Share this page!

Kashif Pirzada, MD Profile picture
Twitter logo
Jan 28 • 3 tweets • 2 min read
Seeing a lots of post-Covid cases like this: 30s-40s, pleuritic chest pain, mild shortness of breath, negative ecg and troponin, low positive or positive D-dimer. CT scans almost always (-) for pulmonary embolism. What to do? #medtwitter #Cardiology
frontiersin.org/articles/10.33…
This study shows Dimer can be elevated for 10 weeks after infection. Reminds me of what @BinitaKane saw last year, but these patients are not hypoxemic at rest or on a walk-test. I've been sending for cardiac consult/ echo/stress test, but is a V/Q scan or resp consult needed?
Forgot to attach the thread where this is discussed last year:

• • •

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

Keep Current with Kashif Pirzada, MD

Kashif Pirzada, MD 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 @KashPrime

Kashif Pirzada, MD Profile picture
Jan 25
Recently @apsmunro posted an opinion piece explaining why he thinks kids don't get immunodeficiency post-Covid. He went so far as to declare contrary views misinformation. Problem is, one key paper he cites has a fairly glaring error.
The paper he cites did see a reduction in naive T-cells, and a return to normal levels 100 days post infection. Problem is, they didn't check for CD95 receptors which tell the difference between naive T cells, and T memory stem cells (Tscm), the next step.
frontiersin.org/articles/10.33…
@fitterhappier goes into more detail here:
Read 8 tweets
Kashif Pirzada, MD Profile picture
Jan 24
What we have in our hospitals now is a pandemic of those above 70, and those with medical comorbidities. Often it contributes to increased frailty, weakness, and worsens existing conditions. As told to @CTVNews
ctvnews.ca/video?clipId=2…
If you're younger, you may think this is not a problem for you, but the collateral damage will be felt in terms of:
1) Continuously overwhelmed health systems
2) Increased Long Covid in younger groups
I explain more here:
I would liken it to a blast radius. Those in the center are worst off (eg those 70+), but the effects are still felt in the surrounding groups (60s, comorbidities) and further afield. Not something you should ignore.
Read 4 tweets
Kashif Pirzada, MD Profile picture
Jan 22
Had the chance to speak to @CTVNews tonight about lagging booster uptake in those above 65, Long Covid and overall system capacity.
ctvnews.ca/health/coronav…
While it's good to see stress on the system decrease in recent weeks, the patients that I've admitted to hospital recently for Covid are generally older, above 70, or have medical issues (transplant patients, diabetes, heart disease, autoimmune conditions). Image
Most did not get boosted.
More disappointingly, they did not know about antiviral medications that could have potentially prevented their hospitalization.
Our failure to publicize boosters and antivirals is going to be a costly mistake.
Read 7 tweets
Kashif Pirzada, MD Profile picture
Jan 18
The world's elite at the Davos forum are enjoying every possible protection from Covid, including PCR testing, air filtration, UVGI light.
Why isn't this being offered to everyone else?
Every school, every workplace should have the same protections as the rich and powerful.
H/T to @1goodtern, @AndrewLawton and @NashvegasEM for the finds
Read 10 tweets
Kashif Pirzada, MD Profile picture
Jan 17
A good summary of the lab-leak hypothesis. The 'Furin Cleavage Site' (FCS) on the spike protein mentioned here (whether man-made or naturally) also give rise to a section that resembles a 'Superantigen' which can overactivate your immune system.
Discuss in more detail what that means in this interview last year with @fitterhappierAJ
Trying to put this together in a big picture:
1) Gain of Function (GoF) research that could have created this virus
2) Lack of airborne precautions that let it spread
3) The immune system damage that keeps it mutating and damaging us Image
Read 4 tweets
Kashif Pirzada, MD Profile picture
Jan 2
"The name of the game for 2023 is to *adapt*
The virus is trying to adapt to us, we must adapt in turn.
The means honing the habits we picked up the last 3 years like: don't go to work or socialize when sick, use rapid tests, etc.
ctvnews.ca/video?clipId=2…
"Many families used these two simple strategies to make their Christmas holidays safer for their loved ones. It takes time, but new habits are how we finally learn to live with Covid. I hope we can add improving indoor ventilation and masking during surges to that list this year"
"Travel testing from China seems waste of time; we should be more worried about the newer XBB.1.5 variant sweeping across the US. Testing Chinese travellers appears to be mostly a strategy to give the appearance of doing something by the government"
Read 4 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!

Send Email!

:(