crr @crr7310 Twitter profile

Pinned Tweet

crr

5 months

Today SOM releases a package of publications and advice about long Covid and work. 1.updated long Covid for Leaflet managers leaflet.). 2.1 page infographic 3. themed issue of occupational medicine journal @SOMCEO @SOMNews 1/

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crr

@crr7310

2 months

Mark my words: we are entering another SARS2 wave. I’m an occupational physician trained to see patterns at work. Looks like 1st wave-large nos people coming to work with virus-rolling around in fits of coughing, faints/collapsing, grey with nausea.1/

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@crr7310

2 months

3/ no consideration of colleagues/more vulnerable people. Overall, grotesque failure of public health. And if you’re ill, don’t come to work. Presenteeism at its absolute worst. Perhaps not surprising given Govt attitude @LongCovidSOS @JCeoltaSmith @drclairetaylor @ScribblerPen

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@crr7310

2 months

I’ve heard this all before in 2020. ‘Worst chest infection ever’, ‘think I’m better then ill again’ (usually with new typical Covid manifestation). People shd not come to work like this and spread it around-this is a healthcare/university environment-behaviour worse than pre-2020

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@crr7310

5 months

We need to prevent Covid reinfections!This winter I see pwLC reinfected & more ill than ever; advocates ground to the ground after 4 years; people in @cv_cev groups more ill than ever; patients in immunedeficiency groups saying worst winter of their lives (that’s saying sth!) 1/2

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@crr7310

6 months

@DrMark_Faghy @pollyrowena Disgusting. I’m totally sick of people with Covid and other viruses deliberately spreading them round.

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@crr7310

5 months

@fitterhappierAJ I wondered how long it would take for public health specialists to realise that TB rates were going to rise after SARS2 infection due to its T-cell depleting properties. It wasn’t going to take long. How on earth can they in all conscience have let this happen?

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@crr7310

2 months

@1goodtern @FriedmanJas Klebsiella very specifically hosts SARS2 inside its cell structure as well. And is released with antibiotics, which releases SARS2 again, which causes an inflammatory reaction in those susceptible, which allows the bacteria to reestablish. Vicious cycle.

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@crr7310

2 months

@1goodtern Yes it’s amazing how many people said they’d had so many fewer colds and coughs during the time they were working/not in school/wearing masks.

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@crr7310

1 month

@brownecfm @LinnJarte Things are v bad in Aus at the moment. This is what happens when environmental and occupational risk management is totally disregarded.

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@crr7310

5 months

@JimBethell @ONS @hmtreasury @OBR_UK @xandvt @BrineMP Lord Bethell, I predicted this in a published article I wrote in 2020, and I and many others have been advising government and various taskforces on the issue of Covid & its serious health consequences since incl impact on economy. The epidemiology is obvious. Please act. @somceo

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@crr7310

5 months

@1goodtern I can’t get over how many already vulnerable or disabled or ill people are being made so much worse by wanton abdication of public health preventions.

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@crr7310

5 months

Healthcare workers exposed to SARS2-a category 3 pathogen-should have been and should still be provided with appropriate hazard controls under Health and Safety at Work Act and all related legislation. Known then and known now. Airborne virus. No excuse. @EvonneTCurran @1goodtern

Sky News

@SkyNews

5 months

'The NHS sold out its staff': Doctors whose lives were devastated by long COVID to sue health service Read more🔗

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@crr7310

5 months

@drclairetaylor @BeamMeUpScotee Yes, people will wail that nobody told them. Well so many people are telling them.

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@crr7310

7 months

I am proud to be a Long Covid Kids Champion and raise awareness of the illness in children and their families and do everything I can to protect them too @LongCovidKids

WorkingAndNotWorkingWithLongCovid

@WorkingWithLC

7 months

1/Tonight Dr Clare Rayner was awarded joint winner award by The Society of Occupational Medicine in the U.K. @somceo For : Outstanding Contribution To the Development of Occupational Health Globally 2023 which focused on her work for #LongCovid and her pivotal leadership role

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@crr7310

3 months

Really pleased with our Mythbusters on Long Covid and Work. We hope it helps. Thank you @somceo Michael Whitmore @JCeoltaSmith @alitwy @WorkingWithLC

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@crr7310

6 months

@1goodtern It’s going to be Victorian. That message keeps ringing in my ears.

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@crr7310

5 months

Sepsis patient groups filling up exponentially; children/teens teenagers losing schooling; health workers/teachers told to go to work with infection, healthcare workers knowingly spreading infection to patients; workforce & economy impacts +++; We have to stop Covid reinfections!

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@crr7310

6 months

@1goodtern Term, I do t know how you are doing this. You and others like you are having to pick up the pieces. You are big hearted. I am sure much appreciated by many.

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@crr7310

5 months

@s0f0nisba @MacItSo Absolutely! Nailed it-‘a film about the need for decent PPE (RPE!) made by people who refuse to wear decent PPE (RPE)! @doctorasadkhan

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@crr7310

5 months

@doctor_oxford And yet in your posts after the film premiere you stated you would not wear ffp2/3 in that crowded environment (where you had no idea whether engineering controls were in place) & said you wouldn’t wear ffp2/3 at work even with vulnerable patients as it impedes yr communication.

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@crr7310

5 months

We should call it what it is: too ill to work or go to school. @xabitron1 @docjon55 @elisaperego78 . A large proportion due to COVID related conditions; & ⬆️rates of acute cardiovascular events in all adult age groups. SARS2 is assoc with signif CV risks. @rae @DRTomlinsonEP 13/

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@crr7310

2 months

@tigresseleanor Whatever’s going around it’s nasty. I must admit I for one do not appreciate anyone coming to work in this state-just hope my FFP3s hold out. And I don’t want to have to keep picking people up off the floor.

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@crr7310

6 months

@1goodtern Oh my goodness, this is vile! There is a legal and moral duty not to infect people, visitors, clients, and workers in the workplace.

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@crr7310

6 months

@fitterhappierAJ I agree. The most massive failure of public health. And people seem so happy to accept that there is nothing that could have been done. It is catastrophic

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@crr7310

5 months

@Sunny_Rae1 @cv_cev It’s tragic, dangerous, unacceptable and preventable. Everyone could help a little by staying away from other people if they are unwell with a viral infection.

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@crr7310

7 months

@dysclinic @DianeOLeary As a medic, I am appalled at the endemic attitude amongst neurologists that most peoples symptoms are due to psychiatric problems. Not based on any proper assessment. It needs to change and needs to be called out.

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@crr7310

6 months

@Sunny_Rae1 @1goodtern Agree. Reinfections are disastrous in people already ill and damaged from SARS2.

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@crr7310

4 months

Superb thread on sickness absence in NHS due to COVID @somceo @WorkingWithLC @JCeoltaSmith

tern

@1goodtern

4 months

I've been having a big old dig through NHS sickness absence data. It's just bonkers. Summary: 🔥the pandemic isn't over🔥 The sickness rates for some groups now is nearly twice what it was five years ago. Here's F2s (year 2 foundation doctors):

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crr

@crr7310

2 months

@TripWorryf503 I’m good at seeing the patterns. If you can get them to use antiviral nasal sprays might help. Hepa filters at home if you can afford.

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@crr7310

4 months

@PrognosticChats Need detailed risk assessment before returning to safety critical work after SARS 2 infection! #riskassessment #covidandreturntowork .

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@crr7310

5 months

@contempl8ive @doctor_oxford I won’t be watching either. What’s the point of the show? Is it, as advertised, to show how bad it was for unprotected HCW?Yet-its medical authors publicly refusing to protect their own vulnerable patients against ongoing serious (BSL cat 3) infection hazards. Or maybe for ££?

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@crr7310

2 months

@_SharonThornton U.K., sorry should have said

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@crr7310

2 months

@doctor_oxford @DHSCgovuk @gmcuk When admitted with IE I was not clerked by doctor or nurse-an ANP sent me to the ward & I was only ‘found’ the next day. In yrs of working in hospitals, if I’d sent a patient to a ward without clerking, nurses wd have had my guts for garters.

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@crr7310

4 months

@LongCovidSOS @selkieO @LBCNews @amibanerjee1 @Daltmann10 @trishgreenhalgh @long_covid @LongCovidKids @LongCOVIDPhysio @LCNMUK @BinitaKane @loscharlos Absolutely. I think I was the only person wearing a mask in a huge teaching hospital today, at an immunology clinic for immunedeficient people. Literally beggars belief.

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@crr7310

5 months

We know: in many cases people need a very slow, gradual return to work. We advise an individualised, regularly reviewed Return to Work Plan. We recognise Covid is relatively new. Managers need information and advice on management of long term sickness absence. 5/

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@crr7310

3 months

People with Long Covid are not work-shy ‘inactive’ people as the government and media would have everyone believe: SARS2 virus has induced many physical problems. People want and need early diagnosis, treatment and to return to their usual activities including work. #LongCovid

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@crr7310

5 months

Employers, yr workers are yr strength: there is no business without health! Large employers cd lead the way, as we recognise it is harder for small/medium enterprises (SME) to adjust for illness.There is a U.K. shortage of workers, the same all over the world. 9/

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@crr7310

2 months

@shintomac I would prefer to be wrong.

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@crr7310

3 months

And the Rehabilitation section of WHO LC rehabilitation guidelines which I helped author @LongCOVIDPhysio

Long COVID Physio

longcovid.physio

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@crr7310

5 months

The uk govt has reported that the ‘economically inactive’ are unmotivated to work. I see pwLC who are devastated to lose their work/income, not unmotivated. It has cost them too much, let alone the economy. 18/

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@crr7310

5 months

LC is not one single condition-people can have several health problems after SARS2. SOM Long Covid taskforce is concerned about multimorbidity & by inequities in access to healthcare/health status across U.K. 6/

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@crr7310

6 months

@1goodtern We tried and tried to warn.

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@crr7310

6 months

@keetmuise Maybe they haven’t read the GMC or NMC or HPC codes of practice which state they must not infect patients with a communicable disease. 🤔

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@crr7310

4 months

Good to see this blog: The Air we Share - The Benefits of Clean Air in Health Clinics | The Society of Occupational Medicine @SafeDavid3 @JCeoltaSmith @cv_cev @docjon55 @tern @BarryHunt008 @ProfEmer

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@crr7310

5 months

@long_covid @TheIFS They’ve noticed finally?

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@crr7310

5 months

I predicted in June 2020 Covid wd have huge impact on the workforce if not recognised & provide healthcare for non-hospitalised people, many whom shd have been admitted. I advised employers needed to plan for this. And here we all are. 14/

Covid-19: Prolonged and relapsing course of illness has implications for returning workers - The...

Covid-19 is a new illness on a scale not seen in living memory. Every article and webcast about covid-19 has the same message: “We are still learning; we don’t know [...]More...

blogs.bmj.com

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@crr7310

6 months

@KatePri14608408 @ELHopkins Healthcare workers should start wearing respiratory protection. No point complaining if they catch Covid but have done nothing to prevent it.

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@crr7310

5 months

In U.K. the economic situation is in a poor state with 2.8 million unable to work, a dramatic increase since 2020 when the pandemic began. @UKGovTweets & media outlets call it ‘economic inactivity’, lack of motivation of workers and people on benefits,& ‘school truancy’. 12/

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@crr7310

5 months

The leaflet provides information on what we know is effective in helping people with Covid-related problems back to work. Read in conjunction with 3/

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@crr7310

5 months

..lack of public health advice and preventative measures. Currently @CMO_England @UKHSA @FPH we have no preventative measures against SARS2 in U.K. incl barely any vaccination. To get people back to work, you need to start preventing infections. However, the damage is done and..

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@crr7310

5 months

Long Covid for Managers leaflet provides detailed advice for managers, employers & workers in assisting people with LC & similar conditions back to work. The SOM LC Taskforce is committed to providing advice & best practice for work and long term health conditions @long_covid 2/

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@crr7310

5 months

Many professionals and patients were involved in this guidance from all 4 U.K. countries. Thanks to SOM for supporting it, to @somceo and @profewanmacdonald for foresight in leading & facilitating the taskforce 7/

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@crr7310

4 months

@long_covid @JCeoltaSmith @LCawarenessInt @LongCovidSOS @LongCovidKids @LC_UK_Action @LCD4A @WorkingWithLC @LongCOVIDPhysio @LongCovidScot @SupportingHH_UK @cv_cev @UKHSA @NHSEngland let’s have some infection control measures in place in healthcare environments, please. Patients are not safe from contracting infections with severe consequences from visits to clinics and hospitals.

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@crr7310

5 months

People infected by SARS2 need early symptomatic treatment early investigation and treatment of complications which persist after acute illness. We need health services which can provide timely services, so that people can get back to work 11/

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@crr7310

5 months

If @RX_HMTreasury @RishiSunak @MelJStride wish to reduce the impact of sickness absence on the economy, the *quid pro quo* is that you will need to stop allowing the infection of people with SARS2 by inaccurate messaging & lack of..

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@crr7310

6 months

@sunsopeningband I even know someone who went to a neurologist as a patient and was told they didn’t like the patient’s vibes. 😳

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@crr7310

5 months

Workplace adjustments are the only way forward. @cipd 10/

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@crr7310

6 months

@1goodtern What I can’t get over is the majority of health care professionals who won’t wear masks or take any COVID precautions. They can’t see it so it doesn’t exist. A baby learns by the age of 8 months that something out of sight still exists.

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@crr7310

5 months

@broadwaybabyto @PeteUK7 @doctor_oxford @LibDemPatrick @PeterStefanovi2 @JoFroggatt @ITV Too right. There is no logic, safety or understanding shown in the reasoning given!

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@crr7310

8 months

@LongCovidHell Why such a surge-couldn’t be all the newly immune compromised people could it?

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@crr7310

3 months

@LongCovidSOS @LCNMUK @CIPD @LongCovidKids

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@crr7310

5 months

What I'm interested in as an occupational physician is safe workplaces and not making people ill by their work. Health and Safety at Work Act 1974 mandates all workplaces assess & manage risk to prevent harm to workers, contractors, visitors and clients, esp the vulnerable 21/

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@crr7310

5 months

@LongCovidHell @UKHSA get your act together. Spreading of airborne infections in schools: TB, measles, strep A, Covid etc. And Covid causes T cell depletion hence why we are seeing rise in TB etc. Your approach to Covid in the last few years has been reprehensible in my opinion to say the least

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@crr7310

2 months

@Deb67088601 U.K., (sorry m should have said).

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@crr7310

6 months

@SGriffin_Lab Especially when acute Covid can age the brain by 20 years. What will be the effect on the developing brain?

Greta Karen Wood

@gkwood3

6 months

Do cognitive deficits persist after COVID-19 and, if so, what is their biological basis? Our NEW pre-print under review in @NaturePortfolio We report one-year cognitive, serum biomarker, and neuroimaging findings in 351 patients A thread 1/n

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@crr7310

6 months

As well as confirming the horrendous costs to people + U.K. economy, this is the 1st paper to our knowledge to calculate financial and economic costs of #longcovid to care-givers. This means family who have had to give up work/other costs of looking after very sick family members

Long Covid Support 🌍

@long_covid

6 months

🚨 The paper also gives “the corresponding value for informal caregiving”, extrapolated nationally: ❗️£4.8 billion #LongCovid #LongCovidRuinsLives #CureLongCovid

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@crr7310

5 months

Reinfections are damaging @CMO_England @RishiSunak @UKHSA . They need to stop! See the work of @zalaly . A government has a duty to protect its population from harm. We’ve known since the first cases in 2020 that SARS2 causes blood clots. T cell depletion lowers immunity..

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@crr7310

5 months

Schools are workplaces. @Sandyboots2020 @LongCovidKids . Not only are our children being reinfected, so are parents. I know many families where all are reinfected every 4-6 weeks. This is disastrous for their health. 23/

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@crr7310

5 months

..there is no easy fix for the individuals affected by LC or as consequence, the economy. It is far more expensive to have damaged the health of so many compared to prevention of illness in the first place, as @FPH knows. 17/

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@crr7310

3 months

Brilliant response to wrong previous diagnosis of ‘FND’

Dr. Ashley | The Panicked Foodie (she/her)

@PanickedFoodie

3 months

Once you are properly diagnosed, it is important to go back and let people know. So that hopefully, if they get another patient presenting similarly to you, they wont also receive nonsensical bullshit diagnoses like #FND ( #FunctionalNeurologicalDisorder ).

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@crr7310

5 months

and to coauthors @JCeoltaSmith Sarah Porter, Neil Greenberg SOM president elect @alitwy Jenny Lunt Kim Burton Richard Williams 8/

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@crr7310

5 months

@DRTomlinsonEP @microlabdoc @YouAreLobbyLud @doctor_oxford @trishgreenhalgh Truly awful to read this. I find it very hard to know that that was the kind of inhumane planning that senior doctors had for their colleagues.

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@crr7310

9 months

@long_covid @BorisJohnson @DHSCgovuk @LongCovidSOS @LongCovidKids @amibanerjee1 @Daltmann10 @selkieO @SammieFMc @RogersNat70 @JoD66 And wrote off everyone with gulf war syndrome in same statement!

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@crr7310

1 month

Short video from @LOCOMOTIONstudy -why and how to assess for Orthostatic intolerance in Long Covid @IanTuckerBell @DarrenWinch23

Prevalence of Orthostatic intolerance in Long Covid

www.canva.com

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@crr7310

5 months

Hospitals are workplaces. Not only are staff at high risk of Covid related illness, patients (already ill) get ‘hospital-acquired SARS2 infection’. Lack of ventilation/extraction, minimal testing (no one knows who’s infected), no respiratory protection. This is immoral @cv_cev

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@crr7310

6 months

@drclairetaylor Absolutely there’s not a ‘type that’s had it by now’! What misinformation. It’s a numbers game. Reinfections. What total gaslighting! More wilful infection of people by a damaging, vascular virus. I sure hope this isn’t someone in a position of medical power.

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@crr7310

2 months

@beccyjaneh I was going to say it was shameful lack of Public Health service but every time, I then want to reply to myself ‘but there is no longer such a thing as Public Health as a specialty’.

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@crr7310

5 months

We know how to do this from managing other long term conditions. The differences with COVID is a) number of people affected b) the level of disability caused by SARS2 virus. There are specific adjustments with post Covid conditions aiming for a sustainable return to work. 4/

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@crr7310

2 months

@hazardscampaign Agree 💯

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@crr7310

5 months

..to measles, TB and other serious infections. It’s Victorian! Let’s see public safety and health actions, please: Prevent long covid by adequate treatment in early stages=secondary prevention Prevent infection=primary prevention. Above all: prevent reinfections @FPH 20/

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@crr7310

3 months

It goes with and

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@crr7310

6 months

@covidfuturenyc This is what some of us have seen. It was going to happen and it’s horrible.

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@crr7310

14 days

It was so good to hear of a public sector employer taking this sensible, accommodating and effective approach to return to work. More of the same from other employers-public and private sector please!

Dr Jenny Ceolta-Smith (PhD OT)

@JCeoltaSmith

14 days

Hearing about Darren’s positive lived experience of returning to work with #LongCovid after being off work for an extended period of time. He explains he had a “ very very flexible at least 12 week RTW … could go at my own pace… it lasted 16 weeks” @UKVRA @somceo @theRCOT

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@crr7310

2 months

I said this ten days ago-cases are now escalating. Every other person I know is becoming ill again. Please take care, folks, especially if you are already affected by previous Covid: wear a FFP3 mask in indoor places, request ventilation, better still avoid.

crr

@crr7310

2 months

Mark my words: we are entering another SARS2 wave. I’m an occupational physician trained to see patterns at work. Looks like 1st wave-large nos people coming to work with virus-rolling around in fits of coughing, faints/collapsing, grey with nausea.1/

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@crr7310

7 months

Absolutely lies. He can barely speak, let alone hide what he thinks. ‘Waiting for a paper’! We first wrote a paper warning of prolonged effects of Covid in April 2020. And as for his comments about Gulf War Syndrome…

Dr Jenny Ceolta-Smith (PhD OT)

@JCeoltaSmith

7 months

So disgusted to hear Boris Johnson on #LongCovid He couldn’t stop himself gaslighting people who experienced gulf war syndrome either Minimisation of the impact of our #LongCovid despite his use of us being victims Victims yes we 💯 of his harmful to our health leadership

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@crr7310

5 months

Healthcare staff must protect vulnerable patients from SARS2 infection, and if ventilation/extraction is inadequate for the hazard, RPE must be worn. 25/ Society of occupational medicine has led the way in the United Kingdom and worldwide on advice for Covid and work. Thank you.

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@crr7310

7 months

@zalaly @StatCan_eng Dr Al-Aly, does the Canadian study replicate what your study showed? does it add things?

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@crr7310

5 months

@NikkiS_MCSFS @LOCOMOTIONstudy @ruairidhm @RogersNat70 @IanTuckerBell @DarrenWinch23 @CookieKazza @JCeoltaSmith @_sophiee28 We work so well together-love it.

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@crr7310

5 months

@PrognosticChats Brilliant thread. Speaks the truth. @LongCovidSOS @alitwy @drclairetaylor @LongCovidKids @JCeoltaSmith @long_covid @cv_cev

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@crr7310

5 months

Also COSHH (2002) Regulations, Management of Health and Safety at Work Regulations 1999. @profemer @safedavid @dianakloss @hazardscampaign . 22/

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@crr7310

3 months

@long_covid @JCeoltaSmith @RogersNat70 @NikkiS_MCSFS @IanTuckerBell @ruairidhm @DarrenWinch23 @_sophiee28 @CookieKazza It is possible to standardise some aspects of long Covid care r/o out red flags as per @LongCOVIDPhysio , screen for + manage tachycardia, chest pain, autonomic dysfunction, inflammatory reactions etc etc

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crr

@crr7310

7 months

We need rapid upskilling of health professionals in assessment + treatment of autonomic disorders: covid has made this a very common problem. Historically, disasters e.g. wars and pandemics have led to step changes in understanding of this topic, so let’s take this opportunity.

Long Covid Support 🌍

@long_covid

7 months

2. Thanks to other LCS Members/Advisors who work on @LOCOMOTIONstudy & helped highlight the issue of #PoTS in #LongCovid : “study concept & whether PoTS was being diagnosed & adequately managed was a leading priority for our patient advisors...” @NikkiS_MCSFS @ruairidhm @crr7310

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@crr7310

3 months

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@crr7310

18 days

Please join us on Friday 21st. The Vocational Rehabilitation team on @LOCOMOTIONstudy have been doing sterling work on Long Covid and work #OT @theRCOT @somceo @SOMNews

Long Covid Support 🌍

@long_covid

19 days

📣Register now - new @LOCOMOTIONstudy webinar: ‘Impact of #LongCovid on work: a qualitative study to inform vocational rehab’ 🚨Friday 21st June 2024, 3pm BST Significant patient involvement in this work by the brilliant Patient Advisory Group!👏 #Medtwitter #GPtwitter #OT

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@crr7310

5 months

@SleepyJim0 I wish the public would wake up and demand better of governments and especially those responsible for preventing serious infections in populations ie public health departments

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crr

@crr7310

6 months

@maolesen @DavidJoffe64 It’s like torture knowing what’s coming and only a handful of us saying and not being heeded.

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@crr7310

3 months

@SGriffin_Lab They don’t even do the protecting the nation bit!

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crr

@crr7310

5 months

@DavidJoffe64 @vipintukur It’s horrific watching it play out, noticing the patterns, and it being ignored. It is very painful watching knowing that it is preventable entirely.

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crr

@crr7310

6 months

@amymitchellart And the same doctors won’t even wear a mask, ventilate their offices or any administrative precautions

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