Oncologist serving people w/ #cancer in #MedEd #SciComm & #bcsm. Past ASCO Ed Chair. Cofounder @HCWvsHunger. #LongCovid. Team hope/good trouble/go high. No FCOI
Maryland, USA
- Tweets 59,085
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My grandpa used to say “It’s not what you know, it’s who you know.” The 1st time I was old enough to get it, I said “That’s not fair!” He said “Exactly! So make it your life’s work to ensure everyone meets each other.” He’s 2 decades gone, but I’m still at it. #advocacy #MedEd
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My husband is on service treating pts w/ #COVID19 too. Here’s where he’s sleeping for the next month. Important for people to recognize how much healthcare workers are pouring their hearts into caring for pts & trying to keep their families safe.
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The more I think about airlines abruptly allowing mask removal w/o warning—mid-flight for many—the angrier I get. People who are #immunocompromised had no choice not to travel or to upgrade their protection at that point. Some will go on to die. As an oncologist, I am enraged.
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The US has performed its first double lung transplant for lung damage caused by #COVID19. The recipient is a 20 yr old woman. She remains on a ventilator at this time. The damage inflicted by #SARSCoV2 is stunning. Via @nytimes
nytimes.com/2020/06/11/healt…
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Good for @Delta.
Rule 1: Never make a rule you aren’t prepared to enforce.
Delta returned to the gate & removed 2 passengers who refused to wear masks on board. Those passengers are now among 100+ permanently banned from the airline. 👏👏
msn.com/en-us/news/politics/…
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Life in the US in Jan-Feb 2022 is going to be almost unrecognizable to most Americans. Even the people who have managed to pretend #COVID19 wasn’t happening are about to get a major wakeup call. When we call 911 & no one comes, when we literally cannot enter the ER for crowds…
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Wishing you a peaceful crossing & your family many beautiful memories & loving supporters. I’m an oncologist, & though we’ve never met, I’ll add you to my reasons why we don’t give up on ending cancer. 🙏
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Well, I got 2 messages before 9am from friends telling me they have #COVID19 in their households. And in the 12 mins since, I’ve just heard about 4 more. So Merry Exponential Growth #Omicron #Christmas. 🌲 😫
A quick 🧵 on what to do if that’s you since I’m typing it anyway.
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I was a dr before the Affordable Care Act. And people w/ cancer did hit lifetime caps & had further treatment denied by insurers. They were dropped from plans, declared bankruptcy, & died. We are NEVER EVER going back to that. #PresidentialDebate2024 #MedTwitter
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HELP! I have a family member in Orange County, CA on a vent in critical condition for #COVID19. We are urgently seeking a person who has recovered from #coronavirus infxn w/ no symptoms in past 14d & able to donate plasma asap. Irvine/Tustin or LA area. DM me w/ leads. Pls RT.
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The American public needs a clear message. It does not appear to be coming, so here's my best attempt. If you are able to, you should:
STAY HOME, STARTING NOW.
#MedTwitter #Omicron
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In case you missed it: Women are less likely to be credited for their scientific contributions than men. It’s true across multiple fields & at all stages, with important repercussions for career progress. #WomenInSTEM #WomenInMedicine #MedTwitter
nature.com/articles/s41586-0…
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In case no one has told you, the odds your kids will be at school in person in 2-3 wks in the US approach zero in most areas, no matter what your BOE or Governor decide about opening. There won’t be enough people well to run buses, lunches, clean, or teach. Plan now as a family.
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After #coronavirus outbreak is over, I hope the world's med societies & schools of #PublicHealth establish a prize named for the late Dr. Li Wenliang, the 34 yr old ophthalmologist from Wuhan who tried to warn the world in 12/19 that #COVID19 was starting: bit.ly/39yDyXk
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I’ve received 4 major media requests in the 2h since #KateMiddleton announced her #cancer diagnosis. I have declined them all. She has not revealed what type or stage of cancer she has, & any dr, including oncologists such as myself, appearing on the news would be speculating. /1
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The fact that the airlines made a corporate decision to drop masks w/o warning—any airline could’ve chosen to give crew/passengers hrs or days of notice—disgusts me. For an industry that prides itself on safety, this is a fail.
@Delta @united @SouthwestAir @AmericanAir @JetBlue
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#MedTwitter
There is a widespread outbreak of #norovirus, a GI virus that causes projectile vomiting & profuse diarrhea usually lasting 24-48 hrs. Wastewater levels nationwide are high. It’s miserable & incredibly contagious. So many friends are texting us SOS, so here’s a 🧵. /1
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I don't see a way out of this #pandemic anytime soon without a #VaccineMandate, a #MaskMandate, & experienced reporters (maybe w/ experience in warzones) embedded w/ medical teams actually showing the public on TV the horror of what is happening in hospitals. #MedTwitter
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When a doctor tries to get an appt for a family member in the hospital where they practice & spends 36 mins on the phone only to hear the next available appt is in 2024…this system is broken. #MedTwitter
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Appreciation post for my #COVID19-cautious dentist. He has never stopped requiring staff & patients to #WearAMask in office, wears eye protection & gives pts eye protection, has air filtration in every room, & toilets closed to flush. He understands #COVIDisAirborne & not over.
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.@Delta @united @americanair @southwest, can y'all break it down for us why seatbelts, why bags "fully under seat," why seat backs & tray tables "full upright & locked position for landing"? We can't choose to risk ourselves & others at risk on the plane...or something? #maskup🤷♀️
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As much as I hate it (and I really do, I’m a mom of 3 kids who had virtual school from Mar ‘20 til Sept ‘21), the idea that schools will manage to stay open in any meaningful way in Jan is a joke. Staffing issues alone will close them.
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When we go to grocery stores & find shelves empty, to pharmacies & find them closed because every single employee is out sick themselves or tending to a loved one. Please get what you need to look after your household. Fill prescriptions, get over the counter meds & staples…
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I’m a scientist. I do not say this.
I say:
👉 We are seeing people get reinfected repeatedly. Each time they miss work, school, or special occasions.
👉Every time we get #COVID19, we risk #LongCovid
👉We have no idea what the long-term risks of repeated re-infection are.
Scientists say that for most healthy adults, COVID-19 reinfections should get easier to deal with as the immune system gains repeat training on how to handle the pathogen. cbc.ca/1.6522051
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This is our son at age 6. He asked me for a moment to himself after sending his dad off on his third deployment in four years. He wore his matching shirt with the #USNSComfort on it. #RespectVets @VoteVets
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If you haven’t had #cancer or been a caregiver to someone with it, you don’t know how much people endure. I’m a breast oncologist. Our patients have breasts amputated, lose their fertility, go bald, risk nerve damage, infection, & more from chemo, because they want to live.
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Prepare for major disruption in Jan ‘22. MAJOR. Start thinking now about how you can help your family/friends/neighbors—w/ supplies, w/ skills, w/ knowledge—& vice versa because we are deep trouble if we don’t go all in as a community of helpers for what is coming. #Omicron
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This all gives me a bad feeling.
It is also a reminder that we need a strong @CDCgov with adequate resources to investigate potential #publichealth threats. I’ve seen no updates yet on what is thought to have happened on these 2 flights.
#MedTwitter #IDTwitter #COVID19 #H5N1
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Without going into detail, I feel obliged to share that my texts from health care workers around the US are frankly terrifying. If you aren’t #vaccinated & #boosted (or if you know someone who isn’t), this has to be a priority IMMEDIATELY. I rec you #StayHome if you can.
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I hope to see strong statements from our #oncology professional societies on the irresponsibility of the airlines’ response to this judicial ruling. The airlines placed people w/ cancer at unnecessary risk for the thrill of making a big announcement over the PA system.
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Imagine hearing that 50,000 people in the world died last week & thinking that means a virus is mild. #Omicron wasn’t mild for any of them.
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Me to my teen: Our area lifted the #maskmandate.
Teen: Ok 🤷🏻♀️
Me: How do you feel about continuing to #WearAMask indoors in public for now? Esp for #immunocompromised people?
Teen: I was already planning to.
Me: Why?
Teen: 🤷🏻♀️ It’s not hard. It’s just a mask.
🏆 #OncTwitter
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This won’t last forever. I promise. But Jan & Feb 2022 are going to be very dangerous & difficult. All the things you can ordinarily count on, you won’t be able to count on. I’m here as a dr & so is @gleeson_md to help anyone in our #HoCoMd community. That’s what we can offer.
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It's one thing what people tweet, it's another thing what they do. Our household (me a physician, my infectious diseases physician husband, & 3 kids, all #vaccinated, all elig #boosted) are back to:
👉Grocery delivery
👉Drive-thru pharmacy
👉Take-out food only
👉No airplanes
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Researchers compared sperm counts in 100 men w/ a positive #COVID19 test at least 3 mos prior vs 100 men who were not infected. The men who had #coronavirus had 53% lower sperm counts, suggesting that the virus may harm male fertility. #GetBoosted #MaskUp onlinelibrary.wiley.com/doi/…
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If you or your kids have red, itchy or sticky eyes, it may actually be the latest #COVID19 variant, XBB.1.16 (#XBB116). Do a test. This is a symptom we didn’t see often with past #COVIDvariants, so it’s easy to mistake it for allergies. #MedTwitter
nbcnewyork.com/news/local/ne…
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Timeline cleanse ❄️
For the first time in decades, Madrid is completely covered in snow.
This is how people in the city responded.
❄️ ☃️
nitter.app/CassidyGavin/status/13…
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Study of 68 perinatal deaths (stillbirth or death within 7d of birth) in unvaxxed pregnant ppl w/ #COVID19: “We have never seen this level of (placental) destruction from an infectious illness before. These fetuses & newborns died from asphyxiation.” 😞
nbcnews.com/health/health-ne…
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President Jimmy Carter died today at age 100, having lived w/ melanoma that had spread to his brain & liver for >9y. I grew up in GA admiring him, so as an oncologist, I’d like to honor his life by teaching you a bit. #melsm #MedTwitter
First, the ⚠️ signs (ABCDE 👇) & pics
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#MedTwitter Pro-tip: If your doctor or dentist isn’t wearing an N95/KN95/KF94 mask in a medical setting, you need to ask them why & then get yourself a new one. For real.
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A study from #Brazil finds 1 in 4 adults who had mild #COVID19 demonstrated cognitive deficits. The average age of study participants was 38. See what happened when they were asked to copy a diagram. We are not prepared for this. #MedTwitter #LongCovid brainfacts.org/diseases-and-…
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I know everyone is tired, but heads up, #MedTwitter. #Mpox has just been declared a #globalhealth emergency. Incubation period usually 1-2 wks, illness lasts 2-4 wks. Here’s some #MedEd info & images from @CDCgov: cdc.gov/poxvirus/mpox/clinic…
BREAKING: Mpox is now a global emergency, the World Health Organization says, with cases in 13 countries and a new form of the virus spreading. apnews.com/article/who-mpox-…
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Because I’m headed to a conference w/ thousands of oncologists, & the last thing anyone living w/ #cancer needs is #COVID19
Because I care about my colleagues & #PublicHealth
Because I know the way to prevent #longCovid is to prevent #Covid
Because science is real
#AACR24 😷
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If you are #immunocompromised & need to take public transportation w/ no #maskmandate, you need to be in a well-fitted N95 mask. We’ve had luck w/ the 3M Aura in our family w/ very diff face shapes/sizes. Avail at HD, etc. The non-profit @projectn95 can help find a mask for you.
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Folks, heads up. People are testing so infrequently for #COVID19 these days, so when we see a big jump in infections like this, pay attention. It’s likely the tip of the iceberg. If you’ve quit masking in crowded indoor spaces with poor ventilation, rethink that… #MedTwitter
COVID-19 cases in Florida are on the rise, with nearly 10,000 cases reported during the past week, up 51% from last month
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I’m getting a flood of msgs from parents asking if they should send their kids to school next wk. There’s a lot to say, & it’s an indiv decision for every kid. TL;DR: there will only be 2 kinds of school in a wk or two: the planned closed ones & the unplanned closed ones. @hcpss
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Hmm lots of older folks getting cold sores for first time in decades. Lots of young ppl getting multidermatomal shingles. Wonder if this reflects impact of #COVID19 on our immune systems. Are others in #MedTwitter seeing this & other forms of viral reactivation more than usual?
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Risk differs when all mask vs only the most vulnerable mask.
If 2 ppl speaking a few ft apart & 1 has #COVID19:
👉1 in surg😷=90% odds of infection in 1/2 hr
👉1 in N95😷=20% odds in 1 hr
👉Both in surg😷=30% odds in 1 hr
👉Both in N95😷=0.4% odds in 1 hr
doi.org/10.1073/pnas.2110117…
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A teen who has been “coughed on, called names, & physically intimidated” for wearing a mask in public says she’s trying to protect her dad who had #cancer & a high risk little sister. Even if you don’t mask, 🙏 support people who do. #COVID19 #MedTwitter
bbc.com/news/articles/c89w84…
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In 2010, I resuscitated a toddler at a backyard pool party for his older brother’s ⚽️ team. There were ~15 adults chatting facing pool when the child fell in unseen & drowned. ALWAYS ASSIGN 1 ADULT AT A TIME A 15 MIN SHIFT TO DO NOTHING BUT 👀 AT POOL. 🙏 npr.org/sections/health-shot…
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I would 100% choose a mask-required flight. Guessing a lot of #MedTwitter would too.
OPINION | To make travel safer for immunocompromised people and those who want to protect themselves, airlines should create some mask-required flight options for travelers. @JetBlue @TerriGerstein @CDCgov
trib.al/jv3Bhcm
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Friends, this is a heart surgeon tweeting. A very athletic guy in his 20s who has been infected with #COVID19 3 times now needs a defibrillator implanted in his chest to shock his heart out of a fatal rhythm. Be careful. Don’t keep getting infected. #LongCovid #MedTwitter
A clinical case this late afternoon:
Urgent ER referral,
26y old, very sportive and healthy guy, no comorbidities, vaccinated, but had his 3rd mild C19 2 months ago.... suddenly collapsed on his bike,
He broke his wrist, had some cuts and bruises and wrecked his bike.
Oh, yes, his ambulance ECG was normal, but than this section suddenly appeared...👇📷💔 #LöngCovid #ICU 🙏
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I’m afraid the US doesn’t understand where health care workers are mentally at this point in the #COVID19 #pandemic. #MedTwitter can afford to walk away from patient care. US behavior needs to change immediately unless we want to lose front line HCWs in shocking numbers.
Super tired of not being able to see family for 1+ years when so many are flying around the country, eating at restaurants, having get-togethers, etc., then act surprised when the numbers go up, and expect HCWs to pick up the pieces. I give up.
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Wading into this water bottle debate as a cancer doctor. There has been a striking increase in #coloncancer in people under age 50. When you see an abrupt change like this by generation, it always raises concern for an environmental cause. #MedTwitter cancer.gov/news-events/cance…
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🧵 LOTS of folks with #COVID19 in my text messages this week for the first time in months, & many of my #MedTwitter friends are saying the same. This has happened before every recognized 🇺🇸 surge. Be careful, esp if you are higher risk. All, please 😷 & test if you feel sick. 1/
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Korean CDC analysis of 285/447 (64%) who retested #SARSCoV2 positive post #COVID19
👉Viral cell culture (n=108): 0% pos
👉Contacts traced (n=790): only 3 ill, all w/ other exposures
👉These ppl are not re-infected or still contagious. It's old, dead virus.
bit.ly/3e9DPlv
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I can't imagine hearing that wearing a simple item over part of my face for a couple hrs could prevent someone's hospitalization or death & then choosing not to do it. But sadly we have seen that many people make that very choice when there is no mandate.
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As a doctor, I have to agree: this is madness. There are no approved treatments for #longCovid. Zero. You can’t put that chronic illness genie back in the bottle, folks. An ounce of prevention is worth a pound of cure. There is no cure. #MedTwitter #Covid19
It’s never been a good idea to go to school sick, it is an inhumane policy to normalize mass reinfection of a multi-systemic, vascular and organ damaging, immune-dysregulating disease.
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If you saw real CPR being performed on TV tonight & found it traumatic, maybe you understand why so many drs are asking you to continue to #WearAMask. We’ve had >1,100,000 Americans die of #COVID19 during this #pandemic. #MedTwitter has witnessed & performed a lot of CPR.
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My husband is an active duty Naval Officer. His father was shot in Vietnam. The number of people I will tolerate disrespecting these men & their courageous service is zero. Full stop.
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I’m sorry that happened to you. A lot of people think Tourette Syndrome is just blurting out profanity, & that’s it. We should do better about educating the public. And we should all be kinder human beings. #MedTwitter
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Strong statement, & I do not make it casually: there is no safe, simple way in most US schools to do lunch with #Omicron. We need aerosol experts immediately involved or all schools will end up closed (or open w/ most of student body out sick & a parade of subs). So bummed.
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3/ Especially in households with #vaccinated (& #boosted) family members, I have seen people manage to limit #Omicron to the first person who was infected. This #CovidVariant is incredibly contagious, but It CAN be done. Don’t give up on the idea!
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This paper about the impact of #longCovid on language & cognitive function is frankly devastating.
A couple examples of how affected individuals fared when confronted with photos of objects & asked to name them. Lots of struggling & pauses. #MedTwitter sciencedirect.com/science/ar…
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It's impractical to tell #immunosuppressed people not to fly. Even leaving aside travel for pleasure, people with cancer may have to fly for work. The #maskmandate helped to protect us all in a #pandemic, & especially those at higher risk.
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I have just one thing to say about #H5N1 for those working in #publichealth & #EpiTwitter who are not clinicians: farmers don’t go to the doctor.
Though it might sound like I’m being funny, I’m being totally serious. #MedTwitter can back me up.
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“I used to feel that way about (insert favorite long disease name or monoclonal antibody). Keep practicing!” 🙃
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2/ You, as the person exposed to the one with symptoms, have to assume that you both do & don’t have #Omicron too. Wait, what? 🤔
I mean: assume you could infect others now & take care to avoid exposing them, BUT don’t assume it’s too late for you to avoid getting it.
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Whew, LOTS of #COVID19 out there right now, folks. My texts are full of friends on vacation with one person sick, asking how long they’re contagious, advice for shared hotel rooms, etc. Even if you no longer wear a mask, I’d recommend extra caution for the next few weeks.
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5/ Fresh air is a friend & shared air is an enemy. The more you can ventilate your 🏠, now & until this is over, the better. You want the concentration of #omicron in air as low as possible. This ⬇️ odds of infection & may make you less sick if you do get infected.
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@chrissyteigen Every mother on earth has a hand on your back, propping you up as you grieve. ❤️
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Dr. Dugal, 32, had a new baby, just finished surg training. He attended a wedding where he got #COVID19. In wks, he was fully paralyzed, fed by tube, unable to swallow, breathe, or move his eyes. “I can’t express enough the fear & uncertainty.” #MedTwitter
today.com/health/disease/man…
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4/ If you have N95/KN95/KF94 masks, get in them immediately. If you have only 1, put the sick person in it for source control. If you have >1 but not enough for all put the sick one & the highest risk (older, #immunocompromised) people in them. Then get outside, & leave🚪open.
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When we say that uncontrolled spread of #omicron has impact on care for other things, this is what that looks like. When we say that “elective” surgeries are being cancelled, imagine being the parent here in this situation. Really imagine. Sit with it for 5 mins. #GetVaccinated
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🧵 First major survey of drs w/ #longcovid is 💔: “Many describe not being able to do basic daily tasks like brushing their hair, cooking for their kids or basic arithmetic (to grocery shop), let alone…work as a dr w/ grueling hrs & frequent complex decision-making.” #MedTwitter
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Tell me something a doctor has done for you that you appreciated. It doesn’t have to be a big thing. Just reminding #MedTwitter how much their work, including small acts, improve the lives of patients. Drs are a weary bunch right now 2+ years into this #pandemic & need love. 🙏
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Apple has closed the doors of all of its 12 New York City stores, including Fifth Avenue, Grand Central, & Soho locations. The decision was reportedly a combination of inadequate workforce due to #omicron & concern for the worsening surge. A timeline for reopening is undecided.
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And this 🧵 has been about air travel. What about all the people who depend on the bus or subway, where air quality is far poorer, to get to work or even to medical appts? They face a much higher risk of repeated #COVID19 exposures with no #maskmandate. We have failed them.
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If you are a physician, esp one who provides direct care to patients who are high-risk or #immunocompromised, why would you choose not to #WearAMask in a mass gathering full of other similar people during a #pandemic? I need to understand this. Serious Q. Reply or DM. #ASCO22
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We now have proof that #SARSCoV2, the #COVID19 virus, can directly infect coronary arteries, producing significant inflammation.
Plain language: Getting infected will increase the risk of heart attack. #GetVaccinated #MedTwitter
nature.com/articles/s44161-0…
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Here’s your inspiration. Keep leaning on everyone around you, including Twitter acquaintances, for support, @BCross052422.
cc @lucymcbath @fred_guttenberg @shannonrwatts
When I lost my son - I never could have imagined I would vote to pass gun safety legislation on the floor of the US House, but today I did.
To the activists, parents, and everyone who fought tirelessly for gun safety reforms - this is the result of our organizing.
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This is the first time I’ve cried since #COVID19 started. Let’s make sure we remember this kindness from China to Italy, ask who we can help, & work to build a more unified 🌍 culture when this is all over. 😭
Posted from Italian physician China Air Bus from Shanghai just landed in Rome : 9 Physician experts , 1,000 ventilators , 100,000 masks , 20,000 protective gear , 50,000 test kits #humanity @jeremyfaust @Free2CareHC @KTamirisaMD @BoggildLab @arghavan_salles @ETSshow @JJcolemanMD
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‼️#MedTwitter
CDC just confirmed 1st severe 🇺🇸 case of #H5N1 #BirdFlu in a person in #Louisiana. This is not the virus circulating in cows. This is 2.3.4.4b genotype D1.1, the one found in wild birds that recently left a 🇨🇦 teen on a ventilator for wks (& still hospitalized). /1
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Remember when people ask “but how many DIED from #COVID19?” patients like this—a prev healthy 35 yr old woman who suffered blood clots & strokes, gave birth in a coma, had to relearn to walk, got a double lung transplant, & had no memory of her husband—fall under “survived.”
When Amy Yamaguchi from Seal Beach California awoke after a lung transplant due to COVID she couldn't remember she had a baby. #TheySurvivedCovid ocregister.com/2022/01/09/pr…
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So, in case you haven't heard, things aren't going that great with #Omicron BA.5 🚀. Lots of #COVID19 cases, even in those recently infected & #vaccinated. It's a good idea to #MaskUp indoors in public, especially if you have a summer vacation you are hoping not to mess up.
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Listening to my doctor husband, working from home today, calling some patients just to check on them. Not returning their calls or calling w/ any results as far as I can tell, just checking on them & answering any Qs re #Omicron. Old school. Such a good egg. 😍😊#MedTwitter
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🧵 Parents of teens looking for N95/KN95/KF94 masks that your teens will wear without complaint, I feel your pain. We are 2 drs w/ 3 teens. We obviously believe in high-quality masks, & we’ve struggled to find masks that fit well & are comfy enough for kids to wear all day. 1/x
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