Qaali Hussein, MD Profile picture
Jul 20, 2020 7 tweets 2 min read Read on X
Some thoughts on PPE as our case numbers go up.

My practice has been to wear N95 with every patient. N95, face shield, gown with every trauma patient. My initial instinct was that we’re in the middle of a pandemic and almost everyone is an unknown.
I now think we need to standardize complete PPE for all patients.

We’ve had multiple patients not suspected to have Covid admitted through the ED, taken to the operating room, cared for in the ICU and then the floor, only to find out they’re COVID positive upon discharge.
There’s no way of knowing whether they came in with it or were infected while in the hospital.

Another trend we’ve seen in the last few weeks is hip fractures and patients “not feeling well for a few days.” We picked up the Covid after our assessment.
Some of these patients had productive cough, were not wearing masks,& N95 was not worn by staff because patient was not Covid or considered PUI at the time. And by this time, they’ve been in the ED, radiology for X-rays and to the CT scanner. How many pple were exposed?
Another practice I’ve seen is the difference in how we clean and sterilize rooms/beds between Covid and non-Covid or PUI patients. Is this something else we should standardize to limit transmission?
I know we’re going to run into resource limitations but these are some of the things we can look at to decrease the overall burden of disease in the hospital and hopefully in the community as these patients go back home.

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More from @QaaliHussein1

Nov 9, 2023
I have a feeling we’ll need to compile all the ways medicine justified a genocide

So I’m gonna start a thread & we can add onto it as people become more comfortable publishing their pro-genocide academic papers:

#1 - @JAMA_current in which the bombing of hospitals is justified
#2 @TheLancet declining to publish an open letter from HCW calling for a ceasefire
@TheLancet #3 @MontefioreNYC cancelling a ground rounds speaker for calling for a ceasefire against genocide
Read 11 tweets
Oct 15, 2022
About three years ago, attending a women’s empowerment conference made me swear off of going to anymore women’s empowerment conferences…a 🧵
It began as a great conference focused on empowering women to advance in medicine. All the gaps were addressed. Gender pay gap, research funding gap, awards gap, leadership gap. Great! We’re moving beyond pay disparity!
Or so I thought.

After hearing the keynote and most of the prime time lectures, I was perplexed. I know all these topics are important. But as this was a conference filled with women from all backgrounds, I felt there was something missing.
Read 15 tweets
Jan 9, 2022
Friends of #MedTwitter
We talk a lot about the dearth of Black docs & the leaky pipeline but not how academia pushes out the ones who actually make it to med school & beyond. Many URiM students/trainees suffer in silence due to a lack of support & the real threat of retaliation.
We’re working with a resident who is the only Black trainee &one of two IMGs who is experiencing an extremely hostile work environment. We’re looking for program directors, assoc program directors & anyone else who can help us in assisting this trainee.
We would appreciate any and all assistance. Please reach out to anyone of us through DM

@thenephrologist @rcg1812 @RamlaKasoziMD @IEMcElroy
Read 4 tweets
Jan 29, 2021
For my chief year grand rounds presentation, a mentor suggested that I use it as an opportunity to share my experience going through surgery training and having children. He suggested I share both the good the bad.
I loved this idea. It felt like we would be doing an M&M conference on our lived experiences as humans going through professional and personal challenges. I liked the idea that what was seen as a “problem” (pregnant surgery resident)...
became an opportunity for us to change our culture to be more inclusive. I wanted to include the fact that we were able to increase awareness of surgery boards accommods for pregnancy during training among our residents, and as a result more women were considering fam planning.
Read 9 tweets
Jan 29, 2021
#MedRacism continuing to uphold the status quo.

When we say minoritized and racialized people in medicine, regardless of position, are afraid to speak up because of #retaliation,
👇🏾👇🏾👇🏾👇🏾👇🏾 is what we mean.
Academia will destroy someone’s career and livelihood before they even think about becoming introspective or take any responsibility for their bias and racism.
Dr. @ayshakhoury does not deserve this. Her students don’t deserve to lose their teacher. And her community doesn’t deserve losing a good physician.
Read 4 tweets
Dec 10, 2020
#ToxicMedicine

I got a call from one of our NPs that a neurosurgeon was berating him and the icu nurses about why his postop patient was in the icu. He brought one to tears and was yelling at the charge as well. So I called.
Nsg: Who the hell transferred my postop pt to the ICU?

Me: I did.

Nsg: Who gave you permission to transfer my patient?

Me: I’m the admitting physician. You’re a consultant. Are you aware of their other injuries?
Nsg: Listen, hun, I don’t know who you think you are but...

Me: First, don’t call me hun. Second, it’s Dr. Hussein
Read 7 tweets

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