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Gabriel Bosslet Profile picture
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30 Dec 20, 4 tweets, 3 min read
Gosh darn if the #instantpot hasn’t killed it three nights running.

I’m waiting for the other shoe to fall.

Even @BossletMD agrees.
@mcstarr1: Started with this taco soup. It was absolutely amazing. And fast. The leftovers were sublime. Honestly. I don't generally like taco soup. This was unreal.

facebook.com/17801224623780…
Then we did this salmon and potatoes dish.

I was nervous because the kids get suspicious of fish.

I need to increase the portions next time.

Even the spinach in the potatoes tasted great.

foodnetwork.com/recipes/food-n…
Tonight we had a pot roast. Which @BossletMD is generally not a fan of. But it was terrific.

Only wish I had made some sourdough (@KimiChernoby) to go with it. I will next time.

pressureluckcooking.com/instant-pot-ro…

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More from @gbosslet

Gabriel Bosslet Profile picture
30 Dec 20
There is chatter about this study in @nature that "disproves" asymptomatic spread- ergo, lockdowns were unneeded.

Let's unpack this because I think this is a blatant misinterpretation of this amazing study.

go.nature.com/3rAmzgV

1/
First off, let's talk about what an unbelievable study this is.

The city of Wuhan, China had a SARS-CoV-2 screening program in which they set out to test all city residents- and were successful in testing 9,899,828 individuals (92.9% of eligible citizens).

IN 19 DAYS.

2/
Wuhan has the equivalent population to North Carolina.

As of today, North Carolina has only carried out 6,800,055 tests (and this is not individuals- this includes multiples).

Wuhan did in 19 days what North Carolina has not done in 10 months.

3/
Read 17 tweets
Gabriel Bosslet Profile picture
11 Nov 20
Let’s talk about difficult conversations.

Difficult conversations are those that we tend to avoid because they suck. They usually include disappointing someone we don't want to.

A thread on difficult conversations, #COVID19, and leadership.
1/
Difficult conversations abound in COVID time. Examples include:

“I know you want to go to that soccer tournament, but 400 teenagers and their parents in an indoor facility seems unwise.”

2/
“Thanks for inviting me to dinner at Billy Bob’s low-ceilinged, poorly ventilated tavern. I am going to pass because of the pandemic.”

“Thanks for inviting me to your wedding. I am going RSVP no given the global pandemic.”

“Mom, we have to talk about Thanksgiving.”

3/
Read 10 tweets
Gabriel Bosslet Profile picture
23 Oct 20
Earlier this year, @bossletMD and I tweeted about how we were planning on handling the summer.

Winter is upon us.

As a critical care doc and a pediatrician with 4 school aged kids, and a winter of uncertainty ahead, here is how our family is approaching the coming months.

1/
I offer this as a point of reference for those struggling with how to handle the coming cold, not as a strict recipe others should follow.

This is OUR way- I don’t pretend it is THE way.

Some will think we are overly cautious, and others will think we are being cavalier.

2/
.@BossletMD and I discussed the underlying facts that will guide our decisions. They include:

Fact 1:
If I or my immediate family members (wife and kids) contract COVID, the odds are far in our favor that we would be fine.

3/
Read 18 tweets
Gabriel Bosslet Profile picture
23 Aug 20
Inspired by @ETSshow and @ChrisLMosher, a #medtwitter #thread on “6 tactics to improve difficult conversations”

The following can apply to conversations with loved ones, colleagues, patients, teenagers, and pretty much any other human.

Warning: this one is kind of long.

1/
I do not suggest that I am the best communicator in difficult conversations. @BossletMD may tell you the opposite. But this is something I reflect on and work hard at to improve.

I credit @vitaltalk for helping me notice my incompetence in these areas almost a decade ago.

2/
First, let’s establish that conflict is ubiquitous, usually unavoidable, and often is not pathologic.

Like a forest fire, it is often a catalyst for new growth.

So avoiding conflict at all costs is folly and a way to lead to let things fester.
3/
Read 19 tweets
Gabriel Bosslet Profile picture
8 May 20
Our Summer with Coronavirus

As a critical care doc with a pediatrician wife, 4 school aged kids, and a summer of uncertainty ahead, here is how our family is approaching the coming months.

Also, some GIFs.

1/
I offer this as a point of reference for those struggling with how to handle the dog days, not as a recipe that others should follow. This is OUR way- I don’t pretend that it is THE way. Some will think we are overly cautious, and others will think we are being cavalier.
2/
This plan operates under 4 assumptions.

(@BossletMD and I had to agree on the following, which was a discussion worth having)

Summer plan assumption 1:

If I or my immediate family members (wife and kids) contract COVID, the odds are FAR in our favor that we would be fine.
3/
Read 22 tweets
Gabriel Bosslet Profile picture
29 Mar 20
I have been chewing on the @SCCM @aarc_tweets @ASALifeline @APSForg @AACNme @accpchest “Consensus statement on multiple patients per ventilator”, published jointly on March 26:
bit.ly/2UIdrai

I disagree with the sentiment of this statement.
Here is why.
1/
The following come from a self-described medical minimalist and a skeptic when it comes to new medical technologies. I am far more likely to tell people to “slow down” than to “check out this new toy”. You can ask @GrahamCarlos @ryanboente @erinmcrowley @tjelle13
2/
The statement is not published in a format that allows for comment, or this would be a letter to the editor.

I agree with much of the substance of the statement- they point out issues well worth considering that need worked out before splitting a vent is definitively safe.
3/
Read 14 tweets

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