"I encourage everyone to continue to live the healthiest life they can. A balanced diet, fresh air, and vitamins really are vital to keep our bodies healthy" -- so about this/1
encouraging a "healthy lifestyle" is really a moral directive unless ppl in power address the things that make healthy living possible. a "balanced diet"-- for those without $ to shop?; "fresh air" except when people put incinerators in ppl's back yards?; "vitamins" -- are BS/2
this is a capsule of what it means to conceptualize health as wholly dependent on the self. her son is a "strong teenager" so did well; she "lives healthy" & took vitamins, so got better. no mention of the fact that they direct gobs of resources and have doctors down the hall/3
literally proving the opposite of what she says -- she clearly took away nothing from her experience and has little understanding of what it means to have covid in our cruel society, esp under her husband and her who have turned it up to 11. /fin & ick

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More from @DrZackaryBerger

24 Aug
I have nothing against #PlasmaTherapy for Covid. I've looked at the data. It might be helpful. We need a trial.

Now, imagine if the attention paid to this *one potentially marginally helpful therapy*....

...was devoted, as well (not even "instead") to those sick with Covid. /1
What I mean is this. I'm a believer in biomedical interventions. Heck, I'm a board certified internist. Biomedicine is part of what I do.

But only a part.

So much of the help I try to give patients is not available./2
Not because "it's not my expertise" or any such Pinkerian BS. It's because our priorities are off.

Can we pay workers to stay home?

Can we cancel rent?

Can we give food to the hungry?

Can we make Covid care free?

Darn right we can. /3
Read 5 tweets
2 Jun
Someone asked how I could go to a protest today. Wouldn't Rona be there? Thread:

In general -- in my practice as a physician and in my educational/research/books -- I have tried to be as comprehensive in my understanding the possible reasons that lead people to weigh risks. /1
Because the tricky part about epidemiology and public health is this. Risks are population-based. Decisions are individual. In time of Covid, I have tried not to wax snarky about people seeking haircuts. People have reasons, they always do, even if they are not your type./2
From a public health perspective, would there have been more careful ways, a priori, to organize a demonstration like that? Perhaps (I have seen pictures from Israel of a demonstration with people separated by 6 feet). /3
Read 5 tweets
7 Feb
Something I wrote last night:

I should go to bed -- my wife and children are snug in their beds, our house is safe in a way that so many living places in the US are not. No one is coming to get us, right now. I should luxuriate in that. But I want to write about the day I had.
It was, of course, first of all, thanks to @baltimorebooks, who made dinner, drove the kids to school, worked a full day, put the youngest (who might be a little pissy on occasion!) to bed after supervising her homework, and welcomed me home. And thanks to my covering colleagues.
l spent the day with colleagues from @Doc4CampClosure- fulfilling the wise saying: "get in the way and stay in the way." I was just a small part of the group, but together we are a bone in the throat of the marauding beast, a thorn in its claw.
Read 12 tweets
4 Aug 19
My institution has a dashboard to compare my opioid Rxs to colleagues. It shows me the # of pills and the # of Rx I write per X days compared to colleagues. We were asked to provide feedback. I pointed out the following was NOT on the dashboard:/thread
1. How many are diagnosed with chronic pain
2. With how many has tapering been discussed in clinic
3. How many have agreed to tapering
4. How many have cancer, sickle cell disease, or terminal illness diagnoses
5. How many have the possibility of a new-patient referral to Psychiatry or Psychology within JH
6. How many have seen physical therapy within the past X days
7. How many have codiagnosed psychiatric diagnoses
Read 6 tweets
4 Jul 19
Why at 4:30a am I in a Lyft to BWI airport, fleeing the Baltimore humidity on #July4 for the greater heat of El Paso?

Full statement is attached. Basically, #CitizenPresence is the reason. Making sure moral outrages of the camps are before our consciousness. Follow my day here.
If they make a movie Davening [praying] in Airports I'll be in line. White privilege: no one looks at me. Today is #July4& also #RoshChodesh, the start of a new month.

I say Hallel, the collection of Psalms celebrating special days. "You freed my bonds." "I called from depths."
And a specially long psalm to end the prayers of the day, mentioning the blessing of food. "Bread satisfies people's hearts." Wine, oil and bread. The basics migrants look for. What our cruel government denies them in the camps.

New month, new possibilities for change, Exoduses.
Read 34 tweets
14 May 19
"Dr. Berger," said my patient 'Bettie L", a grandmother with chronic pain, "Hopkins cleared out my bank account. Their lawyer told me they're suing me."

Read this to find out why. It's shocking. And thank you to @NationalNurses for doing this work.

nationalnursesunited.org/press/new-repo…
What's going on? Hopkins is suing people for medical debt. Poor people.
In fact, the most common group my employer sues is...
... people in the hospital's neighborhood. Including my patients. ZIP 21213.
Read 11 tweets

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