Both acute & #LongCovid are a thrombotic vasculopathy that can affect any part of the body. #COVID19 is NOT a ‘viral pneumonia’. Dr Jaco Laubscher told us this 2 years ago. Had the world listened, hundreds of thousands of lives could have been saved. 1/n
Had we treated acute COVID properly with bedside TEG & appropriate anticoagulation, so much #LongCovid could have been avoided. I remember being ridiculed by colleagues for sending people with high d-diners home on anticoagulation in the presence of normal CTPA 2/n
With appropriate attention to hypercoagulability in the early stage, ICU admission & death can be prevented. So many lives have been lost due to medical orthodoxy & arrogance & therapeutic paralysis whilst awaiting multicentre RCTs 3/n
We have also condemned millions to the dreadful suffering of #LongCovid- again, where is the urgency for rapid treatment trials of anticoagulation? We already have the drugs. History will not judge us kindly 4/n
In case you haven’t caught this already, listen to Dr Laubscher explain it all beautifully in June 2020. He is #TeamClots unsung hero. We owe him a huge debt. If only we had paid attention to him at the time.
A few mths before getting #LongCovid in Nov 20 I was a frontline NHS respiratory consultant; 6am gym goer; couldn’t sit still, always travelling the world with my wife & 2 gorgeous children. Sep 21- bedbound, gastroparesis, complete sound & light intolerance, bladder incontinence
post-viral urticaria that made me suicidal, pericarditis, angina, cognitive impairment, crippling #POTS resistant to all medication, renal impairment, impaired glucose tolerance, intolerant of most foods. Was waiting for life to end. Got v little help from @NHSEngland 2/n
Have spent over £35,000 on supplements, private specialists & experimental treatment in Germany. I am better but still housebound, 50% bedbound, with work or family life a distant dream. Yet I am one of the lucky ones- had the resources to give myself a fighting chance 3/n
This harmful advice is doing the rounds. The obsession to get back to activity is dangerous. In #Covid19 rest & pacing are key for recovery & to avoid #LongCovid. There is zero scientific basis for the recommendations here
@eis2win@SINIcouk@sportwales@sportscotland every patient is different. Some recover quickly, others can take months. Your advice is medically harmful & can result in deterioration & disability.
Really proud to be collaborating with Resia; we will be publishing the work we did with Dr Beate Jaeger & @KraterMartin before too long. Meanwhile #LongCovid clinics need to stop telling patients ‘we don’t know anything about #LongCovid’. We do. The slides don’t lie 2/n
#LongCovid is a public health emergency; it is a mass disabling event. Laboratories round the world need to start examining the blood of longhaulers ASAP- the protocols are simple & published for all to access 3/n
This is to be followed up very soon by papers related to work in Germany that Dr Jaeger, myself & others collaborated with the SA group on. The aim of these studies is to influence policymakers/researchers/clinicians. The more evidence the stronger the case for treatment
Sorry for not responding to comments/DMs- I am in a really bad crash, following return to the U.K. and the stress associated with it 🙏🏾
Well that was a slap in the face. We were falling ill, dying or developing #LongCovid despite washing our hands till they bled. I was saying #COVIDisAirborne- why wouldn’t a respiratory virus be? Nobody around me listened at the time. The droplet lobby’s narrative persisted 1/n
I caught #Covid_19 in Nov 2020 working on a respiratory ward with a surgical mask & flimsy apron. There was no shortage of airborne #PPE at the time. But of course we had to be slaves to guidelines, no matter how idiotic they were. 1500 HCW & social worker deaths in the #NHS 2/n
Now the govt recognises airborne transmission. Apparently though in healthcare facilities the virus decides not to behave this way. @NHSEngland@UKHSA@DHSCgovuk@MFTnhs nothing short of MANDATORY airborne PPE for confirmed or suspected #Covid_19 cases is enough. Get it? 3/n
THREAD: I’m going to let you in on a little secret. In March 2020 millions of people across the globe- including a disproportionate number of healthcare workers like me- got in touch with each other and signed a pact. We all decided to fake a new illness.
We started exhibiting a bewildering array of seemingly disconnected symptoms reproducible between individuals. Chest pain, fatigue, breathlessness, brain fog. Blood tests, x-rays & ECGs were usually normal. #MedTwitter take note. This means it’s in the head.
Some of us were able to make our pulse rate, blood pressure and oxygen saturations fluctuate wildly, foxing doctors. In fact, some got so good at this game that we could fake damage to heart muscle on MRI & produce weird rashes & antibodies on demand.