Dr. Amy reads a piece from summer 2024 about her fight with an enema, Catholic hospital policies, shabby science, and JD Vance. The Forces of Evil were strong that summer and we've got shit to say about it! We've even got a few solutions to share which, as always, we expect will go ignored. Tune in, commiserate along, and perhaps the camaraderie will get us through. We can always hope.

AMY VS. FORCES OF EVIL

Let’s never do this week again.

For me, it started with a day trip to Beth Israel in Boston to get poked and prodded for my on-going participation in the NIH’s ⁠RECOVER-VITAL⁠ clinical trial. Go, science! The people at Beth Israel are just about as kind as can be so score one for humanity. But the trip is exhausting, expensive, and (in my case, at least), it turns out that while PAXLOVID might be well and good for acute COVID-19 symptoms, it does jack squat for long COVID symptoms unless you count inducing hypothyroidism and wreaking havoc on other blood test results as outcomes worth counting. And those only count if I actually took PAXLOVID which we don’t know because it’s a double-blind study.Score so far: Amy-0, Forces of Evil-1, Humanity-1. Life can suck it.

Phase two of the week began the next day when I found myself doubled over in pain on the floor of the shower, simultaneously pooping and puking (it’s a long story). Throw in an at-home enema for extra shits (pun intended) and giggles and we’ve got ourselves a party, people! I’ll spare you the photographic evidence.

Tally card: Amy-0, Forces of Evil-11, Humanity-1. Life can RAWT IN HELL, JAX.

Continuing further into phase two, we move from the shower floor to the emergency room where we’ve got a drunk guy in handcuffs screaming racist shit at the top of his lungs, a lady in a dress with no undies writhing on the floor (I’m telling you it wasn’t me and that’s my story and I’m sticking to it), a guy with an arm dangling from his motorcycle jacket in supernatural sorta way, and a kid bleeding from a real doozy on his knee remaining calmer than any of the so-called adults in the room.

Continues at ⁠https://amyblackstonephd.substack.com/p/amy-vs-forces-of-evil⁠

This is your brain on Long COVID. This week, we attempt the impossible: to describe brain fog while experiencing brain fog. We also share what's worked for us to fight it and Amy gets on her sociological soapbox for a moment and gives a mini lesson on the concept of ANOMIE.

IT'S A LOT LIKE LIFE

Fog creeps in, seeps in slowly. It’s a tricky fucker. Slipping into the tiniest of crevices, spaces I didn’t know were there. My mind slows to a crawl. Words slip away, just out of reach.

Mental tasks that were once so easy are impossible now. Thoughts trapped in a dense, damp mess that I can’t see through or push away. I can resist but eventually I have no choice but to live with it. Live in it.

It's unclear exactly when the fog took over – I'm the frog on slow boil – but eventually I can’t deny that it has. The clarity I once had is gone. This is life with Long COVID. No more Life 1.0 … Life 2.0 has begun. Life-adjacent. Life-like. Life-ish. Life sorta kinda.

I’m reminded of a song I had on repeat during my teen years; Depeche Mode’s “Master and Servant.” The lyric goes “You treat me like a dog, get me down on my knees.” I’m the dog, down on my knees.

I’m the servant and the fog is my master. On rare days I’m allowed out. But always, the servant heeds its master. Afterall, “Domination's the name of the game.” Playtime always ends, and when it does, it’s back to the fog and the certainty that this is my life now.

Posted at https://amyblackstonephd.substack.com/p/its-a-lot-like-life

In this episode, we reflect on our 30 year marriage, lessons learned and, perhaps more importantly, lessons unlearned over the years. Topics range from the Grim Reaper and date nights to Dr. Phil and sticking together behind enemy lines.

LIVE~LAUGH~LONG COVID

Lance and I celebrated 30 years of marriage recently. And by celebrated I mean it went something like this. And by “something like this” I mean it went exactly like this…

Amy "What day is it!? Is it our anniversary!?!"

Lance " ... " (Thinking ...)

Lance " ... " (Looks at phone ...)

Lance "Not yet."

Later that night, I got a text from Lance, “Dinner at Novio’s tomorrow at 5.” We were gonna celebrate!

Thus marked our 30th rotation around the sun as a legally married couple. Perfectly befitting a perfectly brain foggy pair, if you ask me.

Continues at ⁠https://amyblackstonephd.substack.com/p/livelaughlong-covid

Short episode coming at you this week. Amy's checking in solo while we adjust to a new time zone and settle in to our summer digs in Italy! She's got a few reflections to share about one of her favorite places on earth, how she navigates it with health challenges, and a new health update. Listen in and we'll both be back next week!

I REMEMBER

I almost thought I'd forgotten what life was like in the Before Times. Then someone asked what life looks like for me these days. And then I remembered what I forgot. 

Skiing. Parties. Travel. Late night meals. Driving. Diving. A whole day without naps. Big screen TV. Live music. Italy. Italy. Italy.

You can keep it all but please let me have Italy. I remember Italy but I'm afraid I'll forget. The carrots. Just carrots but perfectly carrots. The pear. Just a pear but perfection. The church bells. Wholly unnecessary but fine, I'll forgive those because PROSCIUTTO.

And grapes. The vines. The valleys. The views. THE WINE. 

I remember these things. I remember Italy. I'm keeping Italy.

-----------------As promised, here's a link to Amy's Instagram if you want to check out the views from our villa: https://www.instagram.com/a.maria.blackstone/

And in case you want to stay at this incredible place too, which we highly recommend... https://www.airbnb.com/rooms/36460651?source_impression_id=p3_1751033391_P3h_GQcZWmQfMzTM

B-I-N-G-O! What good is a chronic illness if we can't have a little fun with it? Today we're playing Long COVID Bingo! Instead of numbers on the squares of our cards, we've got the questions, comments, and bits of "wisdom" most commonly shared with Long COVID patients. There are classics like, "What's Long COVID?" and, "Are you still sick?" And of course everyone's favorite, "You look perfectly fine!" and the ever-popular, "Sorry. That treatment isn't covered by your insurance." Play along! Let's have some fun!

Follow along and get your own LONG COVID BINGO card at ⁠https://amyblackstonephd.substack.com/p/long-covid-bingo⁠

Have you ever struggled to admit you need help? Do you ever resist the very thing you know you need? Have you ever felt the simultaneous push-pull of gratitude AND resentment? Given your druthers, would you choose the role of care-R over care-E? If you answered yes to any of these questions, this episode is for you! If you didn't, listen for insight into how the other half of us think!

ACCEPTING YOUR CARE*

The carnivorous plants in our house landed there against their will. Or not so much against their will as un-consulted. They're there whether they like it or not. 

But they can thrive. And thrive they do. On one condition:

They must accept your care.

You check them daily. You are incessant about tending to their needs. 

I wonder, do they ever resent you for it? Do they ever resist the very thing they need in order to survive?

What if one day they just said "no thanks" to the specialty water you faithfully order, pay for, and lug up four flights of stairs for them?

Well, we know "what if." 

So they accept your care. And you give it. Willing. Lovingly. Daily. Typically even gladly.

And you will continue giving it.

And they will continue to accept it.

And they will thrive here, with you.

*After Max Ritvo's "Your Voice in the Chemo Room"

Continues at ⁠https://substack.com/@neverthelesspersisting/note/c-114664731?utm_source=activity_item

Here's Part 2 of our ALL ABOUT FOOD episode (a.k.a., The More Colors That You Eat). This week, we hear about Lance's relationship with food as related to too much, not enough, intolerances, moderation, illness, wellness, and philosophy. Not necessarily in that order. And we revisit the semaglutide question.

THE MORE COLORS THAT YOU EAT

... In the After Times, since I’ve been sick, I have thought about food more than I’d previously imagined possible. I have tinkered with my diet in all of the doctor-recommended, nutritionist-recommended, thin-person-recommended, expert-looking-person-recommended ways possible. I have targeted all of the bad guys - sugar, gluten, alcohol, processed foods, saturated fats, trans fats, my own fat.

Guess what?

I’M STILL SICK!

In 2023, I heard a talk by a doctor who has been deep in the COVID research trenches from the beginning, a doctor I respect deeply (as do many others, including his peers). This doctor presented early findings and hypotheses from his research on Long COVID.

Among those hypotheses was the idea that fat tissue might contribute not only to the ceaseless mental torture of women raised in modern-day Western cultures (my addition to the hypothesis), it may actually serve as a cozy little resting place for the SARS-CoV-2 virus.

Continues at ⁠⁠https://amyblackstonephd.substack.com/p/the-more-colors-that-you-eat⁠

It's all about food! And Long COVID and semaglutide and food agony and fat and fatigue and health and all the cultural beliefs and myths and other crap that's wrapped up in all that. It's such a whopper of a topic that we had to break it up into two. This week, Amy opens up about her lifelong tumultuous relationship with food, the lengths she's gone to to "fix" herself through food, and her various (and generally failed) attempts to "cure" her Long COVID through food and food-related drugs.

THE MORE COLORS THAT YOU EAT

More fiber. More fruits. More protein. More probiotics. More veggies. More variety. More water. More supplements. More whole grains. More fish. More lean meat. More exercise. More sleep. Track everything.

Fewer calories. Less sugar. Less alcohol. Less white flour. Fewer fried foods. Fewer preservatives. Fewer processed foods. Less fatty meat. Less exercise. Less sleep. Don't be so obsessed.

Love food. Proceed with caution. Love food. Be very afraid. Food heals. Food kills. Just shut up about it and eat. Just shut up about it and stop eating so much.

Can't you see? It's easy, dummy!

Continues at ⁠https://amyblackstonephd.substack.com/p/the-more-colors-that-you-eat

In this episode, we discuss the power of taking back control when it feels like you have none. And in true Dr. Amy fashion, she's taking control in the most contrary of fashions by employing the most horrifying of allies, one Mr. Freddy Krueger. Dr. Amy describes how she has harnessed Freddy's powers to give hell to her tormenters so she can stay focused on her mission of spreading kindness, staying true to her values, and generally trying not to be an asshole (or a dingleberry). Lance shares some brilliant insights and enjoys a cocktail. A good time was had by all. Join us!

KEEPIN' IT REAL WITH KRUEGER

I was 12 years old when the first Nightmare on Elm Street movie came out. In 7th grade; my first year at John Adams Junior High School. My friend J and I quickly became obsessed with all things Freddy Krueger. A monster designed to evoke fear but, for us, he held the intrigue of the forbidden fruit. The movie did, too. It was violent, full of gratuitous (and, on reflection, extraordinarily stupid) sexualized imagery of young women in their nighties, and even had a few f-bombs scattered throughout.

We couldn’t get enough!

Freddy has remained one of the more stable men in my life. He can always be counted on to show up, whether you need/want him to or not. He’s predictable. You know what you’re gonna get with Freddy. There’s no pretense. No pretending. We all know what he’s here for. It’s cool. Do your thing, Freddy. He can’t be blamed if you think about it. As I like to say, he comes by it honestly.

Continues at https://amyblackstonephd.substack.com/p/keepin-it-real-with-krueger

Ever wonder how the sausage gets made? In this episode, Dr. Amy and Lance take you backstage and discuss Maine bill LD1688, An Act to Encourage Continuing Education Relating to Certain Infection-Associated Chronic Conditions for Physicians and Nurses. It's like your own modern-day ⁠Schoolhouse Rock⁠! Dr. Amy reads her Bangor Daily News Op-Ed wherein she introduces the bill and we share our recent experience testifying in favor of it. We also share why we think it's so important for providers to become better educated about these conditions, why (we think) they are against this effort (even though we think they should be in favor of it), and what roles patients can play in this effort.

5 YEARS AND TRILLIONS OF DOLLARS LATER, WE'RE STILL UNAWARE OF THE FULL EXTENT OF COVID

If you knew there was an illness costing the global economy ⁠$1 trillion⁠ per year, would you want to combat it? What if you learned this illness cost the U.S. economy ⁠$3.7 trillion⁠ over the past five years? Would it make a difference to know that an estimated ⁠400 million⁠ people are affected globally or that ⁠one-quarter of U.S. Marines⁠ are now experiencing long-term decreases in functional performance because of this illness, or that ⁠more than 272,000⁠ Mainers are impacted?

The illness I’m describing is Long COVID, a chronic condition lasting months to years following an initial period of COVID-19 infection. Continues at ⁠https://www.bangordailynews.com/2025/03/18/opinion/opinion-contributor/were-still-unaware-of-the-full-extent-of-covid-joam40zk0w/⁠.

The bill we discuss: ⁠Maine's LD1688⁠, An Act to Encourage Continuing Education Relating to Certain Infection-Associated Chronic Conditions for Physicians and Nurses