iiinova — where your digital self keeps evolving

Helen/OT_Skiff @otskiff.bsky.social · 07/08/2026

Praying to the migraine God's that this new plan works 🙏 I nearly ended up in A&E yesterday as I've been in agony & finding it difficult to eat/drink. But new meds have arrived. I've been taking rimegepant as a rescue for awhile now. But atogepant is my new preventative 🙏

A photo of two migraine medication boxes stacked on a wooden surface. On top is a white and orange box of Aquipta (atogepant) 60 mg, containing 28 tablets for oral use, manufactured by AbbVie. Underneath is a white, teal and purple box of Vydura (rimegepant) 75 mg oral lyophilisates, containing 8 doses. Both boxes have braille on the packaging and are positioned neatly one on top of the other.

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Helen/OT_Skiff @otskiff.bsky.social · 03/08/2026

28 out of the last 30 days have been migraine attack days (incl today). I'm in migraine hell. Thankfully, today was my long awaited appt with migraine Dr and we have a new management plan in place. Just have to wait a few days for the meds to arrive. Hope that it helps 🙏🙏🙏

static.klipy.com

Leslie Knope (Amy Poehler): Everything Hurts And I'm Dying

Alt: Leslie Knope (Amy Poehler) on Parks & Recreation, saying "Everything Hurts And I'm Dying"

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Helen/OT_Skiff @otskiff.bsky.social · 19/07/2026

Blood results are in, ferritin has shot up but everything else in the panel has ⬇️ I'm still in migraine pain. Over the last 15 days, I've had a migraine on 11 of them 🤯. No wonder I'm exhausted. On top of the resp issues and chest pain and everything else, I'm so fed up 😤

static.klipy.com

Sick Duck

Alt: Sick animated duck in bed, puts head under the blue blanket

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Helen/OT_Skiff @otskiff.bsky.social · 18/07/2026

And just like that, everything changes. I think I've been upright for a bit too long because I'm now paying for it with horrendous neck and occipital pain. So, it's back to bed I go, with a heat pad and fingers crossed it takes the edge off 🫠💔

A close-up photo of a bright pink Hotteeze Heat Pads packet being held in someone's hand while they are sitting down. The packaging states that the heat pad is made in Japan and provides up to 14 hours of heat. Text on the front lists uses including temporary relief of muscular aches and pain, period pain, joint stiffness and backache. It also highlights that the pad is air-activated, self-heating, slim and lightweight, odourless, eco-friendly, and sticks to clothing rather than directly to the skin.

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Helen/OT_Skiff @otskiff.bsky.social · 18/07/2026

Mad weekend plans = blood test ✅️ (left the house for the 1st time in weeks 🥳) I've been able to enjoy a bit of peace in the garden while the noisy neighbours are out🤫🙈 Another beautiful 🦋 paid me a visit, I even had a chat with it, a sign I've been stuck 🏡 too long 😂

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Helen/OT_Skiff @otskiff.bsky.social · 10/07/2026

Yesterday I felt sick all day because of a migraine from hell. Thankfully, that attack is over. But today I'm feeling incredibly nauseous, I'm assuming due to the heat 🤢 as it happened a few weeks ago when it was hot too. (No advice please, just moaning)

static.klipy.com

Max Greenfield (Schmidt) Dry Heaving

Alt: Max Greenfield (Schmidt, New Girl), white man with dark hair Dry Heaving, putting his hand to his mouth as if he is about to be sick

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Helen/OT_Skiff @otskiff.bsky.social · 10/07/2026

Blobs/haemoptysis update - I have a plan. The antibiotics havent worked. Agreed with consultant that we'll watch & wait for a few more weeks/month & if still ongoing then a bronch (again, had one last year). If anything drastically worsens then bronch will be sooner.

static.klipy.com

Annie Murphy (Alexis Rose): I've Done It Before

Alt: Alexis from Schitt's Creek with long golden brown hair, wearing a denim jacket, smiling saying "Ive done it before and I can do it again".

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Helen/OT_Skiff @otskiff.bsky.social · 06/07/2026

Well, I must admit, after working in a cardiothoracic transplant centre for 11 years, this result popping up over the weekend gave me a bit of a jumpscare! 😱

Screenshot of a laboratory sputum culture result on a patient portal. The heading reads "Resulted Orders – Sputum - Culture and Sensitivities (C&S)." Under "Culture result," it states: "Growth of Pseudomonas aeruginosa (A)." The result is displayed in a table with columns for Result, Value and Reference Range.

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Helen/OT_Skiff @otskiff.bsky.social · 02/07/2026

A beautiful garden visitor today. Thank you for brightening up my day 🦋💜🫶

A vibrant peacock butterfly with striking red wings and blue eye spots rests on a cluster of pale pink buddleia flowers in a sunny garden. The background is softly blurred with green foliage, making the butterfly and blooms stand out beautifully.

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Helen/OT_Skiff @otskiff.bsky.social · 30/06/2026

Mission accomplished! 🫡🧫 Today's mission was to hand in my sputum sample and it's officially done! Now the waiting begins. I'm really intrigued to see what the results show and hopefully, they'll finally give us some answers🤞

A collage of two photographs. The top image shows a white specimen pot wrapped in white tissue being held in a person's hand, ready for transport. The bottom image shows a box of co-amoxiclav 500 mg/125 mg film-coated tablets by Milpharm, with the label stating that it contains amoxicillin and clavulanic acid and noting that it contains penicillin.

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Helen/OT_Skiff @otskiff.bsky.social · 26/06/2026

Resp update - so yday was pretty awful, to be honest! 🥵🥴🤢 This heat is not agreeing with me at all & each day seems worse than the last. I've been feeling incredibly nauseous, finding it difficult to eat and drink 🤢 and also very woozy.

Close-up of a hand holding a white and green pharmacy paper bag that reads "100% Recyclable & Compostable" against a bright summer scene with lush green trees, grass, colourful flowers, and blue skies.

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Helen/OT_Skiff @otskiff.bsky.social · 05/06/2026

6 years in and I'm still developing new symptoms. Over the last few weeks I've developed restless legs, except it's actually my whole body, not my legs. Because apparently sleep just wasn't difficult enough already 🙃😴 #LongCovid #PwME #POTS #MCAS #Migraine

static.klipy.com

Schitt's Creek: David Rose's 'Lucky Me'

Alt: David Rose from Schitt's Creek a tall man with dark hair wearing a black jumper with 2 dogs on it saying "oh lucky me" sarcastically

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Helen/OT_Skiff @otskiff.bsky.social · 13/05/2026

Feeling wiped atm (more than usual)😴. The coughing up bloody blobs is beciming more frequent pretty much daily now. I've been in touch with resp team, Dr replied within 2 mins and I've received an appt for 6 weeks time 📅 #LongCovid #POTS #MCAS #TeamClots #Migraine

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Helen/OT_Skiff @otskiff.bsky.social · 18/04/2026

FFS just coughed up a bloody mucusy blob. This happened pretty much weekly for most of last year, had to have a bronch and then CT showed GGO's & mucus plugging. Hope thats not all starting again 💔 really cba, feel like I'm falling apart atm! #LongCovid #TeamClots #POTS #MCAS #PwME

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Helen/OT_Skiff @otskiff.bsky.social · 18/04/2026

I’m just a girl, looking at my HRV and wishing it would go back to green 💚 Since starting ticagrelor it’s been consistently “unbalanced”, likely from the heart rate changes and presyncope. Fatigue and that post-B12 dip/reversing out probably aren’t helping either.

Screenshot of a heart rate variability (HRV) app showing a 4-week view (22 March–18 April). A graph displays 7-day averages with early data points in green (balanced) around the low 30s, gradually increasing and turning orange (unbalanced) from early April onwards. The baseline range is shown in grey. Recent values reach around 41 ms and remain in the unbalanced zone. Overnight averages show 37 ms during sleep and 36 ms while awake. The latest entry (18 April) shows a 7-day average of 41 ms and an overnight average of 40 ms.

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Helen The OT @helentheot.bsky.social · 17/04/2026

We need better recognition, better research, and collaboration to move this forward. Patients deserve better. #LongCovid #PwME #MECFS #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

📣 So please, stop reducing complex, life-changing conditions to: “just deconditioning” It’s inaccurate. And it’s harmful. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

But we do know this: - Long COVID & ME/CFS are different to deconditioning - PEM is real - The biology is measurable #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide titled “Take home messages.”
The slide lists key summary points:
Patients with Long COVID and ME experience post-exertional malaise (PEM), where symptoms worsen with exercise
Mitochondrial alterations have been widely described in Long COVID
Different factors may drive reduced exercise capacity (“fatigue”) versus PEM, with the underlying cause still unknown
Skeletal muscle changes after strict bed rest differ from those seen in post-viral conditions
Microvascular changes may be useful for diagnosis and for understanding disease mechanisms
International collaboration is important going forward
On the right side, there is a small inset image of a speaker standing at a podium.

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Helen The OT @helentheot.bsky.social · 17/04/2026

Big unanswered question: Is poor blood flow causing mitochondrial dysfunction or the other way around? We don’t know yet. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide titled “Microvascular dysfunction in long COVID & ME.”
On the left, bullet points describe key features:
Reduced lumen space
Endothelial activation and dysfunction
Basement membrane thickening
Reduced metabolite removal and reduced oxygen (O₂) and nutrient delivery, predisposing to fatigue
In the centre, there is a diagram of a small blood vessel (capillary). It shows narrowed vessel walls, a cluster resembling a clot or obstruction, and red and blue blood cells moving through a constricted space. The illustration suggests impaired blood flow and exchange.
At the bottom, a question reads: “Does local perfusion deficits and local hypoxia cause mitochondrial dysfunction, or vice versa?”
On the right side, there is a small inset image of a speaker presenting at a podium.

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Helen The OT @helentheot.bsky.social · 17/04/2026

Leading to: ⚠️ Poor oxygen & nutrient delivery ⚠️ Poor waste removal = A perfect storm for fatigue and symptom flares. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

There’s also microvascular dysfunction: - Altered capillaries -Reduced lumen space - Endothelial dysfunction - Basement membrane thickening #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide titled “Endothelial cell abnormalities.”
On the left side, there are four small graphs comparing controls, Long COVID, and ME/CFS. These include measures of lumen area, relative lumen area, endothelial cell (EC) thickness, and basement membrane (BM) thickness, showing differences between groups. Logos for ME Research UK and ME/CVS Vereniging appear below the graphs.
On the right side, there are electron microscopy images of capillaries. The top image, labelled “Capillary from Long COVID,” shows an irregular, distorted structure. Below, images labelled “Capillaries from healthy controls” show more uniform, circular structures.
On the far right, there is a small inset image of a speaker presenting at a podium.

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Helen The OT @helentheot.bsky.social · 17/04/2026

At a cellular level: Abnormal mitochondria have been observed in Long COVID & ME/CFS. Energy production is impaired. Fatigue here is biological, not behavioural! #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide titled “Electron microscopy: Abnormal mitochondria in Long COVID.”
The slide shows two side-by-side electron microscopy images. On the left, labelled “Healthy mitochondria,” the structure appears well-defined and organised. On the right, labelled “Long COVID,” the mitochondria appear irregular and disrupted in structure.
On the right side of the slide, there is a small inset image of a speaker standing at a podium giving a presentation.

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Helen The OT @helentheot.bsky.social · 17/04/2026

PEM is the key. Symptoms worsen after activity. So pushing exercise without careful, individualised screening & guidance? Can make patients worse 🚫 #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

Physiology shows: - Impaired oxygen utilisation - Circulatory issues So no, patients aren’t just “out of shape.” Their bodies are struggling at a fundamental level. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

Muscle findings: ❌ Not typical atrophy ✅ Mitochondrial dysfunction ✅ Fiber-type changes This is not “just being unfit.” #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

Yes, reduced exercise capacity is seen. But that does not = deconditioning. Same outcome, completely different biology. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen The OT @helentheot.bsky.social · 17/04/2026

Patients might “look well” in clinic. That snapshot means nothing. What you don’t see is the crash that comes after. Clinicians must screen for and consider the impact of PEM. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide featuring a cartoon illustration about hidden illness.
On the left, a woman is shown smiling and walking while two clinicians speak to her. A speech bubble says, “You look fantastic today…”.
An arrow points to the right, where the same person is shown the next day lying in bed in a darkened room, wearing an eye mask, appearing unwell and exhausted.
Below the illustration, the text reads: “Clinicians: look further than the moment where you see the patient. Call them the next day.”
On the right side of the slide, there is a small inset image of a speaker presenting at a podium.

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Helen The OT @helentheot.bsky.social · 17/04/2026

Long COVID & ME/CFS are NOT deconditioning. Let’s be very clear about that. #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

A presentation slide titled “Long COVID & ME/CFS: Not only deconditioning.”
The slide explains that people with Long COVID and ME/CFS have reduced exercise capacity (VO₂ max). While this can look similar to deconditioning from bed rest, the underlying mechanisms are different. It notes that muscles do not show generalised atrophy but instead have mitochondrial and fibre-type changes, and there are signs of impaired oxygen utilisation and circulation. It also highlights that post-exertional malaise (PEM) is central to the condition and warns to be cautious about increasing exercise without personalised supervision.
At the bottom, a takeaway message reads: “Do not treat as ‘simple deconditioning.’”
On the right side, there is a small inset image of a speaker presenting at a podium.

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Helen The OT @helentheot.bsky.social · 17/04/2026

Really enjoyed listening to Prof Wust @UofTCOVIDRehab Forum. Thought I'd share some of the key messages 🧵 #LongCovid #PwME #MECFS #PEM #SafeRehab #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 12/04/2026

B12 update - feeling wiped today & have spots on my face which is a side effect 👌 Also woke with a migraine but that's pretty normal for me. So perhaps the grogginess is migraine but it feels worse than normal. Dr Klein did say worse before better so I'm prepared. But siiiigh.

media.tenor.com

a close up of a cartoon character with icanhasgif.com at the bottom of the image

Alt: a close up of a cartoon character, Boo from monsters inc. A little girl with dark hair in bunchies looking very sleepy, struggling to keep eyes open

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Helen/OT_Skiff @otskiff.bsky.social · 11/04/2026

First B12 injection done 💉 Was a bit nervous about drawing it up, but it went fine. It stung a bit as I injected, think I went too fast, so lesson learned! No bleeding (win), but fully expecting a bruise as I'm covered in them atm Small wins, but quite proud of this one 💚 #LongCovid

A flat lay of medical supplies on a wooden surface, including a pack of non-sterile gauze swabs, a 70% isopropyl alcohol wipe, a syringe in sterile packaging, a capped needle, and a small brown glass ampoule of injectable medication.

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Helen/OT_Skiff @otskiff.bsky.social · 10/04/2026

Ticagrelor update: HR still a bit low & some lightheadedness, but better than last week, so I’ll persevere. Frustrating after getting it somewhat under control, chronic illness life 🙃 In brighter news, I love looking at this tree 🌸 #LongCovid #POTS #PwME #TeamClots

Pink blossom trees in full bloom line a residential street with brick houses and parked cars under a grey, overcast sky.

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Helen/OT_Skiff @otskiff.bsky.social · 03/04/2026

FFS had abdo pain all week put it down to side effect. It seemed to settle yday but worsened overnight. Now have constant raw abdo & back pain, FML ?UTI or ? interstitial cystitis. Or maybe as my ANS has been so affected maybe the nerves are just all inflamed. So done! 🤬 #LongCovid #POTS #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 02/04/2026

Tica update - I'm still lightheaded but it isnt as bad as it has been over the last few days. Dr advised I stop & see if things settle. But as there is a little improvement today I'm going to keep going. If it gets severe again I'll stop/tweak meds. #LongCovid #POTS #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 02/04/2026

After a pretty 💩 week this made my day today 🥹 A LC friend sent a thank you for helping with the covid inquiry, so sweet! It really is the little things that mean so much 🫶 I've met so many lovely people through this hellish experience! #LongCovid #POTS #TeamClots

A handmade thank-you card on brown kraft paper sits on a wooden surface next to a small pack of iced biscuits wrapped in clear plastic. The card features a bouquet made from small colorful paper flowers (yellow, pink, purple, and white) with drawn stems and a silver ribbon bow. “Thank you” is handwritten at the bottom. The biscuits are round with white icing, thank you is written in the centre with a heart at the bottom and a small label on the clear packaging that reads “Handmade with love.”

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Helen/OT_Skiff @otskiff.bsky.social · 01/04/2026

Another bad day, trying to stay conscious and not pass out even at rest just sitting in bed with feet up, thanks Ticagrelor 👌💔 #LongCovid #POTS #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 31/03/2026

So 5 days in to Ticagrelor and it isnt going well. The side effects include dizziness and fainting. I struggle with this every day anyway but this has made it much worse & my legs are shaking everytime I move & I feel faint pretty much constantly. #LongCovid #POTS #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 27/03/2026

Goodbye clopi, hello Ticagrelor. Hoping for benefits,minimal side effects & nothing scary! 🙏 #LongCovid #POTS #MCAS #Migraine #TeamClots

Three boxes of medications arranged on a light patterned surface. At the top is a white box labeled “Brilique 90 mg (ticagrelor)” by AstraZeneca. In the middle is a white and blue box labeled “Apixaban 5 mg film-coated tablets” by Sandoz. At the bottom is a yellow box labeled “Aspirin 75 mg gastro-resistant tablets” containing 28 tablets. The medications are stacked vertically and appear unopened.

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Helen/OT_Skiff @otskiff.bsky.social · 26/03/2026

I'm so excited that I can finally watch The Pitt 🎉

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Helen/OT_Skiff @otskiff.bsky.social · 25/03/2026

Finally, I've had a little energy to look at my @amaticahealth.bsky.social RNA results. And, how validating! It really fits my clinical picture and confirmed my thoughts. After years of "normal" blood tests, nice to have some data to back it up. #LongCovid #POTS #Migraine #PwME #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 24/03/2026

💔 Siiiigh! Triple update. So about a month ago I had a blood test to check if I respond to clopi, as quite a few people have a gene that means it doesn’t actually work for them. And of course, I’m one of them 🙄 #LongCovid #POTS #MCAS #PwME #Migraine #TeamClots

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Helen/OT_Skiff @otskiff.bsky.social · 22/03/2026

6 years since the Covid infection that turned my life upside down. Woke up feeling fairly okish (for me) but this afternoon I seem to be having the worst POTS episode I've had in awhile, went from lying to sitting and havent felt right since. Feel woozy, clammy and sick. #LongCovid #POTS #PwME

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Helen/OT_Skiff @otskiff.bsky.social · 19/03/2026

I don't have the energy to write this out again as a 🧵 Please see pics for my thoughts on the module 3 report. I am proud to have been part of the @LC_Physio inquiry team & have mixed feelings about the report. Mainly disappointed but not surprised #LongCovid #CovidInquiry #Covid19 #LongCovidAHPs

A screenshot of a reflective written post on a light grey background. The text describes the author’s involvement in the Long Covid Physio Covid Inquiry team for Module 3, which focuses on the impact of COVID-19 on healthcare systems. It explains that the work has been a significant and difficult undertaking while being unwell. The post reflects on the release of the Module 3 report, expressing mixed emotions—particularly disappointment, though not surprise. It highlights validation in seeing criticism of infection prevention and control guidance, while also acknowledging the pain of “what ifs” and how different policies might have changed the author’s health outcome. The final paragraph notes the emotional timing, as it is nearly six years since the COVID infection that changed their life.

A continuation of a reflective written post on a light grey background. The text expresses frustration and irony that the report’s findings are being released while similar public health mistakes are happening again, referencing a meningitis situation in Kent. It questions whether lessons have truly been learned.
The post acknowledges some positives, including a dedicated chapter on Long Covid and recognition of affected healthcare workers, but highlights disappointment that Long Covid was not included in the main recommendations. It describes feelings of being sidelined and the emotional toll following Long Covid Awareness Day, noting a lack of wider engagement and the sense of speaking into an echo chamber.
The final section mentions small positives, such as references to prevention measures like HEPA filtration in healthcare, but ends with skepticism about whether these changes will actually be implemented.

A continuation of a reflective written post on a light grey background. The text acknowledges small positives in the report, such as references to prevention measures like HEPA filtration in healthcare, but expresses doubt that these will be implemented. It highlights frustration with Recommendation 10, which focuses on supporting healthcare workers with burnout and PTSD, while questioning the absence of support for those with Long Covid—especially those unable to work or whose lives have become significantly limited.
The tone reflects mixed emotions, balancing recognition of some progress with feelings of exclusion and disappointment. The post ends on a reflective and compassionate note, remembering patients and colleagues who have died, and expressing solidarity with others living with Long Covid, many of whom have become close friends.

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Long Covid UK @longcoviduk.bsky.social · 19/03/2026

Six years on, too many people are still without the care and support they need. We are calling for urgent action to address these ongoing failures. Read our full response: www.longcovid.org/impact/news/... 2/2

longcovid.org

Long Covid Support

To learn more visit LongCovid.org

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Long Covid UK @longcoviduk.bsky.social · 19/03/2026

Today’s Covid-19 Inquiry Module 3 report laid bare serious failures in healthcare and in the response to Long Covid. #LongCovid #CovidInquiry 1/2

Text slide stating: “Today’s Module 3 report confirms that there were widespread failures in healthcare and an inadequate response to Long Covid across all four UK nations.”

Slide titled “What did the report say?” followed by bullet points outlining findings: healthcare systems were unprepared for long-term post-viral conditions; most Long Covid patients could not access treatment; GPs lacked support to diagnose or manage the condition; many healthcare workers were exposed to risk, leading to loss of lives and livelihoods.

Quote slide featuring statement: “The Inquiry’s findings lay bare how badly people with Long Covid were let down during the early pandemic. Six years on, many still cannot access diagnosis, treatment and support. We must now build a healthcare system that properly responds to this condition.” Attributed to Nigel Rothband, Chair of Long Covid Support.

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Long COVID Physio @longcovidphysio.bsky.social · 17/03/2026

Here is one of our members, Nicola Ritchie, explaining the impact of living with #LongCovid at the Covid Inquiry Nicola is available to speak with the media after the release of the Module 3 Report on Thursday

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Long COVID Physio @longcovidphysio.bsky.social · 17/03/2026

Does the CSP @thecsp.bsky.social have any plans to cover the release of the Module 3 report from the Covid Inquiry on Thurs? We would love to have your support @jonryancsp.bsky.social @ashjames10.bsky.social @robyeldham.bsky.social @abihend.bsky.social @tolanahp.bsky.social Press release below

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Long COVID Physio @longcovidphysio.bsky.social · 17/03/2026

@mrjamesob.bsky.social @lbc.co.uk Are you planning on covering the release of the Module 3 report from the Covid Inquiry? There are at least 2 million people living with LongCovid in the UK. Many of us have lost our jobs and careers in healthcare Please find our press release below👇

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Long COVID Physio @longcovidphysio.bsky.social · 15/03/2026

Before their Covid infection, our members were free to choose how they used each heartbeat. Now, #LongCovid limits what they can use each beat for. The change from before to after is obvious #LCAD26 #LongCOVIDAwarenessDay #LongCovidHeartbeats #EveryHeartbeatCounts 2/

Two contrasting images illustrating changes in health and physical ability. The top image shows a hiker from behind walking along a forest trail while carrying a large backpack with camping gear attached. Overlaid text reads: “Hiking the John Muir Trail for 7 days with a 50lb+ pack at elevation 10k–12k feet.” The setting is a sunny woodland area with trees, rocks, and a small stream. The bottom image shows a person lying on the floor at work with their legs resting on a fluffy white chair, wearing burgundy trousers and sandals, in an office space with shelves and equipment nearby. Overlaid text reads: “Laying on the floor at work to get my HR down, so I can complete 2 hours of work

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