1/🧵 Somebody had to die to get me a bed…

Voice on to listen: 🎧

My patient, now a #LongCOVID survivor & mentor to young Black boys told me…

“I was getting so sick w #COVID, & there was not a bed. They called everywhere & suddenly that night they said the VA got a bed.
2/ So somebody had to die that day, you know, so I’m just saying, wow, you know. But I told my wife, when I left here, I’m in God’s hands, you know, and I don’t know why I said it, but there was nothing she could do for me. (Pics w perm)
3/ So many things fell into place, it’s just not a coincidence. I thank God every day. I’m a different kind of guy, you know. I had to change a lot of my life. I got involved w young men to try to change the trajectory of their lives. That changed me & became therapy for me.
4/ Being a mentor you know, talking to the boys whose dads are in prison, explaining the meaning of life, you know, the meaning of, justice, peace, courage. Nobody came to me when I was a kid, you know, I had to learn the hard way.

He give up his retirement fund to help 20 boys.
5/ So I just thank God that I’m here today. But I’m not where I want to be. I’ll be honest w you doctor, I have my days. I’m still having difficulty (#LongCOVID x1.5 years). Sometimes just walking from the bathroom, making it to bed and then being winded & tired.
6/fin
“You can’t give up, you know. My wife has to remind me, and I remind myself that TOO MANY PEOPLE did TOO MUCH WORK for me to just give in, you know, to this [#LongCOVID], and I refuse to do that.”
 
This man’s bravery astounds me.
 
Honor him w #VAXX + #BOOSTER + #KN95

• • •

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More from @WesElyMD

Jan 17,
1/🧵Important = Brain Injury in #COVID💥
 
📍N=251 hospitalized COVID pts had biomarkers of neurodegeneration (dying brain cells).

📍Previously healthy COVID pts had ⬆️er levels than Alzheimer’s pts!

How do we understand this?
Hint: #Vaccinate yourself

bit.ly/3frTcbB
2/ These elevated brain biomarkers indicate disease to different types of brain cells (eg, astrocytes, glial cells, neurons) in COVID patients. These were early unvaccinated pandemic patients. Vaccinated people will be less prone. WHY?
3/ There isn’t a ton of brain invasion by COVID. We think most of the 🧠 injury is INDIRECT. Meaning downstream injury from 1. upstream inflammation 2. blood clotting & 3. heavy sedation causing #delirium, which we proved to be a #dementia risk factor!

bit.ly/3qCaOrQ
Read 7 tweets
Jan 14,
1/🧵 Sleep for Sick Patients & #LongCOVID

If sleep is so important, why do we wake you up (hourly) in hospital?

Do #LongCOVID pts need MORE rest than they think?

We’re studying this to see if “forcing” hospital quiet times helps people survive & get less #delirium.

Read on…
2/ It makes sense to me that it’s unhealthy to keep waking up people who are trying to get rest & heal.

If the body needs 7 hours #sleep a night when NOT sick (see 🧵 in tweet above), is it anti-medicine to prevent us from even more sleep when so much repair is needed? Image
3/ @fi_lowenstein & @itsbodypolitic wrote a wonderful piece about how she “rested herself” to health when suffering #LongCOVID.

I tell my COVID survivors @CIBScenter, “However much sleep/rest you think you need, double it.”

bit.ly/34JSyEd
Read 9 tweets
Jan 7,
1/🧵 You’re dying in a hospital bed, and we grant you “THREE WISHES.” What would they be?

My dying patient is stunningly beautiful INSIDE & out. I asked what 3 wishes she had?

This video of the Birthday 🎂 party we had for her son is her BONUS Wish!

Read on for her share ❤️
Her Wish #1: Pizza, large w extra cheese. It’s been 3 years since she tasted SALT.

(again, all pics shown w their perm)
2/ Wish #2:

Expanded FAMILY visitation, which mean she enjoyed the ‘Za with all her children!

She said, “Dr. Wes, Dr. Koenig & @mad_ruk this is Priceless to me 🎁.”

Families are not a luxury. They are integral to healing (& healing can occur w/out cure).
Read 13 tweets
Jan 5,
1/🧵 Letter to Young Scientists

Are there professional trends in academia that are robbing scientists of joy & vocational success?

When #scientists burnout, it robs pts of answers to their problems & increasing their suffering.

Let’s discuss…
 
#AcademicTwitter
2/ The goal of science is to determine the truth about question no one knows the answer to…so that we can make things better for others.

I thought I'd share a few thoughts about discernment and the scientific process that I learned while graying 💫
 
#ScienceTwitter
3/ Discovery in medicine, for example, is not a job. It is not work.

It is creating art. It's painting.

And when we are being artistic, most of us enjoy diving all the way in & immersing ourselves without undo distraction.
 
#MedTwitter
Read 15 tweets
Jan 4,
1/🧵🎥 A young mom suffering #COVID. Her husband is scared.

We need to prevent serious long-term complications. Her new normal will likely include PTSD, Dementia, Depression & severe physical disability. (shown w Perm)

Not so “mild” ➡️ Do you want this?

#vaccinate
#LongCOVID
2/ what you need to know about ICUs, #PICS and #LongCOVID prevention:

I wrote this @thedailybeast piece👇 to help empower you as patients & families. It’ll tell you what you need to know & ask your team for amid the chaos and confusion.

There’s more…

bit.ly/3DhC6Xe
3/ This patient on 100% O2 and high-dose propofol & fentanyl did not need both agents. When able, we try to avoid prop & benzos. We stopped Prop, continued Fentanyl & added dexmedetomidine because it’s shorter acting & won’t build up so much in her brain.

This is the #A2Fbundle.
Read 7 tweets
Jan 4,
1/🧵 You test positive for #COVID.

Should you take the COVID Pill?
 
Two free options available soon from stores like Walmart:
1. Paxlovid + Ritonavir
2. Molnupiravir

Who takes them?
Vaxxed or Unvaxxed?
Whats the deal?

Read this new thread to accompany data I posted👇
2/ Once available, people should take eg Paxlovid (2x daily for 5 days regimen) if they

1. are symptomatic
2. have 1 risk factor for progression to severe disease or 60 years and older
3. do not have severe liver and kidney disease.

bit.ly/3Jc0Nsp
3/ That’s who was studied. The Paxlovid study is not out yet so I’m waiting to read the list of risk factors but it’s stuff like obesity, immunosuppression, diabetes, asthma & hypertension.

Will this drug benefit people at less risk? Probably but we don’t know yet definitively.
Read 8 tweets

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