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Hi Mary, the family are fine thank you.
We’ve been isolating for most of the term so far. The teacher tested positive and then the usual viral infections kids get have meant repeated trips to poorly run testing facilities in car parks in suburbs of West London. The amount of effort required must mean a fair proportion of people don’t bother when their kids are unwell. Parents are saying…“I didn’t swab xxxxx because it was only one day of fever and a sniffle”. Which is exactly how covid-19 presents in children.
I’m obligated because of the time I spend on oncology wards but given the lack of any tracing it all seems a bit futile. Workforce planning is taking a big hit from staff with school age children being unavailable. Any childhood illness requiring a minimum of 2 days of unplanned leave. A problem which wasn’t there in the spring.
Personally I’m feeling much better, thank you.
I eventually, after 2 months of continuing fever and worsening lethargy until September got scared enough to use my privilege and contacted the medical director who put me in touch with a professor of immunology. The blood test showed an immune reaction to streptococcus - which I guess I had as a secondary infection and a very low level of vitamin B12. Many of the symptoms of long covid overlap with B12. I don’t know if this is a red herring (my grand mother had an autoimmune B12 deficiency), or something that happens in a subset of patients. It’s definitely not a dietary deficiency. Almost miraculously after more than 180 days, within 24 hours of very large doses of B12 and regular doses of other B vitamins the fever stopped - which is reported in deficiency - the lethargy mostly lifted after about 3 days - I would say I’m at about 90% now. Very relieved though won’t be entirely reassured till 100% again. Just have that lingering sensation.
The dynamic of the illness has changed in London.
My colleagues are attributing the change to steroids which I think is very unlikely as they are only given after hospital admission. I the Recovery trial didn’t show a huge benefit.
I think in London it’s probably a combination of population immunity, the previous decimation of the frail elderly, and social distancing and large behavioural change. In March, I was standing face to face in packed tube carriages, which now remain largely empty. The phrase being used is “a slow burn”. There are roughly the same number of ICU patients with covid respiratory failure - unprecedented for the time of year. ICUs are almost full but not spilling over. There are new hospital admissions so it will go up but not a huge wave as before. It’s pretty clear that ICU deaths increase as capacity is reached and breached. At the moment we can manage - things can change - but I am worried for the other cities which don’t have the icu provision. Manchester and birmingham best equipped.
Regarding your confident privileged acquaintances - Surrey will remain less affected - less densely packed, rich white folk who travel by car though I think one of your local ICUs was closed as staff were communicating the virus between patients.
I’d be very surprised if your private hospitals will accept patients for treatment with covid. They are usually set up for profitable day case surgery and not long admissions with oxygen need which will prevent profitable surgery from happening.
Most private insurance doesn’t cover ICU admission and private companies socialise the risk by transferring sick patients and those that have suffered severe complications of surgery back to the NHS. In London, private ICU is a niche with the families of super wealthy individuals, often foreign nationals paying thousands or tens of thousands a day for life sustaining treatment. In many cases for futile care. It’s how ICU works in many parts of the world - if you can pay you can receive care until the money runs out. I’d have to wash myself in carbolic soap every night. I’m just hoping NHS ICU remains a free resource or I’m going to struggle to practice.
I hope you’ve been given a follow up by now. I’m happy to travel to Surrey and kick arse if not.
Best wishes and take care.
dan x
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