My first patient this morning came in for testing because he’s traveling in a few days and will be spending time with immunocompromised family members.

I took a deep breath, tested him and then strongly recommended that he reconsider traveling this Thanksgiving.

Ok, now I’m triggered. So far this morning, I’ve seen a significant number of patients requesting testing because they’ll be traveling and seeing family members for Thanksgiving. It seems like the public is *not* getting the message that everyone needs to stay home.
Deep breath....
Thanks everyone for engaging with my live tweeting today. I’m really worried. Based on what I’m seeing at work this morning, people still plan to travel to see their loved ones next week. What if we all made a collective agreement to treat next Thursday like any regular Thursday?

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More from @uche_blackstock

20 Nov
Here are pictures of the BD Veritor Rapid Antigen #COVID test. It works like a pregnancy test.

The first pic is a negative test and the second is a positive test (2 lines). The third pic is of the analyzer to confirm the results. ImageImageImage
The results take about 15 minutes but usually you can see the lines with the naked eye within minutes.
We utilize a comprehensive protocol based on their test results, whether patients are asymptomatic/symptomatic, and whether or not they had a known high risk exposure for their discharge plan.
Read 5 tweets
19 Nov
Pence’s voice has no sense of urgency.

On a brighter note, Dr. Fauci will be speaking during this briefing.
Still no signs of a national strategy. Pence says each state needs to make their own decisions.

He says, “Help is on the way.” in the form of vaccines.
Thank you for wearing your mask at this briefing, Dr. Brix.

Pence is not wearing a mask.
Read 9 tweets
19 Nov
Even with the promise of a vaccine on the horizon, a new report by UNICEF warned that “the future of an entire generation is at risk,” with the threat to children “increasing, not decreasing” as the world deals with the economic fallout of the pandemic.…
While children can transmit the virus to each other and to older age groups, there is strong evidence that, with basic safety measures in place, the net benefits of keeping schools open outweigh the costs of closing them, the report notes.
Schools are not a main driver of community transmission, and children are more likely to get the virus outside of school settings.
Read 5 tweets
18 Nov
Context: Abraham Flexner was a white educational specialist tasked in 1910 to assess the state of medical education. By 1923, his report led to the closure of 5 of 7 existing Black medial schools. It’s estimated these schools would have trained 25-35K Black physicians.
Flexner was commissioned by the American Medical Association and the Carnegie Foundation. The closure of these Black medical schools have had a tremendous and lasting impact on Black health by reducing the number of Black physicians to this day and compromising Black health.
Black students, he said, should be trained as “sanitarians” rather than surgeons and their primary role should be to protect White people from disease. “A well-taught negro sanitarian will be immensely useful; an essentially untrained negro wearing an M.D. degree is dangerous,”
Read 4 tweets
30 Oct
Given the significant discussion about ensuring diverse representation in #coronavirus vaccine trials, previous data on clinical trial participation show that Black and Latinx people have similar consent rates as whites, and sometimes even higher rates.
Read 4 tweets
30 Oct
Race and geographical ancestry are often conflated. Race is a social construct. Black people are more likely to have sickle cell disease *because* of our geographical ancestry, not because we are Black.

The sickle cell gene mutation, derived from Sub-Saharan, is protective against malaria. The mutation is also common in people with ancestry from the Middle East and India.

*Sub-Saharan Africa
Read 4 tweets

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