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 🧵
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/
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
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!
• • •
Missing some Tweet in this thread? You can try to
force a refresh
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
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
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
🔑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.
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...