Have another watch of the video - it is not directed at antivaxxers, ie the people who spread lies online. It is directed at ordinary people. "Shut the f*ck up and take the vaccine". Your passive aggressive "if Dr Francis were pro-vax" is appreciated btw. Patients love that too.
Yes, we should only be critical of medical public communication from our own country. The vaccine and the Internet famously respect national borders.
My word may well mean nothing. You name-dropped @PeterHotez. Let's agree he knows more about this than either of us - why not examine his messaging? Why not take a look at the Vaccine Hesitancy Project's enormous body of work about communication of vaccine information?
Implying another doctor is not a proponent of vaccines because "shut the f*ck up" is poor messaging, by employing a gif of Penn saying "shut the f*ck up". Classy.
A ward patient had a chest drain inserted & quickly went into pulmonary oedema. We know this as re-expansion pulmonary oedema. Solution usually involves clamping the drain to prevent further drainage (if it's an effusion). But why does it happen?
It occurred to me during my shift tonight that I don't understand why. It seems I am not alone. Often it's just a radiological finding, but I've seen patients in significant distress from it & it can apparently be be fatal.
But no one really knows why it happens.
#NotATweetorial Forgive this not being well referenced, I'm at work & just randomly reading around without making notes but a leading theory is about capillary permeability secondary to endothelial damage. Akin to an ARDS picture. Still not sure why though.
Found my to do list from 2013 with this action point in the 'amber' column, ie not super urgent, but try to do soon. Unfortunately it would quite be many years before I finally got round to it 😐 My only regret with YouTube is starting so late.
As you can see I went with 'f'.
Leonardo and his sinus did indeed become my first video ever, and remains one of my favourite ever bits of medical trivia. Advice for a newbie is maybe cut your teeth on B grade material, learn how to edit etc and then whip out your pièce de résistance once you've got some skills
Option 'c' also explains my channel name origin. Believe it or not I originally thought I'd make videos about fitness advice, dispelling broscience. I'd just turned 30, into the gym, had a sports car & a few (cheap) motorbikes so friends mocked me for having a midlife crisis.
You might not be aware there is an 'anti lockdown' protest in Trafalgar Square this Saturday, the 'Unite for Freedom' event. It boasts "Top World Class Doctors & Nurses" which piqued my interest.
So I thought I'd look them up.
A theme through many of my twitter threads & youtube videos is that doctors can be just as big morons as anyone else. Some of the 'doctors' saying social distancing & masks are unnecessary are fake, they're chiropractors or naturopaths. But the sad truth is, many are medical docs
Dolores Cahill is a University College Dublin immunology (I think) professor whose interview where she stated COVID deaths could've been prevented with vitamins & lockdown & social distancing aren't needed went viral. She retains her job at the medical school.
Next procedure cancelled so sitting in the staff room with 2 nurses watching day 6 of #BlackLivesMatter protests in the US. Yesterday a huge protest in London & many other cities. The nurses felt protestors shouldn't use violence & were wrong to go near the White House. I said >
"what other options do they have?" But as I said it, I knew how tone deaf it is for me to saying that as both of the nurses are black and I'm not. You've heard the difference about non-racism vs anti-racism, I've been thinking about it a lot recently.
Being able to talk to others honestly & hearing their views is important, otherwise it's easy to never change your mindset, safe in the knowledge you are a 'good guy'. You don't hate black people! You're not like these racists. But we all have things to learn.
A little tidbit for non-cardiologists who might not've heard of the Smoker's Paradox. WHY INCOMPLETE DATA CAN MISLEAD!
Yrs ago it was observed that although smokers had more heart attacks (MIs), they actually did *better* after having had one, compared to a non-smoker. wtf?
Can you think of any reason why this might be the case?
Forest plot showing adjusted odds ratio for death in smokers following MI. Towards the left & not crossing midline = favouring the Smoker's Paradox.