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Dr. Deepti Gurdasani Profile picture
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Feb 18 • 5 tweets • 1 min read
This is tragic. Acute COVID-19 ultimately followed 2 wks later by low O2 saturations on minimal exercise, but completely missed and turned back from A&E *despite this* only to confirm a pulmonary embolism 5 days later - a condition that needs admission and urgent life-saving care
Patients who turn up with breathlessness, dropping saturations and tachycardia (fast heart rate) post-COVID-19 need to be taken seriously, and evaluated urgently rather than being sent home without assessment. Delays like this are unacceptable & can have serious consequences.
I think part of this is no doubt because the NHS is so strained, and important things are missed. The solutions are complex, but we do need to discuss this. This could be any one of us needing urgent care in a massively stressed system.
Also, please do monitor your O2 if you have acute illness and are concerned. It could provide an early alert that you need further evaluation or care.
Also, please do monitor your O2 if you have acute illness and are concerned. It could provide an early alert that you need further evaluation or care.

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More from @dgurdasani1

Dr. Deepti Gurdasani Profile picture
Feb 21
About 'restrictions' - the idea of taking measures that infringe slightly on our freedoms to protect everyone's health isn't novel:
e.g. not smoking in public spaces, not using mobile phones on planes, or at gas stations, HSE & environmental standards for work places. 🧵
Framing of simple measures like wearing masks in indoor spaces to protect ourselves & others as 'restrictive' rather than protective is problematic. The idea that isolation of a person infected with a highly contagious virus that could be fatal/disabling as 'unnecessary'
We're being gaslit by government in the name of 'freedoms'. These aren't freedoms - these are removal of essential protections that benefit all of us. No one is completely protected from this virus, and vulnerable, elderly people, & frontline workers even less so.
Read 5 tweets
Dr. Deepti Gurdasani Profile picture
Feb 19
Because it's extremely misleading, and incorrect, if you've actually read the report. The attack rate modelled is one that we actually achieved in just 3 wks during the omicron wave. Rapid waning of natural immunity in children also not considered. Plus prevention of long COVID.
The last JCVI model was also heavily flawed, and very likely underestimated impacts from vaccination. It's worth reading these models for yourself and comparing them to the actual reality of infection in children that's been unfolding around us.
Also, they don't address long COVID at all, despite this being one of the more common detrimental outcomes in children, with protections afforded by vaccination. But, sure, who cares about facts?
Read 4 tweets
Dr. Deepti Gurdasani Profile picture
Feb 17
I've just been reviewing the DfE 'study' that was widely reported in the media as showing 'no evidence masks work in schools'. I honestly can't believe this was even written up into a formal report given the *huge* limitations.🧵
The study compared mask wearing in schools that responded to a question reporting mask use *either in communal areas or classrooms* for just *2 wks* or more- and assessed the impact on absenteeism just 3 wks later!!
Let me unpick this- we don't even know if the schools in the treatment group had kids *wearing masks in classrooms*. Given this was Oct '21 it's very likely that a substantial proportion if not the majority just had masks in communal areas (corridors)!
Read 11 tweets
Dr. Deepti Gurdasani Profile picture
Feb 17
Your own documentation shows that 67% of these deaths were *from* not *with COVID-19* in the 5th wk- that's a *huge* number & a big increase - and even at that point just under the 1st wave peak. At this point it's likely even higher. Stop gaslighting the public. Do your job.
I and many others have been shocked by the messaging coming out of the Danish public health body- saying MIS-C is a self-limiting syndrome? I guess things that kill you can be self-limiting in a way. But what about the children who end up with long-term sequelae?
Discussions around excess deaths dropping (which has reversed now) without acknowledging that excess deaths will drop in winter if behaviour changes due to reduction in *other* respiratory deaths even as COVID-19 deaths rise!
Read 7 tweets
Dr. Deepti Gurdasani Profile picture
Feb 17
Really concerned about the *huge* delays in COVID-19 childhood vaccination in England. After JCVI's announcement that 5-11 yr olds from vulnerable households would be eligible for vaccination *2 months ago*, these are still not being offered where I live (spoke to the CCG today).
They have no date for when it'll start here. Despite the announcement yesterday, given the shambolic roll-out so far both in 12-15 yr olds & CV 5-11 yr olds, I feel very little hope that anything will happen in actual terms anytime soon. Esp with messaging that it's 'non-urgent'
With huge amounts of help from motivated parents, I've finally managed to book my daughter in at a clinic hours away, but these vaccines are largely inaccessible to parents whose kids have been eligible for months now. When did kids become the lowest priority in our society?
Read 4 tweets
Dr. Deepti Gurdasani Profile picture
Feb 16
Ok, given the anti-vaxx sentiment for childhood vaccination of 5-11 year olds is in full flow, thought some helpful facts might help debunk myths and provide factual information around this. Here goes...
'We don't need it because children aren't seriously affected by COVID-19'

Yes we do. Stop comparing kids to adults. Compare COVID-19 to other illnesses in kids! Kids generally die less than adults, and we should be aiming to keep it that way!!
Let's look at most severe outcomes first - deaths.

We've had 21 deaths with COVID-19 *on the death certificate* as per ONS data in 2021 in 5-14 yrs in England & Wales. These are deaths *involving COVID-19* not *with COVID-19*
Read 24 tweets

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