Whether the brain is damaged from a hit to the head like w/ concussion or damaged from a viral or bacterial infection, the edema/inflammation can cause strikingly similar symptom presentation in many patients, eg sensory overload/intense focus causing nausea + vomiting #LongCOVID
From the beginning of the pandemic it’s something that has stood out from patient reports. High functioning people saying they can’t read. That sound, light, movement *hurts* them now. That they need to take cognitive breaks or very slow processing. #pwME #LongCOVID #PICS #Lyme
And I learned how poorly we actually care for patients after concussion. How very little we have to offer them from a medical perspective, especially those whose symptoms linger.

As we learn more about the various ways the brain can be damaged, I hope we find better ways to heal

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Keep Current with Erin C. Sanders, MSN, WHNP-BC (She/Her)

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More from @ErinSandersNP

Jan 19
Put the label on some N95s and mail them to every American family. And start finally making kid size ones.

Issue public service announcements about cleaning the air. And how doing so improves health not just against #COVID, but allergens, pollution and other pathogens.
2/ Like someone with much better graphic design skills can make a mock up #American version USA99 (with 3M or something). Press an American Bald Eagle on the nose bridge (where the maple leaf is). Put the warning on the side. Give them to EVERYONE for FREE. Require in hospitals. Children’s CAN99 respirators from Canada made by vitacore Adult CAN99 respirators from Canada made by vitacore
3/ Then! Send each family a kit to make a corsi rosenthol box: 4xMERV13 filters, a box fan, duct tape. Takes 60 min or less to build, costs less than $30. Can reuse by adding new filters. Works for ALL air pollution: wildfire smoke, mold, pollen, dust, germs & #COVID.
Read 12 tweets
Jan 19
In 1961 the @ACSNews, @AHAScience, the National TB Association & @APHA sent a joint letter to @POTUS Kennedy asking to appoint a national commission to investigate the link between smoking and health, without wanting to threaten the freedom of the tobacco industry. 🧵
2/ He assigned this seemingly impossible task to his @SurgeonGeneral, Luther Terry. Terry appointed an expert advisory committee to summarize the links between smoking and lung cancer. Over 13 months they met for 9 sessions.

profiles.nlm.nih.gov/spotlight/nn/f…
3/ The 387 page report was released on January 11, 1964 and was one of largest cohorts ever analyzed by an epidemiological report. The truth was, people had already known about health risks of smoking for almost 15 years. It wasn’t interesting news anymore despite ongoing harm. Title: Smoking and Health: Report of the Advisory Committee
Read 19 tweets
Nov 26, 2022
Progesterone, contraception & chronic disease

Dovetailing off MMPs, for menstruating people, I am curious if the expected hormonal fluctuation and necessary cyclical tissue breakdown could be associated with a higher risk for barrier permeability and pathogen translocation? Graphic representation of the menstrual cycle showing ovaria
2/ Furthermore, if progesterone “PRO-Gestation” is a hormone that is able to trigger (red arrow) or prohibit the cyclical ischemia and breakdown of the endometrium to support a pregnancy, could it do that for other mucosal barriers as well?
cc: @DrJenGunter @doctorjenn @acweyand Graphic representation of the menstrual cycle showing ovaria
3/ Some background: In a healthy menstrual cycle, the ovary makes multiple follicles. One follicle grows larger with the egg that will be released. After the egg is released by the follicle and out of the ovary, it travels down the fallopian tube to the uterus to implant. Schematic detailing the stages of mammalian folliculogenesis
Read 24 tweets
Oct 15, 2022
A core mission of mine has become deconstructing the false binary fallacy of clinician vs patient that is perpetuated by both sides.

And instead making space for the many clinicians & trainees who are also patients & bring hard earned patient wisdom to their practice & science🧵
2/ Being able to translate patient experience into the language of science, medicine and healthcare, and connect worlds of expertise has tremendous value.

These often painful experiences can enrich the care and wisdom we offer to others.

When you know better, do better ♥️
3/ On ableism and exclusion of disabled clinicians in healthcare:
Read 32 tweets
Jun 3, 2022
I have been *waiting* for this type of extensive autopsy study to be be performed since I first learned about #COVID19. 3/2020-3/2021
N=44 autopsies; Brains = 11
Great care taken to be performed within 24 hrs of death.
None vaccinated. Prior to variants.

cc: @drjudymelinek 🧠 Image
Alt text: figure shows viral RNA was detected in every brain structure/region they tested in deceased patients with #COVID19 (n=11)

Link to presentation: videocast.nih.gov/watch=45296?jw…
They have full body data on these 11 patients including the brain.

Photo 1: SARSCOV2 RNA by PCR
Photo 2: subgenomic RNA overlaid on #SARSCOV2 sgRNA
Photo 3: Demographics
Photo 4: Clinical Summary ImageImageImageImage
Read 27 tweets

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