1/🧵 #LongCovid: Lumper vs Splitter terminology

🎥👇This man is suffering a form of longCovid wrought by complications of his ICU illness. He’s a clear example of the most severe form of #longCovid, also known as #PICS, for “post intensive care syndrome”…

@Dr2NisreenAlwan
2/ There are vastly different ways Covid will affect people over future months & years. Do we split those into multiple diseases or lump them into 1 big syndrome (w subgroups) to grab millions of people & help grow advocacy & gain footing?
3/ #PICS is mainly encompassed by cognitive difficulties, an acquired dementia called ADRD (#Alzheimers Disease & Related-Dementias), as well as #PTSD and depression PLUS profound muscle and nerve disease called ICU-AW (ICU Acquired Weakness).
4/ I and 1000’s of clinicians around the 🌎 have #LongCOVID patients who were never hospitalized & yet are now incapacitated with a form of real disability resembling #MECFS.
5/fin
Let’s recognize the despair in the lives of pts w variants of #LongCovid. Let’s continue our discovery efforts & support groups like those of @CIBScenter, mental health & wellness programs, & financial assistance. A “Lumper approach” w subgroups may gain ⬆️ traction faster.

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More from @WesElyMD

19 Jul
1/🧵Is my LIFE WORTH MORE than yours if I get #VACCINATED & you don’t? Or if I’m a COVID nurse?

ECMO is advanced life support in short supply that can save lives in extreme #Covid19.

Q 1 of 4:
If a #DeltaVariant surge creates too much demand…WHO GETS MY LAST ECMO MACHINE?
2/ How about essential worker status?

Q 2 of 4: Two #Covid19 patients are admitted on the same day & the virus has destroyed their lungs equally. You only have 8 ECMO machines & 7 are already in use. If forced to choose, WHO DO YOU PRIORITIZE?
3/ THE TWIST:

Q 3 or 4: Two #Covid19 patients are admitted on the same day & the virus has destroyed their lungs equally. You only have 8 ECMO machines & 7 are in use. If forced to choose, WHO DO YOU PRIORITIZE?
Read 21 tweets
19 Jul
1/🧵 Should nurses & doctors be REQUIRED to get COVID19 #Vaccination@JAMA_current

Many hospitals already do this with flu vaccines (exceptions made for medical & religious reasons). Why not with #COVID? Let’s unpack…
 
bit.ly/3z8gnj3
2/ Do Healthcare Professionals (HCP) get infected with COVID?

Are HCPs at risk of infection & death due to their occupation?
 
YES & YES (+/- since PPE works if used properly)

HCP clearly become infected with SARS-CoV-2 w many experiencing severe outcomes, including deaths.
3/ Can HCPs have asymptomatic infection with #COVID?
Can HCPs spread this infection to others?
 
YES & YES
 
Asymptomatic individuals often have a HIGH quantity of virus & have been proven to cause many other infections.
Read 10 tweets
16 Jul
1/🧵 PRIMARY vs SPECIALTY #PalliativeCare:

When I combine intensive care w palliative care as an ICU doc, I’m delivering PRIMARY palliative care. I often consult a board-certified palliativist for additional help, & this is SPECIALTY palliative care. Today…
#medtwitter
2/ Today the most complicated thing I did in the ICU were NOT bronchoscopy or restarting a heart. It was helping people navigate these massive life choices, often shifting the treatment ladder we are climbing from the wall of cure to the wall of comfort. To me it’s the best…
3/ To me, primary #PalliativeCare is the most nuanced and critically important part of my vocation as an Intensivist. Just as the Winter gets you to a mountains 🏔, but Summer keeps you there, Palliative Care is not what brought me to the ICU but it definitely keeps me here.
Read 6 tweets
14 Jul
1/🧵 I’m surrounded by an #AntiVaxxer govt now willing to hurt kids!
 
👎 My home state of #Tennessee made the BONEHEADED decision to halt outreach to kids on ALL #Vaccination, NOT just #COVID19. I’ve lived here since 1997. I’m embarrassed, angry & sad.
 
bit.ly/3B9VoOP
2/ Our Department of Health is halting “all adolescent vaccine outreach for ALL diseases.” What? So we aren’t going to protect our precious kids against Tetanus, Pertussis, Diphtheria, Rotavirus, H flu, hepatitis, pneumonia, meningitis, HPV (which leads to cancer)?

#BARBARIC
3/ GONE are Postcards to teens to remind them to get a second #COVID #Vaccine shot...but adults still get the postcards. Why? “Potential solicitation to a minor.” WHAT? No, this is called #PublicHealth.

Why should adults get promotions toward #wellness and not kids?

#Prejudice
Read 6 tweets
8 Jul
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
7 Jul
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

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