WesElyMD Profile picture
Jan 25 6 tweets 5 min read
1/🧵 Beauty in simplicity
 
For too long in life, I thought success was about climbing in the 🌎’s eyes…higher, better, farther. My physician wife & I are “new parents” to my 58 y/o brother w #DownSyndrome & he’s giving me all kinds of new understanding of what matters.

#COVID
2/ When I come home, Greg is usually hiding from me, like you see here. He thinks so beautifully, “How can I make someone else #happy in the small things in life?”

Here he is hiding in plane sight next to our dog Butter. Look at that grin!

#Recovery
3/ Hide and Seek: He taught me that if he can’t see me, I can’t see him!

At first that seems nutty, but in truth, for me to enter “into #relationship” w you, we do need to SEE EACH OTHER, right?

So who’s teaching who here?!
4/🎥 Dancing: Greg breaks out in #Dance spontaneously wherever we go. He loves to dance.

Why?

He says, “Wesley, let’s dance & go on a honeymoon today!”

Greg taught me that happiness is a state of mind. I have a choice & this level of joy can be mine…

…IF I CHOOSE IT.
5/ For years I defined life by metrics of medicine or parenting:

How many answers I got to scientific questions, improvements in central lines, or our kids’ achievements.

I’m learning from Greg that simple works.

Today I’ll look up & around to see #beauty alongside #sadness
6/fin
Abe Lincoln said, “Most folks are as happy as they make up their minds to be.”

By world’s metrics, Greg shouldn’t be #happy due to his situation in life. Yet he is immensely happy & he brings that #joy to us in great measure!

Today I’ll choose to grin & dance. Join me.

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More from @WesElyMD

Jan 21
1/🧵 WHY are Booster Rates so low⁉️

Only 1 in 4 Americans is Boosted. People get vaxxed & then bag the best protective approach.

I honestly don’t get it??

Let’s review some studies:

750k people boosted (Pfizer) showed 90% ⬇️ in death vs non-boosted.

bit.ly/33WQ2tK
2/ Another study of ~750k people showed vaccine (Pfizer) effectiveness at 7 days after 3rd dose w 93% effectiveness. WOW

BLUE (3 doses) on this graph shows WAY better protection than RED (2 doses) =
⬇️ hospitalization
⬇️ severe dz
⬇️ death

It’s clear!

bit.ly/3KuHDic
3/ And that explains clear results posted by @DrEricDing 👇 that show impressive reductions in hospital admissions…

You want to stay safe at home right??

You don’t want me as your doctor because that comes w an ICU & ventilator. Get #boosted.

Read on…
Read 6 tweets
Jan 20
1/🧵 @NEJM “Covid19 has rendered U.S. racial, ethnic & social health inequities too stark to ignore.”
 
In the face of staggering inequities in Covid morbidity & mortality, the scientific workforce must confront #StructuralRacism

TY @DrCHWilkins & authors
bit.ly/3fGHycT
2/ The 2020 U.S. Census estimated that 33% of people in the United States identify as members of racial or ethnic groups that are underrepresented in medicine but less than 6% of research faculty are members of such groups.
3/ Only 4 to 5% of participants in trials of drugs submitted for approval by the @FDA between 1997 & 2014 were from groups historically underrepresented in medicine.
Read 5 tweets
Jan 19
1/🧵 BEWARE: Mild” COVID can cause #LongCOVID‼️

@Nature study of N=147 (31 w LongCOVID) found Covid infection exerts unique & prolonged effects on our innate & adaptive immune system over 8 months later.

This may drive Long Covid.
 
go.nature.com/3ntDOQk
2/ Obviously, Acute COVID-19, caused by infection w SARS-CoV-2 is characterized by wide ranging severity from asymptomatic to fatal. Our immune response (big or little) to the virus drives the pathology that can kill us.
3/ We know that the acute infection causes pronounced immune system problems w lowering lymph cells and rising inflammatory mediators that can cause organ damage.

This is why I have to put so many people on ventilators & dialysis.

Read 8 tweets
Jan 17
1/🧵Racism & Medicine #MLK

Why was my patient w no brain function shackled?

“Racism is rarely used in medical literature. Most MDs are not explicitly racist & committed to treating patients equally. But they operate in an inherently racist system.”

bit.ly/3rqcwvw Image
2/ This man’s ankle was shackled despite that he was brain dead after being found down.

Two immediate problems faced us as a medical team that blocked upholding his dignity.

1. The shackles
2. That we were not allowed to communicate directly to his family.
3/ First battle – unshackle this man.

📍Repeated attempts by our team were met w refusal by the prison guards & wardens.
📍I realize that everyone’s safety must be prioritized, But…
📍This man was of absolutely NO risk to anyone.
📍We were a risk to him.
Read 10 tweets
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 17
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.
Read 6 tweets

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