Great display in elegant cartoon form to help people understand why we are trying social distancing, masks etc.

english.elpais.com/society/2020-1…

I don't know if the content is scientifically accurate or not (and have no idea how to check) but the images are easy to understand.
I am increasingly puzzled as to what an Aerosol is.

In the good old days, e.g. 1 year ago, this was all I knew about aerosols. Image
Now it is harder

The El País article has nice diagrams of aerosols etc

But the left side says that aerosols are a SUBSET of droplets ...

while the right side indicates that they are very dramatically DISJOINT sets, with a whole no-mans land of 100-300 nm gap between them. Image
The El País article has particles spontaneously accumulating in a cloud around the infected person.
While in England, our Public Health England has actually formed a committee to announce, and then have a second discussion to publically reconfirm, that cardiopulmonary resuscitation does not generate aerosols.
The basis of our English position is that 3 nurses once all managed to avoid getting SARS after doing CPR on a patient with SARS.

And since this is the only available published evidence, in England almost nothing is allowed to be considered an aerosol generating procedure.
Whose judgement seems more on-track to you?
If Public Health England are correct, i.e. almost nothing, note even cardiopulmonary resuscitation, is an aerosol generating procedure, then I declare the Covid Pandemic worldwide to be over.
All we need to the members of the public to do, to bring it to a close is not do ENT surgery, orthopaedic sawing, or hand-grenading, on other members of the public in the street.
The public must be doing such things all the time, because the virus does seem to show spreading.

I didn't know that amateur surgery was such a popular hobby.

If they can please just hold off for a few weeks, it will all be over

Or if it isn't, Public Health England are wrong.
Just to reiterate I have no idea whether the science behind the article is correct. I just like the ease of understanding of the pictures.

We should put pics like that in our scientific papers.

@ASPphysician explains my own ambivalence better than me!

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More from @ProfDFrancis

1 Nov
Both John Mandrola and Vinay Prasad are angry about this study in JAMA. Image
I thought I might join in and give the study a bashing. Image
Read 35 tweets
31 Oct
Great question from Pranev Sharma Image
Personally I have led a charmed life and never been bullied at work.

But as a TPD this is something I am determined to uncover and eradicate.

When I was a junior doctor, we always assumed that if anyone complained about anything "the old bastards will shaft you forever".
But now we once-registrars have become consultants, we realise we are the same people and

(a) Old gits don't actually shaft anyone - they can't be bothered and indeed have no levers for it: nobody cares what some old git says about someone, when making appointments.
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30 Oct
Hidden camera reveals Donald Trump's interaction with Billy Bush.

The really shocking thing wasn't that the Great Leader is a sickening thug, but how a human being can think this behaviour is "benign".

Well done to 2 people for being patient enough to explain it to him, slowly. Image
We need more people like Lena M and Jay Deaz.

Not minimizing or accepting vile behaviour, now has a name, although it is embarrassing that it needs one in a civilized society.

"Active Bystander"

For people who feebly claim that they don't know what to do, there are 4 hints:
Read 9 tweets
11 Oct
No. Because they had insights.

Jeff Bezos's insight was that he could slash wasted effort in purchases, via internet + clever algorithms.

Elon Musk's insight was that WE should tell our bank to pay a seller, not give the seller our account details and ask THEM to take the money
Actually I don't think she is so foolish as to believe her own soundbite.

I think she is just saying this to appeal to not-very-bright people who have failed to understand that life is not a zero-sum game.
Billionaires like these 2 exist because they have been right, many many times, when the rest of us were wrong.

And UNLIKE billionaires who gained their wealth by gambling, these ones gained their wealth by providing things that people wanted.
Read 4 tweets
10 Oct
What is unusual about Guinea-Bissau, nestled between Senegal and Guinea?

(Hat tip to Joe Schmoe MD, @joeschm80238897)
Well, you know how you and I and everyone's brother-in-law are all talking crap on Twitter about how effective or ineffective face coverings are, yeh?

Well, the WHO is actually doing a trial in Guinea-Bissau.

Guess how many patients they need?
Read 8 tweets
10 Oct
This is a REALLY good question!

Let's assume all tests are perfectly accurate, for simplicity's sake.

And let's ignore the word "up to", again for simplicity's sake.

What does this statistic mean?
Does this mean that:
Well I am glad nobody has voted yet.

Because all the answers are wrong.

Let me highlight the relevant words in the question, for people who read it too carelessly.
Read 33 tweets

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