch it every year or so, and it's entirely possible and maybe likely to get it multiple times a year.

While 3-6 months is a standard recovery timeline for longer term effects, many people are looking at years or a lifetime of serious effects. I'm close to someone who is still recovering from mono over 2 years later. Their entire life has been upended, their career is over, and most of their passions are now physically impossible.

We're looking at many millions of people of people being temporarily or permanently disabled every year on top of previous contributors like flu, etc. Many people don't have the resources to be exhausted and struggling with cognition for months. How many billions of years of life will collectively be deleted over the coming years? I believe this is worse than we realize, and it's going to get worse sooner than we're ready for.


Successive infections are generally weaker, just as infections after vaccination.


It's not about 100% prevention. Nothing, short of 0 human contact, can guarantee that.

It's all about adding layers of prevention that each drop your chances of catching it (and its potential severity) by N% each. Get enough of those, and your chances start to look pretty good.


Yes if you look at the general population with incorrect mask fitting, long time frame. I would doubt that claim for an individual that wears properly fitted N95.


[flagged]


Hmm… those first four seem to be small asks of the citizen for a common good (whether or not you agree that fighting climate change or wearing masks is a common good is a bit irrelevant, the framers of such asks would believe so), where as the last one seems to be a rather large surveillance apparatus.

It just does not follow to me that asking people to wear masks during a pandemic or to raise taxes to pay for something (done literally all the time) lead to a dystopian surveillance hellscape.


Exactly. "What's the big deal?" right?


No, look I’m as happy as the next guy all the mandates are going away but I would be extremely opposed to the social status thing.

Just because someone is willing to wear a mask or get vaccinated during a pandemic does not mean they would be fine with a massive surveillance state. That’s a _crazy_ leap


That's a fair point. I'll engage.

My point on that is the Boiling Frog analogy. [1]

We all brush our teeth (mostly) because we want to preserve their health. And we wish to avoid the pain of abscesses and the dentist's drill.

The government doesn't MANDATE that we brush our teeth.

They have worked hard to make us think that the mandates are not for you but your neighbor, meaning they protect your neighbor from you. But that just isn't the case. We know that the vaccine will not stop infection or spread, and the only useful masks are the ones that will protect you from inhaling the aerosolized infective agent.

So this would come down to personal choice.

What we're seeing on a global scale is an infrastructure being put in place ever so slowly based on shocking and jarring events. Piece by piece. This has been going on since the turn of the 20th century. Maybe earlier.

DO you think the infrastructure being built for vaccine passports is going to be limited to vaccines or travel? If legislation like the PATRIOT act and dark projects like Prism have taught us anything it's that once the foot is in the door it will not retract.

[1] https://en.wikipedia.org/wiki/Boiling_frog


Huh? The vaccine passports didn't seem to be much of an infrastructure?

It was a voluntary opt in QR code with pencil and paper back ups that's already disappearing?

They seemed purely convenience focused to me.

Are you this concerned that people need driver's licenses to drive and insurance?


> Don't mandate it.

How far do we take this? Should we stop forcing people to get the MMR vaccine? Polio vaccine? Hep A?


The mRNA vaccine is not your grandpa's vaccine. This is a new and experimental technology that is not even close to being fully understood. And there is no data on very long term adverse events.

The trial data will not be released by the FDA for another 55 years or so [1]

The J&J Janssen vaccine is a more traditional vaccine and it's not pushed by the media or the governments almost at all.

[1] https://www.reuters.com/legal/government/wait-what-fda-wants...


J&J is a viral vector vaccine and it's also a very new tech. Only 6 are approved. 4 for covid, 2 for ebola. It's just a crappy vaccine, that's why it's not being pushed hard.

The inactivated vaccine, which is the actual well established old tech, seems to have worked just as well, or just as poorly, depending on how you percieve the vaccine efficacy.

India used mostly the inactivated vaccine, where nearly a billion people have been vaccinated with it. Apparently, that's just not good enough for several western countries that demand you MUST get an mRNA shot, despite being fully vaccinated by inactivated vaccines that were accepted as effective by the WHO. Clearly purely scientific decisions. /s

It gets even better. Licensed Astrazeneca vaccine that was made in India is not accepted by the EU, only the UK version that's sold under a different label. duh, this is obviously The Science. /s

Most of pharma in the world is manufactured in India, btw. Usually good enough, but for some reason not in a critical emergency such as a pandemic.

Why is that?


Oh hey look, it's an anti-vaxxer here to tell us that we need to get measles so we can have liberty.


I got the vaccine. Does that make me anti-vaxx? I'm anti-mandate for an experimental drug that is not fully understood.

I am ok with the MMR and tetanus and the older traditional vaccines. They have been very rigorously tested and proven. I got all those for school and whatnot and I'm cool with that.


Your comment might have been more effective in reply to someone supporting a mask mandate, instead of someone choosing to wear one.


Does anyone have authoritative data indicating how common long-covid is?

Anecdotally, I was triple vaccinated (2x Moderna + booster), but I still caught covid twice (Aug 2021 and Jan 2022). Both times I had mild brain fog and cold-like symptoms (runny nose and light headache). Both times I recovered completely within 4 or 5 days. I'm a healthy 25 year-old man living in San Francisco, California.

Not trying to imply anything about long-covid, but it hasn't been my experience or that of anyone I personally know.


As a ballpark 10-20% would be expected given other harsh viruses cause CFS/ME 10-20% of the time and Covid is a particularly harsh virus. Not as harsh as MERS though.


Agreed. I've seen some theories that long covid is related to micro blood clots, and some very preliminary studies showing universal improvements from long term anti-coagulants---though I am far from being an expert able to really vet these papers. I know many people slowly get better as well. Anecdotally, my experience was a relatively large step down in cardio, which I have seen slowly improve, however I'm young and relatively healthy.


Are you suggesting that long COVID is related to decrease in cardio, or that your cardio decrease led to the effects of long COVID?


I’m suggesting that my covid led to long covid, which has been characterized as a persistent decrease in cardio capacity. In particular, the worst of it was me gasping for breath after a flight of stairs for about the first month.


Long term anticoagulants will have some nasty side effects.


100%, this is a doctor supervision and recommendation thing. I dug up the researcher talking about it on Twitter (links to pre publish study) https://twitter.com/resiapretorius/status/147616431231823872...


Thanks! And yeah, based on my experiences helping several relatives on anti-coagulant therapy for other reasons (heart problems, clotting), it's really terrible to be on and quite dangerous day to day. Maybe not applicable to someone younger, but the them they literally could never stop either once they started.


It is likely going to be found that long covid can be reversed with acute doses of Vitamin B3. Here's a few links, including a Nature article about it:

* https://www.nature.com/articles/s41418-020-0530-3

* https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7322475/

* Study: https://www.clinicaltrials.gov/ct2/show/NCT04407390

* https://www.sciencedirect.com/science/article/pii/S147149062...


First paper was published March 2020, and only discusses B3 in the context of lung damage. Last paper doesn't seem to address cognitive function either.


Long Covid is basically CFS/ME with some extra complications. I wish CFS/ME could be treated so easily, it's not like people are not motivated to try.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: