Duane Storey

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Duane Storey

Duane Storey

@DuaneStorey

Canadian Engineer living on the coast in Spain. Traveler, Code, Tinkerer; previously co-founder BraveNewCode (acquired in 2016) #longcovid

Valencia, Spain Katılım Mart 2007
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Duane Storey
Duane Storey@DuaneStorey·
I went to the hospital in distress on Feb 14, 2024, about five weeks after my primary infection. I said I was having neurological issues, difficulty thinking, confusion. They did a CT and sent me home. Three days later I went into full psychosis, and wandered the streets for hours. When I eventually ended up back at the hospital later that night, I had a resting HR of 134 and my brain was totally mush - difficulty speaking, paranoia etc. In all their wisdom they decided to lock me in the psych ward (no history of mental illness at all) without a neurological consult. I had no phone so it took days for people to find me. No MRI, no neurology consult, just pumped full of anti-psychotics for days while friends and family tried to figure out where I was. Despite six hospital visits in six weeks showing low blood sodium, difficulty breathing, cognitive dysfunction, positive covid test six weeks earlier, not once did anyone consider anything other than depression. My official report said "psychosis due to depression" even though it later said "we could find no reason for the depression". So yah, sorry, I don't trust the medical system anymore. Took me a year to basically refute that diagnosis thanks to a neuro-immunologist and neurologists who actually dug a little deeper.
Paul Gads@PaulGadsden82

People without chronic illnesses really don't get just how bad many doctors are at their jobs.

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Duane Storey
Duane Storey@DuaneStorey·
@JackHadfield14 What format are you guys planning for the release of some of your results? Any papers, or just on X etc? Anything in the dashboard etc for Amatica peeps, or .. ? Just curious on how you are planning on releasing them.. Thanks!
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Jack | amatica health
Jack | amatica health@JackHadfield14·
Our next RNA cohort, 52 samples, runs later this month, taking our dataset to 211 Long COVID and ME/CFS samples. We'll also start releasing our first research from this cohort this month. Genuinely exciting to be building one of the largest datasets in this disease area.
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Duane Storey
Duane Storey@DuaneStorey·
The scenery here in Bansko reminds me a lot of the views near my home town in Canada. Probably the most Canada like place I’ve been I think in terms of general feel, at least my part of Canada. Winding things down, by this time next week I’ll be recharging my pierogi battery in Krakow.
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Pratik 📈
Pratik 📈@PratikSinhatwt·
Guys what should I do next ?
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CHEAF
CHEAF@cheaf25master·
Hot take: GitHub > LinkedIn. Change my mind.
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Duane Storey
Duane Storey@DuaneStorey·
Thermocycler PCB is mostly done. I redid it three times on the weekend. Every time you lay it out you sort of get to understand what works and what doesn't. You can hack each version, but often the right thing to do is just undo it all and re-route everything. I've gotten pretty good at hand-soldering over the past two years, but U10 (an inrush current limiter on the USB-C port) and the USB-C port itself are going to cause me issues as they are pretty fine pitch. Everything else is in my wheel house. Getting JLCPCB to assemble them for me takes me from about $11 per set of boards to about $100, so for a prototype at least I prefer to hand solder everything and test incrementally (build the power supplies one by one, test the MCU pins, then finish it off). This one has a companion board I need to do next that has 16 470nm LEDs on it, one under each PCR reaction. So that's up next.
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Duane Storey
Duane Storey@DuaneStorey·
Been working on the pluggable light sources / detectors for my RNA/DNA + other analyzer. I recently realized I can import Kicad PCBs directly into my CAD program, which makes testing the fit of everything way easier.
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Duane Storey
Duane Storey@DuaneStorey·
Rough layout with components done. Need to sit and think on it and come back with fresh eyes. It takes about 10-14 days to get the PCBs built, so when I get to Poland I want to be far enough along that I can order the first ones. Now to take a siesta and then switch back to the thermocycler.
Duane Storey tweet media
Duane Storey@DuaneStorey

I have three PCBs/products on the go right now. 1) The first is the fluorometer, a device that uses light to measure RNA/DNA concentration. That let's me actually understand how much RNA/DNA I have after extracting it, which lets me start doing things like reverse transcription and PCR etc. 2) I need a agarose gel setup for electrophoresis. I already built a tray but I also need a power supply (I can use my bench supply at home for now), and also a transimmuninator - basically I need to shine light through the gel at a specific wavelength, in this case 470nm (blue) which then causes the DNA/RNA in the gel to emit another color, green. Using a visual amber filter, you can then view the RNA/DNA in the same and approximately what size each of the bands are, and even take a photo of it with an iPhone etc and get a rough spectral shape with it. This goes hand in hand with #1 as often you take the result of the extraction, measure concentration, then run the gel to see what it looks like (i.e. RNA should show two strong peaks, 18S and 28S). What's cool is later if you do PCR amplification, you can run the gel and see where everything is bundled up on the gel (a dark solid band). I it matches the size you think for your amplicon, you can simply physically cut the gel out, clean it using a kit, and now you've isolated that DNA simply by physical means. 3) I then need to finish the thermocycler, which I'm about 50% done already. This is the device that will raise and lower the temperature on a group of samples with one cycle every 60 to 90 seconds. At the higher temperature, the two strands of DNA come apart into individual strands. When you lower it to the lower temperature, the PCR primers that you added bind to the proper locations, and the DNA polymerase completes the entire second strand. So in one cycle, you went from 1 complete double stranded DNA, to two incomplete single stranded ones, to 2 complete double stranded ones. Next cycle the same thing happens, but now you have two breaking apart, and four coming out the bottom. Each cycle is roughly an exponential (x2) increase in material. I need all three together to do everything I want in August, so I'm frantically trying to finish them all. I also wouldn't mind releasing a few of these when I know they work etc and are safe, even as DIY kits, as I started my career as a manufacturing engineer and I've been itching to make a physical product since before covid. And this scratches a real item for me and I suspect other people, as evidenced by the massive attention people have gotten sequencing their dogs or even their own DNA at home etc. I realized the optics inside the transilluminator for the gel aren't much different than what ELISA tests need for detection, so I am baking three optical channels into it. In theory, with the right enclosure, you could visualize agarose gel and also image an ELISA 96 well plate. Still very rough at this point, but I have the rough arrays laid out for the high power 470nm blue LEDs (gel), and the 450nm + 650nm arrays for the ELISA. These will project onto a diffuser that you can slide the gel system onto or an ELISA plate. First prototype I'll probably use my iPhone to take the photos of the ELISA, but there is no reason I can't embed a camera in it in v2. But baby steps, ELISA is the least of my worries at this point. But I always try to future proof my boards simply because it's a lot of work getting them made an also hand assembling these myself (which I do) is time consuming. The only components I struggle with still are USB-C. I blew out the USB-C port in Macbook Air a few years ago due to a bad solder connection I did on my own board. So I may pay them to just do those ones. But typically the rest I can do slowly with my HD USB microscope.

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Duane Storey
Duane Storey@DuaneStorey·
I have three PCBs/products on the go right now. 1) The first is the fluorometer, a device that uses light to measure RNA/DNA concentration. That let's me actually understand how much RNA/DNA I have after extracting it, which lets me start doing things like reverse transcription and PCR etc. 2) I need a agarose gel setup for electrophoresis. I already built a tray but I also need a power supply (I can use my bench supply at home for now), and also a transimmuninator - basically I need to shine light through the gel at a specific wavelength, in this case 470nm (blue) which then causes the DNA/RNA in the gel to emit another color, green. Using a visual amber filter, you can then view the RNA/DNA in the same and approximately what size each of the bands are, and even take a photo of it with an iPhone etc and get a rough spectral shape with it. This goes hand in hand with #1 as often you take the result of the extraction, measure concentration, then run the gel to see what it looks like (i.e. RNA should show two strong peaks, 18S and 28S). What's cool is later if you do PCR amplification, you can run the gel and see where everything is bundled up on the gel (a dark solid band). I it matches the size you think for your amplicon, you can simply physically cut the gel out, clean it using a kit, and now you've isolated that DNA simply by physical means. 3) I then need to finish the thermocycler, which I'm about 50% done already. This is the device that will raise and lower the temperature on a group of samples with one cycle every 60 to 90 seconds. At the higher temperature, the two strands of DNA come apart into individual strands. When you lower it to the lower temperature, the PCR primers that you added bind to the proper locations, and the DNA polymerase completes the entire second strand. So in one cycle, you went from 1 complete double stranded DNA, to two incomplete single stranded ones, to 2 complete double stranded ones. Next cycle the same thing happens, but now you have two breaking apart, and four coming out the bottom. Each cycle is roughly an exponential (x2) increase in material. I need all three together to do everything I want in August, so I'm frantically trying to finish them all. I also wouldn't mind releasing a few of these when I know they work etc and are safe, even as DIY kits, as I started my career as a manufacturing engineer and I've been itching to make a physical product since before covid. And this scratches a real item for me and I suspect other people, as evidenced by the massive attention people have gotten sequencing their dogs or even their own DNA at home etc. I realized the optics inside the transilluminator for the gel aren't much different than what ELISA tests need for detection, so I am baking three optical channels into it. In theory, with the right enclosure, you could visualize agarose gel and also image an ELISA 96 well plate. Still very rough at this point, but I have the rough arrays laid out for the high power 470nm blue LEDs (gel), and the 450nm + 650nm arrays for the ELISA. These will project onto a diffuser that you can slide the gel system onto or an ELISA plate. First prototype I'll probably use my iPhone to take the photos of the ELISA, but there is no reason I can't embed a camera in it in v2. But baby steps, ELISA is the least of my worries at this point. But I always try to future proof my boards simply because it's a lot of work getting them made an also hand assembling these myself (which I do) is time consuming. The only components I struggle with still are USB-C. I blew out the USB-C port in Macbook Air a few years ago due to a bad solder connection I did on my own board. So I may pay them to just do those ones. But typically the rest I can do slowly with my HD USB microscope.
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Duane Storey
Duane Storey@DuaneStorey·
Yah there is a real tension because I have elevated checkpoints, and often those happen due to prolonged immune engagement, which high cytokines drive. So will lowering cytokines result in better immune engagement? Were those rising antibodies in me bad, or were they just my immune system become less tired and trying to clean up. No easy decisions unfortunately. Even all the labs I've done etc, AI is always like "you need one more test" before making a decision. Nothing is ever conclusive unfortunately. Even if in August if I find Sars-Cov-2 using PCR, it doesn't really change much, other than knowing it's real. But I've tried pretty much every antiviral possible, so in terms of treatment options there aren't many left.
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Jack | amatica health
Jack | amatica health@JackHadfield14·
@DuaneStorey It would be interesting to see. I have raised IFNa, so always in the dilemma of lower inflammation or is that going to be bad
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Duane Storey
Duane Storey@DuaneStorey·
IL6, still at 91. That's to be expected really since baricitinib blocks the downstream effects of IL6, it doesn't block IL6 itself. But still makes me wonder what's driving the high IL6 nearly three weeks after stopping the antivirals. Just a flood of PAMPs and/or DAMPs? Immune complexes? Released antigen? Not sure. If there is a loop, I would hope the Jak Stat would help break it. But like many things in LongCovidLand (the opposite of the Happiest Place On Earth), it's still a mystery.
Duane Storey tweet media
Duane Storey@DuaneStorey

Labs coming back from today. hsCRP is down to 1.82 now. Because I've muddied the waters a bit, I have no way of knowing if this is due to the antiviral protocol finishing or the 2mg of baricitinib I've been on for the past few days, but maybe a bit of both. On one hand I've tried to be as scientific as possible and try to only change one thing at a time, but on the other there is real symptom burden and quality of life issues with any adjustments, so it's all best effort. Next up is IL6. Will be interesting to see where that lands.

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Duane Storey
Duane Storey@DuaneStorey·
I mean, didn't they decide to put it in Arizona during summer? Seems like they need to mix up the venues a bit to keep it interesting. EU is nice because every year is often a new country or city to explore. Going to Oregon repeatedly or Arizona in summer are probably less exciting. Also lots of people like me who don't want to go in general due to hassles at the border, visa isssues etc.
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Katie Keith
Katie Keith@KatieKeithBarn2·
I'm finding it frustrating how many people are using WordCamp US's low ticket sales as evidence of the doom of WordPress. They obviously weren't at WordCamp Europe last month, which was absolutely buzzing and showed a thriving community.
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Duane Storey
Duane Storey@DuaneStorey·
@JackHadfield14 Rheumatology is the one profession in Spain I have a hard time getting an appointment with. But I have been thinking about visiting one again with these numbers to see if they’ll prescribe an IL1beta or IL6 blocker.
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Jack | amatica health
Jack | amatica health@JackHadfield14·
@DuaneStorey I guess IL6 inhibitor would be the most direct bet But as you say, would be a risk of it was persistence
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Duane Storey
Duane Storey@DuaneStorey·
@JackHadfield14 I did go to an infectious disease guy in Valencia who saw these high cytokines and basically shrugged like he doesn’t know. Also been to a few rheumatologist who said my actual rheumatology labs don’t put it in their wheel house. So it’s more of a pass the hot potato around.
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Duane Storey
Duane Storey@DuaneStorey·
What’s an example? I had an immunologist who prescribed HCQ one time. That made me feel slightly better after a few months but my labs got worse. And my antibodies against Covid actually started climbing. The last point is the one why I hesitate. Anytime I tame my immune system antibodies climb for Covid. During my antiviral protocol IgM for nucleocapdid went positive. My sister does have undifferentiated connective tissue disease, so I’m think at this point i have some genetic susceptibility that somehow led to this stalemate with a virus I can’t clear for some reason.
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Duane Storey
Duane Storey@DuaneStorey·
I actually filled in the gaps here and noticed something I didn't before. My labs were mostly all improving after I got out of the hospital In Feb of 2024 until December of 2024, then they got way worse and stayed that way, escalating all through 2025 and into 2026. The only change really was I had a covid19 booster shot Dec 19, 2024. If there was a bunch of kindling soaked in gas, I think that was the thing that set it off for the next long phase. I did it of course to try and feel a bit better, but that's when my CRP want from below 2 up to above 5. By the time I started measuring cytokines in spring of 2025, they were already high. The day after my vaccine my apple watch threw a warning saying my HR at rest was severely elevated at 140 bpm and I felt woozy. That was the same type of thing that happened after my second vaccine in 2021, and I ended up in the hospital five days after it with weird heart palpitations.
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Duane Storey
Duane Storey@DuaneStorey·
Here's the full view of hsCRP over the past year mostly, including the huge spike during the antiviral protocol and now the lowest value I guess since over a year at least I think.
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Duane Storey
Duane Storey@DuaneStorey·
Labs coming back from today. hsCRP is down to 1.82 now. Because I've muddied the waters a bit, I have no way of knowing if this is due to the antiviral protocol finishing or the 2mg of baricitinib I've been on for the past few days, but maybe a bit of both. On one hand I've tried to be as scientific as possible and try to only change one thing at a time, but on the other there is real symptom burden and quality of life issues with any adjustments, so it's all best effort. Next up is IL6. Will be interesting to see where that lands.
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