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Dr. David Pate Profile picture
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16 Jan, 4 tweets, 1 min read
If the pandemic has taught us anything, it is that we need people on our public health boards who understand public health (doesn’t seem like this should be a revelation). I am so excited that CDH will have choices of potential new board member. Dr. Sky Blue is someone we all
have tremendous respect for:

•Idaho’s leading infectious disease physician.
•Devoted more time and energy than almost anyone this year studying the COVID-19 virus and helping to treat patients suffering from it.
•Independent physician – works at many hospitals all around our community and sees first-hand what COVID-19 has done to our neighbors and loved ones.
•Deep understanding of the COVID-19 vaccine and mRNA vaccines in general.
•Apolitical. Follows evidence-based science and research over political party lines.
And, he should get points just for having the coolest name of anyone!
@TommyAhlquist @StLukesAnita

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Dr. David Pate Profile picture
17 Jan
We are facing a new epidemic. It seems to be affecting only some Republicans in the state legislature. The infection seems to be manifesting itself in several ways. One form of the infection is causing some, like Rep. Crane who appears to have one of the worst cases, to say,
despite the fact that cases and deaths in the US from COVID are setting new records and despite the fact that people will be vaccinated in just days or weeks or months, we should not wait that short time to get protected, but rather throw our hands up in the air, give up and in
fact, while we should all be quitters because the public health measures are just too hard, let’s throw caution to the wind and just be reckless and Que Sera, Sera. Wow, wouldn’t you love a guy like that to be a general leading our troops into war? We would throw up the white
Read 10 tweets
Dr. David Pate Profile picture
29 Nov 20
From my interview last Wednesday on @IdahoMatters on @KBSX915:

MICHAEL: We wanted to first talk about a letter circulating by Dr. Jim Souza of St. Luke's, in fact, you addressed this during Leadership Boise last week with Dr. Souza at the meeting. He talks about how their
modeling predicts in December our hospital systems will be at the brink. He writes, quote, "The full spectrum of care will not be available to everyone if we are resource-constrained." So even though it may seem obvious to you, explain to us, because bone doctors work on bones,
ENTs work on ears. Why would hospitals treating a pandemic surge mean these other types of health services might be denied?

PATE: Yeah, Tom, this is really an important point, and I suspect few Idahoans really understand the gravity of the situation. So what happens is that if a
Read 15 tweets
Dr. David Pate Profile picture
28 Nov 20
It is a bit hard to say without understanding the exact kind of work you do and interactions with others, but here is some general stuff.
1. Are you sure there is no way to require people that are going to be coming into your office to wear masks? This is your biggest risk.
2. Time and distance will be another issue. If the people you interact with really can’t be forced to wear masks, I would try to put as much distance between you and them and make your interaction as brief as possible.
3. The plexiglass will help a little with droplet
transmission, but won’t likely be any help with airborne transmission. We just had a case of suite mates infected when 20 feet from each other, but in the same office without masks. Obviously, this was airborne transmission, not droplet.
4. @TScofi just replied as to a
Read 4 tweets
Dr. David Pate Profile picture
28 Nov 20
That is a really interesting question, and I don’t know the answer, but I am going to guess. I think it is artifactual, rather than natural. If I understand correctly, deaths go through a review process by the state epidemiologists before reporting and my guess is that may lead
to batching. The dates are not marked, but if you start at the end - Nov. 27 and work your way backward, it appears that the low points are likely weekend days. Then if you look at the pattern, it appears that it is 5 days of much higher numbers followed by 2 days of lower
numbers - weekdays vs. weekends? My guess is that the epidemiologists and their teams just review fewer cases on the weekends (we all need a break). Alternatively, if that is not the explanation, then I would guess it is a reporting issue, where fewer health care providers who
Read 4 tweets
Dr. David Pate Profile picture
27 Nov 20
Thank you! You should have followed your dream. I used to pass out every time I would go into a hospital. In high school, for career day, it was me and 24 girls, who went to the hospital. They took us to the NICU and I saw a baby with a gastroschisis. I passed out, and
unfortunately, none of the girls did. My parents tried to suggest maybe I wasn’t cut out for medicine. So, in college, I volunteered at a hospital and asked them to put me in the grossest place they have. They put me in the SICU. It was where I met my future wife- she was a nurse
in that unit. Finally, I stopped passing out after my first year in medical school when we went to the urology unit. You know how they say on the tv ads for ED medications that if you experience an erection lasting more than three hours, you should call your doctor? Well, you
Read 4 tweets
Dr. David Pate Profile picture
27 Nov 20
Thank you for this question, because I want to correct this assumption. I am not at all suggesting that the only way that teachers could be infected outside of school is by not being careful. We see the same thing in health care. While some health care workers definitely were
infected at work, especially early on in the pandemic, it is far less common and in fact, most infections in health care workers are in the community rather than in hospitals. There are plenty of ways health care workers and teachers can be infected, even when trying to follow
public health guidance. The biggest risk is families. The teacher may be very careful, but have a spouse who is an essential worker who is infected through work and then infect the teacher. Many teachers are also parents of older children who, and though the teacher is being,
Read 7 tweets

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