Discover and read the best of Twitter Threads about #recovery

Most recents (24)

We all ♥️ #Paris where were it took place 1st presentation of incoming French Presidency to @EESC_PRESS! #PFUE2022 @CBeaune underlined this rare & precious opportunity, highlighting France's ambition to mark progress on #EU legislation, #climate #digitalisation #socialpolicy 1/1
The red thread of #PFUE2022 would be "Recovery, Power, Belonging" (“Relance, puissance, appartenance”). France would not impose an agenda, but would serve as an accelerator for the way forward on ideas and dossiers. #EU #Europe 1/2
#Recovery”- in economic terms, after the Covid pandemic; "#Power" - in terms of #security, external relations, #defence, #migratory policy, climate; and "#Belonging" - feeling of being part of the common #European political project. 1/3
Read 9 tweets
“Having a baby is one of the most amazing, miraculous, and life-altering moments of life. Yet with all the focus on the baby, it can be easy to forget that your body has just undergone a very physical+emotional experience and that it takes a while to recover+feel “normal” again” Image
“Most new moms are unaware about the toll of pregnancy on the body and the process of postpartum recovery leaves a lot of moms surprised by how intensive and lengthy the healing process can be.”

Are you an expectant mom? This thread will be helpful in your preparation.
Week 1 and 2

“The first week postpartum is the most intensive in terms of adjustment and recovery. You have just given birth, are taking care of a newborn, and may have experienced vaginal or perineum tearing (and stitches) or other delivery complications.
Read 26 tweets
Welcome back, George.

Now, about that "race-to-the-bottom" slashing of #data #protections...
...which, despite fine words about "maintaining high standards", is plainly the intent of @DCMS's proposed #DataProtection 'reforms':

assets.publishing.service.gov.uk/government/upl…

...which include the intent to (re)define "#ScientificResearch" 🤔🤔🤔
Of course, we understand #TIGRR's "enthusiasm for #digital", its eye on the value of "highly #profitable consumer data", and frustration with the pesky #protections and #safeguards of #UKGDPR...

assets.publishing.service.gov.uk/government/upl…
Read 6 tweets
Le saviez vous ? #LeSaviezVousCOVID

1️⃣Oui des nouveaux anticorps monoclonaux sont disponibles dans le tt du Covid
NON il ne faut pas les prescrire à tort et à travers
Les résultats de l’essai RECOVERY doivent être d’abord publiés et ne devons suivre les recommandations #Thread
2️⃣Oui les patients immunodeprimes et non répondeurs à la vaccination doivent pouvoir accéder à des traitements soit en préventif ( prophylaxie contact) ou en curatif si l’infection est déclarée
3️⃣MAIS ne tombons pas dans l’excès inverse en donnant accès à ces traitements larga manu alors que l’étude n’est pas encore publiée et que le préprint ne montre pas une efficacité suffisante pour tous les patients 😳🙄
Read 23 tweets
🔥Si vous n'avez pas pu me voir aux @JNInfectio pour la prise en charge actuelle de la COVID-19, voilà un petit thread 👇

Prise en charge en 5 axes : oxygène, kiné, anticoagulation préventive, anti-inflammatoires, antiviraux
Sans oublier les autres besoins, notamment en post réa
L'oxygénothérapie est à adapter en permanence aux besoins, des simples lunettes à O2 puis le masque à moyenne concentration, haute concentration, l'optiflow, la ventilation non invasive, l'intubation, l'ECMO.

Rôle majeur des soignants pour augmenter / diminuer selon les besoin
La kinésithérapie est un axe essentiel de la prise en charge, que ce soit la spirométrie incitative, le décubitus vigile (respirer sur le ventre quelques heures ts les jours) et l'activité physique
Je me souviens de patients qui faisaient du vélo sous optiflow, cela aide à tenir
Read 15 tweets
1/🧵🎥 Hard-Won #Wisdom from the wife of a #LongCovid patient >140 days into hospitalization.

You need to hear her 2 messages:
1. “What I can tell you is I’ve never given up #hope. To make it to tomorrow, we have to make it through today first.”

HUMILITY ❤️‍🩹 IS HER MEDICINE
2/ When things are acute, like in this video of her husband when he was 1st in the ICU, we tend to think our task list is all technological. I’m guilty of this. And I’ve caused ⬆️ suffering because of my tunnel vision.

3/🎥 Point #2 from my pts wife:
“He’s not gonna get better next week or next month. #COVID takes a LONG time. Our lives are forever changed. Expect setbacks & be your loved one’s advocate!”

NOW she & he are convinced of the importance of #Vaccination & masking. Learn from them!
Read 15 tweets
1/🧵🎥 “Doc, TIME is BROKEN.” ⏰ #BRAINFOG in #COVID19 is something like this stuttering second-hand on a hospital room clock with a low battery. Imagine if your brain stuttered like this! This video was taken by an ICU survivor who told me how the clock contributed to #Delirium.
2/ Now our @CIBScenter ICU survivor @SGFesquire sees how the clock not only contributed to his delirium but symbolized his brokenness & need of healing (pic w perm). Brain Fog presents as delirium when 1st sick & as cognitive impairment (memory + mental slowness) in #LongCOVID.
3/fin
Ongoing Brain Dysfunction = major suffering. Let’s be patient with #LongHaulers. They look normal & are silenced like #MECFS pts. Patients, seek help. We will help you “unbreak time.” We do this through cognitive rehabilitation tools. #recovery

bit.ly/3y8vaJt
Read 3 tweets
Here’s a lovely piece by @stuheritage, who is constantly and tirelessly trying to innovate a way to Patch-Adams me out of my low ebb.
The weekend my husband took the kids camping, I lined up 5 binegable feel-good movies on Netflix, then cleared off the sofa, and spent the entire weekend wondering why I couldn’t bring myself to sit down. Depression-anxiety-ADHD-bereavement-breakdown. Do not recommend.
Bingeable*. Also, I would like to clarify, GLAMPING.
Read 5 tweets
Je vais essayer de retracer l'historique de la plandemie pour essayer de comprendre l'obligation de s'injecter cette thérapie génique expérimentale via 1 pass qui ne ressemble à rien de sanitaire.
( Texte évolutif sujet à modification )
On parlera forcément de :
Buzin
⏬⏬⏬
+ Le déclassement de hcq avant l'épidémie ( médicament vendu a des milliards d'exemplaires, approuvé depuis 50+ qui fonctionnait déjà sur les autres Corona )
+ Les masques disparus non nécessaires, réapparus beaucoup+ chers et obligatoires
+OMS et The Lancet
+ Recovery
⏬⏬⏬
....
Un pass sanitaire qui ressemble beaucoup à un pass économique. 

Aller au travail sans pass est possible

Ils disent ''ok tu peux ramener le virus avec toi mais tu ne seras pas payé''
...
⏬⏬⏬
Read 17 tweets
Pre-print of the #COVIDSTEROID2 RCT comparing dexamethasone 6mg vs 12mg in hospitalized patients on high flow O2 or MV:
- no difference in survival or days free of MV with higher dose dex but…
- interesting “trend towards benefit” w/ higher dose dex
📄medrxiv.org/content/10.110…
1/ ImageImageImageImage
🔑 Question: we know from #RECOVERY that steroids are beneficial in severe COVID, but what’s the ideal dose?

#COVIDSTEROID2 was a large DB multi center RCT to answer this. It randomized patients on high flow O2 or MV to either 6mg or 12mg of dexamethasone for up to 10 days.
2/ ImageImageImageImage
The 1° endpoint was days alive free of lifesupport (MV, ECMO, RRT). 2° endpoints included 28 day mortality.

Based on prior studies, they powered for a 15% relative mortality reduction (ARR ~4.5%) combined w/ a 10% reduction in life support duration.

This is pretty ambitious.
3/ ImageImage
Read 13 tweets
$APTY

✅Active discussion on possible partnership.
✅Planning to go current in stages
✅No R/S planned
✅Taxes paid
✅Reinstated
✅Launching Speracoin project (Stable coin)
#Cryptocurrency backed by USD, Gold & Silver
@APTYsys owns @AUREXandGold
$APTY

What is a Stablecoin?

A “stablecoin” is a type of cryptocurrency whose value is tied to an outside asset, such as the U.S. dollar or gold, to stabilize the price.
Read 17 tweets
1/🧵 Giving & Receiving Advice:

My medical advice is not infallible. Maybe I’m wrong and maybe my patient knows it? Maybe that’s one reason she/he is non-compliant. Even if I am right, it might not be the time in that person‘s life to hear the message.

#selfcare #medtwitter
2/ A pt may seem to be listening & carefully taking it all in. But later that morning she/he may leave against medical advice (AMA). What are we to think when we give our best #advice and others don’t take it? Especially in the medical field?
 
#tipsfornewinterns #tipsfornewdocs
3/ First of all, of course, unsolicited advice is #criticism. Especially when I’m not with a patient, I try to resist all urges to give unsolicited advice.
Read 13 tweets
1/🧵 Addiction is a family disease:

Drinking three 8-packs of Budweiser Nitro Gold daily for 10 yrs takes its toll on the entire family. I told my patient, “All you have to do is the next right thing.” Then…

#MedTwitter #Nurse
2/ His family was very upset when his “next right thing” was to check out against medical advice. I shared a quote from @MalibuMelB (M. Beattie): “Others don’t know what’s best for us. We do not know what’s best for others. Our main job is to determine what’s best for ourselves.”
3/ Terminology: Addiction vs. Substance-Use Disorder…there are many things people can be addicted to besides “substances.” Addictions to things like exercise, love, money, control of others, etc. For this🧵, I am referring to addiction broadly…and how it robs people of joy.
Read 7 tweets
The 1st direct antiviral drug intervention—monoclonal antibody cocktail—to improve covid survival
Preprint of #RECOVERY
medrxiv.org/content/10.110…
Benefit in hospitalized patients who have not developed an antibody response; potential harm in those who had
Image
Two big issues:
1. We don't have a quick, accurate way to determine serostatus (#SARSCoV2 antibody) to guide therapy
2. Cost of monoclonals. Next gen mAbs, nanobodies, synthetics, inhalation preps may alleviate this significant problem
economist.com/science-and-te…
Bad headline
It's not the "sickest" patients. It worked in those without an antibody response yet. Image
Read 3 tweets
1/ 🎥🧵 How do we test someone for #delirium in #COVID19 or any ICU? When someone won’t engage it can be a huge red-flag for “quiet” delirium, which predicts 3X ⬆️ #DEATH by 6 mo & acquired #dementia. Watch this movie of me testing pt #1 for delirium.

#MedTwitter #NurseTwitter
2/ What does this mean? He starts out OK but then can’t follow my command to squeeze only on the letter A. Instead, he squeezes when I say the word “squeeze” & doesn’t relax his grip or vary it on different letters. This is inattention & a cardinal feature of #Delirium.
3/ 🎥 Contrast Pt 1 with this Pt 2 video of me doing the same test. This person had delirium on earlier days & is now improving. He gets 8/10 correct responses, which means he’s attentive and not delirious any more. This day he walked & talked for the 1st time!

#Recovery #nurse
Read 7 tweets
Super excited to see our paper on #Covid19 #Fiscal Support and its Effectiveness, with Alexander Chudik @DallasFed & @mraissi80 @IMFNews, out in Economics Letters. You can read it (free access) from here: authors.elsevier.com/c/1dDlMbZedt0om #TGVAR 1/n Image
With new variants/waves & reimposition of restrictions in some regions, governments around the world are calling for a careful assessment of the effectiveness of the adopted #Covid19 #fiscal measures before they embark on further easing or tailoring of measures 2/n
The #Covid19 pandemic led to a sharp tightening of global #financial conditions at the acute phase of the crisis and has inflicted large economic losses across the world (see Figure below) ... 3/n Image
Read 28 tweets
1/🧵An Epiphany: #delirium treated w touch & eye contact, day by day...his mom cried, “He won’t let us help him shake this damned disease.” Finally his mind cleared. “What matters to you? How can I help?” Slowly, surely, he asked, “Doc, can you help me stop drinking?”💔
#Recovery
2/ #GroundZero. What a privilege it is to witness someone enter a long-awaited epiphany that opens the door to so much recovery. Unfortunately, in my early years as a doc, I thought, “Well, this isn’t critical care, so I’ll move on & let someone else take over.”

#shame on me
3/ But what is a doctor for?

1. To reduce human suffering & heal people where they are.
2. Plus the Latin root is “docere,” teacher.

It’s a dual vocation: healer + teacher. Because of the “Law of the Gift,” I know that the more I give, the more I receive, so…

#TipsForNewDocs
Read 7 tweets
.#MAGA[ts], this is how you get played.

@EliseStefanik (and @kayleighmcenany, of course) apparently thinks that #leadership is complaining and #lying and shrieking and NOT about proposing solutions.

But then, she's a #Republican. #Governing is NOT what the @GOP does.
.#MAGA[ts], so what's ACTUALLY going on.

@POTUS @JoeBiden spend some time with @FLOTUS because it was her birthday.

No one has a right to begrudge them that. If you have a problem with it, sit and spin. Not everything is about you nor is it always your business.
.#MAGA[ts], the deal with #gasprices, as has been explained, many times, is that we are seeing a seasonal rise in prices that were, for a time, aggravated by the recent #ColonialPipeline hack that resulted in the closing of the pipeline.
Read 21 tweets
Excerpts from "'America’s Post-Pandemic Geography' - Covid-19 is transforming all types of communities, from big cities to suburbs to rural areas" - from the Summer 2021 Issue of @CityJournal - by @Richard_Florida & @joelkotkin. A #Thread.

The article → city-journal.org/americas-post-…
1. "The #Pandemic will pass...But in geographic terms, today’s Covid-precipitated crises may well prove to be the most transformative event that #America has experienced since the great migration to the suburbs after World War II."
2. "....centrifugal forces pull some people out of #Cities: families seek more #Affordable space, backyards, and access to better schools. With the wider scope of choice that #RemoteWork affords, some are casting their nets wider and moving farther afield..."
Read 25 tweets

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