WesElyMD Profile picture
Sep 6 7 tweets 7 min read
1/🧵 Beauty in the Now…

While normally Greg doesn’t #worry, in this case, he succumbed to fear of change.

He was screaming and Crying in Fear - see tweet below.

How did he get through it?
What did he teach me?

#NothingDownAboutIt #DownRightPerfect #UpSyndrome #Tribe321
2/ Greg held his head in his hands and trembled with worry.

We were disrupting his usual Saturday of watching “I Love Lucy.”

Think Rain Man type of dependence on routine &
that’s Greg.

So when Kim and I took him to the mountains, it totally messed him up.

What happened?

#T21
3/ At first Greg got angry with us for taking him on this trip.

I mean, REALLY angry.

And we know that #ANGER is just one letter away from #DANGER.

He was heading in a dangerous path of rejecting something that could be healing & good in his life.

#TheLuckyFew #FindYourTribe
4/ His fear & anger took Greg OUT OF THE MOMENT & left him in a time he couldn’t control.

Past & future both fall into “time” we can’t control & into unconsciousness.

His beautiful #simplicity had been compromised.

#DifferentNotLess #SeeTheAbility #MoreAlikeThanDifferent
5/ Our lizard brain takes us unwittingly into time we have no control over.

This is essentially being unconscious, and that is where Greg found himself.

Once he allowed himself to flow into the moment as we went down the highway, he began to relax and sing songs.

#DontLimitMe
6/ Once at the lake, Greg had a picnic lunch.

Then we went into our canoe, He and Kim laughed and rowed!

The hawks above looked down on them as they soared. The fish below swam and jumped.

Once IN TIME, all was well.

#DownSyndromeLove #Inclusion #SeeTheAbility
7/fin
Worrying is like a rocking chair…

📍When I worry, I’m doing something but getting nowhere.
📍From Greg, I witnessed what I let defeat me in my own life.
📍Getting out of step with time, I lose.
📍When I stay connected to the NOW, I win.

Thanks once again, Greg!

#Trust

• • •

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

Aug 30
1/🧵 Paxlovid in Omicron⁉️
 
🔸Large study of 4k treated pts vs. 105k not on Pax
🔸Robust 80% ⬇️ in death prevention in elderly
🔸Hospitalization 70% lower if >65 y/o
🔸No help in young?

Why will I keep using in young & old patients?

Read next tweet…
 
bit.ly/3PRbbId
2/ This retrospective observational cohort in @NEJM only showed statistical benefit in patients 65 & older.

Does that mean Paxlovid does not work in the young during #omicron times?

I don’t think so.

Here are reasons why I will keep using the drug in young patients as well…
3/ Subgroup analysis of studies are mainly meant for hypothesis generation.

Usually in clinical trials there are not qualitative differences in how a medication works by age cut off.

There can be, but it’s unusual.

Original Paxlovid data showed efficacy across age.
Read 5 tweets
Aug 25
1/🧵 The Haunting Brain Science of Long COVID 🧠

@washingtonpost Aug 25

📍Brain shrinking
📍Corona ghosts
📍Autoimmunity
📍Clinical clusters

“The good news is that in some pts #LongCovid #BrainFog may not be permanent.”

Link👇 but paywall so see 🧵

wapo.st/3wvPBlF
2/ Mild Covid is biologically dangerous long after initial viral infection.

81 mild COVID pts:

Study revealed:
✔️Astrocytes (🧠 support cells for neurons) get infected
✔️Neurotransmitters are altered
✔️Neurons die indirectly
✔️Then we lose brain power

bit.ly/3pcqbFV
3/ Epidemiology💥

Long COVID is tightening its grip on society.
 
We’re still losing >600 people a day to death from COVID in US alone

Over 100,000 new infections per day (Johns Hopkins data).
 
This is an epic global 🌍#PublicHealth catastrophe.

wb.md/3SKjGrh
Read 28 tweets
Aug 22
1/🧵Mild Traumatic Brain Injury (TBI) isn’t “Mild” 🧠
 
Our daughter fell off a high diving board headfirst to cement years ago. Though she had 2 cracks through her foramen magnum, her GCS was 15 & CT had no bleeding.
 
“She’s OK,” they said.
 
Wrong answer 😔

#TrackTBI Data…
2/ Mild TBI isn’t mild at all. Lives & entire families are uprooted.
 
Over half of these N=991 patients with GCS of 15 & negative head CT scan reported incomplete recovery at 6 months.
 
90% w incomplete recovery were unable to return to preinjury life.
 
bit.ly/3pxd4ze
3/ Medicine & Trauma are only now waking up to the realities of this “invisible” yet devastating injury.
 
I’d been trained in all modern #CriticalCare & you’d think I would know better.

But I didn’t.
 
bit.ly/3R0enCt
Read 4 tweets
Aug 10
1/🧵 Is MonkeyPox airborne?

I’m not an ID specialist, but evidence from this often cited 2001 @Nature study does NOT speak to usual #MPX exposure.

The Methods describe high dose, highly lethal variant. This is more like being sprayed w viral fluid.

go.nature.com/3vMCbkP
2/ Is MPX airborne?

This 🧵 is to alert readers that methods of studies are critical to analyze. These authors set up an experiment that was designed to be as HIGHLY infectious as possible w a dose & delivery highly unlike what we see in society. They even got rectal lesions.
3/ There’s no doubt that respiratory secretions from prolonged close physical contact (kissing) are a way to transmit monkeypox. That is NOT the type of droplet transfer across multiple feet of physical separation we have to worry about.
Read 4 tweets
Aug 8
1/🧵 The Animal Rule & TPoxx for MonkeyPox

Huh⁉️
 
📌This antiviral drug Tecovirimat or TPoxx was FDA-approved for SmallPox by testing it in animals (not humans) w #MPox

📌 We need lots more data in humans to know how good it is.

What does this mean?

bit.ly/3PWJWwI
2/ First, be clear that the vesicles & pustules of #MonkeyPox rash can be super painful.

The infection can include eyes and soft tissue super infections.
 
Stay clear of close skin to skin contact with anyone infected (contagious for duration of rash, ie, 2 to 4 weeks-ish).
3/ I highlighted this fascinating @NEJM paper for you...
 
Essentially the drug approval process for TPoxx, a med you’ll get if you get seriously sick with MPox, goes back 34 years to the HIV epidemic and also Small Pox.
 
Read up…link to this paper is in tweet #1
Read 7 tweets
Aug 3
1/🧵 MonkeyPox, ChickenPox, SmallPox:

Let’s talk poxpoxpox…
 
✔️#MonkeyPox has 4 deaths
✔️Is it a panedmic?
✔️What do you need to know?
✔️Here are key take homes
 
JAMA -bit.ly/3S6IKs9
2/ Many people are holding off calling #MonkeyPox a pandemic.
 
Epidemics that “get passports” travel.
 
Mpox seems to have a global passport.
 
Sustained spread in >80 countries seems likely.
 
bit.ly/3ShYQzf
3/ The window for controlling Mpox is closing - eternal optimists are hoping enough vaccination can beat it.
 
Judging by how we handled #COVID, I’m betting Mpox will win.
 
@DrEricDing @kavitapmd make great points:

wapo.st/3NSdGcr
Read 18 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!

:(