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Patient-Led Research Collaborative

@patientled.bsky.social
9.6K followers 316 following 280 posts

Patient-Led Research for #LongCovid! patientledresearch.com

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Patient-Led Research Collaborative @patientled.bsky.social · 3h
bsky.app/profile/chlo...
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"So, in sharp contrast to the widespread conception of sick people as medically ignorant and unscientific, they as a group have knowledge of the aetiology, pathophysiology, and treatment options for their illness... that is the product of a complex scientific process"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"They design research tools, such as questionnaires to evaluate disease severity. They are constantly in dialogue with institutional researchers, informing their understanding of the disease, sharing their collective experience of the illness"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"Lay scientists... also produce their own (research)... called patient-led... They produce, sometimes in collaboration with institutional scientists, new studies, review articles, opinion pieces, & conceptual-definitional groundwork, which they publish in scientific journals"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"Thankfully, this does not apply to all doctors: a number of them have become ME specialists... one of the striking and more unique features of these doctors’ medical practice is their collaboration with their patients."
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"It is interesting to remark that this ignorance about ME is not just systemically produced, but also systemically maintained. Indeed, the mechanism by which doctors come to be ignorant of ME also renders them impermeable to accurate information"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"in a recent study among hospital doctors, 89% of respondents admitted not knowing how to diagnose ME, and 75% were unaware that ME can be fatal"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"In a recent study among medical students, 78% declared that they had not been examined on ME at medical school, 22% were “not sure” and 0% answered that they had. As a result, doctors are severely ignorant about even basic facts"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"it would be a mistake to conclude that ME is mysterious... despite its underfunding, biomedical research on ME has established it to be a biological disease with immunological, metabolic, neurological, and cardiovascular aspects."
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"because of its controversialisation, state funding on ME has been grossly insufficient. For instance, a recent analysis found that NIH funding for ME would have to increase 40-fold to be commensurate with average NIH funding relative to disease burden"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"Comparing the controversialisation of ME to... HIV/AIDS allows us to better understand controversialisation as a general phenomenon. A correct but fragile scientific consensus exists about a disease. This consensus comes to be disputed, in ways... related to bigoted ideas"
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
"IACCs are characterised by a breakdown of the usual asymmetry about the medical aspects of illness: doctors, but not their patients, are ignorant about aetiology, prognosis, and treatments."
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Patient-Led Research Collaborative @patientled.bsky.social · 3h
Incredible new paper from PLRC member @chloedecanson.bsky.social: "I present a case study, that of myalgic encephalomyelitis... the medical aspects of the illness are on the whole better understood by sick people than by their doctors."
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Kristin Meekes @kmeekes.bsky.social · 05/10/2026
Really important thread and paper ⬇️ #MedSky
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Long Covid Advocacy @longcovidadvoc.com · 06/10/2026
Extraordinary article about ME - its history, controversialisation & how medical ignorance is systemically maintained. Clear & thorough 💫 Brilliant 🧵by Chloe 👇
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emily fraser 🌿🐌✨ @emilyesfraser.bsky.social · 09/10/2026
Required reading for doctors, journalists, & anyone who cares about anyone w/ ME or Long Covid ⬇️ Includes excellent history of #GreatestMEdicalScandal & how the ignorance of doctors re #MECFS is continually renewed through informal (mis)training + biased media www.sciencedirect.com/science/arti...
sciencedirect.com
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Patient-Led Research Collaborative @patientled.bsky.social · 07/10/2026
PLRC co-founder @ahandvanish.bsky.social spoke to @thesicktimes.org about the importance of illness duration in validating #LongCovid biomarkers: “If your study has patients that are all over the place in terms of illness duration, that’s going to complicate the findings”
thesicktimes.org
VIPER aims to fast track Long COVID biomarkers. Here’s how it works. - The Sick Times
Led by researchers at UCSF, the research program plans to validate promising candidates for noninvasive tests that can be used to advance clinical trials.
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Patient-Led Research Collaborative @patientled.bsky.social · 07/10/2026
“It is possible that, on a 5-year horizon, you would be able to give a blood sample & we could say, ‘Yes, based on these 3 markers, we can confirm that you have #LongCovid & it is the autoimmune phenotype, for example, & these are the treatments we’re going to give you,’” — @putrinolab.bsky.social
thesicktimes.org
VIPER aims to fast track Long COVID biomarkers. Here’s how it works. - The Sick Times
Led by researchers at UCSF, the research program plans to validate promising candidates for noninvasive tests that can be used to advance clinical trials.
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Patient-Led Research Collaborative @patientled.bsky.social · 07/10/2026
"We recognized the very fragmented and ad hoc way that these efforts were coming together," said @michaelpelusomd.bsky.social. “And we really wanted to provide a central organized structure within which that work could take place.” #LongCovid
thesicktimes.org
VIPER aims to fast track Long COVID biomarkers. Here’s how it works. - The Sick Times
Led by researchers at UCSF, the research program plans to validate promising candidates for noninvasive tests that can be used to advance clinical trials.
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Patient-Led Research Collaborative @patientled.bsky.social · 07/10/2026
"Another problematic factor is that #LongCovid is a fluctuating condition. Biomarkers that appear to be prominent early on might play no role at later stages, said @ahandvanish.bsky.social, co-founder of the Patient-Led Research Collaborative (PLRC)."
thesicktimes.org
VIPER aims to fast track Long COVID biomarkers. Here’s how it works. - The Sick Times
Led by researchers at UCSF, the research program plans to validate promising candidates for noninvasive tests that can be used to advance clinical trials.
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Patient-Led Research Collaborative @patientled.bsky.social · 07/10/2026
PLRC co-founder @ahandvanish.bsky.social spoke to @thesicktimes.org about the importance of illness duration in validating #LongCovid biomarkers: “If your study has patients that are all over the place in terms of illness duration, that’s going to complicate the findings”
thesicktimes.org
VIPER aims to fast track Long COVID biomarkers. Here’s how it works. - The Sick Times
Led by researchers at UCSF, the research program plans to validate promising candidates for noninvasive tests that can be used to advance clinical trials.
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
You can read the paper (open access) here: www.sciencedirect.com/science/arti...
sciencedirect.com
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
But most of all, it is indebted to the ME community for everything it has done for me since I suddenly became bedbound with ME as a result of a COVID infection in 2022, including for directing me to the treatment that improved my health enough I was able to write this paper (from bed).
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
The paper is indebted to the great books that have been published about ignorance in science and medicine, from the classics Impure Science by Steven Epstein and Agnotology by Robert Proctor and Londa Schiebinger, to the recent banger Pilules Roses by @ferrydanini.bsky.social
Cover of Impure ScienceCover of AgnotologyCover of Pilules Roses
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
It contains a clean version of this picture of a protest organised by #MECFSkinder in Berlin last year, in front of the Federal Ministry of Research. You can find out more about them here: www.mein-kind-kann-nicht-mehr.de (in German)
Photo of body bags laid out on the street in rows, with each of them having a name printed on it and a blue rose (the symbol by which people with ME honour their dead) deposited on top
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
The paper also quotes from @anilvanderzee.bsky.social's exceptional documentary, "Doctors as Patients", where doctors with IACCs recount what they were taught about this class of diseases before they became sick with them, and what their lives have been like since. www.youtube.com/watch?v=J0yw...
youtube.com
Doctors as Patients (with subtitles)
YouTube video by Anil about ME
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
The second is the perhaps even more stigmatised fact of vaccine injuries. Vaccines are very safe and have played an essential role in massively reducing acute deaths from COVID, but in rare cases, they can trigger or worsen ME. Our community includes several pro-vax but vax-injured people.
Anti-vaxxers should not be confused with pro-vax but vaccine-injured
people. Although generally safe and effective, vaccines can in rare cases
cause a condition which bears striking resemblance to IACCs such as ME and
Long COVID (Bhattacharjee et al., 2025). Known ME triggers include a variety
of immune insults, including (viral, bacterial, and parasitic) infections, but also
physical traumas such as surgery and car accidents (Salit, 1997). This suggests
that any acute activation of the immune system, including vaccination, could
potentially trigger ME. Like almost every aspect of ME, this requires more
research.
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
I am also proud to have included discussions of two especially controversialised aspects of ME, an already controversialised disease. The first is the impact of mould on disease, which is thoroughly stigmatised, especially in left-wing and liberal circles:
For example, some people with ME have noticed that their condition improves with mould avoidance, and reported back to institutional researchers so they might study this aspect of the disease:

I discussed mine and other patients' direct observations about how
toxigenic mold exposure impacts our conditions with patient-
researchers interested in the subject. In particular we’ve discussed
impacts of mold toxicity on PEM, immune dysfunction, and mitochondrial dysfunction in the setting of ME. We then prepared a
document to present to ME researcher Rob Phair, answering his
questions about how I experience PEM and how mold exposure, and
not just exertion, impacts it. I hope to continue formalizing patient
knowledge about mold toxicity so that it can be accurately and
proportionately represented in the scientific literature about ME, and
be investigated as a relevant and significant facet of and contributor
to the disease. (Lara Goxhaj)
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
Collectives of lay scientists like @renegaderesearch.bsky.social and @patientled.bsky.social are discussed. Several institutional researchers are mentioned but @sunsopeningband.bsky.social and the @openmedf.bsky.social get a special mention for their work in collaboration with sick people.
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
As well as @longcovidpharmd.bsky.social, @betsyladyzhets.bsky.social and @mileswgriffis.bsky.social from @thesicktimes.org, and @tessfalor.bsky.social from @renegaderesearch.bsky.social.
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
I am very proud to have interviewed and featured the words of amazing people w ME (or belonging to the IACC community), incl. @lauravictorine.bsky.social, @kylofone.bsky.social, @mecfsscience.org, @tomkindlon.bsky.social, @naomidharvey.bsky.social, @fvrhijn.bsky.social, @chromatowski.bsky.social 3/
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
In this paper, I cover what I call the 'controversialisation' of ME, the 'undone science' around it, the resulting production of ignorance or 'agnotology' among doctors, and the reactive lay production and distribution of knowledge among sick people.
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Chloé de Canson @chloedecanson.bsky.social · 05/10/2026
Why do people with ME claim to know more about the medical aspects of their disease than their doctors? Because the mechanisms that usually ensure doctors' knowledge fail in the case of ME, and sick people have created mechanisms of knowledge production and dissemination to pick up the slack.
Screenshot of the header of a published paper: 

Studies in History and Philosophy of Science

Patient's knowledge, doctor's ignorance: The production of knowledge about myalgic encephalomyelitis

Chloé de Canson

Department of of Theoretical Philosophy, University of Groningen, Oude Boteringestraat 52, Groningen, 9712 GL, the Netherlands
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Patient-Led Research Collaborative @patientled.bsky.social · 01/10/2026
"In addition, teachers’ unions should advocate for more teachers living with #LongCovid to receive all necessary accommodations and supports to continue to serve as educators, including being able to teach part-time." journals.sagepub.com/doi/10.1177/...
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Patient-Led Research Collaborative @patientled.bsky.social · 01/10/2026
"We encourage schools to invest in interventions that will have public health benefits with minimal educational consequences. We particularly highlight air purification and ventilation as highly effective in reducing risk of infection."
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Patient-Led Research Collaborative @patientled.bsky.social · 01/10/2026
"Teachers are over-represented among people living with #LongCovid... In a nationwide USA sample from 2022, 9.5% of currently employed elementary and secondary teachers reported having Long COVID."
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Patient-Led Research Collaborative @patientled.bsky.social · 01/10/2026
A new publication is out from PLRC member Dr. Alison Cohen of UCSF! "We encourage state legislatures to pass legislation that requires all schools to make changes to their infrastructure to support cleaner air to protect students & teachers." #LongCovid
journals.sagepub.com
Sage Journals: Discover world-class research
Subscription and open access journals from Sage, the world's leading independent academic publisher.
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Shannon Knight @shannonknight.bsky.social · 17/09/2026
Positive results from a trial!
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babs ✨ @itsbabs.bsky.social · 17/09/2026
“It’s possible, even likely, that one or more of the other explanations for longCovid’s pathology is … viral persistence leading to immune dysfunction, for example, which then prompts inflammation or interferes with mitochondria & causes cellular damage.” it’s hubris to think it won’t happen to you
Perhaps surprisingly, Peluso was initially skeptical that viral persistence could be a key characteristic of long Covid. "We're really trained to conceive of most pathogens as transient, especially RNA viruses like SARS-CoV-2," he told me. But when Peluso and his colleagues began analyzing tissue from LIINC participants, they were stunned to find the virus's RNA in the tissue of people with long Covid who were months or even years past their initial infection. "It was only when we started to see it in our own program that I began to realize that the truth might be more complicated than what the textbook said," he recalled.
"When you're looking at that slide in front of you, it's quite remarkable."
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
This is a great example of what happens when trialists like @biovie.bsky.social listen to patients. Based on feedback from patient-researchers at PLRC & other orgs, the trial changed eligibility criteria for illness duration from a 2 year cap to include patients sick for longer. 2/
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
This is an incredibly exciting development for the #LongCovid field, and shows what is possible when trials choose innovative treatment candidates and are designed with patient expertise! 7/ bsky.app/profile/biov...
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Patient-Led Research Collaborative @patientled.bsky.social · 16/09/2026
“Having the capability to help the community, I feel a moral obligation to use my skills for that purpose, because I feel like there’s reason for hope. And I want other people to know that—to feel that hope.” — @julialmv.bsky.social
smithsonianmag.com
For Many Americans, Covid Is Still a Chronic, Disabling Disease. These Scientists Are Working Tirelessly to Bring Them Relief
Long Covid saps the strength and vitality of patients, who have little recourse to fight it. A team of specialists—including an afflicted researcher working mostly from her bed—is looking for answers
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Patient-Led Research Collaborative @patientled.bsky.social · 16/09/2026
"Organizations like... PLRC have been essential in raising awareness about #LongCovid and in advancing research into the disease... so that scientists can more clearly define the disease by clarifying its pathology and identify biomarkers"
smithsonianmag.com
For Many Americans, Covid Is Still a Chronic, Disabling Disease. These Scientists Are Working Tirelessly to Bring Them Relief
Long Covid saps the strength and vitality of patients, who have little recourse to fight it. A team of specialists—including an afflicted researcher working mostly from her bed—is looking for answers
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Patient-Led Research Collaborative @patientled.bsky.social · 16/09/2026
"Since those early days... we have gained a much clearer picture of the condition... PLRC and other like-minded groups have outlined more than 200 associated symptoms, including... memory issues and post-exertional malaise, a uniquely punishing impairment" #LongCovid
smithsonianmag.com
For Many Americans, Covid Is Still a Chronic, Disabling Disease. These Scientists Are Working Tirelessly to Bring Them Relief
Long Covid saps the strength and vitality of patients, who have little recourse to fight it. A team of specialists—including an afflicted researcher working mostly from her bed—is looking for answers
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Patient-Led Research Collaborative @patientled.bsky.social · 16/09/2026
PLRC member @julialmv.bsky.social was just featured in @smithsonianmag.bsky.social — discussing her journey as a #LongCovid patient advocate and her work with PLRC. "The paper that collaboration yielded... has since been viewed online two million times, and it has been cited 4,000 times"
smithsonianmag.com
For Many Americans, Covid Is Still a Chronic, Disabling Disease. These Scientists Are Working Tirelessly to Bring Them Relief
Long Covid saps the strength and vitality of patients, who have little recourse to fight it. A team of specialists—including an afflicted researcher working mostly from her bed—is looking for answers
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playon.bsky.social @playon.bsky.social · 15/09/2026
#longdcovid thread
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
We're thrilled to see positive results from @biovie.bsky.social's clinical trial on bezisterim in #LongCovid! The drug benefited patients with high levels of fatigue, PEM and/or cognitive impairment, with multiple significant and trending results, including objective cognitive tests. 1/
The summary “forest chart” chart shows only those endpoints that reach statistically significant or are trending, and the charts for all endpoints can be found in the full data announcement presentation that was discussed during BioVie's conference call.
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
This is an incredibly exciting development for the #LongCovid field, and shows what is possible when trials choose innovative treatment candidates and are designed with patient expertise! 7/ bsky.app/profile/biov...
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
PLRC assisted on the advisory panel, study design, and recruitment and communication for this trial, and the patient engagement in the process was outstanding. The trial completed enrollment in less than a year. 6/
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Patient-Led Research Collaborative @patientled.bsky.social · 15/09/2026
Patient feedback also led to the trial allowing patients to stay on existing medications such as LDN and reimbursed enrollees for travel and lodging. 5/
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