Dr Vyom Sharma Profile picture
Jun 28, 2020 6 tweets 2 min read Read on X
1/ Thank goodness. “Professor Sutton said the health department was still working on a communication strategy for masks but signalled advice would likely be for settings where social distancing is harder to maintain, such as on public transport and food markets.” #COVID19au Image
2/ I’m v glad to see that they are formulating a communication strategy. Because despite what a lot of big names are saying, widespread, improper use of masks by people is a nonsense reason to scrap them as a strategy completely. People can be educated. After all,
3/There are improper ways to wash hands and wear seatbelts. We don’t talk about risks of false reassurance here like we do with masks. Yes there might be some risk compensation. But a biologically plausible intervention is surely worth coupling with an education campaign. So:
4/ yes we’ll see misuse of masks/lapses in phys distancing. But the question is will we see a net positive effect. If we foresee a net positive effect then we should proceed. It’s true , masks wouldn’t have conferred much benefit for Australia till now except healthcare workers,
5/ but now Victoria has community transmission, increased mobility and I’m glad a well thought out, well communicated policy and masks is on the agenda, in view of the available evidence.
*on masks. Ffs

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More from @drvyom

May 11, 2022
There is a worldwide shortage of IV contrast, and it's happening in Australia too. What is 'contrast', why is it important, and why is this happening? 🧵
Contrast is a dye that is sometimes injected into patients during investigations such as CT/MRI/Angiograms... wherever the dye is carried by blood vessels, it 'lights up' in the image of the scan.

Sometimes it's nice to have a scan with contrast.
Other times it's critical.
In Victoria, there is a 'critical state-wide shortage' being cited by at least one hospital I'm aware of, forcing it to delay scans or perform other investigations as a substitute.
Read 14 tweets
May 6, 2022
Last night, I did what I thought'd be a small call out, asking:

"Is every emergency department in Metro Melbourne fucked right now, or is it just some of them?"

I've been hit with an avalanche of messages.

Here is the problem, some causes and solutions, in plain words🧵:
> All the emergency departments (EDs), not some, are fucked, and have been for a few weeks

> It's not just metro Melbourne, but regional EDs too

> It's not just Vic, some other states too

How fucked?
> Ambulances are 'ramped' for hours and hours (waiting in queue to get into the emergency department).

I've Heard of one case of a patient waiting in queue while intubated - breathing tubes down their throat. This is not normal or good.
Read 27 tweets
Mar 28, 2022
I'm seeing a lot of people say that Will Smith couldn't have done much damage with his 'slap'. Here's why that's not quite true.🧵 (1/15, for real)
Dying from a strike isn't somehow impossible if it is an open handed strike vs a punch. There are other factors that arguably matter much more.
For starters, conventional wisdom in street fights (where you don't have gloves to protect hands) is indeed to 'slap'

Favouring open handed strikes (esp with heel of hand) instead of a closed fist allows trained fighters to *swing harder* without risking metacarpal fractures.
Read 16 tweets
Jan 2, 2022
“Careful it’s spicy”
‘Haha Yeah all good I asked for it spicy”
“No it’s really spicy, a few times while cooking I was coughing, I couldn’t take it”

When the Thai cook of the Thai restaurant tells you it’s too hot for him to breathe, you know you’re fucked.
Will report back in 20
I’m fucken scared tbh
I’ve got a 1 kg tub of yoghurt in the fridge though which should buy me a few moments tweet some final words
Read 14 tweets
Dec 31, 2021
I can't wait to hear the non-explanation for the 24 hour Tokyo-drift hairpin u-turn reversal of the isolation+ day 6 RAT policy.

It's not that either decision is right or wrong, it's that the decisions are poorly made and communicated.
A shorter 7 day isolation period has tradeoffs that plausibly will confer a net positive benefit, at a population level.
Day 6 RAT for covid +ves: tradeoffs either way - neg result might let infectious people go early. Infectious people who test positive may be kept isolated appropriately. non-infectious who test positive would be unnecessarily isolated. Trade offs either way.
Read 4 tweets
Nov 6, 2021
The world has 2 new COVID pills. But there's an issue.

After symptom onset, you must get tested, get result back, see Dr, start meds, all in 5 days.

If you're likely to follow that process, you're prob also the kind of person who's had access + inclination to get vaccinated🧵
Authorities could recommend the pills to people who're already vaccainted, but the vaccines are already great! That's not the population with most to gain from treatments.

Plus, in 2022, it could be hard to convince fully vax/booster folk with a sniffle to go thru above process
So who are these pills likely to help the most? The unvaccinated.

But are adults who are currently unvaccinated (for whatever reason) in Aus likely to follow through with the process of testing/waiting for results/getting medication I've mentioned above?
Read 8 tweets

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