@Fifino9 has managed a couple of improvements, too.
1/9
Attending her GP (family doctor) for her Covid-19 vaccine, the guy in the queue behind her wasn't wearing a mask and was coughing heavily. The volunteer receptionist was wearing a cloth mask.
2/9
Since her letter, they've changed their policies. People with symptoms (even if it's a chronic cough) and those who won't or can't wear a mask are seen separately, away from other patients. And all staff and volunteers wear proper surgical masks.
3/9
(Yes, of course FFP2 masks would be better, but UK policy at present is for staff to wear a "fluid-resistant surgical mask" (FRSM))
4/9
Then, attending hospital - where she had to wait well over an hour in a crowded room - she put a well-fitting FFP2 mask on in the car, checked its fit in the mirror… and was told to take it off and put on a poorly-fitting, lower spec FRSM supplied by the hospital instead.
5/9
As her lungs are quite badly damaged, this was anxiety-raising.
Following a letter to the hospital she got a reply saying that they'd changed their policy…
6/9
If people arrive wearing a [higher spec] mask, they'll be asked to wear a hospital FRSM on top of their own mask (in case it's not actually as good as a FRSM). The security staff had been advised…
7/9
As all these policy changes were precisely what she'd suggested, it was very gratifying that they took up her suggestions.
8/9
Your experience was much worse than hers, Judy. But it's really good to see that the patient [carer] experience, fed back, can bring about policy improvements.
9/9
I was pleased to hear that @theRCN calls for better PPE (specifically, for higher specification masks) were the lead item on the news this morning. This shameful andegregious failure to protect staff will no doubt feature in the eventual public enquiry.
1/8
We, at @TheBMA, have been calling for this for many months now.
There is no "low risk" patient-facing setting. I am horrified whenever I go into a hospital.
2/8
This is me, wearing the sort of mask worn by NHS staff. A "fluid-resistant surgical mask" or FRSM as the guidance calls them. This mask is better-fitting than many I've seen on staff; and I'm wearing it, correctly, properly covering my nose and chin. 3/8
The precautionary principle seems unarguable, doesn't it? If it might be risky, don't…
But in practice, people often look at the risk that interests them. Head injuries from cycling. GI infections from streams. Zoonoses from pets or farm animals.
2/7
You can end up with disproportionate and even harmful responses.
Put people off cycling and you reduce all the benefits from cycling and do, overall, more harm.
What we (UK) most urgently need to do is to:
a) Cut transmission globally (to reduce mutation and the arrival of variants that evade the immune system and vaccines)
b) Cut the number of people in the UK who get ill enough to be admitted to hospital…
1/9
c) Cut transmission in the UK, see a) above, and to reduce eg #LongCovid
Vaccines - especially when given first to those most likely to get seriously ill and require hospital admissions - will definitely help with b). They are good at preventing serious illness.
2/9
But we still don't really know how effective vaccines are at preventing transmission. And, with variant viruses which are more transmissible than the variant that we had a year ago, it's not clear that vaccines will ever bring Re below 1 without additional restrictions.
3/9
This is a great thread with some useful-for-explaining metaphors on how immunity works and how it can be dysfunctional. It left me wanting to know more about…
… It left me wanting to know more about how an immune system, primed to recognise an antigen, is less susceptible to the "cytokine storm" overreaction which is responsible for severe Covid-19 disease.
I would also like to know more about immunity and #LongCovid.
1/6 Thread by @Dr_D_Robertson: The Home Secretary has suggested that police should get higher priority in vaccinations. There is an article in the @guardian where this is clarified JCVI has set out their recommendation...… threadreaderapp.com/thread/1351848…
2/6 Of course, there's a traditional way of rationalising these decisions. Risk is product of bad event, and likelihood of event happening. Some occupations - people providing necessary services where contact with large numbers is unavoidable, will be at higher risk.
3/6 They include HCWs, teachers, transport workers, teachers…
Their risk will be raised, compared to other people of the same age, sex, and health, because their exposure, their risk of being infected, is higher.