WesElyMD Profile picture
Jun 27 11 tweets 7 min read
1/🧵 Hacked on Twitter - what did I learn⁉️

I & other physicians’ @verified @Twitter accts were hacked last week…
 
This “micro-dose” of being silenced reminds me to do all I can to amplify the voice of others.
 
And it made me want to share a few thoughts about this platform…
2/ How did it make me feel?

📍Vulnerable
📍Silenced
📍At the mercy of others
📍Out of control
📍Small

Of course, it’s just social media

But how we handle ourselves here prepares us to fight #Testimonial #Injustice

No one wins if we stifle the voice & truth of another person.
3/ Detachment

I’ve been working on detachment from the lure of worldly things.

When the hackers stole control of my account, my 1st thought was that this was a perfect opportunity for me to practice detachment.

If I’m truly detached, my pulse should remain a calm 46 bpm 😎
4/ Be an utlet toward “the good”

Getting hacked helped me re-examine why I’m on twitter.

I’m here for 2 reasons:
✔️to share hard-core science ✔️to spread love & hope.

If those 2 things remain, I’m participating in “truth.”
 
If not, I may be spreading “the bad.”
5/ Not an outlet toward the bad

Being hacked meant losing control of my voice.

In a sense, it was an example of how some elements of modern society can quickly get out of control.

I must avoid contributing to Testimonial Injustice.

This starts w me becoming a better listener.
6/ There are many obvious and timely examples.

In my wheelhouse as a #Covid doc, I hear so much about what it feels like to be a #LongHauler?

Wanting to speak but not having a way to be “heard.” Over 100M people suffer degrees of #LongCOVID.

Many feel they’re being ignored.
7/ To anyone reading this, I have a thought:
 
Never lose sight of the fact that your life has #Purpose.

There are #Tools around you by which to express & achieve that purpose.

Never confuse the tools with the purpose.
8/ I believe #Medicine has as its means diagnosing, curing & saving lives toward the END GOAL of preserving & improving health, self-worth, & personal dignity.
 
I must not confuse the ‘means’ with the ‘end.’
 
To accomplish the means at the expense of the end is to fail.
9/ The 6 principles of behavior I have chosen to use to help me decide how to treat others are:

📌 Tell the truth
📌 Achieve beneficence
📌 Not kill or injure
📌 Keep promises
📌 Autonomy
📌 Justice

Every day I walk in the hospital I commit myself to uphold these principles.
10/ The tool of social media is a means to an end. All of us must keep the end goal as our guide and harness the tools of our trade to achieve whatever good we are seeking.
 
I am seeking to reduce human suffering.
 
What are you seeking?
11/fin
I vow…

#Trust - constantly reevaluate where I’m placing my trust & whether I’m being trustworthy myself

#Detachment - my tool to maintain personal balance & health

#Truth - I will strive toward “the good” in this space

Thanks for hanging w me

Share your Calibration😀

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with WesElyMD

WesElyMD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @WesElyMD

Jun 15
1/🧵 Long COVID Brain Science: 🧠

For ~100M suffering 🌎, let’s use data to combat myths & #Misinformation

COVID is biologically dangerous long after virus is gone

#LongCOVID affects our….

📍Olfactory & Limbic Systems
📍 Interferon Autoimmunity
📍PET scans
📍Astrocytes

How?
2/ First, Epidemiological comparisons…

FLU vs. COVID

Survivors of viral infxns like #Flu don’t complain of 200 long-term symptoms & ~90% ongoing mood disorders.

#LongCOVID pts do.

Flu kills 0.5M/year vs COVID has killed 10X that (5M) in just 2 years.

bit.ly/3mJTBK4
3/ Consider this:

A study of 150k COVID survivors, hospitalized & not.

COVID survivors had 10-15X ‼️higher risk of considering #suicide at 1 year than 11M control patients.

This is horrifying, yet people still deny #LongCOVID’s importance.

WHY?

bit.ly/3HnHZpB
Read 27 tweets
Jun 13
1/🧵 95% COVID Immunity⁉️

@JAMA_current data show that in Dec 2021, 95% of US Blood Donors had Immunity from infection or vaccination.🧐
 
Then why do we have record high rates of #Omicron?
 
Does that mean we should have herd immunity?
 
Not so fast…
 
bit.ly/3n2o5HD
2/ First, we make estimates using a combination of the COVID spike Ab & nucleocapsid Ab to determine what proportion of our population is protected at a given time.

ie, either previous infection (nucleocapsid) or vaccination (spike Ab) or combined Infection & vaccination.
3/ But if there was 95% immunity in 2021, how did #Omicron go bonkers infecting so many in 2022?
 
The infection rates reflect #Evolution. The I ntense contagiousness of this variant & enhanced immune escape mutations plus waning protection from previous vaccination & infection.
Read 5 tweets
Jun 8
1/🧵Is Paxlovid Rebound real?👇

Short answer: I say Yes @JAMA_current

It’s when you go from COVID ++ to - to ++ after Treatment.
 
Prior to #Omicron & Pax, rebound seemed rare.
 
We need more data.
 
This article has pearls I want to share…
 
bit.ly/3NZsSEY
2/ 1st “If you’re ++, you must assume you’re infectious to others,” he explained.

“PCR test confirmed his positive rapid Ag test & it was back to jail for Dr. Ho.”
 
Recently, similar cases have been reported & @CDCgov issued a health advisory May 24:
bit.ly/3aDw8Yf
3/ There are just way too many anecdotal cases to ignore.

In recent weeks, prominent physicians in the US including @tmprowell @Bob_Wachter @PeterHotez have all discussed the reality of #PaxlovidRebound.

Yet, @pfizer downplays this & the early papers don’t mention it.
Read 12 tweets
May 25
1/🧵 An exacerbating factor in #LongCOVID is the “Quality of Life (QOL) Gap”🧵👇

…when a person’s expectations about QOL are at odds w their reality.
 
“Covid was over & Long COVID hit my brain, heart & GI.”
 
Let me unpack a study of ICU survivors…
bit.ly/3vp0AMl
2/ Read the thread I attached to the first tweet.

From the cancer literature, we learned about the QOL Gap.

If people appropriately prepare for their “ACTUAL” QOL, there’s a narrow gap and all is well.

If not, #Depression & #Despair too often set in.
3/ This study from Johns Hopkins by @vitaincerta & team adds to our understanding in a way that will apply so well to #COVID ICU survivors.

These are ARDS patients, which is almost always what lands COVID pts in the ICU and later with #PICS.
 
@ChestCritCare
Read 8 tweets
May 2
🧵1/ Here’s your “Big Picture” of COVID & Long COVID for 2022

See my new Figure👇 summarizing #COVID19 Management & Outcomes

Two years in & we have splendid choices.

Stay in peaceful waters of prevention (green) or risk treacherous cliffs of #LongCOVID & Death (red & black)…
2/ Knowledge is Power, and our knowledge has grown dramatically.

Let’s take a look at where we were just 2 years ago - even though it seems like 20 yrs ago.

April 2020: our approach & understanding of COVID looked like this👇.

We didn’t even know about #LongCOVID yet 🤯
3/ Remember, with #LongCOVID, your brain & heart are at stake.

@JohnsHopkinsSPH reports on emerging data: “COVID doesn’t discriminate when it comes to heart problems.”

Anyone affected may develop clots, arrhythmias & strokes >1 yr later.

Link &🧵below
bit.ly/3KzYcbp
Read 23 tweets
Apr 28
1/🧵 What does it mean to be human?

How do I magnify human dignity?

I face this daily as we have dying ICU patients.

Recently 2 young men w #COVID, both progressive lung failure, chose not to be put on a ventilator.

Both young & fearful they wouldn’t survive if put on vent…
2/ I kept turning up HiFlow & Bipap. At one point each asked,

“What treatment is NEXT, Doc?”

Knowing I’d exhausted our solutions, I looked up again into each man’s eyes.

Honesty is the only way...

“Sir, your disease pushed beyond our tools. There’s no ‘next.’ No cure.”
3/ “What are you saying, Doc?

Then we went through his options again, which were narrow.

Talked with family, a holy time for all…still, no vent…

“Doc, are you saying I’m going to die? Wait, I want to go home.”
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(