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Monday, October 16, 2023

Long COVID Now Looks like a Neurological Disease, Helping Doctors to Focus Treatments | The End of America’s Exit Strategy in the Middle East | Here's How I Packed for a Month-Long European Trip Using Nothing but Carry-On | Israel’s Intelligence Disaster

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Long COVID Now Looks like a Neurological Disease, Helping Doctors to Focus Treatments - Scientific American   

The causes of long COVID, which disables millions, may come together in the brain and nervous system

Tara Ghormley has always been an overachiever. She finished at the top of her class in high school, graduated summa cum laude from college and earned top honors in veterinary school. She went on to complete a rigorous training program and build a successful career as a veterinary internal medicine specialist. But in March 2020 she got infected with the SARS-CoV-2 virus—just the 24th case in the small, coastal central California town she lived in at the time, near the site of an early outbreak in the COVID pandemic. “I could have done without being first at this,” she says.

Almost three years after apparently clearing the virus from her body, Ghormley is still suffering. She gets exhausted quickly, her heartbeat suddenly races, and she goes through periods where she can't concentrate or think clearly. Ghormley and her husband, who have relocated to a Los Angeles suburb, once spent their free time visiting their “happiest place on Earth”—Disneyland—but her health prevented that for more than a year. She still spends most of her days off resting in the dark or going to her many doctors' appointments. Her early infection and ongoing symptoms make her one of the first people in the country with “long COVID,” a condition where symptoms persist for at least three months after the infection and can last for years. The syndrome is known by medical professionals as postacute sequelae of COVID-19, or PASC.

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The End of America's Exit Strategy in the Middle East - Foreign Affairs   

The shocking Hamas assault on Israel has precipitated a beginning and an end for the Middle East. What has begun, almost inexorably, is the next war—one that will be bloody, costly, and agonizingly unpredictable in its course and outcome. What has ended, for anyone who cares to admit it, is the illusion that the United States can extricate itself from a region that has dominated the American national security agenda for the past half century.

One can hardly blame the Biden administration for trying to do just that. Twenty years of fighting terrorists, along with failed nation building in Afghanistan and Iraq, took a terrible toll on American society and politics and drained the U.S. budget. Having inherited the messy fallout from the Trump administration’s erratic approach to the region, President Joe Biden recognized that U.S. entanglements in the Middle East distracted from more urgent challenges posed by the rising great power of China and the recalcitrant fading power of Russia.

The White House devised a creative exit strategy, attempting to broker a new balance of power in the Middle East that would allow Washington to downsize its presence and attention while also ensuring that Beijing did not fill the void. A historic bid to normalize relations between Israel and Saudi Arabia promised to formally align Washington’s two most important regional partners against their common foe, Iran, and anchor the Saudis beyond the perimeter of China’s strategic orbit.

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Israel's Intelligence Disaster - Foreign Affairs   

Hamas’s devastating terrorist attack against Israel has unleashed the most violent and serious conflict the country has seen in half a century. Already, at least 1,000 Israelis (and 14 U.S. citizens) have been killed. It is an astronomical number for such a small country—equivalent to 30,000 Americans. About 2,900 more Israelis have been injured and an estimated 150 others, including toddlers, grandmothers, and foreign nationals, have been taken hostage. Meanwhile, at least 900 Palestinians have been killed in the Gaza Strip, and another 4,500 have been injured.

These figures are likely to rise. Israeli Prime Minister Benjamin Netanyahu has declared war, launched deadly airstrikes on the Gaza Strip—a densely populated Palestinian area controlled by Hamas that has been blockaded by Egypt and Israel for 16 years—and vowed to turn Hamas strongholds into ruins. With Hamas rockets raining down on Israeli cities, Israeli shells bombarding Gaza, and Hamas fighters threatening to execute hostages, fears of a broader regional conflagration are mounting.

In these early days, the fog of war is thick, and it is hard to anticipate exactly how the conflict will unfold. But this much is already clear: Hamas’s attack came as a shocking surprise. Israel’s billion-dollar, high-tech Gaza border wall was easily and quickly breached. Early reports suggest that Hamas fighters used unsophisticated weapons to overrun border security with cheap drones, bulldozers, and bombs, and that they traveled to inflict violence and take hostages on paragliders, motorcycles, and in a golf cart. Yet this was not an amateur-hour operation. The assault came by air, land, and sea, and attackers fanned out to capture and kill across multiple sites simultaneously. That kind of large-scale sophisticated operation takes careful planning, coordination, time, and practice.

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