#LongCovid - a 🧵

I survived #COVID19, sure.

Over a year ago, I had a fever of almost 41C for a week, extreme fatigue, & severe myalgias. I was bedridden for that week. I lost my sense of smell & taste for a couple weeks as well.

I recovered uneventfully - or so I thought.
Over the next few months, I noticed I was getting more and more tired, to the point I worried about my function, and was referred to the #COVID19AB pulmonary clinic.

All tests were normal - lung function, walking, oxygen sats, bloodwork, chest X-ray.

I continued to get worse.
I became a surrogate for a friend and colleague, and was pregnant in November 2020 - my symptoms either got better due to the immune changes in pregnancy, or I became unaware due to the extreme stressor of working #LongTermCare #COVID19AB outbreaks every day for months.
I was vaccinated with the #Pfizer #vaccine February + March 2021. My symptoms did not get better, unlike some anecdotal reports that #LongCovid - or #PASC (post acute sequelae of #COVID19 ) - got better after vaccination. Mom and I were reassured re: vaccine safety in pregnancy.
After delivery I got worse so in addition to pulmonary I now see rheumatology.

My symptoms: “brain fog” that worsens w time/exhaustion, fatigue that worsens w normal activity & lasts days. Myalgias (muscle pain) that worsen w activity, feeling like I had a whole body workout.
I started something called “LDN” or low dose naltrexone.

I am trying to stay active & avoid white sugar and simple carbs.

I’ve cut back on a day of work so I can spend that day doing work I usually do at night after kids’ bedtime. I need 12 hours of sleep to feel ok.
It is very hard to be a physician and a mom of 4 kiddos (2, 4, 6, 8 yo) and do teaching and sit on councils and take care of myself if I need to sleep 12 hours.

I am participating in multiple covid and long covid research studies to try help others learn more.
What scares me the most?

Letting the virus spread unchecked - I’m not a “stat” in that I didn’t die. But I have long term effects that have only gotten worse. I am young, healthy, no comorbidities, and wasn’t hospitalized or in ICU - who we know have long term effects.
What does #LongCovid mean for everyone who doesn’t become a stat?

What about children w whole lives ahead of them?

What about our economy?

What about our healthcare system dealing with chronic complications in addition to delayed diagnoses and treatment due to #COVID19 ?
I am hopeful that having large number of chronic fatigue patients from one known cause will further research faster than before for all chronic fatigue patients & anyone else w similar syndromes.

Get vaccinated.
Protect yourself & others.
Follow public health orders.
Stay safe.

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More from @ABdoc4patients

7 Dec 20
🧵

1 in 4 Canadians in Long Term Care/retirement homes w #COVID19 died.

How can we protect our vulnerable population?

Devastating outbreaks occur across Canada, including Edmonton.

What have I learned, working 14 days straight, covering 24/7, at the onset of an outbreak?
1. We have always needed more staff.

We need more nurses. RNs. LPNs. Care aides.

We need better staff:resident ratios.

Prior to the outbreak, we thought this might be the case. Now, during a pandemic, we have been proved devastatingly right.
One RN tirelessly spent 4 hrs setting up life saving hydration for COVID patients in one shift.

Another RN spent even longer doing medication administration.

If LTC had better staff:resident ratios, they wouldn’t have been so brutally affected by COVID infection & isolation.
Read 13 tweets
5 Dec 20
🧵... #COVID19 #COVIDAB #COVID19AB

When a patient decides not to vaccinate, I don’t give up and say “you’re on your own, treat yourself.”

When a patient decides not to treat awful diabetes, I don’t say “fine, you can deal with the consequences yourself.”
...Instead, I say to my vaccine hesitant patients:

“I will be here for you every step of the way, readdressing how to help you make the decision to vaccinate, and if you come in with a fever & rash, I’ll come in and treat you for whatever it is.”...
... and for my patients who don’t want to treat diabetes, I work on what they do want to do (lifestyle is huge!), & i reassure them as their family doctor that I will continue to check their kidneys, their eyes, their feet, their heart, and prevent and treat what I - we - can....
Read 5 tweets
14 Jul 20
An Anonymous but TRUE tale of Alberta healthcare:

Starring: FYI Doctors (Optometry and laser surgery)

This is reality. This happened here. I am watching the same events unfold in healthcare again, as physicians are being attacked by govt with one hand ... 🧵
... while the same govt embraces corporations with the other. The public needs to know the path the Alberta govt is leading our healthcare system.

Like many ventures before them, FYI Doctors entered the scene with engaging speeches and enticing promises...
...They promised to buy 51% of doctors’ offices. They promised to provide human resources & salaries would be unchanged. They promised to allow 50% say in selected suppliers. However, once contracts were signed, bleak reality was starkly different from the rosy pictures painted.
Read 9 tweets
14 Jul 20
Hilarious list of myths with “facts” that have nothing to do with the myth. Let’s dissect this simply, shall we? No spinning, it is worse than vertigo alberta.ca/myths-and-fact… 🧵...
1. Myth: The @GoAHealth respects physicians. Fact: @GoAHealth does not respects @Albertadoctors. Compensation is not respect. Honoring agreements (ie not ripping up our contract) and giving us third party arbitration WOULD be respect. We are looking for a FAIR cut.
2. Myth: @GoAHealth is working with @Albertadoctors .
Fact: they ripped up our contract, they refuse binding arbitration. This is not working with @Albertadoctors - who are ALBERTA DOCTORS. #IamAMA
Read 17 tweets

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