Aviral Vatsa
@Docvatsa
Normal 3%
Thread.
1. Some of the ways how SARS Cov2 is affecting us as Long COVID (LC):
- Immune dysregulation
- Auto immune disease
- micro clots
- viral debris
- persistence of SARS virus
- Viral reactivation- e.g. EBV, CMV
- end organ damage

It is one of the worst viruses to impact us. Stay safe
11:40 AM - Mar 25, 2023
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Aviral Vatsa
@Docvatsa
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'COVID emergency is over ' (not COVID), says WHO .

Do remember that it continues to debilitate us in many different ways, causing chronic illnesses.

Some will understand it now, some in a few years and a few perhaps never.

Meanwhile, SARS will continue its 'impact' ☹️
05:18 AM - May 19, 2023
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Aviral Vatsa
@Docvatsa
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The covid minimisers, anti-vaxxers, and policymakers have endangered our children's health for years to come. Simpler solutions today would have saved a lot of heartache down the line.

Long Covid risks in kids are worrisome.

https://www.jpeds.com/arti...
08:06 PM - May 14, 2023
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Aviral Vatsa
@Docvatsa
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An estimated 20% chance of an Omicron like new variant to spread. Of course not to panic about it, and surely not to ignore it either.

Living with the virus shud mean by taking apt precautions timely & scientifically.

https://edition.cnn.com/20...
10:25 AM - May 06, 2023
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Aviral Vatsa
@Docvatsa
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It seems the emergency bit of COVID is 'over' as per WHO.

Can someone convey this to the virus too please, that it's time to stop killing people and stop making them sick for months/years? And also pls stop new variants. Thanks.

https://www.bbc.co.uk/news...
12:47 PM - May 05, 2023
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Aviral Vatsa
@Docvatsa
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Great News.
RSV vaccine has been approved.
RSV kills 6k- 10k over 65 annually.
94% effective in reducing serious illness & 82.6% in reducing symptomatic infection in 60+ .
It has been a long wait for this one.

https://interestingenginee...
05:20 AM - May 04, 2023
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Aviral Vatsa
@Docvatsa
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1 in 10 have post COVID symptoms. - WHO

Re-infections ? Herd immunity? 😡
09:27 AM - Apr 27, 2023
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Aviral Vatsa
@Docvatsa
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thread 1/2
A significant development to decipher specific markers for severe disease in children, after SARS CoV 2 infection.
Hopefully a diagnostic test will solve this soon.

https://www.technologynetw...
09:17 AM - Apr 27, 2023
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Aviral Vatsa
@Docvatsa
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Some day we all shall realise the real importance of masking up, hopefully. I mean the policy makers will pay heed to science.

https://www.news-medical.n...
12:14 AM - Apr 21, 2023
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Aviral Vatsa
@Docvatsa
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Risk of new cases of diabetes is higher in people who had SARS Cov2 than who did not.
Younger males, severe disease were worse off.
Clearly COVID is adding to our health care burden both at individual and population level.

https://jamanetwork.com/jo...
11:26 PM - Apr 18, 2023
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Aviral Vatsa
@Docvatsa
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Proper mechanical ventilation in schools can do wonders in controlling COVID infection in kids. More evidence screams for ventillation as a key strategy against covid spread.

https://www.reuters.com/wo...
03:17 AM - Apr 17, 2023
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Aviral Vatsa
@Docvatsa
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Do you hit your head on a concrete wall every three months, hoping that if you survive you will have a stronger skull? If not, why let into your system a virus, which significantly worsens your risks for stroke, heart attacks, severe breathlessness among many others?
02:04 AM - Apr 13, 2023
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Aviral Vatsa
@Docvatsa
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Vaccination induced Immunity rapidly acts from day 1 after a breakthrough infection & peaks by day 5. This likely prevents the severe disease.
Spike-specific CD8+ activation correlates with the viral clearance

https://www.cell.com/immun...
05:30 PM - Apr 11, 2023
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Aviral Vatsa
@Docvatsa
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A welcome step for science to move forward, hopefully, at a faster speed than the virus. The anti vaxxers too can find new hypothetical targets. A win win situation :).

https://www.washingtonpost...
06:27 PM - Apr 10, 2023
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Aviral Vatsa
@Docvatsa
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A relatively new study examined the association of COVID-19 with incident cardiovascular events in 17,871 UK Biobank cases between March 2020 and 2021.

A thread. 1/n

https://heart.bmj.com/cont...
12:19 PM - Apr 10, 2023
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Aviral Vatsa
@Docvatsa
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If you are worried about dementia, there is an intervention that can substantially delay the risks.
Exercise. Just that.

A study highlights the delay in dementia by over 9 years, studied over 44 years in 1462 women aged 38 to 60.
Get up n move (if u can)

https://n.neurology.org/co...
01:37 AM - Apr 10, 2023
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Aviral Vatsa
@Docvatsa
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Altered taste, smell, brain fog improved in 12% while late onset cough and hearing issues started in 12% of the cohort.

This Scotland wide longer term study shows hope for some and concerns for other symptoms in the longer term

https://www.researchsquare...
10:15 PM - Apr 09, 2023
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Aviral Vatsa
@Docvatsa
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Even if one had asymptomatic SARS Cov2 , there are risks of longer term effects. These risks are lower than after a symptomatic infection, but are not zero.
This virus has changed us forever (in case you had missed that observation).

https://www.ncbi.nlm.nih.g...
09:56 PM - Apr 09, 2023
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Aviral Vatsa
@Docvatsa
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Our eyes also hace ACE2 receptors. New variant XBB.1.16, spreads faster & sticks stronger to ACE2.
Anecdotally, kids with covid r getting sticky eyes more commonly.
Cases rising sharply in India. No mitigations. Fingers crossed.

https://tactnowinfo.substa...
03:14 PM - Apr 09, 2023
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Aviral Vatsa
@Docvatsa
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Pre-print.
COVID impact in pregnancy (neglected topic).

Various strains have varying negative impacts on both mother & foetus/infant.
Delta was perhaps the worst.

Please continue precautions, vaccinations & genomic sequencing.

https://www.medrxiv.org/co...
02:52 PM - Apr 09, 2023
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Aviral Vatsa
@Docvatsa
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Anti vaxxing propaganda starts from people running multi million dollar companies. Others just follow like sheep. Connect the dots.

Shutting eyes is the laziest thing one can do to evidence.

https://www.nature.com/art...
09:05 PM - Apr 06, 2023
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Aviral Vatsa
@Docvatsa
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You had COVID? There is a very high chance that you are carrying the spike protein in your head. Physically that is.
FYI only.

https://www.biorxiv.org/co...
01:42 PM - Apr 06, 2023
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Aviral Vatsa
@Docvatsa
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If you missed it.

SARS-CoV-2 infection damages the CD8+ T cell response in unvaccinated (reduced immune response to spike proteins)
Vaccinations- robust response.
Unvaccinated? think again!

https://www.nih.gov/news-e...
07:02 PM - Apr 05, 2023
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Aviral Vatsa
@Docvatsa
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'The Covid' which was 'over' long ago has consumed 10,300 lives in 2022 vs 1400 in 2021 in Australia.😢

Why are they still testing, recording, spreading fear? Stop testing like the rest? 😡😡

https://www.1news.co.nz/20...
06:47 PM - Apr 05, 2023
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Aviral Vatsa
@Docvatsa
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Health authorities warn hikers of a virus spread by ticks causing 3 cases of encephalitis since 2019.👍

Psst!
SARS Cov2 cont to cause serious issues in millions. Just saying.

https://www.theguardian.co...
06:30 PM - Apr 05, 2023
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Aviral Vatsa
@Docvatsa
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OMG link between bivalent Covid vaccines and cardiovascular risks … studied … and NO link found.

Anti vaxxers, twist this, don’t open ur eyes to evidence & carry on endangering human lives by spreading wrong info.

https://www.nejm.org/doi/f...
06:14 PM - Apr 05, 2023
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Elizabeth Murray
@DrElizabethMurray
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This is infuriating! We’ve been here, unless we buy a blue check, no one sees our tweets. Major academic centers allow disinformation spreaders to keep their appointments. Medical licensing agencies do almost nothing. Maybe take down the disinformation spreaders. https://www.statnews.com/2...
01:43 PM - Apr 03, 2023
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Aviral Vatsa
@Docvatsa
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For the last three years all of us have been through a lot, and made it alive.
Many many still suffer from pain, reduced quality of life, worsened finances, further risks ...
Be mindful, be kind. Stay updated, stay protected.
06:59 AM - Apr 02, 2023
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Aviral Vatsa
@Docvatsa
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While the researchers prepare better 4 future pandemics, govt policies continue to undermine mitigations, support, data collection for current pandemic.

Only if govts cud b more scientific!

https://www.theguardian.co...
06:51 AM - Apr 02, 2023
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Aviral Vatsa
@Docvatsa
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Exercise is a very tricky modality in Long COVID. Rightly, NIH is being asked to reconsider the dangers involved in studying it in its trials in the current form.
Hopefully more nuanced and better targeted approach prevails.

https://www.nature.com/art...
06:26 AM - Apr 02, 2023
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Aviral Vatsa
@Docvatsa
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#SportsMedicine

Dear elite athletes, athletes and everyone :),

If there are two things you can do to keep good health and increase performance, please ensure great sleep and well-maintained oral health (often neglected)

It will work wonders.

https://pubmed.ncbi.nlm.ni... (pls
01:09 PM - Apr 01, 2023
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