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WesElyMD
@WesElyMD
Husband & Dad. ICU Doc. Vanderbilt. @CIBScenter studies Covid & Long Covid, ICU Survivorship, PICS, Dementia, Delirium. Tweets my own. Still learning.
Nashville, TN
Joined April 2020
Posts
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    1/🧵 Beauty in simplicity   For too long in life, I thought success was about climbing in the 🌎’s eyes…higher, better, farther. My physician wife & I are “new parents” to my 58 y/o brother w #DownSyndrome & he’s giving me all kinds of new understanding of what matters. #COVID
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    1/🧵 Our cell’s genes are rewired in MILD COVID 🧬   Stunning data in @Nature   White Cells (monocytes) switch gene expression from an established innate immune profile to a pro-clotting signature in COVID.   We’re immunocompromised. Let’s unpack this…   go.nature.com/3GeDygW
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    1/🧵 Let’s talk Long COVID: I’m grouping several important & interesting articles about the reality of #LongCOVID. By studying brain fluid, viral persistence & MRIs, we’re building our understanding of the “how” & “why” of this devastating malady. A train is coming, read on…
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    1/🧵 Imagine 2 people, madly in love & married 28 years, in an impossible situation, both lives on the line & separated by different hospitals. Then imagine 2 sets of #nurses & #doctors separately determined to overcome ⛰ of obstacles… (shared w perm) #MedTwitter #NurseTwitter
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    1/🧵 Long COVID Brain Science: 🧠 For ~100M suffering 🌎, let’s use data to combat myths & #Misinformation COVID is biologically dangerous long after virus is gone #LongCOVID affects our…. 📍Olfactory & Limbic Systems 📍 Interferon Autoimmunity 📍PET scans 📍Astrocytes How?
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    1/🧵Your brain “on COVID”🧠   Let’s integrate >20 studies on #LongCOVID neuropathology   My 24 y/o patient explained: “I don’t have a future because I can’t think anymore.”   Let’s talk: Autopsy Studies Viral persistence Brain Size & Disability Recovery & Hope H/T pic 👁️ tw 13
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    1/🧵 What is #LongCOVID⁉️   A disabling malady from ongoing inflammation, autoimmunity, & potential viral reservoirs (GI, brain?)   NEW DATA: The Lungs “light up” on special MRI Scans 3 to 9 months later in patients never hospitalized for COVID.   bit.ly/344Oajp
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    1/🧵 Christmas Reflection on Gratitude My patient today - IN THE ICU on Christmas - said: “I’m sorry for complaining, Doctor. I realize that if I have time to complain, I have time to say ‘thank you’ too.” WHOA!   I will be w my patients today & throughout the Holidays…
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    My patients toes on #COVID.👇 Patient told me, “I feel like I’m learning to breathe again and failing.” Imagine how bad his internal organs look now. COVID19 is no cold. My patient wishes so much he had gotten #vaccinated. You have choices! #Vaxx #Mask
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    1/🧵 The Haunting Brain Science of Long COVID 🧠 @washingtonpost Aug 25 📍Brain shrinking 📍Corona ghosts 📍Autoimmunity 📍Clinical clusters “The good news is that in some pts #LongCovid #BrainFog may not be permanent.” Link👇 but paywall so see 🧵 wapo.st/3wvPBlF
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    1/🧵This weeks 2 important studies on Long COVID   📌Include ~340k COVID patients vs ~7M controls out to 2 yrs  📌Organ dysfunction persists in 33%  📌Levels of disability from #LongCOVID exceed those of cancer & heart disease‼️   Links at end of this thread
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    Death💀of a team member from #COVID19 is especially brutal. Nashville TN USA #nurses #nursepractitioner #physicianassistant #respiratorytherapist and #doctors outside the room of 🙏 before he died of #COVID. #MaskUp #vaccine #MedTwitter #pandemic #Hope
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    Nurses are, by nature, problem solvers. When we block their innovative ideas of how to humanize care, it breaks their spirit. The job is hard enough. Allow #nurses to make pts wishes come true w music, ice cream, beer, & dogs! Otherwise we will lose our healers. ❤️‍🩹 #NurseTwitter
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    1/🧵Our speed in understanding Long COVID is accelerating‼️   Here I cover a smorgasbord of recent COVID data on… 📍Brain Aging 📍Genetics 📍Epidemiology 📍PEM 📍Self-Protection   Knowledge is Power. We are all at risk of losing Brain Power from #LongCOVID. Let’s learn…