1. Let’s play a probability game!

A few weeks ago in Melbourne during that 80+ days of #covidzero when Victorian quarantine system was solid, the chance of catching covid was lower than the chance of a blood clot from AstraZeneca vaccine.
2. As it turned out, covid didn’t come from the front door. It came through the back door, through Adelaide, that is, into Victoria.

Now that #covid19 is *everywhere*, with more than 300 exposure sites across Melbourne, guess what happens to your probability?
3. Today the likelihood of you catching a variant of concern which is more transmissible suddenly becomes higher than the probability of you getting a blood clot from AZ Vaccine. Getting a blood clot from a long haul flight is still higher too than clot from this vaccine.
4. I understand that decisions are often hard to make. Everything carries risks.

I’m just here to help navigate the thought processes.
5. I’m no virologist, vaccinologist, public health physician, statistician or gambler.

I’m just a surgeon trying to navigate risks and challenges for my patients.
6. If we had solid borders & leak-proof quarantine, we would be leading normal lives as covid is stopped at the border. Unfortunately, our borders leak 1% of the time.

As a surgeon, if my blood vessel anastomosis repair leaks 1% of the time, it’s still a bleeding complication.
7. There are things that should be a “never-event” as opposed to a “near-miss”.

If the borders were tight, probability of catching covid in community is near zero.

Now that Covid is all over Melbourne, chance of catching covid is higher.
8. Bottom line:

Get vaccinated.

It’s the best excuse to leave your house at the moment. Call/book/walk-ins. Check out the mass vaccinations site internet page, Facebook page or twitter updates. You might get lucky! Team up with one other friend to do this hunt!

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More from @DrEricLevi

14 May
These are the Presidents of the major Specialist Medical Colleges in Australia and Aotearoa New Zealand
Dr Karen Price
@brookmanknight

President of the Royal Australasian College of General Practitioners.
@RACGP
Dr Vanessa Beavis
@VBeavis

President of the Royal Australian and New Zealand College of Anaesthetists. @ANZCA
Read 47 tweets
13 May
Hearing now from @peripatetical at #RACS21 on responding to this unprecedented situation we’re in. Image
Australia effectively works as 8 different nations during the pandemic as the Public Health responses in each state differ.

Stopping bad ideas becoming policies is as important as progressing good ideas. #RACS21 @peripatetical
A single transmission resulted in the second wave in Victoria.

Outbreak settings in aged care, disability facilities, hospitals and high risk settings.

Social determinants of health and structural inequities provided a platform for the pandemic spread. #RACS21
Read 4 tweets
22 Apr
We can love our leaders and still critique them. We can love our systems and still critique them.

We critique things not because they’re bad but because they can be better.
When we critique immigration policies, vaccine rollout, hotel quarantine, masking recommendations, etc, it’s not because they’re necessarily bad.

It’s because they can be better.
Maturity is the ability to see things as they are and see things as they can be.

You can disagree and still remain respectful and civil.

You can in one hand be supportive and on the other also be critical as well. Its helping each other to see better.
Read 4 tweets
2 Apr
One year later, can we put this question to rest now?
Countries (Australia, New Zealand & South Korea) that carried out the elimination strategy (zero COVID) did better economically than those who chose the mitigation or “living with the virus” strategy.

institutmolinari.org/wp-content/upl…
Just to clarify to provide context, the Australian Prime Minister wanted us to open the economy and live with the virus (mitigation strategy).

But practically most state Premiers & Chief Health Officers went for elimination strategy.
So in essence it was state leadership not federal politicians that fought the virus, saved lives & livelihoods.

The federal government did play a part, but strong leadership was shown at the state level.
Read 8 tweets
21 Dec 20
If you stripped away Santa Claus and the flying reindeers, the original Christmas story is much closer to us today than you could imagine if you scratched under the surface a little. (You don’t have to even believe it but just let the story, like any story, wash over you.) 1/
It was a time of geo-political unrest. The “king” was quite an icon. Historians have written about some horrible narcissistic character that was indicative of a poor leader somehow unfit to lead that region. I may be wrong. 2/
A big population census was being undertaken and people had to travel to their home towns. There was significant migratory human movement. In that context, a young peasant couple from a Jewish community had to travel to their country town. 3/
Read 15 tweets
20 Dec 20
Just to be clear,

Many people are already infected and carrying the virus now, but they are not displaying any symptoms. Some will show very mild symptoms only.

You may be lucky. But you may pass on the virus to someone who might die.

Let’s protect each other.
The reason why this virus is difficult to control is that by the time you display symptoms, you would have passed on the virus to many people.

So please restrict people contact the next few weeks. You’re protecting yourself and others that way.
Contact tracing is one part of the big game. Do everything else too:

Masks. Hand wash. Social distancing. Stay home. Limit movements. Limit people contact to essentials. PPE for HCW. Ventilate ventilate ventilate. (Consider it an airborne disease even if some still deny it).
Read 4 tweets

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