Blood thinner Apixaban given as prevention (not treatment) vs placebo to >400 #COVID pts leaving hospital did not ⬇️ rehospitalization.
Awaiting full trial results
bit.ly/3uhlHQC
This HEAL study
📍Micro-clots remain a leading theory as to why millions suffer #LongCovid
📍These excellent investigators were not testing that theory but rather the idea that preventing overt clotting might help
📍This study did not aim to test neuro cognitive benefits of anticoagulants.
Gravity Shift - Sensas, London
Photography of Andreya, Julie & Marie playing around in the gravity defying sideways London Underground tube room at the Sensas Sensory Labs near Nine Elms Station.
#mastoart #photography #london #londonunderground #art #dance #dancer #uk #photo #potd #fun #railway #dancephotography #vauxhall #nineelms #space #gravity
The answer is: a lot more common than you think!
One retrospective case series found fever occurred in 3-10% of ICU patients on dexmedetomidine!
https://journals.sagepub.com/doi/pdf/10.1177/0310057X1704500613
Another retrospective cohort study found a 15% incidence of fever in those on Dex!
https://pubmed.ncbi.nlm.nih.gov/33813941/
Drug fever due to dexmedetomidine appears to be both a dose and time dependent side effect.
Bottom line: Dexmedetomidine induced fevers are a horse 🐎 not a zebra 🦓!
Be an #upstander & speak up when you hear a #microaggression using #GRIT
G: Gather your thoughts
R: Restate "Did I hear you say..."
I: Inquire "What did you mean?"
T: Talk it out "A comment like that could be perceived as..."
https://jamanetwork.com/journals/jamasurgery/fullarticle/2756198
To the Editor We applaud Torres et al1 and JAMA Surgery for highlighting microaggression in health care. We addressed microaggression during a Mayo Clinic–sponsored continuing medical education conference: “GRIT (Growth, Resilience, Inspiration, and Tenacity) for Women in Medicine” in September...
Uh, the always amazing @Charlotte_Summers being amazing:
“Am giving evidence to @UKHouseofLords Science & Technology Committee regarding role of clinical academics in NHS on Tues, so would love to hear what #MedTwitter thinks they need to hear.”
OK- My #introduction
Brand new consultant intensivist (completed training in August) after 18 years a trainee.
Interested in shock, ECMO, haemodynamics, burnout, social media and medical education...
And notably #POCUS. I've spent a long time training in it, and now spend lots of time teaching and supervising.
I'm still working out how to be a consultant, and am grateful for the chance to learn from everyone here!
Wes Ely MD 
Tube Mapper - Luke Agbaimoni
Nick Mark, MD 
Erin K O'Brien MD
Jack Iwashyna 🫁
Charlotte Summers
weldeiry
Paul Dunphy Esquire 🏳️🌈
Cathy McKenzie
Segun Olusanya