WesElyMD Profile picture
Feb 15 5 tweets 4 min read
1/🧵 Seeing Differently in #COVID ICU Care 👁

The world tells me “stuff” & “freedom ” bring happiness, yet neither suffice or satisfy.

If I reject chances to serve my suffering patients, I am left bereft.

Merciful care brings healing & provides joy all around.

What is #Mercy?
2/ My working definition of mercy is my willingness to dive into the chaos of another person’s life & provide lifting & healing.

Often as an ICU physician I do the former but not the latter.

That is, I dive into their #chaos without admitting I don’t know what’s right for them.
3/…but without performing actions that lead to lifting and healing of my patient’s spirit & mind, what I’m doing is dispensing false mercy.

eg, If in #COVID, I make the lungs 🫁 my whole goal, sedate & depersonalize someone for too long, I beget new diseases.

#PICS #LongCovid
4/ True mercy comes when I take the time to dive into his or her life and find out what matters to this person and treat not just the physical body but also the mind, spirit & soul.

Mercy brings them healing & leaves fading scars in me that provide the enduring joy I seek.❤️‍🩹
5/fin
In the 1st tweet, did you see a young or an old woman?

It’s all about perspective.

In #Covid, “seeing differently” means looking at people in front of me & taking them as they are without judgment. This prevents #burnout in me & provides them w someone who cares.

#EDDB

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More from @WesElyMD

Feb 14
1/🧵 #WISDOM of Wine, Coffee & Chocolate. 🍷 🍫 ☕️
 
Millions love morning coffee or curling up w DARK chocolate & wine
 
What’s the #SCIENCE?

All 3 in moderation are safe…
 
This thread will focus on WINE! Let’s explore actual SCIENCE…
2/ This infographic shows the putative benefits – weight & BP control, diabetes & stroke prevention. But what do actual data say about this?
 
bit.ly/3LqvKug
3/ Wine has antioxidants and flavonoids that might reduce cardiac disease.
bit.ly/3LtmGEG
 
Resveratrol from grapes inhibits initiation, promotion, and progression of cancer.
bit.ly/34RZpeK
Read 14 tweets
Feb 10
1/🧵🎥 Politicians & Media are sending messages to take down #COVID protections.

In US it’s premature. Why?

📍>50% adults are NOT protected w #Booster
📍>75% of kids 5-11 are NOT fully #Vaccinated
📍Feb 8th >3,000 died
📍>17,000 dead in past week
📍>60,000 💀 January

Thoughts?
2/ Last week I had moments where I thought, “It really is sad that society has to keep masking up & those poor kids in school haven’t seen people smile in so long.”

THEN…I thought about how dangerous it is for #CovidKids who get #longCovid to have to live that way.

And…
3/ People continue to contract #Covid from children who skate through #Omicron initially while adults spend 3 weeks in ICU & die.

Denmark 🇩🇰 Israel 🇮🇱 South Africa 🇿🇦 will be safer faster.

US 🇺🇸 will lag behind by YEARS.

Messaging about an end to the pandemic is premature!
Read 6 tweets
Feb 8
1/🧵ICU Burn-Out Prevention in #COVID: a few thoughts
 
Early on as an ICU Doc, I carried a lot of shame because I realized that even though I sufficed as a technician and possessed the right knowledge, I was NOT doing a good job as a “person” with “people.”
 
#burnout #nurse Image
2/ Which is to say, I was only “good” doctor on paper. NOT in real life.

I kept myself at too much of a distance, and I thought my job was to do procedures well and provide the right medicines.

Now I know that was not enough, not by a LONG SHOT.
3/ 📚 I wrote: “That shot of adrenaline from saving a life dissipated once the ventilator was in place…as if we handed over care of our patients to machines while we went off & intubated, sedated & paralyzed the next person...

P.58 #EveryDeepDrawnBreath Image
Read 5 tweets
Feb 7
1/🧵 #COVID Brain Changes Show Parallels w Alzheimer's Disease
 
Findings may point to potential mechanism for #brainfog in people with #longCOVID

bit.ly/3J8gArA
2/ Brains of COVID-19 patients had some of the same pathological changes seen in Alzheimer's disease, which may explain the memory problems people with long COVID experience....

bit.ly/3sr1S8p
3/ The study...linked the inflammatory response found in SARS-CoV-2 infection with pathways causing tau hyperphosphorylation typically associated with #Alzheimers. The data also indicated a role for leaky ryanodine receptor 2 (RyR2) in the pathophysiology of SARS-CoV-2 infection.
Read 7 tweets
Feb 7
1/🧵 Do you think this is WRONG⁉️
 
Would you be upset if you found out that a medical student had done a FULL PELVIC EXAM (or PROSTATE EXAM) under general anesthesia without explicitly telling you beforehand or even afterward?

Is this a violation of your privacy?

Read on…
2/ Would you consider it A FORM OF ASSAULT if you found out that a medical student had done a FULL PELVICE EXAM (or PROSTATE EXAM) under general anesthesia without explicitly telling you beforehand or even afterward?
3/ Apparently, some medical schools are still doing this as a way to teach budding doctors how to examine the human body. Many types of injustice in medicine have occurred over the years, and this represents one of them.
 
bit.ly/3Gx4XZv
Read 9 tweets
Feb 2
1/🧵 What is #LongCOVID⁉️
 
A disabling malady from ongoing inflammation, autoimmunity, & potential viral reservoirs (GI, brain?)
 
NEW DATA: The Lungs “light up” on special MRI Scans 3 to 9 months later in patients never hospitalized for COVID.
 
bit.ly/344Oajp
2/ These #LongCOVID pts had NORMAL CT scans but when asked to inhale Xenon, an inert gas, the MRI showed their lungs transferred gases (think oxygen) into the bloodstream abnormally. This is alarming evidence of another weird form of organ damage from COVID not visible on CXR/CT.
3/ Oxford Prof Dr. Gleeson says these patients, who were never in hospital & didn’t have acute severe illness w their COVID19, have been experiencing symptoms for a year after contracting the infection.
Read 14 tweets

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