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Putrino Lab
@PutrinoLab
We make people (and technology) better at Mount Sinai. Opinions are my own.
New York, USA
Joined June 2014
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    With some new followers on board, I wanted to take the time to re-introduce myself to the #LongCovid community (and everyone else). I’m David Putrino: Director of Rehab Innovation at @MountSinaiNYC, Associate Prof at @MountSinaiRehab for @IcahnMountSinai 1/
    GIF
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    Feels like a good time for a little reminder: Countries aren't supposed to be run like businesses. Countries are supposed to spend money to support and serve their people. This means spending to support those living below the poverty line, the disabled and historically 1/
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    Tragic to say this out loud, but here it is: As a #LongCOVID researcher, I strongly urge the public to ignore recent @CDCgov guidance and input from @CDCDirector on the topic of #COVID. It is NOT based on consensus science and it has NOT been designed to protect you. Disgraceful
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    Ok. As promised, here is a super-🧵 on cognition and #LongCovid. This will be a combination of published material and things that we have observed in-clinic. This is not intended to be definitive nor epidemiological and so it is highly likely that your personal experience (1/n)
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    Of all the "COVID-recovered" people who are kindly emailing us to participate in our study (meaning they had COVID >12 weeks ago and feel recovered), only about 1 in 5 are actually passing our screening questionnaire. The rest actually have persistent symptoms. #LongCOVID
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    When someone is seriously ill with #LongCovid and presenting to a health care provider for help, “all your tests came back normal” should be the words that trigger the beginning of an extensive investigation, not the end of a superficial one.
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    Dangerous garbage being presented “science writing”. Two *actual* facts surrounding #COVID infection: 1. Your risk of #LongCOVID, a currently incurable chronic illness, after surviving an acute COVID infection currently sits conservatively at ~6-7% 2. Your risk of LC increases 1/
    Opinion | Why it’s time to stop scaremongering about Covid It’s wrong to try to change minds by distorting the science, writes @ClareWilsonMed trib.al/2Vei5ST
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    I don’t know who needs to hear this, but if someone with #LongCovid tells you that they feel cognitively impaired, but they’re testing “within normal limits” please don’t tell them that it isn’t a concern. High functioning people who have lost function should be concerned.
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    Replying to @PutrinoLab
    excluded groups. This means investing in research that doesn't immediately have a profitable output so that future innovations can be incubated and accelerated through companies that form within the country that supported the work. This means engaging in international aid so 2/
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    After 8 months, we just received the news that @NIH WILL NOT be funding our #LongCovid microclot study. They declined to provide reviewer comments. I'm so sorry to everyone in the community who was counting on this work, I don't know what to say other than we will keep fighting
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    New rule: Unless you're a person with #LongCovid or a clinician who is managing an endless waitlist of people with LC, how about you just keep your damn mouth shut on the topic of how the risk of LC is now "only" 5-10%? That is an enormous number. We should be screaming.
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    Ok. One last time: #LongCOVID, #PEM and exercise. Let's talk and I'll try to be REAL clear and REAL simple. If someone has PEM, exercise is contraindicated. Not only do you not prescribe/suggest exercise, you recommend avoiding exercise. That's it. Simple. No gray area. Why? 1/
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    What a week for public health 🤦🏻‍♂️ I don’t know who needs to hear this, but: surviving an infection doesn’t make you “stronger” for it. Surviving a #COVID19 infection leaves a mark. Like a boxer, every fight leaves it’s mark on your body. It can be an easy fight or a hard fight 1/
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    Them: what’s challenging about #LongCovid is that there are no objective signs and symptoms. Everyone tests “normal”. Me: Hi and welcome to the clinic. Could you plz stand for 10mins ~70% of ppl with LC: *legs change color and HR spikes* That seems objectively not normal.