Dr K Fearnley Profile picture
Jan 28 10 tweets 9 min read
Attention all! Esp NHS clinicians.
The following study must be pulled with immediate effect.
fundingawards.nihr.ac.uk/award/NIHR1355…
The study seeks to answer whether use of routine use of FFP3 masks or fluid-resistant surgical masks (FRSM) by front-line healthcare workers affords better protection from illness due to respiratory viruses
We *know* SARS CoV-2 is unequivocally airborne.

Airborne transmission of SARS-CoV-2 has been officially recognised by WHO, ECDC and CDC.
Protection from an airborne virus warrants airborne PPE precautions, including FFP3 mask.
Multiple studies show airborne PPE precautions, including use of FFP3 mask, better protect healthcare workers & help to reduce risk of viral transmission.

elifesciences.org/articles/71131
The proposed study would wilfully expose staff to a known pathogen, which has potential to cause death and long-term disability.

This study should *never* have been granted ethical approval.
The study has already been awarded in excess of 1 million pounds.

Corrupt misuse of public funds, an attempt of @UKHSA to dodge accountability of healthcare worker death and disability caused by shortfall in supples of, and poor quality PPE.
This study needs to pulled with immediate effect. It is not ethically acceptable to conduct a randomised controlled trial which would expose healthcare workers to a known biological hazard.

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More from @fearnley_k

Jan 30
14 mths Long Covid RHR 110 bpm ^ to 147 bpm *just* on standing. Still experiencing hypnagogic auditory hallucinations. There is an ongoing pathological process; it’s not rehabilitation patients need. #TreatLongCovid #pwLC #pwME #MedTwitter #MedEd #TeamGP
For anyone who thinks I’m exaggerating. Postural Orthostatic Tachycardia Syndrome (POTS) everybody:
Medics, if you haven’t heard of POTS pls educate yourselves. Many patients with Long Covid have a high resting HR (for the majority this is due to dysautomnia; a faulty autonomic nervous system, *not* anxiety). Some will also have POTs (i.e. ^ tachycardia on standing), as shown
Read 18 tweets
Jan 26
Great question; thanks for asking. The main reason people with medically unexplained physical symptoms (MUPS) are resistant to psychological therapy is because, they have been victims of relentless medical gaslighting./1 🧵
In absence of obvious biomarker & return of normal test results, patients with MUPS are often incorrectly ascribed a psychological diagnosis. Psychologisation of MUPS has become commonplace, and it is not acceptable. It is important to consider:/2
(A) The absence of obvious biomarker does not mean one does not exist. Simply, it has not yet been identified./3
Read 14 tweets
Jan 16
*Long covid researchers*
a possible clue to help inform hypotheses 🧵

Long Covid symptoms are bilateral BUT one side of the body is always predominantly affected.

(1/17)
Anecdotally, it would seem the left side of the body is more commonly affected.

However, in my case, my right side has always been the worst - both brain & body

(2/17)
My long Covid symptoms have always been bilateral but the right side of me has always been the worst. E.g.

Right cerebral encephalitis.
Mainly right sided tinnitus.
Right lung worse than left.

(3/17)
Read 18 tweets
Dec 23, 2021
1/12 It is wrong to suggest those vaccine-injured are functional, anxious hypochondriacs 🧵 “Functional neurological disorder after vaccination: a balanced approach informed by history” - dangerous claptrap.
2/12. Neurological manifestations in the central and peripheral nervous system post SARS CoV-2 infection are well documented in the medical literature.
3/12. Some patients who chose to have the vaccine are unfortunately vaccine injured. For the majority, benefits of vaccination will outweigh the risks. Unfortunately, sometimes, good drugs do bad things & this needs to be acknowledged.
Read 14 tweets
Dec 18, 2021
A word of warning. I’ve had Long Covid for 12mths and counting. In this time, I’ve been diagnosed with neurological sleep apnoea, encephalitis, sensorineural hearing loss, tinnitus dysautomnia and POTs, and myopericarditis. I was never hospitalised. My case is mild.
So those say Omicron is ‘mild’. Just be mindful. This is what a mild case looks like. #TreatLongCovid
Read 6 tweets
Dec 10, 2021
There is an ongoing pathological process occurring in those with LC - evidenced by inc mortality in the first the year post acute infection & prevalence of ongoing end-organ damage - in desperate need of urgent investigation & intervention.
It is not uncommon for pts with Long Covid to develop myopericarditis, encephalitis, dysautomnia, POTs, tinnitus, sensorineural hearing loss & visual deterioration, in the mths following an acute infection with SARS CoV-2.
Read 14 tweets

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