A raised d-dimer is often indicative of clots. If raised, CT PA imaging is requested to further investigate for the presence of clots.
Despite micro-clots being present in blood of Long haulers our d-dimer is often normal. D-dimer is a break down product of clots & our micro-clots are not being broken down.
In the presence of a normal d-dimer, imaging isn’t requested.
Most patients won’t qualify for a scan with a normal d-dimer.
Those fortunate few who are, CT PA imagining, however, also returns normal.
Why?
Bc even though clots are present, CT PA imaging is not sensitive enough to pick up small or peripheral clots.
Take home: Microclots are present in the blood of Long haulers and likely also those vaccine injured (spike protein is central to clotting).
A normal d-dimer and CTPA do not exclude the presence of micro clots. Check venous O2 sats and order a VQ scan.
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Threat of contracting Covid will deter vulnerable patients from seeking medical care. Those who decide to take this risk, face risk of death or permanent disability.
How is this in any way legally or morally acceptable? @sajidjavid
Dear companies, who are encouraging staff to work when they are symptomatic or have tested positive for Covid-19, how do you intend to protect customers, especially those clinically extremely vulnerable? @sainsburys@Tesco@BootsUK 🧵
1/7
As someone who has nearly lost their life to Covid, sustained multiple organ damage, and has now been significantly unwell Long Covid for 15 mths and illness ongoing, I would pls like an answer to this question.
2/7
And for any ableist’s reading this, who believe CEV ppl need to protect themselves and dodge society, prior to Covid, I had no underlying health conditions and was a fit and healthy 35yr old.
Being fit & healthy does not make you immune from adverse outcome.
3/7
“3-dimensional voxel-based morphometry (3D VBM) accurately analyzes, segments & quantifies brain volumes which allows for comparisons between infected COVID-19 “long haulers”& normative data from..matched healthy controls to obtain values based on their % of intracranial volume.”
Results: “The key finding is a statistically significant loss of cortical grey matter (CGM) volume in each COVID-19 “long hauler”. The loss of CGM volume likely contributes to long term neurological sequelae resulting from COVID-19 infection.”
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
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.