Here's a little pep talk for those experiencing Pandemic Fatigue. First off, this is a real thing & you shouldn't be ashamed. I’m hearing from patients, family & friends that you’ve been doing your best to follow guidelines for a year, but are simply sick of it! I get it. But...
Help is on the way. We have an amazing, miraculous scientific advancement -- a vaccine that is helping us return to normal. We just need to hold on a little longer, get our vaccines, and continue to follow safety protocols. There is light at the end of the tunnel! I promise you.
To those who’ve been distancing & masking from early on, those who’ve skipped in-person holidays and Super Bowl parties, and those who’ve not hugged their loved ones outside of their immediate household, we hear you, and we’re begging you to hang in there. I know how hard it is.
Look, we were all let down by the previous administration. Hell, my profession was directly attacked & accused of somehow profiting off of a pandemic. Over 3000 healthcare workers have died trying to take care of others over the last year. We’re literally “all in this together.”
But the strength of togetherness is tempered by its weakness. If too many of us skirt the guidelines; if we decide to gather “just this once”; if we unnecessarily travel because we’re just tired of staying in one place... we all suffer. We can do this.
Think of the nearly 1/2 Million Americans who aren’t here to be with their families this year. The millions who are grieving the loss of their loved ones. Think of how lucky we are that real leadership has arrived in DC, and that empathy leads in the US once again. Help is here.
Think of the promise of vaccines in the arms of every American in the next 6 months. Do you really want to be the cause of an outbreak that kills one more person? Do you want to spread #COVID19 to someone you love before they get their vaccine? Please hold on just a little longer
The more we spread, the more the myriad variants can take hold & further mutate. The more they mutate, the more likely that a strain arrives that evades our vaccines. It’s a race: Vaccines vs. Variants. And at 2M doses/day we are winning the race! Your efforts are not for naught.
We know it's a lot to ask, but we owe it to those who we’ve lost. We owe it to front-line workers who’ve kept our grocery shelves full, our public transportation moving & our society from crumbling. We owe it to those we love and to those we’ll never meet.
And selfishly, we owe it to ourselves. Some have lost so much, and some have come through intact, but nearly everyone who has done their part has given up something. We don't want to abandon ship at this crucial moment so that all our sacrifice will have been done in vain.
I know some who are fatigued have bucked the public health recommendations from the beginning, aided and abetted by the former President. They’ve made life more difficult for us all. To them, I have little to say.
But to everyone else: hold on just a few more months. A half of a year. Just keep masking up & distancing. Six months from now, every American who wants the vaccine will have gotten it. That is our light. That is our path. That’s why it's worth it. Thank you. *You* are patriots.
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As an ER doc who's spent the last year of my life trying to stop a deadly virus from killing my neighbors, 6 words in @joebiden's speech lifted me up for the 1st time in months: "I Will Always Level With You.”
Here's why that's so meaningful to me & more importantly, our nation:
As the next 4-6 months unfold, a herculean effort will be needed from the government in the midst of a pandemic & millions of Americans without health care. There's so much we don't know. But it matters that we can *trust* our government to do their best & shoot straight with us.
We must convince Americans that wearing masks & getting the vaccine will save lives. That requires trust in government. And we must convince Congress that massive investment in American people, small businesses & state/local governments is needed to get us through this year.
I see @fmanjoo has decided that traveling to see distant family this Thanksgiving is “worth it.” Reading his contact tracing experiment👇 is enraging. As an ER doc in a region getting decimated by #COVID19 right now, I have a slightly different take. (1/9)
The missing component of his article is where he considers how his actions & writing about them impacts those outside his bubble & family. Each time a person interacts with those not in their bubble, the odds of getting the virus goes up. It may be small, but it's additive. (2/9)
The actions of 1 person have minimal impact on the pandemic as a whole, or on the ability of a hospital to handle the onslaught of patients to find room to care for. But each time 1 person breaches public health protocols, the odds of initiating a cluster of cases goes up. (3/9)
As an ER doc for 20 years, I have only ever wanted my patients to get the care they need. Like many, I have been critical of @realDonaldTrump’s lack of a plan to control #COVID19 & his desire to eliminate health insurance for 25 million. Here’s why I voted *for* @joebiden: (1/11)
It’s not just that he isn’t Trump, although I can’t think of anyone worse that could be President in this moment. Not being Trump isn’t enough to stand in line for hours in a mask just to vote. Biden may be especially suited to lead us out of the darkness at this time. (2/11)
Biden is an institutionalist. He believes in the power of government to makes peoples’ lives better. Government is not everything, but through good governance, it can make a meaningful difference in the lives of everyday Americans. This is especially true of healthcare. (3/11)
I can’t believe it’s come to this: The head of the president’s #COVID19 task force, @Mike_Pence, has an outbreak in his inner circle. As an emergency physician, I can tell you this: The Vice President is putting many lives at risk & must quarantine right away. Here’s why: (1/8)
As doctors we routinely tell our patients and their family members that if they are a close contact of an individual who tests + for #COVID19, they must quarantine for 14 days. We’ve learned that members of @vp Pence’s staff have tested +, yet he’s on the campaign trail. (2/8)
.@CDCgov guidelines are clear, and Pence is in direct violation. He’s not endangering himself, but is endangering anyone with whom he comes into contact. He rarely wears a mask in public, and he could become a vector and #superspreader of @SARSCov2 without showing symptoms. (3/8)
As a doctor who cares for #COVID19 patients the idea #HerdImmunity through infection is alarming. It's been rejected by the head of the NIH as "fringe," but is being embraced by the White House and @realDonaldTrump. Just what is herd immunity? 1/XX nytimes.com/live/2020/10/1…
Herd Immunity is an epidemiological phenomenon achieved when enough of a healthy population is immune through vaccination so that an infectious organism can no longer spread in a population. 2/XX
So what is enough of a population? For COVID19 most experts think around 70% of the population would need to be immune to achieve herd immunity. The range may be 40% to 90%, but it is likely somewhere in between. Currently 10-20% of the US has likely been infected. 3/XX
As a doctor, it's beyond bizarre to see a potential #SCOTUS justice say she'll make decisions about healthcare (eg, denying it to millions) based on #Originalism-what she thinks people in the 1700s would have intended. How different was medicine back then? Read on... (1/11)
In the 18th century, barber-surgeons were still doing blood letting, a common (deadly) practice that gave rise to the barber pole with red & white stripes representing bandages & blood. It'd be 11 yrs before surgeons would separate from barbers & perform medical procedures (2/11)
The 1st vaccine wasn't developed until 1799 (smallpox). Does Judge Barrett support #Medicaid covering the routine immunization of kids against deadly diseases? Would she oppose @realDonaldTrump providing a coronavirus vaccine to us, even tho the founders would be confused? (3/11)