I am leaving the ER right now and reading @edyong209's newest masterful piece on #covid19 for the second time.

I have to say - tonight, this piece is everything.
theatlantic.com/health/archive…
Because ---

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.
And only when we know where we have come from, can we make conscious choices about where we would prefer to go.
Ed's words create space to celebrate, to mourn, and to commit to a different vision -- in which we don't describe patients (or healthcare providers!) as conquerors, warriors, or heroes.
Reflecting on the 209,000 (& counting) American lives lost, he opines:

"Their fates were not a matter of weakness, but their numbers should make the self-described most powerful nation in the world consider how strong it truly is." 🙏🏻
.
.
.
.
*may it be so*
.
.
.
As I reflect on yet another day in the ER during which I wish the world were a little different - this piece, makes me feel seen. I hope you feel the same, after reading it.
[[And a very cool coda: All of his interviewees are women!!! #HeForShe ]]

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Megan Ranney MD MPH 🗽

Megan Ranney MD MPH 🗽 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @meganranney

9 Oct
Appreciating the challenge from @lindaginzel during @WIMSummit to write down our own, personal definition of #leadership.
Mine?

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.

It requires elevating others.
Read 6 tweets
8 Oct
A *beautiful* explanation of the usual course of #COVID19, and why the timing of DJT's positive test matters from @ariabendix @businessinsider

businessinsider.com/typical-corona…
And of course, the White House still refuses to tell us the timeline of testing. This matters for #publichealth and for public confidence.

To me, the continued lack of truthfulness implies they either don't trust or don't respect the American people.

washingtonpost.com/politics/trump…
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.
Read 4 tweets
7 Oct
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]]
Read 4 tweets
5 Oct
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
Read 4 tweets
3 Oct
I said to @AnaCabrera and @yasminv today that we all suspected, based on the press conference, that Trump had received oxygen.

It has now been confirmed by @nytimes as well as @AP.

nytimes.com/live/2020/10/0…
It's time to get real:

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.)
Read 6 tweets
3 Oct
Watching the press conference on #TrumpCovid.

That he is not on oxygen is a good sign. They will not answer whether he was on O2 yesterday.

The use of remdesivir this early is unusual, but - he is the president.

"Cautiously optimistic".
They admit that he is getting treatments earlier than others get it.

This is the truth of our broken healthcare system: there are special treatments for special people. (Nb, VIP treatment doesn't always help.)
Lots of refusal to answer specifics about tests, fever, and oxygen levels.
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!