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.

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…

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.

🧵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

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.

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 🧵 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.

Prof Harries - head of @UKHSA tasked with your safety, “we are now with Covid in the exact same place as we are with flu, RSV or other pathogens"

Except we are not. Not even close. Why wasn’t this statement challenged? As it’s the basis of her denial.
Anyone got the lawyers no?

https://twitter.com/longcovidsos/status/1854193641515888859

It’s not like her nonsensical statement, designed to minimise risk, could stand up to even the most basic of scrutiny. Here is weekly flu, RSV & Covid hospital admissions from @UKHSA data compiled by @chrischirp with some exquisite colouring in from me…do they all look the same?

She keeps asking, she keeps not getting a clear answer. There’s a reason for that.
“Why don’t we just wear masks?”

- the answer is hidden in the reply re shopping - it’s because the NHS policy makers have simply given up & equated getting Covid when shopping with an NHS ward.

https://twitter.com/cv_cev/status/1853826377222439070

It’s an admission of giving up. We can’t eliminate Covid, you might get it when shopping, so why bother trying with masks at work?

Because work is full of people you can kill or permanently disabled if you infect them - including you. We have a duty of care to patients & staff.

Public Health bosses from Wales & Northern Ireland provided eye opening, confusing & shocking evidence at the Covid Inquiry today, leaving it still asking
- why aren’t you using PPE?
- why aren’t you monitoring the impact of Long Covid?

Neither question could be answered 🧵 Wales first…

Why isn’t PPE used to stop Covid spread?

*doesn’t answer question*

Why isn’t PPE used to stop spread?

*we decided Hospitals will have Covid*

Why aren’t you using PPE then???

The illogical mess is being laid bare for you all to witness now.

https://twitter.com/cv_cev/status/1853757334893289870

I fully expect more autumn & winter waves this year, I expect them to be bad based on us coming out of a prolonged bad summer wave just now, with less vaccine uptake expected & virtually no mitigations in society now, including healthcare

I’ll be relieved if I find out I’m wrong As the waves are entirely predictable given what we know of Covid &what happens with no mitigations I’m delighted that our hospital has brought back regular staff testing & patient admission testing to prevent asymptomatic transmission & stop patient/staff outbreaks…

Some basic covid science🧵
- you can be infected without showing symptoms
- you can pass on infection without showing symptoms
- you can pass on infection before you start showing symptoms
- a negative lateral flow doesn’t mean you aren’t infected (lots of ‘false negative’ tests) - a positive lateral flow means you have Covid (that’s where it is useful)
- the day 5 rule is based on the economy & not science (many are infective well beyond 5 days)
- you can get Covid multiple times a year (there isn’t lasting immunity)
- Covid evolves all the time

Covid infection is conclusively proven to cause:
- cognitive impairment
- lowering of IQ
- brain cell damage

Your teachers, doctors, nurses, pharmacists, lawyers, accountants, bus drivers, pilots, leaders are all getting repeatedly infected

What do you think is going to happen? “Clinicians should be aware of cognitive impairment post-infection and its co-occurring nature with poorer sleep, behavioural and mental health symptoms.” Children & young people. July 2024; pubmed.ncbi.nlm.nih.gov/38735404/

The number of young people presenting with advanced & very aggressive cancers over the last year in particular is worrying. I’ve never encountered it in such numbers my whole career. None of our colleagues have & they all remark on it. Tip of the iceberg. Here’s a little video that tells you about p53
#Cancer
nature.com/articles/d4158…

Year 5 of the pandemic now. The last year has been the toughest in some ways. 2020 we had solidarity & collective effort to protect each other. The world acknowledged the reality & enormity of what it faced. Deaths were recognised, suffering was validated with real compassion.🧵 2021 we saw the first attempts to deny reality, the UK celebrated “freedom day” as Covid ripped through our NHS & population gifting thousands more with a new illness emerging as Long Covid in those who had not yet recovered 🧵

“This is what we do know…Long Covid can include more than 200 symptoms including serious cognitive impairment & severe cardiovascular & neurological problems that can continue for weeks, months, or even years after initial infection” @BernieSanders 🇺🇸Senate Hearing on Long Covid “We know that people with Long Covid have experienced a wide variety of chronic symptoms including extreme fatigue, insomnia, migraines, brain fog, dizziness, SOB, loss of smell or taste & sometimes those diseases can be so debilitating that it leads literally to suicide”

3 videos that may change your life🧵
1. Covid researcher explains the cumulative risk with more Covid infections
2. WHO Covid Lead Jan 2024 Covid warning video
3. Immunology PhD who fully understands the research asks “what are you doing?” because pretending it’s gone is bonkers Study authors found risks increase with every infection, warning, "This means that even if you've had two COVID-19 infections, it's better to avoid a third," Al-Aly said. "And if you've had three infections, it's best to avoid the fourth."

Gaslighting, denial, minimising death & suffering from a national newspaper.

Let’s dismantle this hateful & cruel piece of writing, because it isn’t journalism.

Here are the facts 🧵
“The good news is that few seem to care”
I still care about people, how about you? 1. “Covid extremist” = someone who follows peer reviewed scientific evidence & accepts reality.
Here’s the @WHO telling you what’s actually happening

https://x.com/ungeneva/status/1745782729558348212?s=46&t=O9Dbfh1BejFm9j1D4J4C4w

#Covid deaths get minimised with “they were probably dying with something else anyway”.
Let me explain how we all die & why this minimising approach to Covid associated deaths makes no sense, although it may be a mass protective mechanism globally 🧵 Dying ‘with’ Covid is commonly used to minimise &/or possibly mitigate the catastrophic & distressing reality of numbers who died ‘of’ Covid: currently >6.99 Million worldwide. Likely an underestimate as these are reported cases only. >6.99 Million, RIP.

Everyone sick with some sort of “hybrid” type of sickness.
I’m really beginning to wonder if the cumulative brain damage from Covid infections is influencing behaviour & recall of past events. The levels of denial are truly astounding now.
“a greater reduction in global brain size in the SARS-CoV-2 cases. Those who were infected with SARS-CoV-2 also showed on average a greater cognitive decline”
nature.com/articles/s4158…

Here are the studies🧵Covid can cause;
Cognitive impairment, brain shrinkage, heart attacks, strokes, kidney damage, lung damage, diabetes, clots & other blood disorders, immunological & neurological disorders.
It is multisystem, acute & potentially chronic (1 in 10 infections)🧵 Covid infection can cause cognitive impairment & reduction in brain size.
Study: “A greater reduction in global brain size in the Covid positive cases. Those who were infected with Covid also showed on average a greater cognitive decline”
nature.com/articles/s4158…

2 million people living in this country have Long Covid & there have been over 230,000 deaths due to Covid. That’s why masks are now common place & people want to help protect each other ❤️
It’s why hospitals across the NHS are striving to do all they can to limit the spread of nosocomial Covid, recognising the increase risk of death it carries, wanting to limit Long Covid, as well as protect their staff in work ❤️