Let's be clear. SARS-CoV-2 is an atrociously bad virus. It can damage any number of organ systems, increases risk for all kinds of illnesses, and is causing a mass disabling event. And that's just what we know about it so far. You do not want to get it, and if you've had it you don't want it again.

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@TRyanGregory This is so confusing to me as my personal experience with the 50 or so relatives and friends who have gotten it is that it was not a big deal and everyone is fine. I've not gotten it (that I know of) yet- not sure why as I've gotten somewhat less cautious. I've friends who are more cautious than I am who have gotten it- and, as I said, everyone I know personally (I have a huge family and circle of pals- most of them over 50) has done fine with it- most of them vaxxed (except for a couple of family members that got it early). I'm having trouble figuring out what to think anymore. It's perplexing!
@OldAndCranky @TRyanGregory you get a different picture reading the medical literature then just talking to people. A lot of the disabilities covid causes aren't visible - some, like vascular inflammation, aren't even perceptible without testing until they manifest as heart attack or stroke. And then people are ashamed to talk about them or don't even make the connection with that minor initial infection they had.
@ravenonthill @TRyanGregory I’m sure that’s true- but no one I know has shown up with anything out of the ordinary.
@OldAndCranky @TRyanGregory how would you know unless it's something major and visibly disabling?
@ravenonthill @TRyanGregory I don’t- but these are folks I’m in constant communication with - I’ve a huge family - no one has had any long term issues who got it since being vaccinated.
@OldAndCranky @TRyanGregory that is remarkable. The vaccine improves the odds, both of severe infection and long covid, but I'd expect at least a few long-term sequelae.
@ravenonthill @TRyanGregory Not that I know of- I mean, maybe a year or two from now someone will have some sort of effect that they wouldn't have it they hadn't gotten Covid, but how would we know?

@OldAndCranky @TRyanGregory that's a problem. Improved diagnostic tools may eventually resolve it.

We know that covid increases the risk of heart attack and stroke and it is believed this is due to infection of the endothelial cells which line blood vessels, but it is difficult to attribute any particular heart attack or stroke to covid infection - about the most that can be done is take preventative measures after infection.

@ravenonthill @TRyanGregory What sort of preventative measures?

@OldAndCranky @TRyanGregory as I recall – keep in mind I am not a doctor just an educated laybird – reduce activity levels for perhaps six months after infection and give anticoagulants. I believe I've seen studies showing that anticoagulants reduce post-covid heart attack and stroke.

With post-covid, what to look for is small blood vessel problems, and the most common tests don't show these.

@ravenonthill @TRyanGregory ah. Are doctors generally recommending such things? I’ve not herd that they are.

@OldAndCranky @TRyanGregory For people at risk, the US CDC recommends it. They say not for others. Risk conditions are common and include atherosclerosis, high blood pressure, and diabetes. (There are probably others.) Personally, I think the data indicates that covid infection creates a risk, but that is not yet a standard recommendation. I also don't know how long it will take for this to become part of common medical practice.

https://www.covid19treatmentguidelines.nih.gov/therapies/antithrombotic-therapy/

Antithrombotic Therapy | COVID-19 Treatment Guidelines

Read about the use of drugs to reduce blood clot formation in people with COVID-19.

COVID-19 Treatment Guidelines