The Hidden Reality of Life with Long Covid

Looking Fine, Feeling Ill

On the surface, individuals with Long Covid might seem unscathed, but this exterior masks a relentless and multifaceted struggle. Long Covid is an invisible illness where the symptoms are not immediately apparent to others, yet they deeply affect every aspect of life.

The Remitting-Relapsing Nature of Long Covid 

Like many chronic conditions, Long Covid is characterized by periods of remission and relapse. For some, symptoms may ease, offering a glimpse of recovery, only to resurface unexpectedly, triggered by factors such as stress, environmental changes, or new infections. For others, periods of energy result in crashes that can last days to weeks. Just because someone may be in a remission and appear ‘well' doesn’t mean that they won’t relapse later.

Misunderstood and Misinterpreted

Long Covid is a vastly misunderstood, ignored, and politicized illness. These discrepancies can lead to disbelief or skepticism from others, even those in the medical community or our own families, exacerbating feelings of isolation and misunderstanding among those with Long Covid.

The Symptom Spectrum

The symptoms are diverse and can affect virtually any system in the body. This unpredictability adds to the challenge of managing our condition and explaining its impact to others.


The Energy Dilemma

  • Invisible Exhaustion: Activities that seem minor to others can be overwhelmingly exhausting for someone with Long Covid. This condition often leads to 'post-exertional malaise' also known as PEM, where even small tasks like cooking dinner, doing laundry, or taking a shower can lead to disproportionate fatigue that can last days to weeks. 

  • Fluctuating Energy Levels: The energy dilemma is profound for those with this condition. Borrowing from Spoon Theory, our energy reserves are limited and easily depleted. Simple tasks can become monumental, and the need for meticulous planning and energy conservation becomes a daily reality.

Sensory and Cognitive Overwhelm

  • Intensified Sensory Processing: Many with Long Covid experience heightened sensitivity to sensory input. Crowds, technology, bright lights, or loud sounds can be overstimulating, leading to discomfort, panic, and even pain.

  • Cognitive Challenges: 'Brain fog' is a common symptom, characterized by difficulties with concentration, memory, and processing information. This makes tasks requiring focus, like reading or engaging in conversations, unexpectedly challenging.

The Impact on Daily Life

  • Grieving Our Former Selves: The loss of spontaneity and independence is a profound aspect of Long Covid. This illness leaves many incapacitated and unable to care for themselves or others. Many within the community have had to quit jobs and careers they’ve spent years or decades building. They’ve had to give up hobbies and passions that once gave their lives purpose and meaning. Even simple activities once taken for granted now require careful consideration and often, assistance from others.

  • The Disparity Between Appearance and Reality: We often appear healthy, yet internally we might be battling a myriad of symptoms and emotional challenges. This disconnect can lead to feelings of isolation and being misunderstood, even by those closest to us.

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Supporting Loved Ones: A Guide to Long Covid Care

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Understanding Long Covid