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)
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.…
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)
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)
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.
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
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)
177/n As Argentina logs up its second case, Mexico joins the league logging its first one ctd)
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)
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)