On March 12 as #COVID19 was starting to hit NYC, I wrote a short piece for a show that was cancelled because of the pandemic.

On the eve of an election defined by our response to #COVID19, I want to share what I wrote then to reflect on what we learned, and what we didn't...
"As we watch this pandemic spread, I keep coming back to that empathy I so painfully learned taking care of Ebola patients in West Africa and as an Ebola patient myself, lying in a NYC hospital bed.

I think of it every day now as coronavirus spreads through our communities..."
"...disrupting our social fabric and leaving many to wonder what comes next.

"In times of crisis, we naturally tend to think inward, reflecting on how we protect ourselves. But what we need right now is a focus on the most vulnerable amongst us."
"As this virus spreads and the uncertainty continues to unfold, we need to focus on the communities that are so often marginalized in times of crisis."

"We need to consider our elderly neighbors and those in nursing and residential homes, already at higher risk from the virus."
"We need to put aside our politics and recognize that indigenous and undocumented communities here in the US are at a substantial risk."

"We will only survive this crisis if we recognize our shared humanity, not our different origins."
"The months ahead will be tough. At times we will reflexively look inwards, thinking about the threat this virus poses to us and the ones we love."

"But I survived Ebola and walked out of the hospital intent on sharing my story of empathy, learned the hardest way imaginable.
"I hope that when we look back on this pandemic, we reflect on how we survived it by emphasizing our shared humanity and focusing on the most vulnerable amongst us."

"Because together is the the only way we'll get through this."
I wrote this early on when this virus wasn't as politicized as it is today.

This was when there was hope that we'd take the necessary steps to get this virus under control.

When we talked about coming together to combat #COVID19, not letting it tear us apart.
When our medical and public health professionals weren't viewed with such scorn and suspicion.

Reflecting back, I wish I could say that we weathered the storm well. That we came together to fight this virus and that we succeeded.

But everyone knows that's not the case.
Regardless of who wins this election, COVID19 will continue to spread across this country in the coming weeks and months.

Cases and hospitalizations have been rapidly rising, and the worst is still in front of us.

Like many of my colleagues, I'm worried about this winter.
And look, we've all made missteps throughout this pandemic.

Healthcare providers who rushed to put severely hypoxic patients on ventilators, later recognizing there might be a better way.

Public health professionals who circled the wagons and equivocated on best guidance.
But it's hard to ignore the abject failures that have defined this administration's response to COVID19.

The constant unwillingness to correct course.

The unrelenting denigration of science and scientists.

The repudiation of a sound public health policy to guide our response.
Looking back on what I wrote in early March, as this virus was starting to take hold in the US, I guess I'm so unsettled that this is where we find ourselves, on the eve of an election.

It's almost unbelievable that we aren't in a better place, and better positioned to respond.
Like many of my colleagues, I constantly feel dejected fighting against an administration that should be working with us.

If you made it this far, the only thing you need to know is:

Science and public health is on the ballot on November 3rd.

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More from @Craig_A_Spencer

17 Oct
You might’ve scrolled past today’s #COVID19 update. Or maybe you've become numb to the numbers.

But outbreaks thrive on complacency! As many turn their attention to the election, we cannot underestimate the very worrisome nature of this worsening pandemic in the US...

THREAD🧵
Today the US passed 8 million confirmed cases. At ~20% of the world's total, that's a staggering toll.

And the 68k new cases today represents the highest daily toll since the end of July. It's also the 7th highest total EVER.

"Yeah, but there's more testing" some will argue.
But it's not just the daily tolls - it's the trends.

The last time we hit 68k cases, we had begun a downward trend.

But there is absolutely no mistaking the fact that we are on a steep upslope.

And not just in cases, but also test positivity and hospitalizations as well.
Read 11 tweets
8 Oct
If you’re watching the debate, the head of the Coronavirus Task Force is refusing to answer why we have more deaths than any other country.
And in the same sense stating that the other side is plagiarizing a response that has caused over 210k deaths.
'We surged resources to NJ, NY, Detroit..."

"The American people made the sacrifices"

They did. We did. There wasn't enough PPE to do our job safely.
Read 10 tweets
4 Oct
I'll be sharing updates here from today's (Oct 4) POTUS #COVID19 medical briefing:
President 'has continued to improve', 'frequent ups and downs'
The President has experienced two drops of oxygen saturation.
Read 35 tweets
3 Oct
Some thoughts from the update on the President’s condition:
They said illness for 72 hours? Seems to be a different timeline than we heard.
They also said he got antibodies 48 hours ago. That’s Thursday morning.
Read 23 tweets
3 Oct
I’m getting a lot of questions about how fast COVID19 progresses:

I’ve seen 90 year olds test + and not have a sniffle for days.

I’ve seen 40 year olds come in stable and VERY rapidly decompensate.

There’s a lot of speculation right now. But the realm of possibilities IS vast.
I don’t know the specifics of the President’s case - but the American public should.

Maybe it’s all an abundance of caution? Or not.

Point being he could be stable. Or not. This virus is always fickle & sometimes ferocious.

I wish him a speedy recovery. And we need more info.
This timely transmission just in!

Reportedly not on supplemental oxygen.

Remdesivir started.

‘Doing very well’.
Read 7 tweets
10 Sep
I’m furious.

He didn’t want to cause a panic?!

It’s impossible the describe the panic, the sadness, the loneliness of family members that I called to tell their loved one had passed from ##COVID19. So. Many. Times.

And because we didn’t act, this happened everywhere in the US.
I’m furious because as a doctor, so many of these deaths were preventable. If only we acted at the outset.

He knew how dangerous and deadly this was.

And he did basically nothing.

He said it would disappear. He said we’d open by Easter. He said again it’s disappear.
IT NEVER DISAPPEARED.

All over the country there is virus circulating in our communities.

We’ve failed. Not because he didn’t know. But because HE DID NOT ACT!
Read 9 tweets

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