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Empathy, science, determination, hope.
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Nov 26 20 tweets 4 min read
If by 'growths on my eyeballs' she means pterygium, then here's the chart for that in England. Image If, on the other hand she means conjunctival deposits...

Here's that bad boy: Image
Nov 26 48 tweets 8 min read
😮I want to smash something.
I've just stumbled across the official NHS coding guidance for U07.3 - 'Personal history of Covid-19' - and it left me on the floor.

🚨When paired with the data on the number of times it is currently used, it is a huge unknown national scandal. Image The ICD-10 codes are the codes that are entered into NHS hospitals activity databases.
So when someone gets healthcare, it's for a reason, so they look up the code for that reason, and put the code into the database.
Nov 25 48 tweets 11 min read
There's absolutely zero doubt in my mind that things have changed.

But *how*?

I've been sharing a lot of these graphs over the last month, but each chart looks at the *small* picture.

I have a big picture brain.
So here's a thread about the *big* picture. Image You can see in this image charts with loads of different *shapes*.

They all chart the same time span.
They're all from the same geographical area and age range.
They all chart the same type of data - 'hospital episodes'. Image
Nov 25 10 tweets 3 min read
What on earth is going on.

Seriously.

Where are the doctors raising the awareness about this?
Where are the journalists screaming?

What is wrong with everyone?

Hospital episodes for babies with heart valve problems in England. Image Two to four year old infants with heart problems. Image
Nov 25 50 tweets 10 min read
Yesterday I started posting a long breakdown of women's health issues that appear to have seen a change of trend since the population embraced widespread repeat covid infections.

This is part two. Image You don't need to have read part one first.

They're just collations of charts in no particular order, although there is running commentary and some observations along the way, so it is well worth reading that one, and I'll be posting a third too.

Nov 24 99 tweets 21 min read
In light of the fact that repeated studies suggest that women are more likely to be develop Long Covid, I think it's really important to know what's happening with the different health conditions that specifically affect women.

This is a painful thread at times. Image Older working age adults... Image
Nov 22 98 tweets 20 min read
Covid infection affects every part of the body, every body system, and every body function, but it *loves* the lungs.

So how does that play out in hospital episode data... And Parainfluenza virus (also not flu) pneumonia... Image
Nov 22 5 tweets 1 min read
If Covid infections damaged the heart and *persisted* in the heart...
I would expect there to be an increasing failure rate in heart transplants. Oh, would you look at that. Image
Nov 22 31 tweets 7 min read
There are a lot of prostate glands in the news.

Men don't normally like talking about them until something goes wrong, and then they like talking about them even less.

But it's time to talk about them. Acute prostatitis diagnoses have more than doubled suddenly.

Acute prostatitis is a sudden infection or inflammation of the prostate. It causes fever, pain, trouble peeing, and a very unwell feeling. Image
Nov 21 19 tweets 2 min read
For years, people who have been reading the science have been warning that covid infections cause immune system disruption.
Not in a mysterious hand-wavy way.
In a very specific, well-understood biological way: Covid infections damage B cells and destabilise antibody production.
Nov 21 37 tweets 3 min read
I had a catch up with an old friend yesterday.

He works on WHO programmes to reduce the global burden of long term illnesses.

This is probably a more interesting thread than I thought it was going to be. We met decades ago, when my main thing was engineering interventions for transmissible disease, especially:
Clean water
Clean air
Nov 19 32 tweets 1 min read
10 things most doctors don't know anything about: 1
How transmission of infections happens
Nov 18 33 tweets 7 min read
I don't think enough people understand the significance of the difference *and* connection between *dysregulation* and *deficiency*. Dysregulation is a *going out of control*.
Nov 17 100 tweets 18 min read
Eye problems are one of the most common after-effects of covid infections, and one of the most common issues of Long Covid - but they're not talked about much.

This is part two of my thread working through eye conditions that have become *much more common* since Covid struck. Little step up in older adults. Image
Nov 15 96 tweets 24 min read
Stan Laurel said your eyes are the windows to your soul.

I don't know about that, but I do know that your body is really complicated, but your eyes... yeah, your eyes are something else. An orbital disorder is a problem affecting the eye socket. It can involve swelling, pressure, pain, double vision, or inflammation around the muscles and tissues that move the eye. Image
Nov 15 26 tweets 5 min read
I've written before about the confusion Covid causes when it affects different age groups in different ways.
I'd like to just illustrate that by talking about the way the body handles potassium. Potassium balance relies on four major systems:
Kidneys.
Hormones.
Acid base control.
Cell integrity.
Nov 15 24 tweets 2 min read
Oh.
I suddenly get it.

They *don't know* that they're avoiding diseases spread by water, blood, food, faeces, because society is set up to do most of that work for them *without them knowing*. Most people move through life inside a cocoon of invisible infrastructure that quietly blocks whole categories of disease transmission.
Nov 14 39 tweets 4 min read
For the last month I've been asking headteachers and staff at seven schools a simple question:

"Are repeated covid infections affecting pupil health?" I've been asking the question in person, face to face, while chatting to them about other issues, including staffing problems and attendance.
Nov 13 22 tweets 5 min read
Three quick things about this year's flu wave. Image Has it actually 'kicked off' yet?

Look at 2019 and 2024.
They have one kicking off point.

Interestingly it was the same week in both years - the week kids go back to school after half term break.

From there it skyrockets. Image
Nov 12 12 tweets 2 min read
I've been sent the text below, which is an extract from a proposed article that didn't make it to publication.
The writer asked me to share it.

For American readers: categories like Motor Neuron Disease include things like Amyotrophic Lateral Sclerosis/ALS/Lou Gehrig's disease. Image "There is growing concern among clinicians and researchers that COVID-19 infection may be contributing to a striking rise in rare but serious neuromuscular conditions such as motor neuron disease (MND) and spinal muscular atrophy (SMA) among younger adults.
Nov 11 35 tweets 5 min read
I've been watching soccer players here get ACL injuries with painful regularity over the last five years.

I've had two ACL injuries myself, and some times of year I develop a painful ache just below and to the side of my knee that feels like a small ball of pure pain.
🧵 So whenever I hear about someone going through this, I feel a strong personal empathy.