Thread by @DipeshGopal

Thank you to the @bmj_latest for hosting the
#BMJCovid

@PaulGarnerWoof: #LongCovid was way long than the 2 weeks

blogs.bmj.com/bmj/2020/06/23…

@Dr2NisreenAlwan - "why aren't we measuring #LongCovid?"

#LongCovid - often has a wide range of symptoms: body ache, chest pressure, tiredness, rash. The symptoms do not completely go - relapsing and remitting. #BMJCovid

Read her article here: blogs.bmj.com/bmj/2020/07/28…

@trishgreenhalgh - "you do not necessarily need a positive test to have #LongCovid"

Let's not get too caught up with this - we weren't testing at the beginning of the pandemic. #BMJCovid

How do we manage #LongCovid. Great patient resources here: bmj.com/content/370/bm…

@timspector showed that @Join_ZOE #BMJCovid

10% of people who had #Covid19 had symptoms > 1 month

Over 60000 people in the UK had symptoms > 3 months #LongCovid

medrxiv.org/content/10.110…

@PaulGarnerWoof: The NHS guidance for tiredness/fatigue is terrible and insufficient for #COVID19

We aren't thinking about the time for convalescence - recovery may be longer than we think. #BMJCovid

Research may take time people don't have.

blogs.bmj.com/bmj/2020/05/19…

@timspector: 75% accuracy prediction of who will get #LongCovid.

Those who get persistent cough, hoarse voice, headache, diarrhoea, loss of appetite, breathlessness in their 1st week of acute illness are more likely to get #LongCovid

#BMJCovid

@timspector and @DocOfHearts

Agree that fatigue is the predominant symptom in #LongCovid but some differences in prevalence of headache, cough, breathlessness, chest pain, etc which may be cohort dependent

#BMJCovid

@v_puntmann talks about @escardio guidance and cardiovascular complications of #COVID19:

escardio.org/Education/COVI…

#BMJCovid

@v_puntmann:

Stopping ACE inhibitors and beta blockers for those patients with heart failure and #COVID19 was associated with worse all-cause mortality. #BMJCovid

onlinelibrary.wiley.com/doi/10.1002/ej…

@v_puntmann:

How might cardiac complications of #LongCovid occur?

The mechanism seems to be different to the acute illness. #BMJCovid

escardio.org/Education/COVI…

@PaulGarnerWoof: the antibody tests were based on data from 30 inpatients provided from the manufacturer. 😳

@dr_mattmorgan previously on a panel with me said that antibody tests may be a way of patients making sense of their #LongCovid journey. #BMJCovid

@harryrutter @mirandarwolpert @trishgreenhalgh

When it comes to antibody tests (immunity), #LongCovid... Are we good enough at communicating uncertainty in science/research to the public? #BMJCovid

blogs.bmj.com/bmj/2020/07/22…

@trishgreenhalgh @DocOfHearts - Doctors really need to make patients equal partners who often know more about the illness than us. #BMJCovid

If you are suffering lots of help online: bmj.com/content/370/bm…

I would add @AbScentUK for loss of smell: abscent.org/covid-19/covid…

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