Dr. Alice 💕 Profile picture
Jul 17 4 tweets 1 min read Read on X
When “experts” called #LongCovid a “syndrome” or “syndromic” two years ago, I knew patients were in trouble. We already knew it was persistent SARS-CoV-2 causing organ damage.

Since when are chronic infectious diseases referred to as a syndromes- and not the name of the cause?
With zero data or biomarkers to subtype or make separations, PowerPoint slides were presented at conferences separating the “organ damage during acute infection” crowd with the “syndromic long COVID”with a grab bag of symptoms.

It’s a continuum of disease & it always has been.
This apparent confusion has had real consequences. I shouldn’t have to meet w/professional orgs in 2024 convincing them “long COVID is real” because look-even “one of us” nearly died from it!

Patients shouldn’t still be gaslit about this “mysterious” condition. But here we are.
The tide won’t be turned on this crisis until we discuss what this disease actually is.

A condition likely mediated by persistent virus leading to immune damage & dysregulation, vascular disease, hypercoagability, & brain & organ damage.

This is based on thousands of papers.

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More from @calirunnerdoc

Aug 18, 2023
Have several physician friends who’ve admitted they’ve been harassed & mocked for WEARING A MASK IN HEALTHCARE.

This doc works with transplant patients & had a relative die of #LongCovid. She’s also witnessed what C-19 did to my health.

I don’t recognize my profession anymore. Text saying “I still wear an N95 mask to work and people regularly make fun of that.” Published with permission.
@theacecoalition @joaquinlife have been advocating tirelessly to #KeepMasksInHealthcare.

We must continue to work to normalize masking in healthcare, & remove the mask stigma. We did it with gloves in the 1800’s- we can do it now with masks to protect against BSL-3 pathogens.
@theacecoalition @joaquinlife NO ONE should acquire C-19 in a hospital, medical/dental clinic.

NO ONE should fear for their life while seeking healthcare for themselves/loved ones.

NO ONE should lose their medical career to #LongCovid because they were repeatedly infected at work.

The time to act is now.
Read 4 tweets
Jul 27, 2023
This piece contains very nice interviews detailing the patient experience with fatigue after SARS-CoV-2 infection & in patients w ME/CFS.

It doesn't headline that a good portion of #LongCovid "fatigue" is due documented brain & brainstem injuries & effects of persistent virus.
@WesElyMD summarizes these effects quite well in his recent essay. Dr. Ely describes these C-19 induced brain injuries as "haunting," & he's right. The effects of SARS-CoV-2 on the brain are terrifying. Life altering. Career ending. In some cases, fatal. statnews.com/2023/02/16/the…
Journalists presenting information on #LongCovid & #MECFS to the public MUST stop focusing on symptoms.

Symptoms are driving the headlines, and headlines drive cognitive biases, which influence public and government perceptions of these illnesses, and even clinical care.
Read 4 tweets
Oct 12, 2022
Is #LongCovid a "real thing," #MedTwitter? I'll let you decide.

Here's my own case: I'm a cardiologist(40s) with no prior medical Hx & have run tons of marathons & several 1/2 Ironman Tris.

In March '20, I fell ill and became quickly hypoxic and confused. It was COVID-19. 1/
I was hospitalized 2x for hypoxia within 2 months, but had "clear" CXR and chest CTs. My PaO2 was 78 on an ABG, but my PFTs were normal. I had left arm & leg numbness and apnea during sleep, which wasn’t worked up. I was sent home from hospital 2x with a Dx of "anxiety." 2/
My workup was delayed, because my colleagues thought I "looked fine” despite fact that I was hypoxic, confused, couldn't walk to the bathroom without dyspnea, and couldn’t work.

Over 2.5 years I was diagnosed w:
-COVID encephalopathy
-Anoxic brain injury w ischemic lesions 3/
Read 9 tweets

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