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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Keep Current with Monica Verduzco-Gutierrez, MD

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More from @MVGutierrezMD

28 Jun 20
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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