Seriously worried about the mental health crisis facing health care workers.

Doctors and nurses say they've been working relentlessly for months, and many near burnout. #COVID19

HT to @drtaranarula for reporting.
2) you can hear the exhaustion in this Nebraska ICU nurse’s voice.
3) So much respect for South Dakota ER nurse @JodiDoering who treats patients who “don’t want to believe that #COVID19 is real.”

“Their last dying words, ‘This can’t be happening. It’s not real.’ Facetiming families, they’re filled w/ anger & hatred.”

4) Unfortunately, some ICU nurses have been so burnt out that they couldn’t keep working on COVID wards like this one in El Paso dubbed “the pit”.

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More from @DrEricDing

20 Nov
BREAKING—wow—WHO just recommended **against** the use of @GileadSciences’s drug remdesivir in hospitalized #COVID19 patients, citing “there is currently no evidence that remdesivir improves survival or reduces need for ventilation in these patients”. 🧵
👉 who.int/news-room/feat… Image
2) “data from over 7000 patients across the 4 trials were considered.
The evidence suggested no important effect on mortality, need for mechanical ventilation, time to clinical improvement, and other patient-important outcomes.
The guideline development group...”
3) “recognized that more research is needed, especially to provide higher certainty of evidence for specific groups of patients. They supported continued enrollment in trials evaluating remdesivir.”
Read 4 tweets
20 Nov
FOCUS ON AIRBORNE, *not* surfaces. Scientists increasingly say that there is little to no evidence that contaminated surfaces can spread the virus. Health officials are being urged to focus instead on improving ventilation and filtration of indoor air. nytimes.com/2020/11/18/wor…
2) “A lot of time, energy and money is being wasted on surface disinfection and, more importantly, diverting attention and resources away from preventing airborne transmission”
3) “People are removing masks for lunch or when they get back to their cubicle because they assume their cubicle is their private space... But remember: The air you’re breathing in is basically communal.”
Read 9 tweets
20 Nov
NEW RIGHT WING ATTACK—Hydroxychloroquine misinformation & conspiracy theories are back. This time, peddled by US gop senators and trolls attacking Professor @ashishkjha (and Dean of Brown SPH). It’s really surreal and crazy this happening in pandemic. #COVID19
2) here is my previous master debunk thread on hydroxychloroquine. Cant believe we are back at this again.
3) here is the RECOVERY trial. But fat nothing. HCQ could maybe even actually increase mortality.
Read 4 tweets
20 Nov
RATIONING CARE—El Paso has been so depleted by #COVID19 that besides moving bodies with inmates, hospitals are nearing a point where health workers could decide who gets care and who doesn’t. EP begging TX gov for national guard, but Abbott blocks so far. texastribune.org/2020/11/18/el-…
2) There are now 218 deceased bodies stuff in those refrigerated morgue trailers according to El Paso county judge.
Read 4 tweets
20 Nov
Listen up—if there is a scientist who is a *hero* besides Fauci, it’s Dr Kim Prather @kprather88–world renowned aerosol expert. Not many know, but it was Kim who alerted Fauci on airborne #SARSCoV2. If it weren’t for her, we still wouldn’t have airborne guidelines. She’s my hero.
2) Dr Prather is also an extremely rare “double inductee” in both the National Academy of Science & National Academy of Engineering (harder than winning Triple Crown). She wrote “Tony” (Fauci) a strong note of concern, and made Fauci see his blind spot on airborne aerosols. See👇
3) Basically, Dr Fauci admits above (and elsewhere) it was a group led by @kprather88 (& @CorsIAQ) that approached him & explained small aerosols Microdroplets are airborne. Here is Kim explaining the difference between droplets & aerosols with @DrLaPook.
Read 4 tweets
19 Nov
BREAKING: CDC recommends against Thanksgiving travel.

➡️ This is serious folks! We have not yet even begun to see the worst of what’s to come next month. #COVID19

cdc.gov/coronavirus/20… Image
2) and if hosting a gathering, they recommend virtual or “Have a small outdoor meal with family and friends who live in your community.” Image
3) the reason we haven’t even seen the worst yet is because of death lag. All the surging cases so far this month won’t translate into deaths for 3 weeks — until after Thanksgiving / into December.
Read 6 tweets

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