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Emily Deans MD 💉 Profile picture
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18 Mar, 4 tweets, 2 min read
We are in a race with the virus, literally. It’s a matter of weeks of still being more careful.
Poland has a somewhat lower vaccination rate than the states and their more infectious (and probably deadlier) B117 is 52% not 40%...this is why I say it is literally a race
Not trying to fear monger...just saying opt out of maskless indoor meetings with 29 of your best friends for another 6 weeks, and anyone vulnerable who had not been vaccinated is probably facing some of the riskiest weeks of the pandemic besides the first month, so be careful.
Vanilla doesn’t want anyone to be disabled or die due to an illness that we can realistically get almost everyone vulnerable vaccinated in a short time frame! Vanilla portrait mode

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More from @evolutionarypsy

Emily Deans MD 💉 Profile picture
20 Mar
I can tell you there is almost no possibility all long Covid cases can be attributed to psychogenic factors. I know Alan likes to be kind and tolerant to discussion but GTFOOH
I see psychogenic physical symptoms all the time. I went to med school due to an interest in this, my supervisor in residency was a Harvard Professor due to his research as a world expert in psychogenic manifestations of illness.
I am referred complex cases specifically due to my expertise in this area.
Read 6 tweets
Emily Deans MD 💉 Profile picture
19 Mar
We fired Cigna because they often refused to pay claims, and we would get checks from them for 4 cents interest on delayed payments of claims because they lost a lawsuit. They would spend 40 cents on a stamp to send us a 4 cent check.
Lordy I’m going to have to dig up my old bank statements cashing 4 cent checks when Cigna threatens to sue me for this tweet
Of course we cashed the checks we’re not made of money.
Read 7 tweets
Emily Deans MD 💉 Profile picture
14 Feb
Gonna say it and keep saying it: vitamin D is a reverse acute phase reactant and also is low in most chronic disease. It stands to reason the lower the vitamin D the more someone is at risk of hospitalization or dying from COVID, but the low vitamin D is a marker for other issues
Massive vitamin D supplementation has never been shown to help any condition except frank vitamin D deficiency. Take your pills in the winter but there is not some massive conspiracy against vitamin D among physicians.
I will say that I have caught hyperparathyroidism 3x in people who start supplementing and a ton of cognitive and joint pain issues get worse so there’s that.
Read 7 tweets
Emily Deans MD 💉 Profile picture
28 Dec 20
Well this is interesting nytimes.com/2020/12/28/hea…
...honestly I would discount any patients super sick in the hospital reports as “new onset psychosis” it’s probably delirium. But the outpatient cases sound like delusional disorders. Unlike schizophrenia which tends to hit late teens, 20s for men and 20s-30s for women...
...or there’s a second peak for women at menopause, delusional disorder tends to strike middle age people. Not surprised there could be an infectious (inflammatory) precipitant.
Read 7 tweets
Emily Deans MD 💉 Profile picture
28 Dec 20
Still mad they named it COVID-19 and SARS-CoV-2 in the age of cell phone keyboards. WTF.
Get it together, WHO
COVID and SARS2 are good enough
Read 4 tweets
Emily Deans MD 💉 Profile picture
28 Dec 20
Gentle note to writers: opioid use *constricts* the pupil. Withdrawal causes dilation.
If you are a writer and want a nice layperson introduction to effects of opioid intoxication and withdrawal, trainspotting does a great job.
This is a very nitpicky point but “opiates” cover opioids derived from the poppy plant whereas opioids covers all of them including the man-made ones like methadone.
Read 6 tweets

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