I took care of a patient who lived in a small apartment with a large family. They pasted together garbage bags to make tunnels through the hallways to try to isolate COVID+ family members. When we all do our best to keep rates low, we help those vulnerable to exposure.
If I get COVID, I have the luxury of isolating in an extra room or the basement. I have few comorbidities and access to healthcare. I have the financial reserve to take time off.
People with these privileges need to have enough imagination to see those who don’t have them, and enough compassion to act on their behalf.

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More from @choo_ek

15 Oct
Deb was one of my first Twitter friends from 2013, a strong, clear, true and moral voice. If you go thru her tweets you’ll see how she always stood up for justice. I’ll miss her. The world lost some much needed goodness today.
She was warm and beautiful and brave and funny. I always laughed at her handle: “roseperson.” People who enjoy play on words like that are my kindred souls.
Her pinned tweet remains one of her best, but it is not unique or a fluke. She said this in so many ways over the years
Read 4 tweets
13 Oct
We have gone from underplaying the dangers of COVID-19 and crossed over to making infection a virtue, a valorous pursuit, a celebratory pastime.
This is why there are large gatherings of unmasked revelers. They aren’t ignoring Covid. They are going to go Presidential and dance in the virus.
I have to admit, I did not see this shift coming
Read 4 tweets
10 Oct
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?
Read 5 tweets
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

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