Was talking to a physician colleague 50/M who said he has increased incidence of migraine like attacks lately and also reported a bad #Omicron bout 4months ago that caused him bed bound with weakness 1 week , cough for 3 weeks.Then while discussion he casually described ctd)
Ctd2) That after 3 months of the infection he faced a peculiar situation- for 4 days he was trying to remember the name of anti fibrotic agent , he said he could have easily opened the book or internet and checked BUT he wanted to assess , the antifibrotic he was trying to ctd)
Ctd3) remember he has used in at least 300 pts during the wave 3 months before & at least 500 overall , still his memory was failing him for 4 full days ,he also reported that he is unable to remember the songs that he was singing on & off which he loved ,remembered earlier ctd)
Ctd4) He is the head of Covid unit in a big setup, he never had such problems in earlier waves. We discussed and decided these are most probably #LongCovid, MRI will be done & considering Aspirin+clopidogrel+ Apixaban will e trialled for him. Will report .However we need to ctd)
Ctd5) understand that this neurotropic #COVID19 virus can not only cause dementia BUT also early parkinsons, in a mouse model just like #Influenza pandemic it makes the brain more susceptible to secondary damage.#N95,#Boosters, #EarlyTreatment
doi.org/10.1002/mds.29…

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More from @Rpshahmemorial1

Jun 21
Long Thread on Health Risks with Reinfection . While the Herd Immunity brigade has been pushing their agenda,we need to understand the risk of multiple reinfections .It is an interesting cohort with 12.29% with 2 reinfections 0.76% with 3,.08 with 4 ctd).doi.org/10.21203/rs.3.… Image
Ctd2)Clearly the time for reinfections is getting shorter 79 for 2nd to 65 days for 3rd & so on.Also the hazard is not only to the lungs BUT also to heart,blood vessels ,Gastrointestinal systems, kidney , the brain, the soft tissues and bones & the brain in that order ctd) Image
Ctd3) clearly if you are not vaccinated you are at higher risk BUT only vaccination isnt enough #VaccinePlus strategy is important , the risk remains high for 6 months with measurable reduction every 30 days BUT we are getting reinfected in that period (now 65 days ) ctd) ImageImage
Read 5 tweets
Jun 6
1/Prolonged discussion with Pediatric colleagues in the core group @Rpshahmemorial1- findings - we are having increased incidence of red eye, apthous ulcer ,recurrent fever every month & Lymphopenia like this in kids , we will watch this but we are very concerned #COVID19 ctd)
2/ Though it is currently anecdotal information we hope that in a day or two we will be able to collate more data on this , most of these kids turn out to be negative on testing BUT have had family members who were positive in the recent period , others ctd)
3/n in the core group noted that apthous ulceration has increased multi fold over the last 1.5- 2 years and so have red eye syndrome , in many these kids are an overlap group. There is also anecdotal information of vague joint pains which appear like post reactive synovitis.
Read 4 tweets
May 31
Top 225 updates on #monkeypox, we posted until 200 here , again posting them & will start a thread from 201 onwards below this tweet
Here you go ....
201/n @mdc_martinus posted how #PublicHealthOntario accepted potential for #airborne transmission of #monkeypox, agree that this is the correct public health policy ctd)
202/n @BNODesk reported 134 cases globally today with the peak crossing the previous high of 100 , globally 700 plus cases ctd)
Read 21 tweets
May 28
After touching 175 we will try and keep everyone updated about #monkeypox, will post the 175 first followed by the updates all the way till 200 .Here we go
Updates below ctd)
176/n @karmonyk has graciously shared a story, these delays have cost the patient the chance to prevent a bad outcome , vaccine best within 4 days and works all the way till 2 weeks , we've lost that window period , we are up for a bad outcome if we treat #monkeypox this way ctd) Image
177/n As Argentina logs up its second case, Mexico joins the league logging its first one ctd)
Read 26 tweets
May 26
151/n Germany has ordered 40,000 doses of a Bavarian Nordic vaccine to be ready to vaccinate contacts of those infected with monkeypox.Rest 150 news here ctd)
152/n Spanish woman tests positive for monkeypox, the 1st woman to be conclusively linked to the outbreak ctd)
153/n First case of monkeypox in a school aged child was confirmed in Quebec. And no, they did not isolate the class. That’s a really poor decision. Ctd)
Read 26 tweets
May 25
After 120 updates on #monkeypox we will now put up 150 updates . The previous 120 are herein below
The next set will start from 121 & further in thread below ctd)
121/n WHO warns that the outbreak is "only the tip of the iceberg" It , however, does not believe that the spread of the monkeypox virus outside of Africa requires mass vaccinations as measures like good hygiene & safe sexual behaviour will help control its spread🤔 ctd)
122/n Moderna's preclinical exploration on a #monkeypox jab will join the biotech's work on a host of vaccines beyond Covid, including shots to defend against the flu, common cold and RSV. Ctd)
Read 31 tweets

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