Discover and read the best of Twitter Threads about #everydeepdrawnbreath
Most recents (11)
1/🧵 Long COVID Brain Science: 🧠
For ~100M suffering 🌎, let’s use data to combat myths & #Misinformation
COVID is biologically dangerous long after virus is gone
#LongCOVID affects our….
📍Olfactory & Limbic Systems
📍 Interferon Autoimmunity
📍PET scans
📍Astrocytes
How?
For ~100M suffering 🌎, let’s use data to combat myths & #Misinformation
COVID is biologically dangerous long after virus is gone
#LongCOVID affects our….
📍Olfactory & Limbic Systems
📍 Interferon Autoimmunity
📍PET scans
📍Astrocytes
How?
2/ First, Epidemiological comparisons…
FLU vs. COVID
Survivors of viral infxns like #Flu don’t complain of 200 long-term symptoms & ~90% ongoing mood disorders.
#LongCOVID pts do.
Flu kills 0.5M/year vs COVID has killed 10X that (5M) in just 2 years.
bit.ly/3mJTBK4
FLU vs. COVID
Survivors of viral infxns like #Flu don’t complain of 200 long-term symptoms & ~90% ongoing mood disorders.
#LongCOVID pts do.
Flu kills 0.5M/year vs COVID has killed 10X that (5M) in just 2 years.
bit.ly/3mJTBK4
3/ Consider this:
A study of 150k COVID survivors, hospitalized & not.
COVID survivors had 10-15X ‼️higher risk of considering #suicide at 1 year than 11M control patients.
This is horrifying, yet people still deny #LongCOVID’s importance.
WHY?
bit.ly/3HnHZpB
A study of 150k COVID survivors, hospitalized & not.
COVID survivors had 10-15X ‼️higher risk of considering #suicide at 1 year than 11M control patients.
This is horrifying, yet people still deny #LongCOVID’s importance.
WHY?
bit.ly/3HnHZpB
1/🧵ICU Burn-Out Prevention in #COVID: a few thoughts
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
#burnout #nurse
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
#burnout #nurse
2/ Which is to say, I was only “good” doctor on paper. NOT in real life.
I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.
Now I know that was not enough, not by a LONG SHOT.
I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.
Now I know that was not enough, not by a LONG SHOT.
3/ 📚 I wrote: “That shot of adrenaline from saving a life dissipated once the ventilator was in place…as if we handed over care of our patients to machines while we went off & intubated, sedated & paralyzed the next person...
P.58 #EveryDeepDrawnBreath
P.58 #EveryDeepDrawnBreath
1/🧵 What is #LongCOVID⁉️
A disabling malady from ongoing inflammation, autoimmunity, & potential viral reservoirs (GI, brain?)
NEW DATA: The Lungs “light up” on special MRI Scans 3 to 9 months later in patients never hospitalized for COVID.
bit.ly/344Oajp
A disabling malady from ongoing inflammation, autoimmunity, & potential viral reservoirs (GI, brain?)
NEW DATA: The Lungs “light up” on special MRI Scans 3 to 9 months later in patients never hospitalized for COVID.
bit.ly/344Oajp
2/ These #LongCOVID pts had NORMAL CT scans but when asked to inhale Xenon, an inert gas, the MRI showed their lungs transferred gases (think oxygen) into the bloodstream abnormally. This is alarming evidence of another weird form of organ damage from COVID not visible on CXR/CT.
3/ Oxford Prof Dr. Gleeson says these patients, who were never in hospital & didn’t have acute severe illness w their COVID19, have been experiencing symptoms for a year after contracting the infection.
1/🧵 Sleep for Sick Patients & #LongCOVID
If sleep is so important, why do we wake you up (hourly) in hospital?
Do #LongCOVID pts need MORE rest than they think?
We’re studying this to see if “forcing” hospital quiet times helps people survive & get less #delirium.
Read on…
If sleep is so important, why do we wake you up (hourly) in hospital?
Do #LongCOVID pts need MORE rest than they think?
We’re studying this to see if “forcing” hospital quiet times helps people survive & get less #delirium.
Read on…
2/ It makes sense to me that it’s unhealthy to keep waking up people who are trying to get rest & heal.
If the body needs 7 hours #sleep a night when NOT sick (see 🧵 in tweet above), is it anti-medicine to prevent us from even more sleep when so much repair is needed?
If the body needs 7 hours #sleep a night when NOT sick (see 🧵 in tweet above), is it anti-medicine to prevent us from even more sleep when so much repair is needed?
3/ @fi_lowenstein & @itsbodypolitic wrote a wonderful piece about how she “rested herself” to health when suffering #LongCOVID.
I tell my COVID survivors @CIBScenter, “However much sleep/rest you think you need, double it.”
bit.ly/34JSyEd
I tell my COVID survivors @CIBScenter, “However much sleep/rest you think you need, double it.”
bit.ly/34JSyEd
1/🧵 You’re dying in a hospital bed, and we grant you “THREE WISHES.” What would they be?
My dying patient is stunningly beautiful INSIDE & out. I asked what 3 wishes she had?
This video of the Birthday 🎂 party we had for her son is her BONUS Wish!
Read on for her share ❤️
My dying patient is stunningly beautiful INSIDE & out. I asked what 3 wishes she had?
This video of the Birthday 🎂 party we had for her son is her BONUS Wish!
Read on for her share ❤️
Her Wish #1: Pizza, large w extra cheese. It’s been 3 years since she tasted SALT.
(again, all pics shown w their perm)
(again, all pics shown w their perm)
2/ Wish #2:
Expanded FAMILY visitation, which mean she enjoyed the ‘Za with all her children!
She said, “Dr. Wes, Dr. Koenig & @mad_ruk this is Priceless to me 🎁.”
Families are not a luxury. They are integral to healing (& healing can occur w/out cure).
Expanded FAMILY visitation, which mean she enjoyed the ‘Za with all her children!
She said, “Dr. Wes, Dr. Koenig & @mad_ruk this is Priceless to me 🎁.”
Families are not a luxury. They are integral to healing (& healing can occur w/out cure).
1/🧵For months I’ve been grappling with what seemed like a real gap in conversations about #LongCOVID.
Here in @STATnews, I introduce you to 30 references & 3 #COVID survivors – Ray, Pam, and Carolyn – who taught me a lot. I hope you think so, too…
bit.ly/2Zb9S2J
Here in @STATnews, I introduce you to 30 references & 3 #COVID survivors – Ray, Pam, and Carolyn – who taught me a lot. I hope you think so, too…
bit.ly/2Zb9S2J
2/ "I feel like I'm getting the silent treatment & it's killing me," #LongCOVID pt Pamela Bishop confided in me about her months-long interactions as she tried to get answers about a strange array of symptoms that have plagued her since recovering from #Covid19.
Pam then & now…
Pam then & now…
3/ Up to1 in 3 COVID survivors report experiencing #longCovid symptoms 3 to 6 months later. Their stories give me an extreme case of déjà vu because this is playing out similarly to the problem of long-term survivorship after non-COVID critical illness.
bit.ly/3vzcIdn
bit.ly/3vzcIdn
1/🧵 People ask me, “What’s the main purpose of treating #COVID ICU pts with the #A2Fbundle? (a daily safety checklist of ⬇️ sedation & ⬆️ mobilization). It’s to prevent #PICS related dementia, PTSD, depression & reduce suffering in #LongCOVID.
HOW? What is the philosophy?
HOW? What is the philosophy?
2/ For patients it’s about magnifying their #dignity and self-worth by liberating them sooner from us (our treatments that put them through a depersonalization chamber). For HCWs, it’s about purity of service, avoiding hypocrisy, and better self-sacrifice for our patients.
1/🧵🎥 REFLECTION on Fear & Love – what connects 9/11 & #COVID19?
On #Sept11, 2,996 died. 412 were 1st responders running INTO danger.
WIKI: bit.ly/3AiqZN2
WHY did they do this? Listen to my patient Col. Correa👇
HINT: it was NOT religion, politics, or patriotism.
On #Sept11, 2,996 died. 412 were 1st responders running INTO danger.
WIKI: bit.ly/3AiqZN2
WHY did they do this? Listen to my patient Col. Correa👇
HINT: it was NOT religion, politics, or patriotism.
2/ When someone around us needs help, the only universally unifying response is #LOVE.
Wells of love (see pics 👇) must be what we drawn on to achieve success in serving others, whether on 9/11 or in this #Pandemic.
Pics by Robert Mecea & @marklennihan
Wells of love (see pics 👇) must be what we drawn on to achieve success in serving others, whether on 9/11 or in this #Pandemic.
Pics by Robert Mecea & @marklennihan
3/🎥 I cared for 9/11 hero Colonel Victor Correa as he died in our @VA hospital years later. His story is told in #EveryDeepDrawnBreath. He carried men out of the Pentagon saving lives. Watch more of his testimonial…
1/🧵🎥 UBUNTU is an answer to the #COVID question not enough of us are asking:
Who is my neighbor?
Our response to this question will dictate our #PublicHealth decisions.
What is ubuntu? A type of humanism needed #now more than ever. Listen to Nelson Mandela & Desmond Tutu!👏
Who is my neighbor?
Our response to this question will dictate our #PublicHealth decisions.
What is ubuntu? A type of humanism needed #now more than ever. Listen to Nelson Mandela & Desmond Tutu!👏
2/🎥👇 Nelson Mandela on Ubuntu: “A traveler through a country would stop at a village and he didn't have to ask for food or for water. Once he stops, the people give him food and attend him. That is one aspect of Ubuntu, but it will have various aspects.”
3/ Embracing #Ubuntu means it’s not about you, it’s not about me, it’s about us working together as one! Ubuntu is belief in a universal bond of sharing that connects all humanity & transcends barriers, ideologies, cultural diversity and more.
1/🧵 I lost a women into the clutches of death recently who reminded me of 2 other amazing women. Let me tell you about them…
My recent pt & Sarah both had hopes of raising their children, but it wasn’t to be so… (these stories are shared w perm)
My recent pt & Sarah both had hopes of raising their children, but it wasn’t to be so… (these stories are shared w perm)
2/ Sarah was a young woman who had just had a baby and was suffering from a disease of the 💔that happens after pregnancy. Here is my first paragraph about her from #EveryDeepDrawnBreath…
3/
“In my third year of medical school, my first patient was Sarah Bollich. Sarah had grown up in a clapboard shotgun house on Desire Street in the Ninth Ward in East New Orleans. She was twenty-three years old with a one-week-old baby…
“In my third year of medical school, my first patient was Sarah Bollich. Sarah had grown up in a clapboard shotgun house on Desire Street in the Ninth Ward in East New Orleans. She was twenty-three years old with a one-week-old baby…
1/ How do Children Suffer after ICU?
Today the mom of a 4 y/o boy who is in 📚#EveryDeepDrawnBreath wrote me & said to share this pic (w his twin). The family’s story can help us understand life after #CriticalIllness:
“Dr. Wes, we are 2 years out & he’s got a new limp!”
WHY?
Today the mom of a 4 y/o boy who is in 📚#EveryDeepDrawnBreath wrote me & said to share this pic (w his twin). The family’s story can help us understand life after #CriticalIllness:
“Dr. Wes, we are 2 years out & he’s got a new limp!”
WHY?
2/ Mom writes: “Many appointments later we have learned that either his septic shock, ECMO, or the strokes caused damage to his growth plates. His left leg & foot are shorter than his right leg & right foot.”
This feature of pediatric #PICS will also affect sick #COVID19 kids.
This feature of pediatric #PICS will also affect sick #COVID19 kids.
3/ She goes on… “The doc at the children's hospital who we see said any of these 3 conditions can cause this to happen and our son had all three (strokes, septic shock, ECMO).”
