WesElyMD Profile picture
Jul 29 4 tweets 3 min read
1/🧵 Worrying
 
If I’m #worrying, I’m usually either troubled over a past event or fearful of some hypothetical future event that might never happen.

📍Neither is real time.

The #present moment is where the action is if I really want to make a difference & find peace.
2/ In #Al-Anon (a spiritual but non-religious program I attend), we say that worrying is like a rocking chair. I’m doing something, but I’m getting nowhere.

If I want to get to a place of spiritual enlightenment, I must learn to #Live in the #NOW.

It’s easier said than done.
3/ Try moving thoughts of the past & future from your mind to create space in your 🧠 to completely soak up the “now” you’re living in. Imagine when you remove those past & future thoughts that are you actually have space to allow the present moment to fill your thoughts.
4/fin
“Worry never robs tomorrow of its sorrow. It only saps today its strength.”
AJ Cronin

I have found this to be one of us important exercises in my life over the past few years. It’s transformational & helps me be a better husband, father, friend and physician.

Good luck!

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More from @WesElyMD

Jul 18
1/🧵 Training Young Docs & Nurses💥

#JULY is a big time of year for medical trainees who move to the next level of their careers.

Question: How do I best serve them as a teacher & help them succeed?

Tip: this helps me be a better dad & husband, too.

#NurseTwitter
#MedTwitter
2/ As a “coach” of younger doctors (or my kids or athletes, etc), there are certain truths I have learned:

Ultimately, students’, athletes’ and children’s successes and failures are their own. Not mine.

I shouldn’t take credit for their successes nor blame for their failures.
3/ I must, of course, protect patients from misdiagnoses & treatment errors.

While overseeing younger physicians’ progress to independence, I have to prioritize patient safety.
Read 8 tweets
Jun 27
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 😎
Read 11 tweets
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? Image
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 ImageImageImage
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

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