🏴Thank you to @Fionasstalker & @BBCScotland for covering #LongCovid so well
🏴Interviewing the right experts
🏴Highlighting the fact that #pwLC in Scotland are struggling to obtain care and treatment.
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1. They clearly state it's a disease with strong female bias.
2. It's strength is that it's a large study that identifies population ave differences. 131,303 contols, 1455 ME cases
1/13 embopress.org/doi/full/10.10…
3. It took remarkable commitment as this was done in the researchers own time without funding.
4. That the effect of ME can be seen in molecular and cellular traits reinforcing that it's an ongoing organic disease. 511 blood based biomarkers were found.
/2
5. The key effects are chronic inflammation, insulin resistance & liver disease.
-chronic inflammation
elevated C-reactive protein [CRP] and cystatin C levels, and leucocyte and neutrophil counts
/3
😎 Top cooling tips - Some of the best ways to beat the heat 🧵
🧊 Cool from the Outside 1. Cooling vests, neck wraps, gel packs, head caps 2. Feet in cool water 3. Cooling Mat 4. Freeze hot water bottles, flannels, ice bricks 5. Bamboo cooling sheets 6. Shower b4 bed
1/12
🍧Cool from the Inside 1. Suck ice cubes, frozen fruit ie grapes 2. Keep cold water in fridge, can add mint, fruit, electrolytes 3. Avoid caffiene 4. Ice popsicles, can use moulds & add juice + electrolytes 5. Stay hydrated, sip not gulp 6. Oral rehydration salts, salty snacks
/2
💨Air Flow 1. Create a cool zone 2. Portable AC 3. Evaporative air coolers 4. Cross winds when cooler 5. Personal attachable fans 6. Tech with quiet mark 7. Blow hot air out window 8. Mist room & use fan
/3
We have serious concerns about the appointment of Dr Terry Segal as paediatric expert in the @covidinquiryuk
This is due to her problematic history with ME, association with BACME & present framing of #LC
🧐What does the evidence say? /1
Segal is a consultant in general paediatrics & adolescents at UCHL & co-lead of the Pan London Post Covid Service.
She is a co-author of the CLoCK study that presumed 'lockdown anxiety' & other abnormal behaviours contributed to #LC
More details 👇 /2 longcovidadvoc.com/post/is-the-gr…
She also developed the Psychoeducational materials for CYP alongside BACME mainstay Gregorowski.
These are based on PDSA - plan, do, study, act.
Which is essentially goal setting & pacing up. This is now on the kids section of 'Your Covid Recovery' app /3 researchgate.net/publication/36…
This is the very real danger we are facing in the 🇬🇧 with clinical care.
#LC is being seen as persistent & is going to be integrated with chronic pain & other unexplainable 'persistent symptoms'. 🧵/1
The problem is there's real issues in chronic pain clinical practice. It follows a problematic biopsychosocial approach of 'central sensitisation'. Which essentially means there's no 'real' physical cause. /2
It's a dubious theory & often comes with significant patient trauma. With little actual investigation. It's likely alot of pain comes from mechanisms we don't yet understand that aren't on a visible level. /3
🌟Major Step Forward 🌟
Long Covid DEFINITION 🧵
5️⃣ Main Points
👉ATTRIBUTION TO INFECTION
-yet no labs needed
👉ONSET & DURATION
-3 months yet can be cont. or delayed
👉 SYMPTOMS
-1 or more organ system but no limits
👉EQUITY
-anyone!
👉FUNCTIONAL IMPAIRMENT
-can be profound.
🌟Key Takeaways🌟
👉Legitimate Disease State
-that's in black and white folks)
👉#POTS #MECFS #MCAS are pathophysiologic mechanisms of #LC
👉#LC is an IACC - Infection Associated Chronic Condition
👉 Designed for max. impact & distribution /2