1/🧵 #Coronavirus Words 📕
 
Words matter!

These 4 new words were added to the @MerriamWebster dictionary last month…
 
📍Breakthrough medical infection
📍super-spreader
📍#LongCOVID
📍Vaccine Passport
 
Defined below…
 
bit.ly/3H38mkb
2/ Breakthrough medical: infection occurring in someone who is fully vaccinated against an infectious agent — often used before another noun (as in “breakthrough cases” or “breakthrough infection”). Image
3/ Super-spreader: an event or location at which a significant number of people contract the same communicable disease (as in a “super-spreader event”). The term super-spreader originally referred only to a highly contagious person. Image
3/ Long COVID: defined as a condition marked by the presence of symptoms (eg, fatigue, cough, shortness of breath, headache, or brain fog) which persist for an extended period of time (weeks or months) following a person's initial recovery from #COVID19.

@MerriamWebster Image
4/fin
Vaccine passport: a physical or digital document providing proof of #vaccination against one or more infectious diseases (such as #COVID19). Image
NOTE: This definition of #LongCOVID does not even mention Antibodies. We have a ways to go in developing our working definition of the constellation of suffering after #COVID (~20-30% if initially symptomatic, ~10% if asymptomatic).

@patientled @Survivor_Corps @Dr2NisreenAlwan

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More from @WesElyMD

10 Nov
1/🧵 End-of-Life: Thoughts
 
I was explaining to others how the end of my patients’ lives is often such a beautiful experience. They looked back at me with utter confusion. I could tell they thought I was crazy.

Since then, I’ve been thinking of what I should have said…
2/ I should’ve explained that too often in life I feel like I hold on to things I need to let go of. That sometimes I try and force solutions in relationships and all sorts of situations when I simply need to let go.
3/ I watch my patients often try and carry the weight of circumstances way past when it’s obvious the burden is too great bear. The only logical solution is to let go of the rock that is drowning them. To let life flow and take its natural course.
Read 13 tweets
8 Nov
1/🧵 #Wisdom in 2 little words: Over & Next
 
@rachelnpr on @NPR asked Norman Lear at 99 y/o (“All in the Family” game) how he’s persevered?
 
Lear’s answer is both simple and mystic! Read on…💥
 
n.pr/3mC0VZ1
2/ “Two little words we don’t pay enough attention to: Over & Next. When something is over, it is over. And we are on to next. I like to think about the hammock in the middle of those two words.”
 
I’m going to rest in the hammock today…what do this mean for me?
3/ “That’s living in the moment. That’s the moment I believe I’m living as I complete this sentence. And it couldn’t be more important to me.” #NormanLear
 
I’m reminded of this next quote… Image
Read 8 tweets
22 Oct
1/🧵For months I’ve been grappling with what seemed like a real gap in conversations about #LongCOVID.

Here in @STATnews, I introduce you to 30 references & 3 #COVID survivors – Ray, Pam, and Carolyn – who taught me a lot. I hope you think so, too…

bit.ly/2Zb9S2J
2/ "I feel like I'm getting the silent treatment & it's killing me," #LongCOVID pt Pamela Bishop confided in me about her months-long interactions as she tried to get answers about a strange array of symptoms that have plagued her since recovering from #Covid19.

Pam then & now…
3/ Up to1 in 3 COVID survivors report experiencing #longCovid symptoms 3 to 6 months later. Their stories give me an extreme case of déjà vu because this is playing out similarly to the problem of long-term survivorship after non-COVID critical illness.
 
bit.ly/3vzcIdn
Read 26 tweets
21 Oct
1/🧵 Dozens of #Ivermectin lawsuits now filed trying to FORCE doctors to give a worm & parasite drug to people infected with a VIRUS!

If you saw a movie with this tag-line, you’d say, “That is so stupid.” And yet…read on…
 
bit.ly/2Z6QJ1o
2/ There has been a mix of results in state courts. Some judges have refused to order hospitals to give ivermectin. Others HAVE ordered medical providers to give the medication, despite concerns it could be harmful.
3/ NY State Supreme Court Judge Porzio wrote: “This court will not require a doctor to be placed in a potentially unethical position committing medical malpractice by administering a medication for an unapproved, alleged off-label purpose.”
Read 9 tweets
12 Oct
1/🧵 Billing for #LongCOVID💰

It Matters!

What does it mean that docs can now bill using ICD-10 code U09.9 “Post COVID-19 condition, unspecified”effective October 1, 2021?

Let me explain a tad bit why this is so key.

bit.ly/2ZLOHE5
2/ I fully believe in #LongCOVID, and patients must be validated as the experts of their own narrative. BUT, absence of a billing code sent a terrible message to clinicians & pts.

This legitimizes the #PublicHealth catastrophe & facilitates pts being HEARD & SEEN 👁.
3/ Docs “believe” better when they can charge for testing & get pts covered, too. This also allows databases to track & analyze epidemiology of #LongCOVID. That means research can be carried out to answer questions, improve care & prepare for future pandemics. Read an anecdote👇
Read 7 tweets
12 Oct
1/🧵ROADMAP: What should you know before someone you ❤️ lands in the ICU? @TheDailyBeast
 
I whittle down IMPORTANT PEARLS & pro-tips about how to approach acute #COVID19 and non-COVID care to avoid life-changing disabilities later.
👇

bit.ly/3oRVZRt
2/ #COVID pts return home after cutting-edge medical care but many survivors are now living with massive & likely life-long disabilities that include dementia, PTSD, depression & major weakness from muscle and nerve disease. #PICS #LongCOVID

3/ These two entities, #LongCOVID and #PICS, have many overlapping forms of suffering that must be acknowledged by healthcare professionals and loved one for survivors to feel validated & heard. People throughout society in all our communities will benefit.
Read 21 tweets

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