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Science News - 5 November 2022
Science News - 5 November 2022
Trapped
Millions need long COVID answers
Thomas Aldous Tate Baum Dhroov Bharatia Ankit Biswas Madison Checketts Marco Alexander Chua
Pittsburgh, Pennsylvania Provo, Utah Plano, Texas Charlotte, North Carolina Eagle Mountain, Utah Jacksonville, Florida
Shaunak Dalal Jeanelle Dao Mina Fedor Victoria Harding Bradley Rory Hu Landon William Huber
Hershey, Pennsylvania San Jose, California Berkeley, California Menlo Park, California San Jose, California Tallahassee, Florida
Skye Holyn Knox Mahi Kohli Cooper Kroeker Alexander Montgomery Kasey Moore Luka Anthony Nguyen
Bend, Oregon Olathe, Kansas Grant, Nebraska Titusville, Florida Delray Beach, Florida Las Vegas, Nevada
Sritej Sai Padmanabhan Moitri Santra Sanjan Singh Sarang Mona Sophie Schwickert Elizabeth Shen Ethan Shlossberg
Wexford, Pennsylvania Oviedo, Florida The Woodlands, Texas Glendale, Arizona Cary, North Carolina Doylestown, Pennsylvania
Aryaman Dixit Shukla Emma Abigail Simmons Sarah Charlotte Simmons Kai Unwin-Wisnosky James Xiao Ethan Yan
Winston-Salem, Emmitsburg, Maryland Emmitsburg, Maryland West Chester, Pennsylvania Wexford, Pennsylvania Burlingame, California
North Carolina
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Features
16 Early American Democracies
Native American groups in what’s now Canada, the
United States and Mexico took up rule by the people
long before 18th century Europeans did.
By Bruce Bower
News
6 Human nerve cells 10 A loss of amphibians is A claim about a Mars
implanted into rat brains linked to a malaria uptick lake may not hold water
thrive — and influence in Central America
13 Some young mosquitoes
rat behavior
FROM TOP: PAINTING/ALAMY STOCK PHOTO; PICTURE BY TAMBAKO THE JAGUAR/MOMENT/GETTY IMAGES PLUS; TERENCE DICKINSON, ESA
30 FEEDBACK
32 SCIENCE VISUALIZED
A peek inside a gecko’s
hand wins a photo contest
EDITORIAL
at the long COVID clinic at the Johns Hopkins Bayview Medical Center (Page 22). DESIGN
CHIEF DESIGN OFFICER Stephen Egts
“For months we’ve heard estimates about how many people have long COVID,” DESIGN DIRECTOR Erin Otwell
SENIOR ART DIRECTOR Tracee Tibbitts
Rosen told me. “I was interested in going beyond the stats to find out what it’s ART DIRECTOR Chang Won Chang
like for the patients and doctors living with this.” SCIENCE NEWS EXPLORES
EDITOR , DIGITAL Janet Raloff
EDITOR , PRINT Sarah Zielinski
That effort involved talking with doctors who are trying to figure out how to ASSISTANT MANAGING EDITOR Jill Sakai
treat the symptoms of long COVID when the cause is still unknown. And talking ASSISTANT EDITOR Maria Temming
ASSISTANT DIGITAL EDITOR Lillian Steenblik Hwang
with Hankins. “I thought it was extraordinary that [she] let me into her appoint- EDITORIAL ASSISTANT Aaron Tremper
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Staueler Price
ImpossibLY
®
I n the history of timepieces, few moments were more
consequential than the advances of the 1920s. Currently,
inflation is roaring, which we’ve decided to fight by turning
ON our prices back to the 1920s.
A DV E RTI SE M E NT
Red foxes p
are the b
first known
foxes to fish r
for food. They n
join wolves in
North America
as the only m
known fishing t
Excerpt from the canids. w
November 11, 1972 s
issue of Science News
s
50 YEARS AGO a
a
Was Stonehenge
a crematorium? u
The monument consisted of FIRST fo
a circle of immense, finely c
tooled stone archways sur-
A cunning fox catches fish, stunning researchers s
rounded by a range of The fox froze. Inches from its paws, frenzied just the second type of canid — the group e
56 equally spaced [holes].… carp writhed in a reservoir’s shallows. Sud- that includes wolves and dogs — known to o
The precisely proportioned denly, the fox dove nose-first into the water, hunt fish (SN Online: 2/11/20). s
placement of the stones emerging with a large carp in its mouth. “Seeing the fox hunting carp one after le
and holes has led archae- In 2016, two researchers in Spain watched another was incredible,” says ecologist
ologists to presume that the as this male red fox (Vulpes vulpes) stalked Jorge Tobajas of the University of Córdoba. o
monument had some great and caught 10 carp over a couple of hours. “We never expected something like this.” t
astrological significance.… The event, described August 18 in Ecology, is Tobajas and Francisco Díaz-Ruiz of the b
As an alternate explanation, the first recorded instance of a fox fishing, University of Málaga came across the fish- m
the researchers say per- the pair says. The discovery makes red foxes ing fox while surveying a site for a different t
haps there were 56 families,
clans or social units who
built Stonehenge and who FOR DAILY USE whether they were crying, fussy, alert or
were entitled to dig one of drowsy, heartbeat by heartbeat.
the [holes] and use it to inter
How to put babies to bed “We tested the physiology behind these
cremated remains. without waking them up things that tend to be kind of common
FROM TOP: S. SRINIVASAN, MATTHEW PICKETT; NASA, ESA, CSA, STSCI, JOSEPH DEPASQUALE/STSCI
It’s a frustration many parents know all too knowledge, though it’s not really well under-
UPDATE: Stonehenge’s well: You’ve finally lulled your crying baby to stood why they work,” Esposito says.
purpose remains murky, but the sleep in your arms, so you put them in their The babies’ heart rates slowed and they
monument’s origin is becoming crib only for the wailing to begin again. Sci- stopped crying when their mothers carried
clearer thanks to science. For ence may have a trick for you. them for five minutes. Some infants even
at least the first 500 years of Carrying a crying infant for five minutes, fell asleep. But sleeping babies tended to
its existence, Stonehenge was
4 SCIENCE NEWS | November 5, 2022 Watch a video of a fox fishing for carp at bit.ly/SN_FishingFox
PICTURE THIS
Here is the first direct look at Neptune’s rings in more than 30 years
FROM TOP: S. SRINIVASAN, MATTHEW PICKETT; NASA, ESA, CSA, STSCI, JOSEPH DEPASQUALE/STSCI
-
Humankind is seeing Neptune’s rings in a whole new light thanks
to the James Webb Space Telescope, or JWST. In an infrared image
d released September 21, Neptune and its gossamer diadems of dust
glow against the inky backdrop of space. The stunning portrait is
a huge improvement over the rings’ previous close-up, which was
PICTURE BY TAMBAKO THE JAGUAR/MOMENT/GETTY IMAGES PLUS
of the sun in stars, or about 0.2 percent of broad region around the galaxy’s center, that the Milky Way got its start as a mod-
the Milky Way’s current stellar mass. which lies in the constellation Sagittarius, est protogalaxy whose stars still shine
“This study really helps to firm up our looking for stars with metal-to-hydrogen today, stars that astronomers can now
understanding of this very, very, very ratios no more than 3 percent of the sun’s. scrutinize for further clues to the galaxy’s
young stage in the Milky Way’s life,” says The astronomers then examined how birth and early evolution.
Superconductivity claim isn’t dead yet while it was exhibiting magnetic suscep-
tibility associated with high-temperature
Experiment may support retracted room temperature study superconductivity. “We saw the first
susceptibility signal on September 27,
BY JAMES R. RIORDON consistent with the claims reported in the
It may be too soon to mourn the demise retracted Nature paper.”
of a room temperature superconductiv- This latest twist is unlikely to put an
ity claim. end to the controversy that came with
On September 26, Nature retracted a the initial claim, at least in the mind of
paper describing a material that seemed physicist Jorge Hirsch of the University
to turn into a superconductor at a cozy of California, San Diego. Hirsch has been
15° Celsius (SN: 11/7/20, p. 6). The notice one of the most vocal critics of the room
rattled many people in the field. But a temperature superconductivity claim.
new experiment performed just days after “I didn’t know it would be retracted,
the retraction supports the world-record but was hoping it would be retracted,”
temperature claim, say an eyewitness and A new experiment might bolster a recently Hirsch says. He says he asked the authors
others familiar with the experiment. retracted claim of room temperature super- for the raw data from the earlier study
conductivity in a blend of hydrogen, sulfur and
Superconductors carry electricity with a bit of carbon squeezed to enormous pres- one month after it was published, but he
no resistance, which means they’re useful sures in a diamond anvil like this one. was refused. “The authors said, ‘No we
for efficiently transmitting energy. They cannot give you the data because our law-
could save enormous amounts of energy the paper despite the researchers’ objec- yers said that it would affect our patent
that’s wasted in conventional metal tions. “We have now established that rights,’ ” he says.
wires. Currently superconductors are some key data processing steps … used a With intervention from Nature, Hirsch
used to create powerful magnetic fields non-standard, user-defined procedure,” eventually got the numbers. What he
for medical imaging and particle physics the editors wrote in the retraction. “The saw disturbed him. Hirsch is skeptical
experiments, as well as serving as compo- details of the procedure were not speci- that high temperature superconductivity
nents in high-performance circuitry and fied in the paper and the validity of the is possible in these sorts of hydrogen-
even levitating high-speed trains. But to [analytical method] has subsequently based materials in general, but says he is
work, superconducting materials gener- been called into question.” objecting based on the way the data were
ally must be cooled to far below 0° C, and The new experiment isn’t a duplicate handled.
many to temperatures close to absolute of the one reported in the retracted “There were real problems between the
zero, or -273° C. paper, but the researchers say they rep- raw data and the published data,” Hirsch
When researchers announced in licated a portion of their research that says. He believes that Nature’s retraction
2020 that a sample made of hydro- had raised red f lags in the scientific doesn’t go far enough. “It’s not that the
gen, sulfur and a bit of carbon became community. data were not properly processed.” Along
a superconductor at record-shattering Ranga Dias, a physicist at the University with physicist Dirk van der Marel of the
temperatures, dreams of room tempera- of Rochester in New York who headed University of Geneva, Hirsch delves into
ture superconducting seemed to be on the research on the now-retracted paper, problems with the data in a paper pub-
the verge of coming true (SN: 12/19/20 & led the new measurements at Argonne lished September 15 in the International
1/2/21, p. 34). One hitch was that the National Laboratory’s Advanced Photon Journal of Modern Physics B. “Our analysis
material had to be under enormous Source in Lemont, Ill. “We have been proves mathematically that the raw data
pressures, about 2.6 million times atmo- working on this experiment for almost were not measured in the laboratory.
spheric pressures — roughly the pressure six months, building and reconfirming the They were fabricated,” he says.
found in parts of Earth’s core. Still, the correct methodology,” Dias says. “I would Dias and colleagues deny any impro-
discovery hailed a potential scientific and say the data we obtained at Argonne is priety in their data or analysis and are
technological revolution. more compelling, not just comparable” to, moving forward with experiments like
In the two years since, controversy has the data in the retracted paper. the one at Argonne. But that work awaits
swirled around the report. The maelstrom “The experiment took place over two peer review. For now, Nature’s retraction
is centered on the way the researchers days, September 27 and 28,” says physi- bolsters existing doubts around room
prepared and processed data that showed cist Nilesh Salke of the University of temperature superconductivity.
ADAM FENSTER
changes in a magnetic property known Illinois Chicago, who was not affiliated “In the end, all of this has to be vali-
as susceptibility. Ultimately, editors at with the original research. Salke’s role dated by different groups getting the
Nature took the unusual step of retracting at Argonne involved probing a sample answer,” Hirsch says.
to more mosquitoes on risk of infectious disease.” temperature and precipitation don’t exist.
Instead, the researchers relied on climate
The Panamanian “hindcasts” calculated for every spot on
golden frog used the globe, which are pieced together from IANWOOL/ISTOCK/GETTY IMAGES PLUS
to call forests in its relatively sparse records.
namesake country
home, until a deadly Lakes in places with average summer air
fungus appeared. The temperatures that were below 19° Celsius
extinction of the frog were more likely to be blue than lakes
from the wild and the
loss of other amphibians with warmer summers, the researchers
may have contributed to found. Up to 14 percent of the blue lakes
a rise in malaria. studied are near that threshold. If average
t. count. These “living rocks” sense it’s time The number of exposures it took to Still, there are many unanswered ques-
e to revive, or germinate, by “counting” how trigger germination varied by spore, just tions about the black box of how spores
n often they encounter nutrients, research- like some corks require more or less start germination, like whether it’s possi-
IANWOOL/ISTOCK/GETTY IMAGES PLUS
m ers report in the Oct. 7 Science. twisting to pop. Spores whose potassium ble for the spores to reset their potassium
Spores “appear to have literally no movement was hamstrung showed lim- count. “We really are in the beginnings of
r measurable biological activity,” says Gürol ited change in electric charge and were trying to fill in that black box,” says study
s Süel, a microbiologist at the University less likely to “pop” back to life no matter coauthor Kaito Kikuchi, a biologist now
s of California, San Diego. But Süel and his how many nutrients they were exposed at Reveal Biosciences in San Diego. But
s colleagues knew that spores’ cores con- to, the experiments showed. discovering how spores track their envi-
s tain positively charged potassium atoms, Changes in the electric charge of a ronment while more dead than alive is an
e and because these atoms can move cell are important across the tree of life, exciting start.
MATH & TECHNOLOGY then obviously you’re going to be a happy University of Sheffield in England who was
Martian lake may just be rock and ice The researchers reproduced some
of the anomalously strong radar sig-
New analysis adds more doubt to detections of liquid water nals thought to be due to liquid water.
Individual radar signals from different
BY KATHERINE KORNEI and intensity of the reflected waves to layers of rock and ice add together when
There’s new evidence that a potential infer what’s beneath the surface. the layers are a certain thickness, Lalich
discovery of liquid water on Mars might And now another team has shown says. That produces a stronger signal,
not be watertight, researchers report in that ordinary layers of rock and ice can which is then picked up by a spacecraft’s
the October Nature Astronomy. produce many of the same radar signals instruments. But those instruments can’t
In 2018, scientists announced the previously attributed to liquid water. always tell the difference between a
detection of a large subsurface lake near Planetary scientist Dan Lalich of Cornell radio wave coming from one layer and
Mars’ south pole (SN: 8/18/18 & 9/1/18, p. 6). University and colleagues calculated one that’s the result of multiple layers,
That claim — and follow-up observations how flat layers of bedrock, water ice and he says. “They look like one reflection
suggesting additional buried pools of carbon dioxide ice — all known to be to the radar.”
liquid water (SN: 11/7/20, p. 8) — fueled The results don’t rule out liquid water,
excitement about finding an extraterres- Lalich and colleagues acknowledge. “This
trial locale possibly conducive to life. is just saying that there are other options,”
But researchers have since suggested he says.
ESA, DLR, FU BERLIN (CC BY-SA 3.0 IGO)
that those discoveries don't hold up to It’s “a plausible scenario,” says Aditya
scrutiny. In 2021, one group proposed that Khuller, a planetary scientist at Arizona
clay minerals and frozen brines, rather State University in Tempe. Until scientists
than liquid water, might be responsible for get a lot more data from the Red Planet,
the strong radar signals that researchers Evidence grows that there might not it’ll be difficult to know whether there
observed (SN: 8/14/21, p. 8). Spacecraft be an underground lake surrounded by is truly liquid water there, Khuller says.
additional pools of liquid water near
orbiting Mars beam radio waves toward Mars’ south polar ice cap (shown). “It’s important to be open-minded at this
the Red Planet and measure the timing point.”
is one thing, but catching hold is another contest,” Hancock says. knocking back mosquito numbers, Yee
problem. The newly released video gives He and colleagues also caught on film says. But under natural circumstances,
a clear view of a pair of brushes, one on a third kind of meat-eating mosquito, the predators are unlikely to crash mos-
each side of the head, that help with the Sabethes cyaneus, which is more flexi- quito populations as humans would
grasp. As the head nears its victim, the tarian than carnivore. It still bites into want. Yee compares it to the African
brushes fan out into what the researchers meals at its head end, but the danger of savanna. In photos, “you can see how
call a “flimsy basketlike arrangement” that getting snagged comes from the rear, the many wildebeest there are. The lions can’t
folds around the doomed prey. researchers’ videos show. Like many mos- really control them.” In nature, after all,
Such an attack may startle people quito larvae, they often dangle head down predators that thrive don’t wipe out their
thinking of mosquito bites just as stealthy in the water, but take in oxygen through own prey.
Watch young mosquitoes hunt one another at bit.ly/SN_MosquitoLarvae www.sciencenews.org | November 5, 2022 13
s
a
P
w
t
This image from the Hubble Space Telescope shows a split a
stream of dust and rock coming off the asteroid Dimorphos t
nearly 12 days after the DART spacecraft smashed into it. s
im
ATOM & COSMOS Before the impact, Dimorphos orbited T
GENES & CELLS hares, the winners are the ones that can analog: a shallow, narrow, 4-centimeter- fe
speed, they are comparable or slower” ovum by swimming against a current of While sperm in the study were bovine, b
than sperm traveling alone, says Tung, of mucus that streams through the cervix the advantages of clustering should also B
GABRIEL UGUETO
North Carolina A&T State University in and away from the uterus. It’s difficult apply to human sperm, Tung says. Sperm u
Greensboro. Like the sperm equivalent to study sperm swimming inside a living of both species have similar dimensions. s
of herds of tortoises racing individual being. So Tung and colleagues created an Both swimmers typically compete to t
used, or adapted, to select better quality form climbed around in trees and eventu-
A small ground-dwelling reptile named
sperm” for people in need of fertility assis- Scleromochlus taylori (illustrated) was a close ally gave rise to a proto-pterosaur, perhaps
tance. “That would be a very big deal.” relative of pterosaurs, a new study suggests. through an intermediate gliding stage.”
Early American
Democracies
Several societies in North America practiced political
UGA LABORATORY OF ARCHAEOLOGY
DORI DECAMILLIS
An 1869 painting by
Mexican artist Rodrigo
Gutiérrez depicts the
Tlaxcallan senate meet-
ing to discuss a potential
alliance with Spanish
conquistador Hernán
Cortés against the
Aztec Empire.
involved stints of military service. But in many control over political officials’ power and a political
ways, political participation at Tlaxcallan equaled voice for all citizens.
or exceeded that documented for ancient Greek Only eight societies received high scores, versus
democracy, Fargher and colleagues reported 12 that scored low, Blanton and colleagues reported
March 29 in Frontiers in Political Science. Greeks in the February 2021 Current Anthropology. The
from all walks of life gathered in public spaces to remaining 10 societies partly qualified as good
speak freely about political issues. But commoners governments. Many practices of societies scoring
and the poor could not hold the highest political highest on good government mirrored policies
offices. And again, women were excluded. of liberal democracies over the last century, the
researchers concluded.
Good government That’s only a partial view of how past govern-
Tlaxcallan aligned itself with Spanish conquerors ments operated. But surveys of modern nations
against their common Aztec enemy. Then in 1545, suggest that no more than half feature strong dem-
the Spanish divided the Tlaxcallan state into four ocratic institutions, Fargher says.
fiefdoms, ending Tlaxcallan’s homegrown style of Probing the range of democratic institutions
democratic rule. that societies have devised over the millennia may
The story of this fierce, equality-minded inspire reforms to modern democratic nations fac-
government illustrates the impermanence of ing growing income disparities and public distrust
political systems that broadly distribute power, of authorities, Holland-Lulewicz suspects. Leaders
Fargher says. Research on past societies worldwide and citizens of stressed democracies today might
“shows us how bad the human species is at build- start with a course on power sharing in Indigenous
ing and maintaining democratic governments,” he societies. School will be in session at the next meet-
contends. ing of the Muscogee (Creek) National Council.
Archaeologist Richard Blanton of Purdue
PAINTING/ALAMY STOCK PHOTO
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A DV E RTI SE M E NT
LONG COVID
REALITIES A visit to one long COVID clinic shows what doctors
and patients are up against By Meghan Rosen
T. TIBBITTS, ASIYA HOTAMAN/ISTOCK/GETTY IMAGES PLUS
B
elinda Hankins f irst grappled with After 12 long weeks of endless fatigue and aching
COVID-19 in the spring of 2020. She had a joints, her doctor suggested she seek treatment for
fever, chills and trouble breathing, but the long COVID. The lingering, sometimes full-body
real clincher was her loss of smell. Hankins condition can plague people for months or years
remembers opening a canister of Tony Chachere’s after a COVID-19 infection (SN Online: 7/29/22).
creole seasoning, lowering her nose to take a whiff, In late August, I joined Hankins, age 64, in a
and not smelling a thing. “That stuff usually clears small exam room for her first in-person consul-
B. HANKINS
the kitchen,” she says. tation at the Johns Hopkins Post-Acute COVID-19
Her second infection, two years later, was worse. Team clinic. Wearing a navy dress and a blue surgical
To hear Belinda Hankins talk about her experience, visit bit.ly/SN_longCOVID www.sciencenews.org | November 5, 2022 23
Azola says. Other clinics in the United States are who can help them with word-finding issues. Such
more or less forging their own paths. symptom management is necessary, Azola says,
Azola and colleagues are focusing on their because “we don’t have strong, randomized
patients’ symptoms, a strategy other long COVID controlled trials to support the use of specific med-
doctors and clinics are using too. “There is no one, ications or treatments.”
singular long COVID experience,” says pulmon- Developing effective therapies has been “frus-
ologist Lekshmi Santhosh. Doctors need to take a tratingly slow,” Santhosh says. Scientists are still
“customized, symptom-directed approach.” trying to understand what’s happening in the body
Santhosh founded the OPTIMAL clinic at the that spurs long COVID and lets symptoms sim-
University of California, San Francisco to provide mer away unchecked. “The underlying biology is
follow-up care for people who had COVID-19. Since unclear,” she says. That makes it “unclear exactly
2020, she’s seen hundreds of patients, who can wait what treatments might work.”
weeks to months for an appointment. One main Long COVID’s biological underpinnings are a hot
question Santhosh hears from patients: When am I topic among researchers, says Mike VanElzakker,
going to get better? That’s hard to a neuroscientist at Harvard Medical School and
answer, she admits. Massachusetts General Hospital, and part of the
Most commonly Scientists can’t yet predict how Long COVID Research Initiative, a group working
reported symptoms or when a patient will recover, and to study and treat the condition. Scientists have
of long COVID they don’t know why long COVID scads of hypotheses for what causes long COVID
strikes some people and spares symptoms, including lungs scarred by SARS-CoV-2
General others. Right now, there are no or the reawakening of some other, long-slumbering
• Fatigue that interferes with obvious patterns. “If you are young, virus. One idea posits that COVID-19 might sabo-
daily life you can get long COVID. If you have tage the immune system, inviting other microbes to
• Symptoms that get worse no preexisting health conditions, do harm. Another idea pins long COVID on caches
after physical or mental you can get long COVID. If you’ve of coronavirus hiding within the body’s tissues.
effort (also known as had COVID before, you still can get “It really does matter what’s causing these prob-
post-exertional malaise) long COVID,” Fleming says. The list lems,” VanElzakker says. If doctors knew what’s
• Fever goes on. driving a patient’s symptoms, they might be able
• Joint or muscle pain At UC San Francisco, Santhosh to offer personalized treatments aimed at the
• Rash says she’s seen it all. Long COVID illness’s root.
• Changes in menstrual cycles can affect a 75-year-old patient
who was hospitalized for COVID-19, Filling the void
Lungs and heart or a 35-year-old marathoner On Facebook pages and websites around the inter-
• Difficulty breathing or whose stubborn symptoms devel- net, purported long COVID treatment options
shortness of breath oped after just a mild infection. abound.
• Cough One patient can be hit with a hail- Vitamins, supplements, alternative medicines:
• Chest pain storm of health conditions, another General internist Aileen Chang in Washington, D.C.,
• Fast-beating or pounding patient, just a few. used to hear all the time from long COVID patients
heart For Azola, several experiences about therapies they’ve tried. In the fall of 2020,
have stood out. “I’ve heard some Chang and others started the George Washington
Brain weird things.” She remembers one Medical Faculty Associates COVID-19 Recovery
• Difficulty thinking/brain fog patient who felt as if a phone were Clinic, which later closed its doors due to a staffing
• Headache vibrating deep inside their bones. shortage. She recalls patients who flew to different
• Sleep problems Another described a sensation of countries to have their blood filtered and others
• Dizziness when standing up heaviness, like their legs were made who took “every sort of supplement you can imag-
ASIYA HOTAMAN/ISTOCK/GETTY IMAGES PLUS
• Pins-and-needles feelings of lead. ine,” she says. “They’re looking for solutions.”
• Change in smell or taste Long COVID’s scattershot symp- Chang worries that such unproven treatments
• Depression or anxiety toms require a smorgasbord of could have serious side effects; they can also drain
solutions. For headaches, a doc- patients financially. “They’re spending all this
Gut tor might prescribe a combo of money on things they think will make them bet-
• Diarrhea pain relievers. For shortness of ter,” Chang says, “but the truth is … we don’t know.”
B. LADYZHETS
• Stomach pain breath, an inhaler to open the What scientists do know is that efforts to
SOURCE: CDC airways could help. For brain fog, develop treatments for long COVID are still in their
patients might visit a therapist early days. There’s some evidence that getting a
the NIH RECOVER adult study rather than waiting months for specialists.
were active as of
early October. Pediatric clinic: Treats long COVID in children — Betsy Ladyzhets
For interactive versions of these maps, visit bit.ly/SN_longCOVIDclinics www.sciencenews.org | November 5, 2022 25
COVID-19 vaccine might improve long COVID COVID patients about this all the time, about the
patients’ symptoms, though this idea is con- need to rest, to pace yourself and how to gently
troversial, researchers reported this month in bring back your aerobic fitness.”
eClinicalMedicine. And repeated sessions of breath- Long COVID patients with fatigue can be
ing 100 percent oxygen in a hyperbaric chamber tempted to try and push through, to keep speeding
might relieve fatigue and brain fog, small studies through life as they had before their diagnosis. But
of patients have suggested. that doesn’t seem to work for people with chronic
Last year, the U.S. National Institutes of Health fatigue, and “for some long COVID patients, it can
launched a massive research project on the long- actually make things worse,” she’s found.
term effects of COVID-19. Called the RECOVER Azola has similar advice for Hankins. About a half
Initiative, the project aims to uncover why some hour into the appointment, Azola slides away from
people get long COVID and to identify underlying the computer desk and turns toward her patient.
causes. As of mid-October, RECOVER had enrolled “This is the part where people want to punch me
more than half of the estimated 17,680 in the face,” she tells Hankins, pushing
adults needed. “The most her glasses up onto her head. “We don’t
It’s a great initiative, Santhosh says, but important have a magic wand that makes [you] feel
it got rolling relatively late — well after thing is to better.”
long COVID had already upended many Instead, Hankins will need to check her
people’s lives. “We need … a lot more
listen to body’s battery every day, conserve energy
funding and a lot more therapeutic tri- patients where she can, and build in opportunities
als,” she says. Santhosh is hopeful that, and keep an to recover. Little tricks, like sitting in a
in the coming months and years, doctors open mind.” chair while showering or prepping food,
will have solid answers on what treat- can help patients save enough juice to
ALBA AZOLA
ments actually work. “There are a lot of make it through the day. Azola hopes to
tantalizing biological leads,” she says. Though, she get Hankins off the “corona coaster,” where patients
acknowledges, this timeframe can feel agonizingly can feel relatively good one day, and the next day,
long to patients and their doctors. crash. Having energy levels repeatedly crater can
erode a patient’s ability to live their lives, Azola says.
Real life For the next 20 minutes, doctor and patient talk
In the meantime, Santhosh, Azola and other phy- about how Hankins’ life has changed and what her
sicians are borrowing strategies that help for next steps will be. In a week, she’ll meet with a neu-
other disorders — like myalgic encephalomyelitis/ ropsychologist who will help her cope with her new
chronic fatigue syndrome. Many of the symptoms reality. Azola also refers Hankins to a pain specialist.
of that enigmatic illness overlap with those of long The two women have spent about an hour
COVID, a symmetry that could bring answers for together — a near-eternity for a medical appoint-
Alba Azola (left), a
rehabilitation physician both disorders, scientists suggested September 8 ment. For Azola, it’s time well spent. “The most
at Johns Hopkins in Science. important thing is to listen to patients and keep an
Medicine, focuses on One common approach isn’t a treatment like open mind,” she says.
managing the symptoms
of her patients with pills or surgery — it’s more of a shift in behavior: When I speak with Hankins nearly three weeks
long COVID. Don’t overdo it, Santhosh says. “We talk to our long later, she’s still feeling hopeful. She’s met with the
neuropsychologist and will continue to receive
follow-up care. Having a care plan that factors in all
of her conditions, including long COVID, she says,
JOHNS HOPKINS POST-ACUTE COVID-19 TEAM (PACT)
Explore more
s NIH RECOVER Initiative: recovercovid.org/
s Sonya Marshall-Gradisnik and Natalie
Eaton-Fitch. “Understanding myalgic
encephalomyelitis.” Science. September 8, 2022.
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In these memories, which Mukherjee uses to segue into the science of depres-
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Mukherjee weaves his experiences into the story of cell biology, guiding read-
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argued that mitochondria and other organelles were once free-living bacteria
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Mukherjee traverses a vast landscape of cell biology, and he’s not afraid to pull
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deeper dive, readers can check the footnotes; they are abundant.
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between the scientific and clinical worlds, and, like the microscope he assembled,
18. Signature and Title of Editor, Publisher, Business Manager, or Owner Title Date
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offers a glimpse into a universe we might not otherwise see. — Meghan Rosen
(including civil penalties)
WELCOME TO
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A teen with spiky white hair races his
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Today, it’s mostly on screens.
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rex. Later, he dances to some immersive, realistic virtual worlds
catchy music — while spinning and of science fiction. Eventually, though,
floating in midair. These scenes from the metaverse will surround us.
Ready Player One, a 2018 hit movie, Virtual reality headsets will transport
take place in a virtual world — the us to completely virtual worlds.
metaverse. That movie was a work of Augmented reality projectors will
science fiction. But in the very real make hologram-like virtual objects
here and now, engineers, and even and characters appear in the real,
kids, have begun building an actual physical world. Join Science News
metaverse. Explores as we explore what's in store.
The Royal Meteorological Society’s Erich Hoyt, ocean biologist Dr. Rupert Hochleitner
weather photo competition. The Nightly Migration of the Ocean’s 700 Minerals, Gems and Rocks
120 amazing photos of spectacular Smallest Creatures 900 color photos and helpful
weather phenomena and 150 “blackwater” color photos and illustrations. A great field guide.
commentary. 192 pages in color. fascinating text. 448 pages, paperback, $29.95
Large hardcover, $35 Large hardcover, $35
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Life can be beautiful at all scales, from big to small. Some- researchers understand how bodies and tissues develop.
times that splendor is concealed by literal scales. Parts of bones that have started to calcify shine bright-
32 SCIENCE NEWS | November 5, 2022 See more 2022 Nikon Small World images at bit.ly/SN_Nikon2022
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