Dr K Fearnley Profile picture
Feb 20 10 tweets 4 min read
My personal experience of Long Covid and thoughts on the governments plan to ‘live with COVID’

Key messages: 🧵

news.sky.com/story/doctor-w…
The governments strategy to ‘live with COVID’ is a strategy of denial. Scrapping of protections (free lateral flow, masks, all but ending tracing, mandatory isolation) will allow for the unmitigated spread of COVID which is both dangerous and irresponsible.
Not only do government plans fail to follow the science, they also fail to follow the money.
Through reduced testing, scrapping of financial support during isolation, and all but ending the tracing system, the government hopes to reduce annual costs from 15 billion to 1.3 billion. Making a saving of 14BN
Yet, the human and economic burden of Long Covid alone will dwarf the sums of money they expect to save through their strategy to ‘live with COVID’. It neither makes moral nor economic sense.
Healthcare workers who fell ill caring for covid positive patients unprotected at work, face threat of being abandoned in their hour of need. We must continue to support those who are too unwell to work with Long Covid.
There is an ongoing pathological process occurring in Long Covid which urgently needs addressing. It’s not rehabilitation patients need.
‘Learning to live with COVID’ would involve some actual learning.

Masks are a short term solution; the installation of air filtration systems are a long-term investment. We must now treat air quality by the same standards by which we treat water quality.
It is time for the UK government started investing in our future.

Omicron will not be the last variant of concern and this will not be the last pandemic.

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More from @fearnley_k

Feb 9
Key messages.

Long covid is not psychosomatic.
Serious pathology is evident when the correct investigations done.

Many long haulers have been unwell now for nearly 2 years; we are unlikely to get better on our own.
All long haulers whose blood has been tested has been positive for microclots

1 in 10 people will experience Long Covid. Prevention is key.

Long Covid patients present differently, with different, but often overlapping, symptoms.
Things we have to ask ourselves:

What is driving microclot formation? A damaged endothelium will do this.

We know the virus can directly damage the endothelium
Read 10 tweets
Feb 8
@NIHRresearch? What is going on?? What is actually going on?? 1.3 million people in this country have Long Covid. Meditation, yoga, home-based exercises, mental health support will not help myopericarditis, sensorineural hearing loss, visual loss, clots, microclots and the rest
We do not need to WASTE over 1.1 million to answer this question.

Talk to any long hauler. We are not in recovery. There is an ongoing pathological process which needs urgently addressing.
We have waited patiently. Some people have now been unwell for two years and counting. People are deteriorating, they are not getting better.
Read 7 tweets
Feb 8
RPE MUST be worn by NHS workers. Employers who fail to provide RPE are leaving NHS workers exposed to a known deadly airborne pathogen and in my eyes, are liable. @UKHSA @BOHSworld @uhcw_inf_con
I am a doctor who contracted covid whilst caring for covid positive patients. I was only provide with droplet PPE, leaving me exposed to infection. Staff who raised their concerns about PPE were admonished.
14 months later I am still unwell with Long Covid. My diagnoses include neurological sleep aponea, encephalitis, pericarditis, bilateral sensorineural hearing loss, tinnitus, dysautomnia and POTs
Read 7 tweets
Feb 8
There is NOTHING psychosomatic about the cause of #MyalgicEncephalomyelitis. It is nothing more than a myth perpetuated by those morally bankrupt. A myth which needs putting to bed. #MedTwitter #MedEd
#me #CFS is not taught in UK medical schools. This needs to change. ME/CFS in its severest forms can be life-threatening and in all cases, prevents one from leading a normal life.
The body is oxygen starved and consequently there is an issue with aerobic respiration. Abnormally high levels of latic acid have been found on brain imaging
Read 6 tweets
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 28
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.
Read 10 tweets

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