Dr K Fearnley Profile picture
Apr 17 12 tweets 3 min read Twitter logo Read on Twitter
1/ After 10 yrs study, 100k in debt, I graduated as a doctor in spring 2020 at the start of pandemic.

I remember watching the heartbreaking scenes in Italy. A wave of infection was making its way around the world, soon to hit the UK.

🧵
2/ On March 24, 2020, then-Health Secretary Matt Hancock announced that all final-year medical students who met the General Medical Councils (GMC) outcomes to graduate were to be fast-tracked through graduation to be made available to help on the wards.
3/ Under the emergency framework, newly graduated doctors were eligible, but under no obligation, to apply to the GMC for a provisional registration on the medical register, enabling them to become foundation interim year 1 doctors and start work early.
4/ Keen to support my colleagues, I, alongside 4,500 other newly graduated doctors, applied for provisional GMC registration, and in excess of 15,000 former NHS staff members came out of retirement to serve on the front line.
5/ I contracted Covid caring for infectious patients in November 2020.

Delta was surging. The hospital was again filling up.
6/ Failure of my employer to provide Respiratory protective equipment (RPE) left me and my colleagues knowingly exposed to a level-3 airborne biohazard.
7/ For 10hrs/day, for 5 consecutive days, I was surrounded by infectious patients.

As a junior, I spent all my time on the ward. I was exposed to HUGE viral loads.
8/ Since contracting Covid, I have been significantly unwell with #LongCovid.

Encephalitis, bilateral hearing loss, bilateral tinnitus, myopericarditis, abnormal clotting, vasculitis, POTS and PEM.
9/ At 29 months, my trajectory is one of slow improvement.

A few weeks ago, I attended a work meeting - I requested to be redeployed.
10/ I asked that my NHS employer support me in the same way I supported them.
Today was my final work review meeting.

I was told the trust will not be supporting me. Redeployment is not an option.

#HeroToZero
#WhosClappingNow?

@LaylaMoran @DrPhilBanfield @ProfEmer @BMA @carolvorders
Employers must provide better support to workers with long covid bmj.com/content/381/bm…

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More from @fearnley_k

Mar 11
1/ The UK is descending into fascism. Our democratic freedoms are being threatened. Everyone living in the UK right now should be deeply concerned. Here’s why… 🧵
2/ Drumming up hate between the population and controlling the media to influence how people think (media propaganda), was a tactic employed by nazi Germany.
3/ To persuade Germans to support the Nazi dictatorship and believe in Nazi ideas, the Nazi Party tried to control forms of communication through censorship and media propaganda.

This included control of newspapers, magazines, books, art, theater, music, movies, and radio.
Read 27 tweets
Nov 21, 2022
Reality check:

1. You can catch Covid multiple times.
2. Reinfections are common, not rare.
3. Breakthrough infections are common.
Read 11 tweets
Nov 14, 2022
1/ The Department of Health holds no data on long COVID in NHS staff and has no intention of collating this data minhalexander.com/2022/11/12/the… 🧵
2/ “Frontline NHS staff injured by COVID19 whilst trying to keep services afloat despite government mismanagement of the pandemic, have been treated with disdain by the government..
3/ “NHS Resolution holds some of the central data on NHS staff long COVID cases, but says the data is not specifically coded to allow a computer search and analysis.

see: minhalexander.com/2022/10/14/tra…
Read 8 tweets
Sep 23, 2022
1/ We are seeing an increase in strokes, PEs, DVTs, MI, even amongst the previously healthy. The risk factor? Covid infection. We know infection with SARS CoV-2 causes a pro thrombotic vasculitis. 🧵
2/ You would be mistaken to believe being young and healthy protects you from the harms of #COVID19.

Mild infection has been shown to lead to brain damage and significantly increase risk of cardiovascular and neurological complications. nature.com/articles/s4159…
3/ This large-scale study of 150k people showed even a mild case of COVID-19 can substantially increase a person’s risk of cardiovascular problems - some 20 types in all - for at least a year after diagnosis. nature.com/articles/s4159…
Read 6 tweets
Sep 22, 2022
1/ Clear evidence of a circulation problem in #LongCovid. We know #SARSCoV2 causes a pan-vasculitis & hyper coagulability. Every long hauler whose blood has been tested has been +ve for microclots

⚠️Medics, pls note, a normal D dimer does NOT exclude the presence of microclots🧵
2/ D-dimer measures fibrinogens degradation products (FDPs). Because the microclots are not being broken down, d-dimer will not be raised.
3/ Unfortunately a blood test for microclots is not yet currently available in the UK outside of the research setting.
Read 6 tweets
Sep 21, 2022
1/ Allowing the unmitigated spread of #SARSCoV2 is actually destroying the economy. 🧵
2/ A report by Household Pulse Survey (HPS), conducted by Census Bureau in America, found 16 million working-aged Americans (18-65 years) currently have #LongCovid.
Of those affected, between 2-4 million, are unable to work due to the severity condition.
3/ The impact on lost wages alone is estimated to be $170 billion a year (and potentially as high as $230 billion) brookings.edu/research/new-d…
Read 6 tweets

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