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Emily Deans MD Profile picture
@evolutionarypsy
Aug 9, 2020 • 7 tweets • 3 min read • Read on X
The weekly clinical update on TWiV is out today. Always feel like I need to be taking notes (first 30-40 min) podcasts.apple.com/us/podcast/thi…
Daniel noted a paper “the landscape of cognitive function in recovered covid patients...severity relates to elevated CRP. ncbi.nlm.nih.gov/pmc/articles/P…
#toevid and telogen effluvium came up again just in case you missed me freaking out live on twitter because we diagnosed ourselves with COVID two months after we were actually sick...I recapped the story recently https://t.co/Ib09djSK9w
Here’s the very cool article on #toevid #covidtoes onlinelibrary.wiley.com/doi/full/10.11…
THEY FOUND SARS CoV2 PARTICLES IN THE ENDOTHELIUM ON ELECTRON MICROSCOPY PEEK-A-BOO Image
Image
Between my telogen effluvium the #toevid the history and some other data points I can’t share I’m about 95% certain we all had COVID in feb despite the testing. (None of us got a PCR test and my husband and I got one of the early not so great antibody test that was negative)

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More from @evolutionarypsy

Emily Deans MD Profile picture
Jun 3, 2023
meds and therapy won’t work if you don’t have iron. It’s the most common nutrient deficiency in the world and is very common even in the developed world. Serum ferritin is a reasonable blood check though not as specific as iron studies.
I’ve had multiple referrals for supposed total treatment refractory depression that turned out to be iron deficiency. Signs of iron deficiency like pica, anxiety, shortness of breath, restless legs, low exercise tolerance had been ignored for years and not asked about.
There are some things you really really don’t want to miss as a psychiatrist. Thyroid problems, iron deficiency, B12 deficiency, hyperparathyroidism, substance abuse, covert eating disorders.
Read 9 tweets
Emily Deans MD Profile picture
Feb 11, 2023
Best cold meds thread:
1) ibuprofen
really try to avoid taking this too much because it’s too easy to relieve the aches and pains & torch your kidneys forever but when your throat is killing you & your teeth ache this will do the trick. Stay hydrated and use no more than recommended on a full stomach
2) pseudoephedrine

Yes you have to get the real stuff behind the counter at the pharmacy and show your license. The phenylephrine otc substitute is garbage (okay in hospital IV). One time I ignored my soggy cold and I got a sinus infection and hated my life.
Read 12 tweets
Emily Deans MD Profile picture
Dec 9, 2022
this article is a bizarre combination of some thoughtful reporting on functional disorders (the first case she mentions is a very classic example) and also lots of factual inaccuracies about ME/CFS and Long COVID
Some of the research on long COVID is a mess though so it’s easy to use that to throw “oh it’s in your head” at people.
It’s tough though because some people have what looks like new onset ME/CFS after COVID and some have lingering GI or autoimmune or respiratory or neurological issues and lots of overlap…I would say it’s almost impossible to study these as a single entity.
Read 20 tweets
Emily Deans MD Profile picture
Dec 6, 2022
FYI got this from someone I followed, verified account who it looks like might have been hacked, retweeting only Twitter verified the first 6-7 tweets so it looks a bit legit. Link asked for Twitter password. Text from a DM saying Twitt...
Relatively sophisticated for an online scam, using a verified account, making sure last tweets made it look legit, and the website it links to is clean and professional looking with no misspellings.
Yeah, be careful out there
Read 4 tweets
Emily Deans MD Profile picture
Oct 1, 2022
Coffee studies are fun because people who drink more coffee tend to smoke more, drink more alcohol, exercise less, and do all sorts of unhealthy things so the healthy user bias that plagues most dietary research is absent.
I say this as someone who does not drink coffee. 🤷🏻‍♀️
Since caffeine is metabolized almost entirely by cyp450 1A2 I’ve wondered if fast metabolizers who can drink more coffee have some other health advantage (cyp450 1A2 => aflatoxin for example) but caffeine and the phytochemicals in coffee could just be good for you.
Read 4 tweets
Emily Deans MD Profile picture
Jun 16, 2022
When the system is down…post COVID impacts in societal mental health with KikiChang MD.
Post COVID fatigue, insomnia, joint disorders, concentration and residual symptoms are very common, less in post-vaccinated.
Patients with Long COVID may have elevated levels of inflammatory cytokines. @MedscapeLIVE
Read 34 tweets

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