I know a lot of clinicians and scientists who have had to scale back or stop working because of #LongCOVlD. Sometimes, I am one of a maybe 3 people outside of their family or care team who know. People confide a lot in me because they see me in a mask 100% of the time, and I run a dashboard. It might be someone I know well or someone I've hardly talked to before who just needs to get it off their chest and be taken seriously, and that is very important in life. If they are pretty COVID informed, they will call it long COVID. If they thought COVlD was "over" and weren't really paying attention, they don't say Long COVlD. Almost never. They acknowledge needing a cardiologist or other specialist after getting COVlD, and they are talking to *me* specifically because they know I will take them seriously on COVlD, but they do not like to say the word "COVlD" more than once either. It's taboo even in our conversation to say it twice. They might not be masking again, and they just stay home more, if they can. Those are the ones I know with a high degree of certainty, and that's the tip of the iceberg. But there are a lot of other examples where I suspect Long COVlD or probabilistically know a certain percentage of the time it would be the case. Someone cancels regular meetings for 6-8 weeks. They step down from a leadership position or retire early often 4-8 months after an illness that hit them hard, unnamed or known COVlD. They disappear from social media. They struggle with conversations, or that fluctuates. A portion of these, but certainly not all, are Long COVlD. I don't think the exact percentage is critical (5% vs 50%) because society is on reinfection mode in perpetuity, so wherever we are going, we will get there. It's eerie to watch all of this happen, to see the leadership gulf forming and widening. A few months ago, I was looking at someone's CV and saw they had a certain leadership position. I did a double-take. It was depressing. The person who previously had the position has just terrible Long COVlD. So, when you hear a clinician or scientist act like they cannot get Long COVlD because they are educated or special, know they are not special. Their diploma does not protect them, and their hubris may be their downfall. As a clinician scientist, you are welcome to give me crap if you ever think I could do better on COVlD mitigation. Thank you! I doubt I could these days but welcome the challenge! Frankly, it just gives me the political cover if someone who believes they have power over me attempts to get me to do something inconsistent with community care. Feedback is not shaming. These are psychological terms with definitions and implications. Shaming ("you're a bad person") is ineffective and often personally harmful; most feedback is NOT shaming. At worst, it is usually guilting ("your behavior is bad"), and that is often highly actionable for guiding change, especially when coupled with suggestions for what to do right; it rarely is harmful. Most feedback is just feedback. Clinicians and scientists should embrace community feedback. There is all sorts of infrastructure around this (FDA, AHRQ, PCORI) to encourage clinicians and scientists to put community and patient perspectives first. Continuous feedback is a core management principle. Feedback is good. It is an act of love to take the time to give someone feedback in support of their growth. 🙏 #LongCovidAwarenessDay