So far I’ve seen separate arguments that healthcare workers, urban First Nations, teachers, Uber drivers & retail workers should get priority vaccination.

So I don’t think we should be surprised when it’s revealed it’ll mostly be hockey players. :)
In all honesty, I don’t envy the people making these decisions. There’s a lot of groups with legit arguments for priority vaccination, but you add them up and it’s not really priority vaccination any more.
HCWs, police, fire fighters, teachers, marginalized populations, essential workers, immunocompromised, caregivers, low-income individuals without sick leave... arguments for all of them and more.

The first 20% & the last 20% are easier to figure out than the 60% in the middle.
Anyways, I’m biased as an HCW. I want the vaccine. I have and will care for kids who are COVID+ when they’re in hospital with mental health concerns or when they come to ER. Though I’d argue strongly for my residents to get it before me.
In any case, the truth is we ‘all’ deserve to get the vaccine as soon as feasibly possible.

The other truth is that every person who gets the vaccine in the community helps us all, even indirectly.

The rise of variants has made it clear: we’re not safe till we’re all safe.

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More from @WheatNOil

4 Feb
@AyishaKurji is a powerful advocate for Eating Disorders in Saskatoon.

I was happy to support her voice in shedding light on this problem, which was a serious concern before and even more so now.
I wrote a thread on this topic last week. I focused on anorexia, but @AyishaKurji is right: most eating disorders are not anorexia and we’re seeing a rise in many types.
Also, Dr. Hinz is right. I kind of talked a lot about a step-down unit in the article but a specialized inpatient unit, a step-down unit, and a outpatient treatment program would be a standard of care that allows you to progress patients through a course of treatment.
Read 4 tweets
2 Feb
Novavax would be the second largest producer of asshole proteins in country.

*The Calgary Flames are first.
Also, yes, the Novavax vaccine works via the asshole protein. This time, instead of mRNA or viral vectors, they just made the asshole protein itself. But how they did that was kind of cool.
They took the gene code for the asshole protein and put it in a different virus. Then they made that virus infect a bunch of moth cells in a lab.

So now you’ve got a ton of infected moth cells that are producing asshole proteins.
Read 11 tweets
29 Jan
So... Pfizer, Moderna, J&J, AstraZenica, Novavax, Sinovac.

Not all are approved yet but it looks like we’ll have at least a half dozen vaccines going around in various parts of the world soon enough.

As expected, each has their own pluses and minuses.
Pfizer & Moderna (mRNA): best efficacy results so far, but need 2 doses, transport at low temps. Won’t have enough for the world (like all the vaccines). Pfizer with 2 billion & Moderna with 1 billion doses or so by the end of 2021.
AstraZenica (viral vector): So far studies suggest not as effective as the mRNA ones but still very good. Two doses. Don’t need super low temps. Said they’d have 3 billion doses in 2021, not sure if that’s still true.
Read 10 tweets
28 Jan
#BellLetsTalk about anorexia and a lack of treatment options in Saskatchewan.
#BellLetsTalk about the tangled mental health system in Canada. My thread from last year talks about public and private mental health delivery.
#BellLetsTalk about social media bullying in teens and suicidality.
Read 4 tweets
28 Jan
I didn’t get a chance to comment on this more the other day, but we are absolutely seeing this surge of anorexia in Saskatoon over the last 6 months or so.

In some ways, it’s almost reassuring to see it’s happening elsewhere too. Initially we were wondering if it was just us.
Anorexia is probably the deadliest mental illness you can get for children & adolescents. The mortality rate is high and since it usually hits teens, it takes out kids who shouldn’t be dying of anything at their age. So it’s serious stuff.

They mostly die from two causes:
1) Heart problems

See, if you’re really underweight, you don’t have much left to burn for energy other than muscle.

Your heart is a muscle.

So if you’re low enough in weight, your heart will literally shrink in size. You’re burning it for fuel.
Read 17 tweets
25 Jan
Merck’s vaccines are out of the running. These two used yet a different mechanism to try to protect against the virus. In this case, it didn’t work.
What the Merck vaccines tried to do was combine the asshole protein on to a weakened live virus (not the COVID virus, in both vaccines it was a different virus). So basically this guy, but with the asshole protein spliced in.
That’s different than the AstraZenica vaccine, which gives you the asshole protein instructions in an empty shell of a virus that doesn’t replicate in your body.

The Merck ones put it in a weak virus that CAN replicate in your body.
Read 7 tweets

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