How I got COVID and how you can avoid it 🧵

For the last year+ I've been essentially secluded, helping my mom recover from cancer (so far, successfully, but it's a daily battle)
She's >70yo, transplanted, immunosuppressed and recovering from cancer

COVID could be devastating for her

it could be lethal

so we've done everything in our power to keep her safe
I gave up everything. professional, social, personal life to give her a fighting chance

I have ZERO regrets. best decision i've ever made

we almost lost her twice last year. she was so sick and frail her doctors sat us all down and told us to accept it was the end
yet she turned things around. every time. to this day doctors are stunned at her progress

don't get me wrong, she's not running marathons. but her progress is crazy at every level
i'm not arrogant enough to believe i had more than a supportive part. she had it in her. she turned things around. she had enough physical and mental strength left when the best doctors had given up

I merely provided support and company. a fraction of what she's done for me
i guess it's only natural that try as we can we can hardly match the sacrifice our parents made for us and the impact they had on our lives

as luck would have it they never ask for more...
anyway, back to COVID

every time someone calls and we say she's been sick they ask if it's COVID

it's everything BUT COVID.

cancer, repeated episodes of infection and septic shock, near coma, chronic pain, GI issues, ascites, deteriorating kidney function, edema

etc
much of it we couldn't control. consequences of cancer, cancer treatment and immunosuppression. we could only deal with it and give her the best chances of overcoming

in the background of all this mayhem, a pandemic unfolded, and we continuously tried to shield her
we were both vaccinated the very day we became eligible

good start. but not enough, esp. for someone on immunosuppressant meds

we were extremely conservative about outings and visits
all other family members eventually contracted COVID, we were the only 2 who skirted it. our efforts worked. Until last week

Her caretaker was the vehicle. Not a surprise. Most people seem to catch it from their close contacts, often at home. when the guard is down
she had been with us for a couple months, vaccinated and had already had COVID. but Omicron still broke through.

Last Wednesday as she helped us on a hospital run she showed mild symptoms. A headache and a runny nose. nothing dramatic. she often complains of headaches
The same day I tested her at home. positive.

immediately sent her home to isolate. kept distance from my mother. both masked

last Friday, when I tested myself, it looked every bit like a negative except when I stared & squinted REAL hard I could kind of see the faintest tint
everybody else genuinely felt there was no 2nd band but my rational mind knew it was an early positive

i was already keeping a distance and masking at home. i secluded myself completely. during the night the symptoms started. in the morning the test was clear
I've been secluded in a room for 72h

she has so far tested negative every day and is symptom-free

don't ask me how. it's possible the immunosuppression delays the symptoms. it's possible it'll still come. or maybe we just got incredibly lucky 🙏🥲
my symptoms have been mild, basically 1 day that was worse and smooth rest after that. but i couldn't care less

the only thing that breaks my heart is I can't help with my mom's care. i have to watch from a distance or direct people over the phone to care for her
I have another week or so to go. we have family and friends doing what they can. this sucks so bad

up to this point my opinion of COVID, vaccines and the pandemic was solely based on peer-reviewed data. now I have the ancillary anecdote to go with it. FWIW.
I wish I had been even MORE careful, MORE vigilant, shortened our interaction with the source even MORE. It could have saved us massive chagrin

problem is, we can't keep our guard up 100% of the time for years. we did pretty damn well. but not perfect. so here we are
yeah, I'll probably be fine. I'm still (relatively) young, I don't have any significant disease or risk factors yet. Maybe there will be symptoms of long COVID. i guess we'll see

the problem is the collateral damage to those of us who have less defenses and more vulnerability
Based on the data, I'd take 10 vaccines over the virus

based on the anecdote, I'd take 100. all at the same time. with blunt needles
also pisses me OFF that I unwillingly participated in this chain of contagion that helps new strains evolve and propagates this pandemic

with some luck I didn't pass it to anyone else (with every day my mom tests negative that becomes more likely) and I was a viral dead end!💪👍
Please get vaccinated (to protect the few who can't), stay safe, and let's work as a #TEAM

all major problems our species faces nowadays are collective. we row together or we sink together

I do love every single one of you despite all the Twitter horseshit (LOL) stay safe! ❤️

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Gil Carvalho MD PhD

Gil Carvalho MD PhD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @NutritionMadeS3

21 Sep 20
Top takeaways from @Drlipid's new podcast with @PeterAttiaMD

00:07 recent evidence has emphasized:

1) atherogenic lipoproteins are the crux of ASCVD

2) effect of TGs on lipoprotein concentration/function

3) diminishing relevance of HDL-C

4) Lp(a)

peterattiamd.com/tomdayspring6/
00:32 brain cholesterol is separate from plasma; most cholesterol in the body is inside cells, not in bloodstream; most cholesterol in blood is in RBCs, not lipoproteins ▶️ so reducing serum cholesterol has little to no effect on cellular cholesterol requirements
00:36 it's not cholesterol in the arterial wall that poses a problem, it's trafficked cholesterol inside lipoproteins (digested by macrophages)
Read 13 tweets
25 Aug 20
Do eggs raise our cholesterol? How can we make sense of the confusing contradictory messages?

(Short thread)

Full video here:
I thought this was pretty clear to most but I kept getting this Q so I made a short video going over the evidence. Here's the gist.
College students were given 1 large egg/day vs. a comparable diet without the egg

after 3 weeks both LDL-cholesterol and ApoB significantly increased in the egg group

sciencedirect.com/science/articl…
Read 18 tweets
10 Aug 20
Some stunning facts about the microbiome

(including how it can help you lose weight and fight inflammation, cancer, diabetes)

(short thread)

full video:
1) we're more microbial than human

we're effectively supra-organisms, and may have more bacterial than human cells

only 1% of the genes we carry are human. the other 99% are in our microbiome (bugs in out gut). ALL of those genes can impact our health

nature.com/articles/nrmic…
2) we can digest fiber

Fiber isn't excreted unchanged as we used to think. It (esp. soluble fraction) is digested by the microbiome, which produces short-chain fatty acids (SCFAs) - butyrate, acetate, propionate

SCFAs feed our gut wall and help prevent disease
Read 6 tweets
16 Jul 20
@USDA just released its literature review report (835 pages!!!) that will steer the 2020-2025 Guidelines

1st impressions:

1) focus on obesity/overweight (70% of Americans!), particularly children, and food insecurity/racial disparities (couldn't agree more) 👍💪

(cont.)
2) focus on *dietary patterns* over isolated nutrients or foods 💪💪👍

(cont.)

full report: dietaryguidelines.gov/sites/default/…
"dietary patterns associated with positive outcomes: vegetables, fruits, legumes, whole grains, low- or nonfat dairy, lean meat/poultry, seafood, nuts, and unsaturated vegetable oils and low red and processed meats, sugar-sweetened foods and drinks, and refined
grains"

(cont.)
Read 9 tweets
6 Jul 20
Weight Loss: Myths & Tips

(short thread summarizing studies by Kevin Hall and others and inspired by his recent hour-long talk)

video here:
portion control and other attempts to 'eat less' backfire bc we don't burn calories at a constant rate

weight loss triggers hormone changes (e.g. leptin) that cause us to a) burn less cals b) be hungrier

it's the ultimate uphill battle
this indicates that plateaus, weight yo-yo'ing and general struggles with weight loss are not a result of laziness or lack of willpower

they're built into our biology

what's weak is the approach, not the person trying it
Read 29 tweets
22 Jun 20
Your Cholesterol Lab results explained
(a primer on LDL and blood lipids)

- LDL vs LDL-cholesterol
- why cholesterol isn't the main problem
- LDL isn't 'bad' per se
- HDL isn't 'good cholesterol'

(short thread)

full video:
Lipoproteins are our body's solution to transport fats in the blood stream 🩸

🔬Lipoprotein = fat (lipo) + protein

low density lipoprotein = LDL

high density lipoprotein = HDL

lipoproteins are the vehicles that carry fats (like cholesterol and triglycerides) Image
your cholesterol labs, 4 main items:

LDL-cholesterol = cholest carried in LDL lipoproteins

HDL-cholesterol = cholest carried in HDL lipoproteins

all cholest in blood (in LDLs + HDLs + other lipoproteins) = Total cholesterol

Triglycerides (another fat carried in lipoproteins) Image
Read 17 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(