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this is what long covid feels like [CW: body horror illustration, occasional art nudity]

Symptom: MCAS Brain Fog

the figure in the center of the bookmark is stretched and elongated, long limbs dripping in many layers. the center of the body and up over the head is obfsucated by smudgy dark ink with rust-colored particles inside it. Behind the figure are tall angular geometric shapes set in dramatic perspective.

Symptom: MCAS Brain Fog

This post comes to you with a reminder that while “Brain Fog,” is an apt descriptor, it should not be used to undermine the severity of the condition.

“These are fairly identical functional symptoms that people with Long COVID have, to the symptoms that people within a traumatic brain injury have,” says Dr James C Jackson, psychologist specializing on cognitive rehabilitation and Long Covid.

“Strictly speaking, this is not a traumatic brain injury (TBI) because there’s no external trauma. Which is why if we go down deep, this will be not a TBI that people experience. It would be something called an ABI, the lesser-known cousin of a TBI. Acquired Brain Injuries (ABI) happen often due to internal processes, not external medical processes, inflammation, the 101 other mechanisms that drive these injuries. And when we look at the brains of some Long COVID patients, we see brain damage on MRIs, we see indicators that are not dissimilar from those of people with mild cognitive impairment or a mild TBI.

Dr Jackson is the author of Clearing the Fog: a book on navigating life with the cognitive and mental health impairments that often accompany Long Covid.

Quotes from Dr Jackson’s appearance on the Me Myself & TBI podcast, edited for clarity & brevity.

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