It has been an honour to walk alongside my friend & colleague of 21 years @BinitaKane & her daughter Jasmin on their courageous & inspiring journey. #LongCovid in adults children is real & serious. There are treatments available- sadly only for a fortunate few #TeamClots 1/n
(Everything I say is with the express permission of @BinitaKane). Jasmin is not the only child with #LongCovid who has been shown to have microclots & hyperactivated platelets. They are a consistent finding in kids & adults who have travelled for treatment to Germany & SA 2/n
Globally 100m are affected by this vile illness. In the U.K. alone this figure is estimated to be 1.8m, with 2/3rds reporting an adverse impact on their daily activities. 1% of primary & 2.7% of secondary school children fulfilled the criteria for #LongCovidKids 3/n
The symptoms are relentless & unbearable. No organ system is spared. Our tissues are starved of oxygen. This is NOT psychological/deconditioning/a slow recovery. This diseases tortures, disables & kills. It has driven some to suicide. It very nearly killed me 4/n
Sufferers deserve urgent biomedical investigation & treatment. Instead they face apathy, disbelief, hostility & gaslighting like the #MECFS community has done. There are few whose circumstances & resources allow them to seek experimental treatments abroad. This is not ok. 5/n
It is unacceptable for pointless studies of exercise & talking therapies to be funded when we have a life-threatening thrombotic vasculitis. It is unacceptable that we have to wait till autumn 23 for the results of trials like #STIMULATEICP. This research has to happen now 6/n
It can be set up within weeks if there is the will as we saw with the #RECOVERY trial for acute #COVID19. This is an urgent moral & economic imperative. It should not fall to sick patients & their loved ones to drive this; our energies are scarce as it is 7/n
Sadly some clinicians who should be spearheading this work continue to minimise the effect of this virus on children. They openly call for children to be exposed to infection. You know who you are- move on please. History will not judge you kindly @RCPCHtweets 8/n
It is staggering that schools which should be a secure sanctuary for children are a hazard to their health & that of their #CEV families. This is preventable with #masks & #ventilation. Yet there are some in powerful positions whose mission is to deny that #COVIDisAirborne 9/n
I would like to pay tribute to @BinitaKane’s indefatigable spirit in the face of personal tragedy. She continues to campaign for safe air quality in schools whilst advancing biomedical research on top of a full time job. Proud of you sis- ‘it’s never easy for prophets’ 10/n
A handful of individuals prepared to break with the existing narrative, structure & dogma can bring about massive change. Sometimes, one has to take risks in the face of hostility. We are not going to stop until everyone has access to the therapeutics they need #TeamClots 11/n
Please demand biomedical research & treatment for #LongCovid from your local health authority; write to your MP (writetothem.com) & do not accept discredited therapies like curative CBT & exercise 13/n
To support the global research effort into microclot detection, please consider donating or forwarding this fundraiser by @polybioRF for @resiapretorius & @dbkell’s efforts to create a method all will be able to access 14/n
I would like to pay tribute to the remarkable young woman at the heart of this story. Her courage, determination & maturity have been an inspiration to many. Despite her suffering she has been a huge comfort to me. Jasmin I look at this when I feel like giving up. 15/n
#Microclots are not the full story & there are no magic cures. But research & treatment has to start somewhere. Also- please do not self-medicate. Jasmin & other children who have travelled to Germany have had expert supervision 16/n
A number of you have asked me how I did with #Paxlovid which I took for recent re-infection. Prior to re-infection, I was doing well on triple anticoags along with platelet/endothelial stabilisers (sertraline, rupatadine, rosuvastatin & a course of colchicine). 1/n
I was noticing an improvement in mobility, orthostatic symptoms & recovery time after #PESE. My re-infection was a clinical diagnosis based on symptoms & microscopy which showed multiple new microclots; I was negative on PCR & LFT, as many seem to be with the new strains 2/n
My physician prescribed a course of Paxlovid. Unfortunately I suffered severe orthostatic symptoms, fatigue, nausea & metallic taste. I managed to complete the course, & within 24 hrs side-effects disappeared & I was back to the previous baseline 3/n
I’ve just been made aware of a #POTS management clinic run out of @uclh autonomic service. Brace yourself. I’ve had feedback from an attendee and it isn’t good. @UKPoTS you may be aware of this @YorkCardiology@dysclinic it’s awful 1/n
Run by 2 specialist nurses. Some jewels:
“We learn to think in particular ways
These ways may not always be helpful when you have ongoing health issues. Unhelpful thinking can increase symptoms. 2/n
These thoughts are automatic, you may not even be aware of them, until we train ourselves to think differently”
Hypervigilance, particularly of body sensations is a common thinking pattern in PoTS”
The website neurosymptoms.org was recommended for dissociative symptoms 3/n
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.
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