Respiratory Physician with expertise in NIV Sleep and Respiratory Failure. Visiting Medical Officer. Intelligence Group Respiratory ACI. Advisor to WHN for LC
@Duderridesalot
@j_thePA
Very uncool....
Despite disease severity, I caution patients to maximise rest for 6 weeks before restarting exercise. Arbitrary number, but based on 30 years of seeing pneumonectomy pneumonia in young people. Systemic inflammation doesn't heal quicklyโน๏ธโน๏ธ
Dani,
My rule is nothing for 6-8 weeks. The inflammation continues long after the fever and cough. Keep your HR as low as possible.
One of the few things we know can limit the risk of Long C-19.
Same rule as any pneumonia or major illness.
Some people asked in the comments why you should not exercise for at least 6-8 weeks after getting
#COVID19
.
Researchers like
@RobWust
have recently shown that SARS-CoV-2 infection can induce changes in skeletal muscle structure and function, which can be worsened after
Two young patients today... Seen for other conditions. Prolonged periods of fatigue and "brain fog" 6 weeks post COVID....
What on earth are we doing???
Had to upgrade my Life insurance and that of my partner... There were FOUR direct questions relating to COVID! The actuaries have run the numbers! They won't touch you!
I required a special exemption! Couldn't get passed the close contact question ๐๐๐
@Globalbiosec
I've seen my share of Mycoplasma Pneumoniae...
I've never seen it fill entire ED Departments. Vietnam is the same.
If this is the case, it would suggest they have a serious issue with immune dysregulation (from Cรธvid).
Ummmm.... I'm not 65. I've already had 4X Pfizer.
I am a frontline Respiratory Physician with NIV skills. My last jab was June. I'm out of date. The next wave is coming.
There are no mandates nor instructions for those in my position. Guessing I'm not alone. Thoughts?
Finished my rooms consulting for the morning๐ฅต๐ฅต๐ฅต 1/4 Patients (being seen for sleep related issues) have persistent symptoms consistent with Long COVID. Infections acquired in Dec-Jan... You know... Our Australian Summerโน๏ธโน๏ธ๐ฆ
23 people have died of COVID overnight in NSW...
Just in case anyone was interested...
Our Premier clearly gives no fucks whatsoever!!!
No more pressers... No accountability.. NOTHINGโผ๏ธ
Not even a peep of remorse.
Shame on Us for not demanding better โ ๏ธ๐ฆ โ ๏ธ๐ฆ โ ๏ธ๐ช๐ช
Dear Friend and esteemed Colleague's daughter has developed Long C-19 from attending school in Sydney.
Increased fatigue. Dismissed by GP.
BSL =28. Now Type I DM..
WTAF are we doing๐คฌ๐คฌ๐ฅบ
My rooms are booked solidly out for 2 months. I have 15-20 patients expecting me on Sept 22. They've waited weeks. I must now pay my secretary"danger money" to move them, and risk my own MHealth to fit them in elsewhere. Becauseโผ๏ธ Some elderly, nice lady died 18k km's away๐คฌ
Covid infections can cause strokes, heart attacks and pulmonary embolisms in the post-acute phase. Even if the acute infection is mild. Even if youโre vaccinated/boosted. Even if youโre healthy. Even if youโre young. Even if you already caught it before and have โhybrid immunityโ
@angel_leigh
@brownecfm
Hmmmmm....
Guess that makes me the bad news Doc๐คท๐ปโโ๏ธ๐คท๐ปโโ๏ธ
No one leaves my rooms without an update on variants and a brief education about Long C-19....
They still return for follow-up... Usually with questions about where we're at.
In a brief translation...
XBB1.16 has been working on its fitness and ability to completely switch off your primary viral warning system...
This is an unpleasant combination. The risks of Long C-19 and viral persistence will be enhanced.
Wear your best mask๐๐ป
@j_thePA
Colleagues friend recovered from a mild infection. Went for a run. Rhabdomyolysis... Now getting dialysis...
Nothing is predictable with COVID.
The virus has outstripped our vaccines. They're not going to prevent infection only minimise some deaths. Simply put, we cannot drive down transmission without mask mandates and clean air. That's it! That's all we have left in the locker!
Hence the reason for my presence here๐ฆ ๐
@DavidJoffe64
Do you think gov won't drive down transmission with Vaccine+plus fearful case numbers will fall and the double vaxxed who had ample opportunity to boost will be less motivated? Do you think those that stepped up paying heavy price of Long Covid risk to accommodate these people?
Seen today. Previously fit and healthy 40yo. PhD. Seriously good scientist. Breathless on exertion. Word finding issues and geospatial confusion. Gastroparesis.
Tell me again how good life is
@AlboMP
๐คฌ
Long C-19...
Everyone having a good day??
Doc DJ๐
My wonderful nephew-in-law is a brilliant Rheumatologist... Johns Hopkins Graduate. 50% of his new referrals are younger people with novel polyarthritis... Long C-19. Fucking them good and proper๐ข๐ข
@DavidJoffe64
Thatโs right DJ.. they have been through what 6 + waves of death and destruction.. Long covid would be rearing itโs head more and more over there.. In Australia most do not know what they are in for.. ignorance- sheโll be right mate..
"The 40% rise in death rates is consistent for working-class folks 18 to 64-years-old."
๐ Dead people don't shop
๐ Sick people cannot work
You simply cannot bullshit the actuaries
@JEVLloyd
I give zero fucks what people think when I'm wearing my N95 everywhere!
They may appreciate my caution when I'm still alive to ventilate them๐ฆ โฐ๏ธ
@sanj971
"You do You"...
I see vulnerable people 12-20/day.
I see Long C-19 1-3/day.
I wear a mask for them. Not for me.
Nice smile. Have fun.
I'll be wearing my mask with
@MsahWu
out of respect for the vulnerable.
Both Ladhani's and the NIH's Long Covid studies show the idea that Long Covid probability goes down with reinfection because your "immune system fortifies with exposure" is false
This was yet another piece of wishful thinking that I stood against
1/7
"Asad Khan, 47, was working as a respiratory consultant before he developed long covid. He has not worked since November 2020.
โI have had to become my own doctor, researcher, and advocate. If I hadnโt taken matters into my own hands, I would not be alive today. In September 2021
This is the
#Leonardi_Effect
This is exactly what
@NjbBari3
and I have been saying for 3 years.
A sustained CD 4 count of <500 will get you there. That's data from HIV positive people.
@dbdugger
has the receipts. He too has been warning of this inevitably.
๐จ๐บ๐ฒKansas COVID-19 spike coincides with unexplained tuberculosis infections.
Kansas & Missouri health officials grapple with an early COVID-19 infection spike and higher-than-normal tuberculosis infections.
1/3
@DavidJoffe64
I'm Respiratory Physician....
I see COVID everyday.
I see Long C-19 everyday.
I went to every major outbreak in NSW 2021-22.
I've changed PPE more often than underwear.
I wear a N95 everyday!!
I've never tested (+)
Thank you, Professor Gregory
@TRyanGregory
๐๐ป๐๐ป
@RaffyFlynnArt
Hi I'm Dave,
This is what I do to protect myself and those for whom I care. I too wish to suppress infections and reinfections. They should not be inevitable and are definitely not benign ๐๐ป๐๐ป
And that, Ladies and Gentlemen is THATโผ๏ธ
I would suggest that the Nobel Laureate, Prof. Doherty, has labelled the QLD CHO's science with the most appropriate review๐
Thank you, Sir ๐๐ป๐๐ป
NSW reports 20,000 cases today. I am assuming this time it's not a reporting backlog or error.
NEMJ article suggests little benefit from a 4th jab.
N95 mandated masks would seem, to this physician, as good idea.
Premier??? Thoughts?
NSW reported 30,000 cases today.
Processing error, apparently ๐ณ๐ณ๐คทโโ๏ธ
Great time to get those masks off and force people into crowded transport and offices .... So much winning
๐ฅด๐ฅด๐ฅด๐คฌโ ๏ธ
The greatest lies of a generation:
๐ Kids are immune
๐ Children don't get sick
๐ Children pose no risk
๐ Schools are safe
A generation of debilitated children with chronic diseases and Long Cรถvid will require answers for our stupidity and callous disregard๐๐
I'm a Physician and a PhD. I'm not an Immunologist.
I've ventilated more Cรถvid people than many. Perhaps not as many as you?
I see Long C-19 patients struggling everyday. I'm supposing that's your experience?
Sorry, your Medical qualifications aren't in your Bio๐ง
21 deaths have been reported in NSW overnight to 4 May 2022.
I'm seeing Long C-19 in increasing numbers in my Clinical Practice.
Please, be kind. Wear your N95 masks and be careful around our elderly and vulnerable.
This isn't over anytime soon
Thank you ๐๐ป๐๐ป๐๐ฆ ๐ฆ โ ๏ธ
Well...
Thank you to everyone for your emails and messages of support... I have no idea why I was sent to the naughty corner ๐คท๐ปโโ๏ธ๐คท๐ปโโ๏ธ
But... I'm here at Gothenburg University with my amazing friend
@AndrewEwing11
... Talking Long C-19 and more.
What a beautiful building๐๐
"Lauterbach has broken the silence on a major catastrophe. This is the first time a major public health official has acknowledged the severe damage Covid does to the immune system, not to mention Long Covid."
Every leader of every country should be made to watch the testimony of
@zalaly
to the US Congress.
Would someone care to send this to Butler, Kelly, Albo Pty Ltd and NSW Health ... Thanks
"The burden of disease and disability from Long COVID is on par with the burden of cancer and heart disease.
The best way to prevent Long COVID is to prevent COVID in the first place. There is no Long COVID without COVID."
Brilliant testimony by
@zalaly
!
#HELPLongCovid
Kerry Chant says they've listened to the public and they don't want masks... Well Fuck Me Dead!!! Fabulous PH message... It's a popularity poll๐คก๐คกโฐ๏ธโฐ๏ธ๐คข
@NSWHealth
5 Jul
Covid-19 HOSPITALISATIONS:
BA.5 surge accelerating quickly.
This roller-coaster ride will continue until public health officials have the guts to demand sensible measures to suppress transmission.
Like a mask mandate.
Dr Kerry Chant AO, where are you?
#CovidIsNotOver
"Taken together, the investigators write, these findings suggest that SARS-CoV-2 infection damages the CD8+ T cell response, an effect akin to that observed in earlier studies showing long-term damage to the immune system after infection with viruses such as hepatitis C or HIV."
"The world has divided into two groups of people: โThose who already realize that SARS-CoV-2 causes neurological, vascular and immune system damageโฆ and that damage from reinfections is cumulative. 2) Those who are about to find out.โ ๐๐ป, Rad. Great article๐
Still the best description:
"'living with the virus' means living with a normalization of death, reinfections, long COVID...People would never vote for a deteriorating quality of life and risk, but thatโs where public policy is now taking us."
The Olympics in France will be fascinating to watch as a Covidologist
It will rip through the village. Many will be competing whilst infected
Massive crowds on public transport and attending indoor events
@elisaperego78
it will be an interesting
"epidemiological experiment"
"You're not the only one really struggling with this"
Olympic champion Matt Wearn, now 28, on his 1-year long battle with Long Covid
"For most of the first year after he won Olympic gold [in Tokyo], Wearn struggled to get out of bed or off the couch"
"Molecular detection of airborne and human SARS-CoV-2 indicated sustained transmission in schools. Mask mandates were associated with greater reductions in aerosol concentrations than air cleaners and with lower transmission."
@RageSheen
๐๐ป๐๐ป
"Long COVID is costing the Australian economy at least $5.7 billion a year as tens of thousands are left unable to work by the debilitating disease"
Parliamentary Inquiry๐๐
Lunch outside. Perfect Sydney day.
Incredible hour of knowledge and the Long C-19 journey.
Apologies, again for the PJ's,
@zalaly
So much for a non-clinical day๐
A selfie with one of my colleagues and Heroes of Long C-19.
A privilege and a honour๐
Collaboration awaits๐๐ค๐ป
NSW hospital numbers now exceed 1,800 COVID patients.
The "Pre-Xmas" peak needs explanation from Kelly CMO and National Cabinet. This was NEVER going to be the case. We are nothing like Singapore๐คฌ
Shameless lies will kill and cripple more Australians ๐
Guys
Signing off for couple of days... En route to Canada. Can't wait to see my son and daughter-in-law๐๐
Intermittent comms for two weeks
Stay Safe and behave yourselves in Covid Corner ๐๐๐
๐๐๐
"Test scores are down. Traffic accidents are up. According to the Bureau of Labor Statistics, worker productivity is "declining at the fastest rate in 75 years." Meanwhile, diseases from pneumonia to tuberculosis are filling up ERs and emptying pharmacies. Everywhere you look,
Covid ages you. It attacks every organ and system in your body. It's creating millions of disabled people. Our governments have chosen to mislead the public while shielding corporations from liability.
But it's not over.
Covid: It's That Bad
"In a registry study of 236,379 COVID-19 survivors, about one-third of them received a neuropsychiatric diagnosis (such as stroke, dementia, insomnia, anxiety, and emotional disorders) within 6ย months of the first symptoms of COVID-19, which is 44% higher than reported for
โ ๏ธ BREAKING
Bird flu outbreak in humans suspected on Texas farm
It comes amid concerns that eight people in India may also be infected with bird flu.
Nearly 2,000 chickens in the area have also been culled after the infections were confirmed.
Paging
@FinchTH
,
@RadCentrism
@arijitchakrav
Paxlovid
Metformin
Nitric oxide nasal spray
Mouth care +++
I'm sure there is more. That's my shortlist!
PS.... Heart rate as low as possible for at least 6 weeks
Oh... ๐ฉ๐ฉ๐ฉ
Now Beijing...
Hmmmm ๐ง๐ง๐ง
I've never seen Mycoplasma presenting at plague proportions.
Second opinion:
@MsahWu
25+ years in ED...
Thoughts??
I have been advised, my income protection insurance will be raised a whopping 15%! My health is unchanged. I've never tested positive for COVID.
Tell me this isn't related to increased claims related to Covid??
@UseBy2022
How many would you like to meet, Ted???
I've got an army of sufferers...
It comes in countless flavours. Not all are lying in a dark room with headphones and eyeshades.
They walk amongst us. Struggling to pretend they are coping๐๐
@ProfPCDoherty
@ProfPCDoherty
I think you would cringe at the methodology and statistical evaluation
It's unpublished, non-peer reviewed. Based on a text response, and excluded many candidate subjects
Long C-19 Awareness Day-March 15
This is an attempt to trivialise a serious disease๐๐ป
The Nightmare COVID Variant That Beats Our Immunity Is Finally Here via @
Itโs more contagious than any previous variant or subvariant. It also evades the antibodies from monoclonal therapies, potentially rendering a whole category of drugs ineffective..
So NSW still has 10k cases/day
<50% are considered "fully vaccinated" 5-11yo zero fully vaccinated. BA2 probably spreading, more contagious with suggestions that Sotruvimab might be less effective.
Yep๐๐ป Time to unwind everything๐ฅณ
Good luck with that, Premier๐ค๐ป
I'm watching BA-5 very very closely.
It's got all the potential makings of another Delta killing spree๐๐๐
Ventilating 20-40yo people at Liverpool and Nepean was a stark reality check for this Covidologist๐ฅบ
@RErbium
@DavidJoffe64
@drkerrynphelps
Unfortunately so far it seems teachers, HCWโs, hospital system, working class/essential workers are unimportant/expendable. Iโm sure NSW govt would leap at the chance to privatise it all. I think we would need to see huge numbers of deaths in 18-50โs.
@drPLeach
In the absence of any Public Health messaging... I'm the bad news guy!!
For my family, to keep them safe, for my patients to remind them to take precautions. Most are staggered to know about our lack of vaccines and the issues with Long Cรถvid
I'm happy to keep my face to myself...
What a load of BULLSHIT๐คฎ๐คฎ
I do it for myself, my family, my vulnerable patients and my colleagues.
It's called decency.
B.C. Health Minister Adrian Dix: "We felt it was important during this period when COVID cases were relatively lower that we have a period where doctors and nurses and healthcare workers could see...each other's faces. Which has its value, right?"
I'm sorry what?!
"Former Australian Medical Association (AMA) president, Dr. Andrew Miller, speaking on WAMN News about the โmassive surge of COVID,โ said governments โprefer to believe the lie that itโs all just gone away and we can forget about it.โ
@drajm
๐๐ป๐๐ป
My fourth vaccination was June 22.
I am a frontline Respiratory Physician whose most useful skill is non-invasive ventilation...
I experience huge daily exposure.
I'm not eligible either... Figure that one out๐คท๐ปโโ๏ธ๐คท๐ปโโ๏ธ๐คฆ๐ปโโ๏ธ
@DavidJoffe64
@MackayIM
I had my 4th vaccine shot way back in May (I am an enthusiastic supporter of vaccines) but now cannot get another shot. I am over 65 so in the risk group and have not yet caught Covid (I still mask assiduously) I want another booster shot but this Gov't is ignoring the science
Hmmmmm.....
Just no end to the Neurological damage of Long C-19...
Paper after paper...
Imaging studies... PET and MRI. Neurocognitive dysfunction measured and defined.
WTAF are we doing???
@MeetJess
@dbdugger
โResearch indicates that COVID-19 may contribute to cognitive decline by damaging crucial brain regions, including the hippocampus and anterior cingulate cortex. Additionally, studies have identified active neuroinflammation, mitochondrial dysfunctionโฆโ
The more often you get COVID, the higher your risk of complications.
Get added protection with an updated vaccine today.
Find free updated COVID vaccines at .
#WeCanDoThis
Lovely Cรธvid cautions
Not a single mask in sight๐คฆ๐ปโโ๏ธ๐คฆ๐ปโโ๏ธ
Let's re-evaluate this group in 24 months...
You aren't paying attention
MUTATION RATE of SARS-COV-2 is increasing !!!
#PandemicNotOver
Thanks to
@LongDesertTrain
who gave me the idea to post this thread
Muation rate 2020 : 23.025 subs per year (Source: Nextstrain)
๐ณ๐ณ
I guess letting a Class 3 Biohazard run through your population with repeated waves probably isn't a great economic growth strategy.
๐ฆ Dead people don't shop
๐ฆ Sick people cannot work
Lung Doctor. Not an economist๐๐ป
@RadCentrism
@mrmickme
@RageSheen
New data from the U.S. Bureau of Labor:
The number of people with a disability dramatically increased & hit a new record of 34 million in June 2023.
#LongCovid
is a mass disabling event.
Fixed it for you
@YouAreLobbyLud
@CrabbBrendan
@Globalbiosec
With a little help from a friend๐๐ป๐
Better reflects the reality of repeat infectionsโผ๏ธโผ๏ธ
Perhaps our National Cabinet need a glossy brochure to caution against complacency and explain why C-19 is still a BSL-3๐จ๐จ
@fitterhappierAJ
Officially a Medical Doctor tooโผ๏ธ
Congratulations, My Very Dear Friend๐ช๐ป๐ช๐ป๐ช๐ป๐๐๐
Bringing your Game to Clinical๐ฅ๐ฅ
Welcome aboard.... (The Titanic๐๐)
I have nothing to say...
A low ceiling, densely packed room. A crisis meeting and not a single mask.
Good thing we can see the Health Minister smirking.
Anyone ask him about deaths in Aged Care???
He's a dangerous lightweight.
This is the game-changer. The data that shows conclusively that you don't 'live alongside' pandemics, they destroy your economies. The ECONOMIC data is in, and it's *already* a financial catastrophe. As large as the GFC, and still growing, fast. /1
#auspol
I'm ashamed of what we have become.
The government we have chosen and the idiots we have allowed to promote outlandish unscientific bullshit.
@MarcTennant
๐๐
My Goodness....
You really are as shallow and intellectually vacuous as you project.
Ever been to a Cรถvid ICU?
Ever terminated the life of someone your child's age because ECMO has failed?
Ever seen Long C-19 decimate a colleague?
Fuck Off๐๐ป
During a lockdown, Melbourne shut in ~3000 residents of low-income housing for 14 days. Police put ring-fences around the buildings to prevent escape. A court awarded each resident $2220 compensation.
How much are your basic civil liberties worth?
H5N1 clade 2.3.4.4b is a big worry & it is likely the US could be a high-risk site for emergence of a pandemic, bcos of widespread exposure of humans to
#H5N1
via farming and the food chain.ย Some states have a high % of milk samples positive.
An outstanding piece on Long Cรถvid Kids.
@PutrinoLab
is absolutely correct. When the Kool Aid was passed around that kids rarely get sick, don't have "as many hACE receptors" and other BS, paediatrics seemingly lost interest. This was an adult disease.
What a huge mistakeโ ๏ธ๐ฅ
kids with long covid are losing huge chunks of their childhood to a devastating illness few people take seriously. but in too many cases doctors, teachersโthe very people who should be helping themโare shrugging their shoulders, blaming them, prescribing potentially harmful
I simply cannot appreciate the enormity of this devastation of our most vulnerable.
Is there not one single media outlet prepared to shirt front Albo Pty Ltd, Butler and the CMO, and ask them on the record
"Is this an acceptable price to pay"!!
"In terms of sequence and epitope expression, the XBB omicron subvariant is now as distant from wild-type SARS-CoV-2 as SARS-CoV-2 is from SARS-CoV, such that XBB should probably be called SARS-CoV-3." ๐ณ๐ณโผ๏ธ
I would encourage everyone to read this . It lays out the truth, the whole truth and nothing but the truth about reality. So yourself a favor and stop believing the numpties, the hacks and the sellouts.
What a appalling abdication of responsibility....
It's still a fucking Class 3 Biohazard๐คฌ
EG5.1 is tearing the arse out of the Northern Hemisphere.
BA2.86 is coming
We have zero vaccinations
"Bunker Bennett"
- Strut Arsehat First Division๐คก
"Deakin University epidemiologist Catherine Bennett thinks it's "high time" to move to more of a surveillance model of recording cases instead of weekly case reports."
#COVID19AUS
@Deakin
#COVIDisNotOver
#COVIDisAirborne
Source:
I will say it again
4 years into Cรธvid, to the best of my knowledge, there is no Medical Curriculum to discuss the virus. Mutations, outcomes, treatments, precautions...
Sweet F**k All on Long C-19โผ๏ธ
What will this generation of graduates be seeing for decades???
โโImagine my surprise to discover ME/CFS is definitely not rare, but inexplicably and infuriatingly unacknowledgedโ. Fifth year medical student, Scotlandโ
HIV was demonised as the "Gay Disease". Then middle class women realised their husbands had "interesting" conferences and...Yes, their son might be Gay
Then it was everyone's problem
Cรถvid has always been everyone's problem
Ignore Long Cรถvid all you like, until it's you๐๐ป
I'm seeing really nasty RSV and other Respiratory viral pathogens. Asthma exacerbations. Increased admissions with pneumonia.
The immune-damage post-covid is VERY real,
@ToshiAkima
I know of a couple of people who in the weeks after their COVID infection wondered why they came down with unusually severe non-COVID viral illnesses, requiring a further week off work. But yes, why don't you go ahead and dismiss this as mere anecdote
@fearnley_k
I qualified when HIV was still a pandemic
I've seen Swine Flu, Bird Flu, SARS-1, Epidemic Influenza, terrible TB.
@fearnley_k
... We always used airborne precautions.
WTAF happened??
We have failed a generation of most promising future cliniciansโผ๏ธ
We SUCK... as a Species๐คฌ
No plan
I'm sorry... It was officially ended when we dismantled Public Health and politicised a Class 3 Biohazard
Our plan is exactly THATโผ๏ธ
There is no plan
Terrible vaccination rates, no masks in hospitals, deaths in Aged Care and rampant school spread. That's the planโ ๏ธ๐
Oh... I wrote the guidelines for NSW Health for Acute Care Model in COVID and NIV. I'm on the Long C-19 Working Group, and have acted as a GP and Specialist Educator for Pfizer in the release of Paxlovid... You're right... Maybe I should be some other Dr.. like you๐คก๐ซ
Shall we finally put this farce into perspective?
Put the final nail in the coffin of the pathetic and ridiculous comparison between Covid and Flu?
Here are the hospitalisations by Covid (2023) and Flu (2023, 2022, 2021, 2020, 2019, 2018, 2017, 2017) in England.
(data from SARI