1/12 It is wrong to suggest those vaccine-injured are functional, anxious hypochondriacs 🧵 “Functional neurological disorder after vaccination: a balanced approach informed by history” - dangerous claptrap.
2/12. Neurological manifestations in the central and peripheral nervous system post SARS CoV-2 infection are well documented in the medical literature.
3/12. Some patients who chose to have the vaccine are unfortunately vaccine injured. For the majority, benefits of vaccination will outweigh the risks. Unfortunately, sometimes, good drugs do bad things & this needs to be acknowledged.
4/12. **Those vaccine injured commonly report symptoms typical of Long Covid, including, but not limited to, neurological manifestations such as seizure-like tremors.**
5/12. We know Covid is a thrombotic disease, triggering blood hypercoagubility & clot formation in both acute and Long Covid. We have found blood clots on autopsy and under the microscope. pubmed.ncbi.nlm.nih.gov/34425843/
6/12. We know the spike protein is central to clotting.
7/12. The vaccine works by providing the body with instructions to make the spike protein, so the body is able to recognise the virus & mount an immune response should the virus enter the body.
8/12. If I - like many other thinking doctors - were to make an educated guess, the spike protein manufactured through vaccination is (in some) triggering hypercoaguability and clotting.
9/12. I may be wrong. But this is an educated guess based on published evidence on what we already know.
10/12. To suggest symptoms are in a patient’s head because one does not yet understand the pathophysiological mechanism, is lazy medicine, and quite frankly, dam right dangerous.
11/12. Patients who are vaccine injured performed their civic duty and got vaccinated to protect themselves, their loved ones, and wider public.
12/12. If public trust in this, or any future vaccination program, is not to be eroded, symptoms post-vaccine need to be clearly documented and investigated. Patients need to be supported until a cause & treatment is found. Not labelled functional, anxious hypochondriacs.
A word of warning. I’ve had Long Covid for 12mths and counting. In this time, I’ve been diagnosed with neurological sleep apnoea, encephalitis, sensorineural hearing loss, tinnitus dysautomnia and POTs, and myopericarditis. I was never hospitalised. My case is mild.
So those say Omicron is ‘mild’. Just be mindful. This is what a mild case looks like. #TreatLongCovid
There is an ongoing pathological process occurring in those with LC - evidenced by inc mortality in the first the year post acute infection & prevalence of ongoing end-organ damage - in desperate need of urgent investigation & intervention.
It is not uncommon for pts with Long Covid to develop myopericarditis, encephalitis, dysautomnia, POTs, tinnitus, sensorineural hearing loss & visual deterioration, in the mths following an acute infection with SARS CoV-2.
Do not wait for Boris to announce plan B. Anyone of us, at any time can fall unwell. NHS capacity is at an all-time low. Thousands of NHS staff are dead or injured after contracting Covid. Reduced staffing levels and bed capacity has placed increasing pressure on our colleagues.
It’s not rehab people with LC need. There is an ongoing pathological process which urgently needs addressing. The huge amount of end organ damage and increased risk of mortality months after an acute covid infection is evidence enough.