I know we're all now immune to reports of the White House mishandling Americans' health - but this story👇 about them meddling with @CDCgov to alter their weekly reports is an OUTRAGE & will make the job of doctors like me much harder. Here's why... (1/12) washingtonpost.com/opinions/2020/…
Everyday in my practice as an emergency physician I rely upon updated studies of various tests & therapies, so that I can best serve my patients. It's called evidence-based medicine & it means relying on rigorous data. Stated simply, patients depend upon it to stay alive. (2/12)
A political aide reportedly applied pressure to tamper with something called the MMWR (Morbidity & Mortality Weekly Report), a digest in epidemiology. This journal has been a critical piece of communication about emerging & established diseases in the U.S. for 90 yrs. (3/12)
The MMWR has a particularly important place in the history of medicine, often giving us info very early in the outset of emerging diseases. In 1981, a primary care doctor & epidemiologist in LA reported 5 young gay men with diseases from a compromised immune system. (4/12)
They surmised that these men, who had no contact with one another, suffered from a common source that rendered their immune systems weak. Unbeknownst to them, this was the first report of AIDS in the U.S. (5/12)
While the U.S. response to the AIDS epidemic was anything but apolitical, reports like this, with their unvarnished scientific presentation, have been the keystone to helping advance our knowledge on any number of diseases. (6/12)
Why is the MMWR suddenly being altered? A Trump political aide didn't like the CDC's conclusion that hydroxychloroquine was ineffective for treating #COVID19. In a resource-limited nation, it's critical that scientists & physicians not follow a path dictated by politics. (7/12)
In March, the MMWR published a report of a multi-pronged testing, tracing & surveillance system in Singapore that helped slow the spread of #COVID19. Public health officials begged US policymakers to provide the leadership & tools needed to implement such a program here. (8/12)
Had our national leaders heeded their call, many more tens-of-thousands of Americans would be alive today, and college football & schools would be safely operating... instead of the unsafe patchwork of policies that dominate in the U.S. (9/12)
Meanwhile, the President has privately made it clear that he understands the science behind the #COVID19 pandemic - but he simply does not care, and will pursue a policy agenda to enhance his political goal of getting reelected in November. (10/12)
His enablers in Congress & @HHSGov will apparently act at his behest, irrespective of outcome, even risking the lives of fellow Americans. His ardent followers believe his every word & seem to act against their own interest by eschewing masks & gathering by the thousands. (11/12)
Meanwhile, doctors like me just want what’s best for our patients. We couldn't care less about a politician's fortunes if it opposes our ability to treat patients in the best way possible to maximize their quality of life & chance for survival.
Just give us that chance. (/END.)
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As an ER doctor for 2 decades, I have seen the #ACA transform the lives of my patients. This week, one week before the election, @SpeakerJohnson told us that he and @realDonaldTrump will “deregulate” healthcare and that there will be “No Obamacare.”
Before Obamacare insurance companies denied coverage to people with pre-existing conditions. Diabetic patients would come to the ER in crisis because they could not see a PCP. One man waited 5 days having chest pain during a heart attack and ended up in heart failure. 2/10
I routinely saw patients who couldn’t afford insulin come in with diabetic ketoacidosis and diabetic coma. People with high blood pressure that was never treated had a higher risk of having a stroke and some ended up in kidney failure after years of a lack of care. 3/10
As a doctor whose wife experienced 4 miscarriages amongst the 3, now healthy adult children we have raised, I can’t stop thinking about @JDVance’s answers on abortion during the VP debate. Here is the problem with his and Trump’s “leave it to the states” approach. 1/13
He claimed that the US is a diverse country, and the views of California may differ from the views of Georgia or Arizona, etc. I couldn't agree more — we ARE diverse — but that diversity does not end at state lines. 2/13
That diversity extends to counties, cities, neighborhoods, households, and members within a household. It even exists within an individual, given varying circumstances. These circumstances personally resonate with me and my experience as a would-be father. 3/13
As an ER doc and health care advocate I couldn’t care less about @SenKatieBritt's cringe performance in this video that many are roasting. It is the substance of the bill she is pushing that makes me truly cringe. Here’s why: 🧵1/7
The MOMS Act is a GOP ploy to pretend they’ve softened their extreme views on abortion in a critical election year. To have a senator from a state with a near total abortion ban introduce the bill is fitting for a party that is completely out of touch with everyday Americans. 2/7
This bill would create a database of pregnant women in the US. This is chilling in a post-Roe America where some states want to throw women and doctors in jail for making medical decisions about their own bodies and reproductive health. 3/7
As a doctor, Trump's announcement tonight sends a shiver down my spine. Medical professionals are still burned out, still dealing with the fallout of Trump's presidency. In case anyone forgot, here's a list of how he harmed our patients and attacked health care access (🧵): 1/10
Data show as many as 40% of COVID-19 deaths (nearly ¼ million) during Trump's presidency could have been prevented had he handled the pandemic like wealthy peer nations. We still mourn the loss of our patients and neighbors. It didn't have to be that way. 2/10
Trump's deliberate spreading of disinformation put frontline workers like us at grave risk. Some didn't make it. Some, understandably, left. Hospitals across the country remain understaffed, making it harder for everyone to get quality health care. 3/10
I am genuinely pissed that a know-nothing Federalist judge lifted the travel mask requirement.
I'm not pissed for partisan or personal reasons, I am pissed as someone 11 days from receiving my MPH (#GoBlue)
Here's why: A 🧵
1/
Masks should never have been political. They're a simple, risk free method for lessening the risk of COVID19 and yes, saving some lives.
But for a thin skinned, vane, know-nothing former President, this would not be partisan, and many more people would now be alive.
2/
While not a panacea, masks help, and nothing about wearing them is a genuine burden. I wear one all day long at work. I'm grateful that I can, and I happily do so.
I have recently flown many thousands of miles for Spring Break and college visits. My family and I wore KN95s.
3/
After seeing more and more unvaccinated COVID19 patients coming to the ER and having to be admitted to beds that are miles away and hours away from being available, I get more and more pissed at the offensive display of anti-science and anti-Semitism in DC yesterday. 1/9
And today, @SenRonJohnson held a "hearing" with some of the same anti-vaxxers who spoke at the rally, and whose disinformation has led to hundreds of thousands of unnecessary deaths since the vaccines became available over a year ago. 2/9
One of those deaths was a patient in their 40s who refused the vaccine because they were told it could kill them. Guess what, the virus killed them despite every effort to save their life. And the staff that cared for them for weeks is still reeling at such a tragic death. 3/9