Renuka Dhinakaran Profile picture
Apr 18 7 tweets 2 min read Twitter logo Read on Twitter
My aunt was institutionalised on account of severe panic attacks, anxiety & self harm tendencies. My father, who believed his sister when she said it happened only around her menstrual cycle, took her out of that place (against her husband's wishes) & found a gynecologist. 1/
She was found to have severe lesions in her uterus (this was 30 years ago, endometriosis was not a term my father said the doctor used) and was advised to have a hysterectomy. My mother nursed her in our home after the surgery. In 2 months, she was a totally different person. 2/
2 years ago, when I received my hEDS diagnosis, I called her & explained about it. My father, once again, took her to a rheumatologist who confirmed that she was definitely hypermobile (which is why it took a long time for her to get an arthritis diagnosis). 3/
She broke down in tears saying that for nearly 60 years no one believed her when she said her bones were moving and cracking. She also has POTS (all my aunts do, as did my grandmother) & has had dizziness for as long as I can remember. 4/
You would think that after all this time patients would be believed but no! I wasn't believed for nearly 25 years! However, thanks to my idiotic persistence (as my father calls it), 3 generations of my family now have a diagnosis of hypermobility. 5/
My son was diagnosed when he was 9 because of this & has a great team of medical professionals taking care of him. He will not sit for more than one appointment with a doctor who does not believe his pain, knows his rights as a patient, will not take any medical gaslighting! 6/
#MedTwitter - Doctors, please listen to your patients. Please trust us when we say what is happening in our body. Do not discount everything as being related to mental health. Please pay us the courtesy of assessing our symptoms objectively & do a differential diagnosis.#NEISVoid

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More from @renudhinakaran

Apr 17
I've a question for #KathaAnkahee fans & I hope my head will not be bitten off! Does it appear incongruous that Katha has not yet checked who Robin is? I'm the mother of a child with chronic illness (+I was working full time before I became disabled) so this is from experience 1/
1 - I would never send him to any class without an adult to supervise. 2 - I would warn him against speaking to, much less trusting, strangers. 3. If he mentions such conversations, I would go with him to check on this person & find out more. 2/
4 - I would be worried about him exchanging phone numbers with a person I don't know. The world is filled with people good & bad but there are a lot of bad things happening to children. 3/
Read 6 tweets
Feb 4
#LongCovid treatment update:
As promised to my fellow #NEISVoid folks, here is a full list of my medicines, supplements, medical devices & rehabilitation in my recovery journey.
1. #POTS (Hyperadrenergic) - Ivabradine, Amlodipine, IV Saline (every 7 to 10 days as needed). 1/
2. #MCAS - Desloratadine, Montelukast, Cromolyn Sodium (Cetrizine + Prednisolone for rescue)
3. Rheumatoid Arthritis - Methotrexate, Paracetamol, Diclofenac Cream
4. #asthma - Budesonide/Formeterol, Ipratropium Bromide, Salbutamol (Rescue) 2/
5. GI issues - Pantoprozol, Prucalopride
6. Eyes - Olapatadin & Cromolyn eye drops, Refresh Tears, Refresh Eye Gel
7. Supplements - Calcium, Vitamins C & D, High Potency B Complex
8. Hypermobility - Braces for shoulders, ribs, wrists, elbows, knees & neck as needed 3/
Read 7 tweets
Feb 1
I really wish I'd paid more attention to biology & chemistry in school! Learning about the pharmacodynamic & pharmacokinetic properties of medications is truly fascinating. I'm so enamored by the cytochrome P450 family of enzymes & the highly important CYP3A4. 1/ #NEISVoid
There is a long list of drugs which are either substrates, inhibitors and inducers of CYP3A4, which determines how these drugs are metabolised. Grapefruit juice can also inhibit this enzyme, which when coupled with a moderate or strong CYP3A4 inhibitor drug can be dangerous. 2/
While it may not directly cause QT prolongation, combining two drugs (one of which may cause QT prolongation) which are metabolised through this enzyme can lead to increased levels of this drug, increasing the risk. 3/
Read 13 tweets
Oct 19, 2022
"Mommy, sometimes a part of me feels like it would be easier to have a different mommy. Not always and not me fully. Am I hurting you by saying this?" I have been preparing for 2 years to answer this question & I aced it! #parenting in #NEISVoid #LongCovid #motherhood🧵1/n
First, I lightened the mood my saying "believe me, I would like to be a different person as well, in a different body". He smiled immediately.
Next, I acknowledged that his thoughts were perfectly rational & had no malice at all. 2/n
I went on to explain that I was not upset. He simply wants to go on playdates with friends without worrying about infecting mommy & making her more sick, or go eat out in restaurants or not be the only kid in class masking. Any kid would want that, any adult would too! 3/n
Read 11 tweets
Oct 18, 2022
If you have #LongCovid & are married/in a relationship, please sit down and have a chat with your partner - about your symptoms, what you can & cannot do, how they can help you. 1/
Your relationship will be affected. It will change beyond recognition. With some effort though, it can be a good change that will help your recovery & solidify your relationship. 2/
You will be in pain & may not even be able to breathe properly. You will be confused. Please remember, your partner will be too. If they can't understand what you're going though, what you need & what they can do, it is not going to help either of you. 3/
Read 6 tweets
Sep 30, 2022
If you have #LongCovid & live in the Netherlands, here are the things that you are entitled to:
1. Physiotherapy for 6 months to 1 year even if you don't have aanvullendeverzekering (might change from Jan 2023) with home visit.
2. Occupational therapist (with home visit) 1/
3. Trippelstoel (through insurance, with help from OT)
4. Wheelchair and traplift from WMO, if your huisarts & OT give detailed letters supporting it
5. Ask for a referral to a Hartkliniek Cardioloog if #POTS is suspected. 2/
6. Ask for a pulmonoloog & rheumataloog referrals. Insist on an autoimmune panel - UMC Utrecht has post Covid autoimmune specialisations. It is an uphill task but possible.
7. If your 6 minute Walking test is below 92 SpO2, you are entitled to an oxygen concentrator at home. 3/
Read 5 tweets

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