👇While the 1st part is important many forget the 2nd half is vital. Furthermore one mustn't remain wedded to their political tribe when it becomes clear that the truth isn't your party's narrative.
I confess I can be rather snarky on this platform but seeing MD/MPH/PhDs calling out rideshare drivers, posting pics of stewardesses & calling each other murderers to the point of threatening fisticuffs is really something else.
Why is it "logical & obvious" that masks will stop SARS-CoV-2 in its tracks but concerns that masks impair a toddler's speech development & ability to interpret emotions are "contrarian"?
We’ve had zero COVID ICU pts for months. Rare COVID admits are elderly w mult comorbidities/ true immuno⬇️. Rest of few (+)s are incidental on admit PCR. I don’t remember when our last inpatient death was. Yet MedTwitter fearmongering continues.
It's within the realm of possibility that the US will have 100s of thousands more covid deaths this fall/winter. Not clear if funding will even be in place for boosters and treatment. Now would be a great time for health foundations, professional assns, unions, to develop a plan.
There's a saying in Medicine that kids are not little adults. Yet in Oct 2022 many on 😷🇺🇦 MedTwitter don't seem to realize kids [& college students for that matter] aren't frail 80yr olds either
Patient-centered decision making is supposed to be the norm in Medicine. Yet w/ SARS-CoV-2 we've taken an old-school paternalistic "shut-up b/c we know best" approach. What's going on here?
Translation: “Despite no data to justify the need for it, I credit my N-+1th boost & Paxlovid for my case of the sniffles.” When will this madness end??
Thank you to my family and CDC staff for support while I recovered from COVID-19. I am fortunate to have only had mild symptoms, which I credit to being up to date on my
#COVID19
vaccines.
A few mons ago @ the end of my rounding wk a pt w widely metastatic CA & their spouse asked me to take off my mask so they can see what I really looked like. Said they missed seeing faces. Was a poignant moment as it reminded me of how we’ve lost a bit of our humanity
Those who scream "COVID is not mild" are the same ones who say "it's just mild myocarditis". Why is our approach to 💉 for SARS-CoV-2 one size fits all w/o a strategy to minimize risks for certain populations?
It is really tragic that a healthy kid who had Omicron would get a booster soon thereafter, and get Myocarditis 👇
It is sad that our vaccine regulators have focused so much on boosting, that 2 resigned, and this safety signal is ignored.
Science has a long arc; won't age well
Reinfection HELL 👹!! The new normal to be on your 4th Covid infection. Where’s that "immunity"?? Oh that’s right we don’t have ANY and never could to a rapidly mutating coronavirus 🚨⚠️😱
Dear MedTwitter Science experts, I can't believe it needs to be said but:
-Admitting you were wrong helps restore trust
-Doubling down by saying u were just joking makes things worse
-Using profanity towards the public while also insisting to be called "Dr" fans the flames
I was wrong about lockdowns and mandates. I was wrong and the reason I was wrong was my tribalism, my emotions, and my distorted understanding of human nature and of the virus. It doesn't matter much, but I wanted to apologize for being wrong.
Heartbreaking trip to the pharmacy.
The elderly with walkers, young children skipping - all unmasked.
I wanted to pull out N95s from my purse and put them on all of them.
Demerit points for restraining myself.
Got back to my car and cried.
#covidisnotover
Why does
@DrPanMD
, a CA State Senator keep hiding tweets which aren't 100% in support of his narrative? What happens w/ discourse if ppl like him were arbiters of misinfo for
#AB2098
?
I don't care if an adult wears an elastomeric mask to sleep but it boggles the mind when MDs w 22K followers extoll the virtues of baby stroller PAPRs, KN94 for babies configured so they won't remove them or clear total zip baby carriers w tiny air vents. Ppl are truly broken ☹️
👇This MD could've used it as an opportunity to teach their kid the importance of resilience. Furthermore all us parents know dealing w the unexpected IS part of
#parenting
. What lesson are we teaching our kids when we blame others for everything bad that happens in life?
After 3yr of following Science COVID hit. Thanks to 💉 & free Paxlovid I have sniffles & an ouchie head. Locking my comments only to fellow virtue signalers so I can receive oodles of get well messages. Accepting N95 Auras in lieu of flowers on my OnlyFans site
@VPrasadMDMPH
Our nation's unwillingness to admit there's a diff btwn a healthy 20yo s/p 💉x3 vs a 80yo w a litany of med probs ranging from the drug approval to policy making process is embarrassing. One size doesn't fit all. Why's it so hard to admit?
Dear MedTwitter Science experts,
The Hippocratic Oath states "Into whatsoever houses I enter, I will enter to help the sick"...
This applies even to people whom we disagree or hold different sociopolitical viewpoints than our own.
Please don't forget that 🙏
👇THIS is why I'm leery about
#AB2908
: Why would
@DrPanMD
hide my comments? Will the Medical Board of CA 🎯 me as a spreader of misinfo based on those comments if I talk about this should a pt ask but their family member doesn't like my reply? Help me understand ☹️
@nolibkidmomma
Those who said the unvaxed/ HCQ or IVM proponents shouldn’t receive care, posted Darwin memes & celebrated their deaths are just as vile
If you test negative, just keep testing for it. Even if remains (-) it could still be SARS-CoV-2. Isolate + mask anyway b/c you can still be a filthy vector. 🙄
People w/ bacterial pneumonia can have a persistent cough for 4-6wks & may also take at least that long to regain stamina. If I apply the CDC's time criterion I guess I'll have to start telling pts at least 1 in 5 will have Long Pneumonia.
@eekymom
Thank you for sharing Aiden’s story which shows any treatment is not w/o risk & MDs who seem to minimize it by saying “it’s just mild” or refuse to acknowledge it’s even a possibility damages our profession’s credibility & ultimately harms confidence for any 💉
👇In case you’re wondering why people lost trust in MDs & PH, this person is a “Health Policy Researcher & Contributor” to NBC & MSNBC w/ >44.6K followers.
MedTwitter 2050: Well, I'm sad to report that it finally happened [for the 20th time actually]. Hardly anyone besides me masked on Cenobite Air flt 666 & I just have the sniffles thanks to my 4x/yr 💉 x29yrs. But just to be safe I'm on my 4th round of Paxlovid. Thanks Science! 👋
Where's the data that EVERYONE 5+ benefits from "boost" & why TWO months makes good sense. Why not focus on the frail elderly or immunocompromised? We know that some schools/ universities will mandate it or virtual school only/ no diploma for them ☹. Help me understand
CDC recommends that everyone ages 5+ years get an updated bivalent
#COVID19
booster if it has been at least 2 months since your last booster or final primary. The updated booster provides broader protection against newer BA.4 and BA.5 Omicron variants.
@DrTomFrieden
A blanket assertion that anyone over 12yo not having a 💉w/in the last TWO mons should get a bivalent 💉 is the type of uncomplicated 1 size fits all MedTwitter Bluecheck approach that's undermined the public's confidence in the 🇺🇲 PH system. Great job!
Do vaxed + boosted MedTwitter MDs posting they're SARS-CoV-2 Ag+ while commenting how grateful they are to be on Paxlovid realize they're the best advertisement the antivax movement can buy?
It's not the "anti-science" mov't destroying public trust in MD/MPH/PhDs, it's ourselves
It finally happened. After 2.5yrs since getting a good whiff of another dog’s backside, eating my Kibbles & Bits only OUTside & religiously wearing MY DN-95 EVERYwhere. I’m raging inside as I got it by being upwind from my irresponsible unmasked owner. Humans suck.
Not a good wk. Entire house now has COVID. All 4 of us plus au pair, butler, driver, personal chef & poodle. Our 3 yr COVID free stint is over. 😥
Tweets thanking bivalent + pics of Ag tests for the next 2wks to follow. Pray for me & for the demise of the vector who infected us
If there’s another pandemic this generation we’re screwed in the 🇺🇸 b/c PH & MDs burnt trust & political capital over mandating masks for toddlers, “full” 💉 to teens/college students regardless of past infxn & quarterly 💉 for all (incl the current yearly publicity campaign)
👇Screening travelers won't accomplish anything + it's not just inconvenient but also carries costs. This past summer when our family took a cruise we had to waste time to find an approved testing facility & paid hundreds for the tests.
Our son has
#COVID19
again. Furious that he didn’t have an opportunity to get a bivalent booster before he went off to university, and that public health measures were dropped across Canada. For those at the back: THIS IS A VIRUS THAT CAUSES LONG-TERM DISABILITY.
#BringBackMasks
👇 Having practiced clinical medicine for 20+ yrs if a MD tells you something's definite w/o leaving room for discussion of risks/benefits, you should consider changing doctors.
Thanks for coming to my TED Talk.
In my approx 15 hospital system in CA which includes tertiary care centers there are <90 pts & <8 ICU pts who simply TESTED (+) in all the hospitals combined...
You wouldn't know that though if you listen to MedTwitter.
.
@GovKathyHochul
is at a school in San Juan, Puerto Rico with AFT president
@rweingarten
handing out backpacks to students. She has a reception later tonight days after her Election Day victory.
@VPrasadMDMPH
@MartyMakary
While it pains me to see the vitriol some unfairly direct at him this is on 🎯. Also having 1 person in charge of any organization for almost 40yrs can have negative consequences
"Doing your own research" has morphed into a pejorative over the last few yrs. While I understand the risk of going astray, over my yrs of practice an educated pt/family tends to be an asset rather than a hindrance.
The comments here. Given mechanism, IMO likely cause is commotio cordis. Regardless he’s in the ICU fighting for his LIFE for God’s sake! We’ll learn more in the days to come but now is NOT the time to speculate to advance one’s agenda but to 🙏 he recovers. What’s wrong w u ppl?
Over the past couple days I’ve come to the realization that 1/2 of MedTwitter doesn’t think it’s possible to feel both sadness for those who’ve died from COVID & anger over the forced masking of crying toddlers. Interesting times indeed.
@hamill_law
@tedlieu
@elonmusk
Yes! Talk to your physician, where the recs depend on multiple factors (age, past infxn, comorbid conditions, etc). However AB2098 which
@tedlieu
supports dissuades us physicians from having honest conversations about risks:benefits for the patient in front of us.
@VPrasadMDMPH
Thank you for highlighting this. It's one thing from rando docs but a lot of these ppl are in academia w/ residency affiliations & Fellows of their respective specialties. They are supposed to be role models yet aren't following evidence & instead choose to foster divisiveness
@LizHighleyman
I hear you but approving something w/o evidence to placate anxiety has ramifications for years to come in all areas of medicine. God-forbid if there's a harmful SE unbeknownst to us that's uncovered the antivax movt will have even more of a field day than they've already had.
"I CARE". I'm sick of MD/MPH/PhDs saying that. I saw the worst of COVID. I also saw how COVIDphobia harms: -Frantically calling admin to allow family to see a dying loved one
-Pts & spouses in tears b/c they couldn't see one another
-Pts in delirium b/c no mobilization/ visitors
As someone who’s filled out more death certificates than I care to remember over the course of my hospitalist career, one thing’s for certain: The public & many MDs think it’s much easier to determine the exact cause than it really is.
A moral/ethical failing which I'm more concerned about is the # of HCW who state they'll refuse to see an unmasked/unvaccinated person who needs medical care.
Interesting... I haven't admitted a COVID pneumonia in months. The few I've rounded on are immune naive unvaxed or immunocompromised. Others asymptomatic incidental PCR+ on screening.
SF folks: it's now a big-time surge. No longer just cases (~500/d reported, so true # >2K, or ~250/100K/d). Also major uptick in hospitalizations: 98 in SF (vs 18 six wks ago).
@UCSFHospitals
41 pts in hospital, twice April #.
If you're trying to stay well, time to up your game.
I got another COVID booster shot and the pharmacist said, "you're good now, you don't need any more shots" and I'm like, buddy, I'm going to be back every six months to a year until something else kills me, which is the entire point
Dr. Offit expressed this was his concern early on.
Why didn’t anyone listen to him?
Why does the Biden admin/ PH keep pushing for boosts for all?
Why didn’t the media talk about this? Why do some colleges still have mandates?
Do the MD/MPHs on this platform screaming about how "if everyone just wore a mask..." actually take care of patients in real life?? How often do our pts "comply" w/ our recommendations? Do you berate them as being anti-Science for being "noncompliant"??
@ZaxxonGalaxian
@JoshuaPotash
@WFKARS
As a Christian it’s disappointing how the subset of far-right Christians completely misses the point of their religion and choose to embrace hatred rather than love.
Seeing what
@eekymom
goes thru w/ fellow MDs claiming she’s antivax for raising awareness about her son who had the rare but known SE of myocarditis makes me ashamed of my profession. On the flip side the grief she gets from the other side makes me ashamed for all of humanity
Let's be honest: if Cochrane said masks have a (+) effect ppl would search for flaws to confirm their priors.
However, the "X" factor is HUMAN BEHAVIOR. If the majority of ppl don't follow/do/adhere to a treatment/drug/policy no matter how much it "works", it will fail.
@sarahbeth345
@CDCgov
Trust tanked is big issue but also high seroprevalence in kids. My 3yo son had no sxs when my then 5yo had it during Delta & the sniffles when I had it in March. Given that I don't feel there's a need... I suspect many parents across the US are in a similar position.
@TheEliKlein
There’s nothing’s wrong w/ us MDs forcing Lyft drivers to mask while transporting us to med conferences followed by a Pharma-paid 🥩 dinner (yummers 😋) ending w/ a night on the town partying w/ our crew 💃🕺🍸.
If we get COVID it’s the irresponsible driver’s fault & not ours.
@BallouxFrancois
They do know something-- they know they're in deep 💩b/c they've painted themselves into a corner they can't get out of & are forced to double down on this unsustainable policy.
@krogercryptid
@tarahaelle
@andraydomise
Why even mention the race of the kids and principal? The innuendo is obvious and plays a role in explaining his and his wife’s actions over the weekend.
Sure, we shouldn't shame ppl w/ or w/o masks. But N95 virtue-signalling pics in terms of "I do this to protect the immuno⬇️d" [therefore I'm more 👼 vs you] or f-word laden diatribes about lack of masks [followed by pics of that person out having fun sans mask] sure gets old
@VPrasadMDMPH
Broadly characterizing people who don't do something you want as victims of misinformation fosters schisms and mistrust which is the antithesis of good PH messaging.
Some 'experts' haven't spent any time w toddlers & it shows. Forcing toddlers to wear cloth masks while they eat & sleep together w/o one is cruel & accomplishes nothing.
Any parent w common sense can see this why don't epidemiologists?
Dr. Paul Offit fears CDC will recommend new Covid boosters for all when "a healthy young person is unlikely to benefit ..."
After CNN pushback: "If there's not clear evidence of benefit, it's not fair to ask ppl to take a risk, no matter how small. The benefit should be clear."