Dr K Fearnley Profile picture
Mar 31 10 tweets 5 min read
I am a doctor who contracted covid caring for covid patients at work. Failure to provide RPE left me and my colleagues knowingly exposed to deadly airborne pathogen. Previously fit and well, no co-morbidities, I am a shell of my former self. 🧵 @LaylaMoran @AppgCoronavirus 1/10
Diagnoses so far include, encephalitis, central sleep apnoea, myopericarditis, bilateral sensorineural hearing loss, tinnitus, dysautomnia, POTs, PEM/PESE. 14 mths into this illness, I am still housebound. 2/10
After dedicating the last decade of my life to becoming a doctor & placing myself into significant debt, I now face the threat of dismissal. 3/10
My story is not unique. 1.5 Million people in the UK are suffering.
Many have now entered their third year of illness.

Lost jobs. Lost families. Lost homes. How do @Conservatives plan on financially supporting & caring for those with Long Covid? 4/10
Long Covid is a public health emergency, currently absent of treatment or cure. It affects a large proportion of our working population. The economic impact and degree of human suffering is staggering.

5/10
We are unlikely to get better on our own. There is an ongoing pathological process which urgently needs to be addressed. 6/10
To date, £50 million has been pledged to Long Covid research. This is pocket change when track and trace cost £37 billion.

Furthermore, a large chunk of this £50M has been wasted on meaningless research which fails to address the underlying pathophysiology. @NIHRresearch 7/10
The economic & human cost of Long Covid is significant and urgently warrants increased funding. 8/10
Within the published literature there is evidence of viral debris/ #viralpersistance, & #autoimmunity & #microclots. We know the former can trigger the latter.@NIH @NIHRresearch @NIHDirector @sajidjavid why is #Paxlovid4LongCovid #antivirals not being trialled Long Covid? 9/10
Attention all those with Long Covid. Lets make our voice heard. Share your story today. Make #Paxlovid4LongCovid viral. 10/10

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More from @fearnley_k

Mar 20
Very disappointed @IndependentSage has aired such dangerous advice & misinformation given by @BWDDPH

Long Covid is not ‘rapid deconditioning’. One does not have a RHR of 60bpm and ‘rapidly decondition’ to a resting rate of 140bpm in the space of 2 hrs. 🧵
As a doctor with Long Covid, I can tell you that despite being housebound 14 months my RHR has improved from 140bpm to 90bpm.
Patients with Long Covid - many of whom exhibit PEM/PESE, cardiac impairment, exertional oxygen desaturation & autonomic dysfunction and orthostatic intolerances - need to be very carefully rehabilitated.
Read 11 tweets
Feb 20
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.
Read 10 tweets
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

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