Dr David Joffe MB BS(Hons), PhD, FRACP
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davidjoffe64.bsky.social
Dr David Joffe MB BS(Hons), PhD, FRACP
@davidjoffe64.bsky.social
Respiratory and Sleep Medicine
Neurobiology and Long Cövid
WHN Long Covid Working Group Vice Chair
Toblerone gets cheaper 😂😂
November 14, 2025 at 8:10 PM
"That moment when you realise that the 10prior Specialists never took a history or did a proper examination"

😎😎😎
November 13, 2025 at 6:40 PM
Here's a Dropbox link... It will be up until I start work in few hours. Then I import it to my EndNote

PS... On-call SUX🤬🤬

www.dropbox.com/scl/fi/8jpy1...
November 12, 2025 at 4:22 PM
😎🙏🏻🙏🏻
November 12, 2025 at 4:01 PM
🧠 Daily Feed of Brain Damage 🧠

Paediatric Version 😔

www.nature.com/articles/s41...
Neurological and neurodevelopmental effects of Covid and MIS-C on children - Pediatric Research
Pediatric Research - Neurological and neurodevelopmental effects of Covid and MIS-C on children
www.nature.com
November 12, 2025 at 10:36 AM
🧠 Daily Feed of Brain Damage 🧠

Metformin in vitro has been demonstrated to protect against Dopa senescence... More good evidence to imply value in acute infection 🙏🏻

doi.org/10.1371/jour...
SARS-CoV-2 spike protein causes synaptic dysfunction and p-tau and α-synuclein aggregation leading cognitive impairment: The protective role of metformin
Patients recovering from post-coronavirus disease 2019 (COVID-19) often experience cognitive dysfunction, including difficulties with focusing, conversation, or memory issues, which can persist for we...
doi.org
November 12, 2025 at 10:10 AM
🧠 Daily Feed of Brain Damage 🧠

www.mdpi.com/2076-3425/13...
www.mdpi.com
November 11, 2025 at 7:17 PM
🧠 Daily Feed of Brain Damage 🧠

Hard to fix a broken brain.

jamanetwork.com/journals/jam...
Interventions for Cognitive Symptoms in Long COVID
This randomized clinical trial investigates if evidence-based rehabilitation strategies improve cognitive symptoms in persons with long COVID.
jamanetwork.com
November 10, 2025 at 8:04 PM
"Complaints like dyspnoea or chest pain may be an early indicator of lung function impairment, suggesting that further diagnostic tests for treatable post-COVID-19 complications may be needed."

doi.org/10.1186/s128...
Pulmonary function in non-hospitalized adults and children after mild COVID-19: a single-centre prospective cohort study - BMC Pulmonary Medicine
Background Although the majority of patients suffering from COVID-19 (coronavirus disease 2019) did not require hospitalization, data on the persistence of pulmonary sequelae after a mild SARS-CoV-2 (...
doi.org
November 10, 2025 at 3:02 AM
Yep‼️

Killing the elderly is politically convenient... They are expensive 🤬

Crippling the tax payers...

That's quite another problem ☠️
‘..serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition—has become the most commonly reported disability among US adults’

Driven by disproportionate growth in cognitive disability in 18-39 group
(data from CDC Health Data System)
🧠 Daily Feed of Brain Damage 🧠

Late night edition

👇🏻👇🏻👇🏻

t.co/vZDadO1my6?s...
November 8, 2025 at 12:18 AM
Precisely‼️

Now consider kids ☠️🤦🏻‍♂️
🍵😷 ... "The disproportionate growth in cognitive disability among younger adults seems to be the primary driver of the overall national trend."

#CovidIsNotOver #Covid19
🧠 Daily Feed of Brain Damage 🧠

Late night edition

👇🏻👇🏻👇🏻

t.co/vZDadO1my6?s...
November 7, 2025 at 8:26 PM
For those up the back who are yet to fully understand the implications of Cøvid related immune dysregulation

Here's a clue

The #Leonardi_Effect is alive and very busy‼️

www.frontiersin.org/articles/10....
Frontiers | Transcriptome analysis of classical blood cells reveals downregulation of pro-inflammatory genes in the classical monocytes of long COVID patients
IntroductionDespite extensive research, the pathogenesis and predispositions underlying long COVID (long-term coronavirus disease 2019) remain poorly underst...
www.frontiersin.org
November 7, 2025 at 11:36 AM
🧠 Daily Feed of Brain Damage 🧠

Late night edition

👇🏻👇🏻👇🏻

t.co/vZDadO1my6?s...
Rising Cognitive Disability as a Public Health Concern Among US Adults | Neurology
Background and ObjectivesCognitive disability—defined by the Behavioral Risk Factor Surveillance System (BRFSS) as serious difficulty concentrating, remembering, or making decisions because of a physi...
t.co
November 7, 2025 at 11:10 AM
EBM 😂😂

Everyone Bullshits Mightly ♨️♨️
The result is that everything in ARIC has an asterisk next to it - because if they'll protect laughable-but-deadly bullshit like that to shield a colleague from accountability, you can't trust anything in the journal.

It also emphasizes that EBM/GRADE etc just do not cut it. Cargo cult science.
🧵 of 🧵s @ukhadds.bsky.social RE "straw man" papers, there are a bunch but IMO a lot of it comes back to the Evidence Based Medicine idea that a checklist can substitute for expertise.

The result is junk trials compiled into junk reviews and guidance, just from ignorance, hubris and cherry picking.
November 5, 2025 at 4:03 PM