When I was little, if one kid got chicken pox, the mom would host a little superspreader event and put that kid together with siblings and cousins and have you play and share drinks etc. so they could all get over it together.
There was the odd meningitis / encephalitis / seizure / death, complication and mortality rates were relatively low and vaccine wasn’t available. People nearly universally got it by adulthood so wth, may as well go for it.
Here we are with a disease that is far from inevitable, that is more severe and deadly, with a vaccine on the horizon. This is not the occasion for superspreader sleepovers. Why are we having, celebrating, condoning sleepovers?

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More from @choo_ek

8 Oct
COVID can cause pink eye, btw

Rub it. Do it. Doesn't it itch so badly? Rub it.
Ohhhhh. It's feeling so dry and itchy now, isn't it? I just rubbed my own eye, felt awesome. Try it.
Read 13 tweets
6 Oct
Highlights follow.

Thus far the TV shows candidates relate most to House (Cameron) and Grey's Anatomy, particularly Sandra Oh's character (Kayser)
Both of these candidates still see patients: Cameron is a hospital-based internist and Kayser is an anesthesiologist

When COVID broke, "I was 100% available" to help out seeing patients, says Cameron, who also had a campaign to run #MoreLikeAmerica #DoctorInTheHouse
"When people lose trust in their public servants, then we've lost a precious commodity" - Kayser on how the science-ignoring public strategy failed almost 15k who died from COVID in Florida #MoreLikeAmerica #DoctorInTheHouse
Read 5 tweets
4 Oct
Patients get discharged from the hospital when they are STABLE. This is such a fundamental principle that many of us have the word “stable” templated into our discharge notes.
Stable means that their vital signs are acceptable over time and that their clinical trajectory is not dynamic. Put plainly, the patient needs to be boring, without new and changing stuff happening, to send them out of the hospital.
A patient who has vital signs changing / fluctuating in a concerning direction, new test results, new treatments all happening over a short amount of time IS NOT STABLE and IS NOT GOING HOME
Read 5 tweets
4 Oct
Welp it happened... my daughter crashed my news segment 😩🤣
I could feel my face getting bright red and staying that way for the rest of the interview
Daughter afterwards: “I wanted to see what was going on”
Read 6 tweets
3 Oct
As an ER doc, I’m used to working off partial and sometimes conflicting information. But this is confusing on a different level.
Fatigued vs energetic
Oxygen vs no oxygen
Fever no fever
Concerning vitals vs feels ready to walk out
Ultrasound for ... what, exactly? Heart? Why, if he’s doing so well?
If he was on oxygen but isn’t now what was the context for his oxygen need? Walking? Sleep?
Why in the world would he be out of the hospital in 2-3 days?
Read 4 tweets
2 Oct
Is it odd that I don’t believe it?
Look, I thought October was going to come with a huge ramp up of reassurances about Covid to begin with
A diagnosis with a rosy-looking President and First Lady, spending the rest of the campaign trail crowing about how it's nbd... letting the public health fallout of that false reassurance occur any time after Nov 3rd... It's a plausible tactic.
Read 6 tweets

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