1/🧵 I’m surrounded by an #AntiVaxxer govt now willing to hurt kids!
👎 My home state of #Tennessee made the BONEHEADED decision to halt outreach to kids on ALL #Vaccination, NOT just #COVID19. I’ve lived here since 1997. I’m embarrassed, angry & sad.
2/ Our Department of Health is halting “all adolescent vaccine outreach for ALL diseases.” What? So we aren’t going to protect our precious kids against Tetanus, Pertussis, Diphtheria, Rotavirus, H flu, hepatitis, pneumonia, meningitis, HPV (which leads to cancer)?
3/ GONE are Postcards to teens to remind them to get a second #COVID#Vaccine shot...but adults still get the postcards. Why? “Potential solicitation to a minor.” WHAT? No, this is called #PublicHealth.
Why should adults get promotions toward #wellness and not kids?
4/ My state’s government in Tennessee is actively dialing back efforts to #vaccinate minors at exactly the time in their lives when they could be taught the meaning of preventive medicine, self-worth, #dignity, and also charitable giving to their fellow citizens.
5/ We even fired our top vaccine official Dr. Michelle Fiscus, who issued a scathing statement stating, “I’m AFRAID for my state.” Well, so am I!
My medical advice is not infallible. Maybe I’m wrong and maybe my patient knows it? Maybe that’s one reason she/he is non-compliant. Even if I am right, it might not be the time in that person‘s life to hear the message.
2/ A pt may seem to be listening & carefully taking it all in. But later that morning she/he may leave against medical advice (AMA). What are we to think when we give our best #advice and others don’t take it? Especially in the medical field?
3/ First of all, of course, unsolicited advice is #criticism. Especially when I’m not with a patient, I try to resist all urges to give unsolicited advice.
Drinking three 8-packs of Budweiser Nitro Gold daily for 10 yrs takes its toll on the entire family. I told my patient, “All you have to do is the next right thing.” Then…
2/ His family was very upset when his “next right thing” was to check out against medical advice. I shared a quote from @MalibuMelB (M. Beattie): “Others don’t know what’s best for us. We do not know what’s best for others. Our main job is to determine what’s best for ourselves.”
3/ Terminology: Addiction vs. Substance-Use Disorder…there are many things people can be addicted to besides “substances.” Addictions to things like exercise, love, money, control of others, etc. For this🧵, I am referring to addiction broadly…and how it robs people of joy.
2/ Why do we sleep? Brain rest? To process bad decisions or incomplete conversations? Maybe. But the coolest reason is removal of #amyloid & #tau proteins that cause #dementia. Our #glymphatic system does this most efficiently during deep sleep.
3/ Have I mentioned that I’m fascinated by the glymphatic system? It’s the lymph system for our #brain & serves as the “garbage” removal program to keep our #neurons healthy. Wanna know more?
1/🧵COVAX was created to get #COVID19#Vaccine to ALL countries. Hailed as a “heroic effort to transcend limits of human ingenuity,” it fell short globally because we “rich countries behaved worse than anyone’s worst nightmare.” @TheLancet
2/ At COVAX’s pledging summit, it finally secured US $8B ask for procurement & delivery of #vaccines for 92 eligible low-middle-income countries (LMICs) this year. But even with full financing, the COVAX roll-out is moving too slowly compared to high-income countries.
3/ “Today, ten countries have administered 75% of all COVID-19 vaccines, but, in poor countries, health workers and people with underlying conditions cannot access them. This is not only manifestly unjust, it is also self-defeating”, UN secretary general António Guterres said.
For those who loved @NobelPrize Laureate’s book Thinking Fast & Slow, there is a new Kahneman book called Noise reviewed @TheLancet. It’s worthy of a bit of commentary…
2/In statistics, #NOISE refers to random scatter, ie, variations in our judgment that are NOT caused by individual judgment. #BIAS on the other hand is systematic deviation in judgment.
3/ Kahneman himself (see quote in @TheLancet review👆) acknowledges that this book is somewhat data-o-penic. We need much more knowledge about “noise”…it’s a limitation in science at this point. In Medicine, he claims #Psychiatry is an extreme noise factory…@APAPsychiatric
…He told her, “Never give up on me because I’ll keep fighting to live.” What does it mean when a person valiantly asks this of a spouse & then illness leads to #transplant, #infection, and eventually #life support that doesn’t help?
2/ First I just listened to her heartache and saw their immense love. “I made a #promise, Doctor.” My personal commitment became to help this couple uphold that promise, yet medical options had long since run out & failed him. I asked her to come into the hall.
3/ Always go out outside a pt’s room to discuss anything you don’t want the patient to hear, even when he is in a dense coma. Assume dying pts hear everything said & respect their dignity as your number one goal in all interactions. Here is what I said…