And the continued purposeful ignoring of basic infection control procedures - including reports that DJT has been *in the Oval Office* *with other staff* despite being only 1 week s/p reported + test - is just infuriating.
Nb: His +IgG is almost certainly bc he received exogenous antibodies, not because of his own immune response
And *this* is why this pandemic continues to spread.
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My patients with #COVID19 are still afraid. They may be "strong", but they are scared. With good reason.
And so are we, the healthcare providers: bc PPE & testing are still in short supply, yet the 2nd wave is here.
And the rhetoric makes us feel like failures
So this piece!!!
It reinforces that REAL strength is so very far apart from the toxic salespitch of Trump & co.
He suggests that the strongest amongst us are not those who boast the most. It is those of us who can hold space for uncertainty, and then move forward.
Great leadership is listening, empowering, and bringing what is possible to life. It requires stewardship of resources, development of vision, empathetic candor, & impeccable vulnerability.
It can occur at any level of an organization or a hierarchy. At any age. At any title.
It just requires being present, being honest, and creating space.
It requires championship for what is right, and what is better.
This piece @_HarryPaul_ is a must-read. As we obsess over #TrumpCOVID, it would do us well to take a step back:
"The importance of protecting those with hidden disabilities, such as my restrictive lung disease, who are similarly vulnerable to poor outcomes from #Covid19 get lost"
He warns, re #LongCOVID: "individuals will face additional barriers as they seek accommodation in work, school, and their social lives"
[[editorial NB by me: This will be worse if the #ACA is repealed]]
Additionally, he cautions "Clinicians are not usually accustomed to talking about states of disability for which there is no clear biomedical explanation or treatment plan."
[[editorial NB by me: Esp for women & minorities]]
I've now watched it x2.
What we know from today's press conference on #TrumpCovid:
- Trump is going back to the White House
- The WH has high-quality care, perhaps as good as at some hospitals [but then why was he ever at Walter Reed?]
- He is still on dexamethasone & remdisivir
What we can deduce:
- His kidney function was not good at one point ("he was dehydrated")
- His lung function is impaired (no answers re CXR/CT scan; received dex; & many of us have seen the "happy hypoxia" of severe #COVID19)
What is mystifying:
- Why they won't tell us the date of the last negative test
- Whether he will actually isolate
- Why he would insist this is no big deal, when it has killed 209,000 Americans & required him to be in the hospital for 3 days
Based on data from clinical trials in the UK, this suggests that he has about a 23-26% mortality risk, depending on whether he received dexamethasone. nejm.org/doi/full/10.10…
And based on my clinical experience, I and many other physicians across the country are quite concerned.
(Caveat: we haven't examined him. We have however seen lots and lots of patients like him.)