tern Profile picture
Oct 12, 2024 20 tweets 3 min read Read on X
I posted this this morning, then deleted it, then thought about posting it, then thought not... but here it is:

This morning I arrived at my workplace early to set up for a meeting because I had been told that the person who was going to set up was ill with Covid.
I opened the outer door, and could hear coughing from inside the building.

I opened two of the big windows, walked through, and there she was, setting up drinks and food ready for the meeting, coughing over them.
Me: Hello! I thought you were ill.

Her: Oh, I am. But I've just come in to set up for you.

Me: You have Covid, right?

Her: Yes, but I'm going to be gone before the meeting.
Me:
Me very slowly: You know that you should avoid vulnerable people for ten days after a positive test?

Her: Yes, but no one vulnerable will be coming today.
Me: Me. ME. I'm clinically vulnerable.

Her: Oh, I didn't know that. But you're always in a mask.

Me: Yes, that's because I'm clinically vulnerable.
Me: Thank you very much for setting things up. I'll finish off.
This is why I never go into the building without a quality mask even if it looks empty.
So I opened all the windows and doors wide, flushing out every last covid particle she had been exhaling.
I put all of the cups she had set out ready into the sink, and binned all of the opened food she had coughed over.

I'm not sure how much covid gets transferred on food, but I was pissed off as much as anything else.
And then I screamed into the empty building for a minute or so.
Just so people reading this know:

When you have covid, you exhale covid particles into the air. Even with just ordinary breathing.

Those particles can then float on the air for hours.
So it doesn't matter if you 'leave before the meeting'.
It doesn't matter if the room is empty.
It doesn't matter if the previous patient has left the doctor's surgery.
Unless you have flushed out the air that was in there, or filtered it through an air filter, or waited a day for all particles to settle, that air is dangerous.
Going to add something:
I think Covid infections often cause people who don't think clearly at the best of times to think even less clearly.

She wasn't well in body or mind.
Also, for all the people who have kindly sympathised with the risk posed by this situation, here in England there is covid everywhere and that lady was, I believe, posing no more risk to me than I encounter every day in my work.
Covid is everywhere here, and there has been no period this year when cases have been few in number, so I am always masked in a ffp2 or ffp3 respirator designed to stop the inhalation of particulates.
It's sad it has to be this way, but that's the way it is.

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More from @1goodtern

Jun 15
There are some people who would have you believe that vaccines basically all work the same for different infections, and all have the same effect, but that's not true.

Let me explain this as simply as I can:
Some vaccines are like *insurance*.

You are unlikely to get tetanus, but if you do, vaccination can turn a catastrophic outcome into something far less dangerous. It is protection against a *rare but awful event*.
Some vaccines are like a *firebreak*.

The measles vaccine doesn't just protect the person receiving it. When enough people are vaccinated, measles struggles to find new people to infect, so the whole community is protected, including babies and people who cannot be vaccinated.
Read 36 tweets
Jun 9
Much of the media coverage of worsening health boils down to this:
Gasoline can't have worsened the fire, because the fire had already started.
Covid infections don't have to *cause* a problem to make it *worse*.
If you already have lung cancer, then you catch Covid, your chance of survival drops.
Read 19 tweets
Jun 8
I had one of those really horrible conversations last week with someone who has had a string of new gut and bowel problems in the last year.

Every moment of the conversation a new alarm bell went off.

I came home and checked the charts.
Then I called them and asked if I could post something about it anonymously.
They said yes, so here it is.
Read 17 tweets
Jun 8
The biggest challenge around Covid and Long Covid communication is:

Why doesn't everyone get the same effects.
"Covid can damage blood vessels."
"Covid can affect the brain."
"Covid can disrupt immunity."
"Covid can trigger POTS."
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People hear that stuff, then they look around and think:

"Well Dave had it twice and he's fine."
Read 14 tweets
Jun 5
See how many of these you recognise:
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👉Long covid is just a collection of vague symptoms
▶️Vaccination changed the risk, so old studies don't apply
♦️Patients are over-attached to biological explanations
➡️The symptoms are real, but that doesn't mean covid caused them
👉There's no unique biomarker for long covid
▶️This is somatisation
♦️Microclots haven't been proven
Read 25 tweets
May 27
I've been thinking about this a lot since a woman in our community lost her unborn baby at 32 weeks while ill with a viral infection.

If you look at this chart, it's horribly obvious how much extra suffering viral infections have caused to pregnant women since 2020.

But... Image
But the huge spike in 2020/1, 2021/22, and 2022/3 hides a bigger problem.

That as of the latest data, viral diseases are now causing *three times as many hospital episodes as before Covid came along*. Image
I'm just going to gray those three years out to help you see.. Image
Read 13 tweets

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