Paul Garner’s Story
Long-Covid
“People in the communities were telling I would be ill for the rest of my life.”
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Excessive self-imposed performance expectations at work with a relentless load
Driven personality with a strict fitness regimen
Parents who both experienced considerable mental trauma when young
Infection with Coronavirus-19
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None
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I thought the symptoms were caused by the direct effects of the COVID-19 virus. When I realised they were the result of a stress response and I should reinterpret them as such, everything changed
Demonstration of how simple relaxation approaches relieved symptoms
Having a helper who knew her stuff and I trusted
Understanding central sensitisation: While recovery can be rapid, you have to be aware that side steps (in my case, headaches) could result from a variety of triggers
That life before wasn’t some idyll where you are deliriously happy and feel 100% all the time! We all get tired, ache a bit sometimes, and have the occasional headache-and that happened before Covid-19
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Substantially cognitively and physically impaired for 10 months
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Early Life and Background
Professor of Infectious Diseases and Public Health.
Lived a high-pressure lifestyle, particularly during the pandemic.
Onset of Illness
Developed COVID-19 in March 2020 with unusual symptoms: no fever, sore throat, or cough, but a general sense of feeling unwell.
Symptoms fluctuated over the next nine months, including extreme fatigue, chest tightness, tachycardia, brain fog, tinnitus, and joint pain.
Gentle exercise or walking worsened symptoms, leading to a cycle of boom and bust.
Searching for Answers
Despite being a medical professional, found NHS guidance inadequate for prolonged symptoms.
Turned to the ME/CFS community, receiving both helpful advice and discouraging messages suggesting lifelong illness.
Was referred to an ME/CFS clinic and diagnosed with the condition based on Canadian Criteria.
Understanding the Condition
Realised symptoms were linked to complex interactions between the brain, body, and nervous system.
Discovered that the body's protective mechanisms could become dysregulated, leading to persistent symptoms.
Recognised that the mind and conscious thought could influence physical symptoms.
Path to Recovery
Adopted a mind-body approach through conscious thought, behaviour, and emotional regulation.
Focused on reducing symptom monitoring, avoiding negative illness narratives, and engaging in activities that brought joy.
Gradually resumed physical activities, starting with gentle exercise and progressing to military fitness training.
Challenges and Setbacks
Contracted dengue fever during a holiday, which temporarily worsened fatigue and symptoms.
Experienced a relapse, but applied recovery principles to overcome the setback.
Current Status
Reports being well, with occasional fatigue similar to that experienced by healthy individuals.
Emphasises that recovery is possible and that the mind-body connection is crucial in healing.
Message to Others
Advocates for a holistic understanding of post-viral syndromes, incorporating psychological and behavioural factors in recovery.
Challenges the purely biomedical model of ME/CFS and long COVID.
Encourages others to explore mind-body approaches and seek support from positive, empowering communities.
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Paul’s blog posts:
Paul’s articles:
“I am a Professor of Infectious Diseases and Public Health. I was driving myself hard at the time of the pandemic....”
Introduction
My full story is contained in the BMJ blogs and Recovery Norway - see Resources and Links above.
I am a Professor of Infectious Diseases and Public Health. I was driving myself hard at the time of the pandemic. The illness completely floored me. I could not explain the symptoms and got caught up in the medical hype of this unknown virus-that in itself probably added to a nocebo effect. Online materials from the NHS were hopeless.
The ME/CFS charities seemed to understand the condition. I initially related to them; they seemed to know more. But then I found the extraordinarily negative. People in the communities were telling I would be ill for the rest of my life. I found this to be presumptive, insulting, and invasive of me as a person. When I responded in this way, someone said, “oh dear. I think we have spoken too early”.
I fulfilled the Canadian Criteria for ME/CFS and I was referred by my doctor to an ME/CFS clinic.
“I am angry that the ME/CFS charities spread false message that people never recover...”
Recovery
I found a path to recovery with someone who had themselves recovered from ME/CFS. This person asked if I was open to my mind and brain being involved: I was. She gave me an explanation, some different techniques, and completely changed my outlook. I recovered rapidly.
I had a few set backs, and understanding central sensitisation helped. I am now back to normal. I am angry that the ME/CFS charities spread false message that people never recover, and this is a biomedical condition. I am fighting the grossly misleading NICE NHS ME/CFS guidance in this regard. I want everyone to know there is a way out, and it’s wonderful on the other side.