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Comment by SeanLuke

2 years ago

Epstein-Barr has long been thought to be a culprit in everything from MS to dementia to especially CFS. But that's a real problem: there are no antivirals developed that are particularly effective against it. EBV research has been a backwater in medicine.

> EBV research has been a backwater in medicine

Truth. I moderate a forum for people suffering from Mononucleosis and the overwhelming feeling is abandonment and fear. Granted there's some inverse survivorship bias -- people who feel well supported and educated by the medical system usually don't post in support groups -- but it's so hard seeing so many people suffering for so long (SO LONG -- years of fatigue and malaise, in many cases) for something that has basically no first-line therapy.

  • Academic disciplines and medical research being famously kind to disabled people entering them too, right?

  • With most of these patients living decades after diagnosis, you would imagine that a reasonable chunk of them would give the rest of their life to researching a cure for their disease.

    Yet, while it seems common to do charity awareness fundraisers at marathons, it does not seem common for people to go learn biochemistry and work on solving the problem directly.

    Compare that to tech, where a huge chunk of the people here have probably written a computer program to solve some itch of theirs. Saying "I'm doing a charity fundraiser to fix the print preview bug in libreoffice" would be crazy.

    I wonder if perhaps these people all have so little useful productivity left that it isn't even worth starting to learn biochemistry?

    • Abandoning one’s livelihood to spend years in poverty studying advanced science at university in the distant hope that in a few decades you might contribute to a cure is a little different from taking a few weekends, or even a few months of weekends, to scratch a programming itch.

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    • I can't think of many people who've learned to program to fix a bug that's bothering them. and learning to program in your free time is much easier than switching careers, getting a PhD and securing funding for your lab.

      nevertheless, I know a number of people with my genetic disorder (Ehlers-Danlos syndrome) who have become researchers, doctors and PTs because of it. but that's a genetic disorder, so it hits you early enough in life to sway your choice of major.

      also, while I get what you're saying about having "little useful productivity left," it comes across as a bit insensitive.

    • We don't gatekeep tech. Literally anyone can create a PR and submit it to an open repo for consideration.

      You can't do the same for biotech. You need a PhD, a reputation, a ton of funding, a bunch of papers, to be even considered for "this person has a clue about this medical issue and might have an answer".

      Listening to maintainers talk about their experiences dealing with random weird PRs from random weird submitters, I'm not sure we're doing it right by not gatekeeping it more ;)

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    • Principally barrier to entry in the field due to high costs, low iteration rate, required space, safety of operation, and poor information sharing practices in the field.

      That's what I would guess. Because otherwise, there's the concerned uncle effect: unaffected agent who has close to maximal aligned incentive.

    • Programming is much, much easier to learn to a professional level than biochemistry, and open source is much, much cheaper and easier to enter and navigate than medical academia/pharma industry, and adding a software feature is (generally) much easier than discovering or developing a drug.

      I think it’s a valid question but expectations have to be tempered by the question of how many people have the means to follow through. Not many are in a position to go (back) to school for a doctorate just to start working on the problem 5-10 years later.

    • Someone suffering a debilitating illness (often later in life) is probably only slightly more likely to be able to contribute useful research here than someone actually already dead.

      What with them suffering the debilitating illness and all, and being well past the age where it would be natural to do a major life change like become a medical research.

      You might as well be wondering why Ukraine isn’t encouraging pregnant women to go to the front. I mean, what else do they have to do?

    • Given the high requirements to enter the field, and a likely mismatch of interests between many of the patients and the interests required, it would probably be more effective to try to fund some researcher directly. Identify someone doing high-quality research in an adjacent area and offer a direct grant of $50k or something to research towards a cure.

    • Getting access to the resources required for infectious disease research without qualifications is difficult.

>there are no antivirals developed that are particularly effective against it.

What happened to the research into DRACOs? A few years ago I kept hearing about them, but they seemed to vanish.

Is there any evidence of this? I have seen the data but it seems also likely that the same immune issues that cause ms could cause a lapse of resistance to eb.

Antivirals probably won’t help as most infections are silent, a vaccine is needed. Moderna is working on one.