Monica Verduzco-Gutierrez, MD Profile picture
Jan 6, 2022 10 tweets 7 min read Read on X
Today I virtually lectured the residents from @BCM_PMandR & @UTHPMR about #LongCOVID.

I was touched that the residents wanted the slides & thought it was one of the most important talks of the year. Will share some in a thread 🧵 Selfie of Monica
We are still trying to figure out the pathophysiology of #LongCOVID... these are just a few of the hypothesis. But definitely inflammation and immune system dysregulation is involved.
2/ Image
We also know #COVID19 hyperinflammation and #PASC may be rooted in mast cell activation syndrome #MCAS 3/
ncbi.nlm.nih.gov/pmc/articles/P…
4/
So many #MCAS organ and system involvement overlap with #LongCovid Table from Afrin paper
5/ What does recovery really look like?
(And I promise you most #LongCOVID patients did not have #CovidLungs - they had mild disease) Image
6/ There is so much data that documents #LongCOVID now ImageImageImageImage
7/ Thankful for @patientled who is publishing amazing data
ncbi.nlm.nih.gov/pmc/articles/P… Image
8/ I have run a #LongCOVID clinic since August 2020 based on work I previously have done with TBI, stroke, dysautonomia, NeuroRehab, post-polio, critical illness recovery, and other post-viral illness like ME/CFS.
Getting close to 700+ persons seen.
9/ I continuously learn from the patients & I know it's not enough time, research, or treatments. #TreatLongCovid Image
10/ So much more to say on what we have been trying (but I need to go to clinic).

I was sure to emphasize topics often not taught in med school:
POTS
MCAS
ME/CFS

And to discuss health equity topics!

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More from @MVGutierrezMD

Jan 11
1/🧠Excited to get this to press in @AJPMR:
"EECP Improves Cognitive Function of Persons with #LongCOVID."
What did we find?
journals.lww.com/ajpmr/abstract…
2/ If you want to know more about EECP? Can see my prior thread here of my own experience with @FlowTherapyEECP...
3/ Impaired cognitive function/“brain fog” is reported in anywhere from 22-81% of PASC.
This was a retrospective analysis of Long COVID patients who had EECP. If they self-reported brain fog, an objective digital cognitive assessment (@BrainCheck) was done before & after EECP Image
Read 9 tweets
Jun 23, 2023
1/ At @theNASEM Symposium on Long COVID now listening to Jeanne Bertolli of CDC on perspectives from ME/CFS.
Limitations of definitions…
- Need involvement of those with lived experiences.
- Standardized evaluation of symptoms not required.
- Did not meet all needs
2/ committee came together in 2015 to create the IOM diagnostic criteria for ME/CFS:
https://t.co/Mog8rv3ysjnap.nationalacademies.org/catalog/19012/…
3/ For ME/CFS, documentation of infection or timing of onset not required. PEM is required.

Process used for defining this could help set a process for #LongCOVID
Read 17 tweets
Dec 16, 2022
Trying #EECP at @FlowTherapyEECP today for my #LongCovid

It’s intense but cool. Will try a full course after the holidays.
More in thread below… 1/
2/ What is #EECP?
Enhanced External Counterpulsation (EECP) is used for non-invasive treatment of heart conditions like angina.

ncbi.nlm.nih.gov/pmc/articles/P…
3/ What happens when getting #EECP?

During EECP Flow Therapy, patients lie down on a padded table with specialized cuffs (similar to blood pressure cuffs) wrapped around their calves, lower thighs, and hips. They place a 3-lead EKG
Read 8 tweets
Sep 14, 2022
I presented at @AdvocateKids @advocatehealth #WIMmonth event this past weekend on Inclusive Leadership: Leave no (wo)man behind.

🔑Some about me & my key points to support #WomenInMedicine as a leader: 🧵1/
2/ I am first gen #LatinasInMedicine from a humble background on the Texas-Mexico border. I was a great student growing up. I pleased my family. As a resident, I made more money than my family. I had no idea I was underpaid as a junior attending. I pleased my chair as RVU queen.
3/ I missed the memo on how to be promoted (as happens to BIPOC women). Delayed the process because no guidance.
When I finally took the risk (late), I became the 8th Latina associate professor of PM&R in the country.

✍🏻Teach #WomenInMedicine what it takes for promotion.
Read 8 tweets
Jun 28, 2020
Dear #MedTwitter,
Please do not make statements assuming a person with a major disability has a poor quality of life. This is ableism.
1/
thesun.co.uk/news/11968402/…
2/
St. David’s Doctor: “So as of right now, his quality of life - he doesn’t have much of one.”

Melissa: “What do you mean? Because he’s paralyzed with a brain injury he doesn’t have quality of life?”

St. David’s Doctor: “Correct”
3/ This conversation was recorded (and that’s legal in Texas if one person consents), so I’m not making it up...
Read 6 tweets

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