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Prognostic Chats Profile picture
@PrognosticChats
Oct 2 • 1 tweets • 1 min read • Read on X
This is the virus people are calling “mild”

It’s the one you’ve been told to “move on” from, to basically pretend doesn’t exist

I’ll let ICU expert Prof Summers take it from here…

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More from @PrognosticChats

Prognostic Chats Profile picture
Dec 10
Dear anyone with cancer,
If you get Covid you might die.
You might die immediately with the acute infection.
You might die after the acute event with blood clots (increased risk already with cancer + Covid).
You might die because your chemo/immunotherapy has been delayed so much.
You might die after a prolonged admission with infection & other resultant organ damage.
You might die because your surgery gets postponed because of your Covid.
You might die because you never get back on treatment as you are so unwell post acute Covid.

Wear a mask. Keep safe.
Ask your family & friends to help you not die during your cancer treatments by masking to keep you safe.

Protect the other cancer patients around you at clinic by wearing a mask, then they may not die due to a Covid infection either.

Unbroken treatment gives you the best chance
Read 5 tweets
Prognostic Chats Profile picture
Dec 10
I was on a ward full of immunocompromised patients today with active Covid cases & I was the only one wearing a mask (that includes patients & visitors).

I have reached a point of quiet resignation. I’ve tried & tried to help the patients & the staff but they don’t want help
🧵
Numbers of Covid patients are climbing. Again. Entirely predictable as Christmas parties pick up pace & people gather more in packed crowds, with few vaccinated & absolutely no masks or adequate air filtration. But also predictable on the wards, with no masks or staff testing…
all of the staff, spare a solitary few who still recognise we are working & living in a pandemic, being out at all the aforementioned parties. Coming into work, not testing, not bothering to mask on a Covid ward. Living the delusion that it somehow stops at the patients door🙃
Read 6 tweets
Prognostic Chats Profile picture
Dec 1
I’ll never forget the family who shouted at us for a whole week & abused all the ward staff because their relative wasn’t dying “quick enough” for them, because they had a holiday booked. The relative was sleeping peacefully with fully controlled symptoms the whole week.
I’ll never forget the patient with the bowel obstruction from cancer, who I stopped them from faecal vomiting & controlled their pain & nausea so they could get home again & spend time with their children, so wildly different to the horror stories circulating on here.
I’ll never forget the 19 year old who died with a brain tumour, arriving from another hospital where no one had been able to control their seizures or headaches, I’ll never forget how grateful they & the family were for the symptom control & the time they had together then.
Read 19 tweets
Prognostic Chats Profile picture
Nov 30
🧵Do you fully understand:
- how people usually die
- who can decide on treatments for dying people
- who decides CPR
- how to assess capacity
- power of attorney
- ceiling of treatment decision making
- anticipatory prescribing
- pharmacology & safe use of opioids (eg morphine)
- how to estimate a prognosis
- the uncertainty inherent in prognosis & end of life estimates
- common end of life symptoms
- ways to manage these symptoms effectively
- how syringe pumps work & what goes in them
- the pharmacology & safe use of antiemetics or benzodiazepines
- best interest decisions
- the difference between a health & welfare and financial POA
- advance decisions to refuse treatment
- statements of wishes
- collusion
- confidentiality
- family/next of kin powers at end of life to dictate any medical care without H&W POA
Read 10 tweets
Prognostic Chats Profile picture
Nov 23
Somethings been bugging me. It’s one thing being the lone masker in a hospital, but it’s the hidden layer within my own team that stings most. We have team meetings all the time, they all know why I mask, yet none of them ever do. A constant reminder that they don’t care…
They don’t care enough about themselves or their families, they don’t care about their immensely vulnerable patients, they don’t care about me, not enough to slip on a mask at work anymore. Too inconvenient.
Yet they’ll all insist I go to the staff function. That they care about.
These are the hidden, yet palpable ways people around you decide to let you know how much they care. I’d like to think if I had a colleague who took Covid seriously, that I’d maybe listen to what they had to say, or at the very least have the manners to mask during meetings.
Read 4 tweets
Prognostic Chats Profile picture
Nov 14
The JCVI are out early with their 2025/2026 recommendations for Covid vaccines in the UK.

It’s not good news.

It’s not very truthful, or based on any clinical experience or useful data.

Let’s have a look at it 🧵 Image
All you healthcare workers - no vaccines from now on, tough luck I suppose, thanks for your service, enjoy the long Covid & early ill health retirements/death in service payouts to your family. Your life isn’t work £25. Image
Clinically vulnerable, good luck to you.
Any human who may wish to have a vaccine in an active airborne pandemic, nope, no chance. Image
Read 7 tweets

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