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Dr David Berger, Absurdist Chronicler Profile picture
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7 Aug, 5 tweets, 2 min read
1/ This is a brilliant paper, which outlines the broader solutions to the problems I outlined in infection control with specific reference to Australia one year ago. The sticking point: the solutions still require a high degree of humility and circumspection.
2/ My article from one year ago. It's still broken, unfortunately. Our lives and welfare depend on fixing it.
google.com/amp/s/amp.smh.…
3/ Healthcare in Sydney is already showing the signs of starting to fall over and we are only at 300 cases a day. The solutions are conceptually simple, though some are costly, involved and complex to implement on the ground.
4/ We have completely squandered the precious breathing space we had. That we are still unable to act effectively 18 months in is beyond maddening for those of us who have been trying to drive action since the start.
5/ Barring a miracle, the reckoning is coming for our short-sightedness and our inability to recognise an existential crisis when it hits us like an express train.

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More from @YouAreLobbyLud

Dr David Berger, Absurdist Chronicler Profile picture
9 Aug
1/ PICTURES OF TWO INTENSIVISTS (And what they tell us about "healthcare".)
Look at both of them closely. The first is of @drajm's Dad, also an anaesthetist, stabilising a casualty in Vietnam. The second is of Dr Richard Totaro, director of RPA ICU, at today's NSW presser. ImageImage
2/ Both pictures show the intensity required of doctors, nurses and others to look after critically ill patients. The first picture captures the intensity of one moment. The second picture captures the intensity of many moments which have already added up...
3/ ... and the knowledge that there are many more to come, perhaps too many to cope with.

It is so easy for politicians to trot out their trite little homilies like "We must ensure healthcare does not get overwhelmed", but they have no idea what it means to do this job.
Read 8 tweets
Dr David Berger, Absurdist Chronicler Profile picture
9 Aug
1/ I THINK I CAN READ GLADYS' MIND
See if you agree with me. Every good General tries to get inside the mind of their adversary, so here goes...
2/ Her intention is to stay in this quasi-holding pattern (which isn't a holding pattern at all, because numbers are climbing and the disease is leaking all over NSW, but never mind) until vaccination gets up to some level (50% of eligible = about 35% of total) and then relax…
3/ …all restrictions.
She then thinks this will have "lanced a painful boil", that we will have "got over the hump" and now have COVID circulating freely and it won't be nearly so bad as people are thinking.
Read 8 tweets
Dr David Berger, Absurdist Chronicler Profile picture
7 Aug
1/ I'm bored and depressed about COVID today. Here is a memory of the before times, a ten week flying trip in a single engined aircraft from Colorado to NZ, via the North Atlantic, Europe, Russia, Japan, Philippines, Indo, Aus. Me and my 19 year old son, Tom, Aug-Oct 2019. Image
2/ Coming in to Iqaluit on Baffin Island, Northern Canada, at dusk. Image
3/ On the ramp at Anoka, Minnesota, after a last minute engine tune up at the Bolduc engine shop, renowned worldwide. Our good friend, Joe, in the middle, came with us as far as Scotland so we could get insured (and also not kill ourselves). Image
Read 11 tweets
Dr David Berger, Absurdist Chronicler Profile picture
3 Aug
1/ The great success of the 20th century was the driving down of rates of infectious disease, with the global elimination of many. Why do so many supposed public "health" doctors now want to allow COVID to flourish? They should change their title to public "illness" doctors.
2/ I mean, did we say "let's live alongside TB"? No, we didn't, and the rates were in massive decline long before effective treatment arrived in the late 40s. Why? NPIs.
This whole situation is incomprehensible to me. It's like a death wish. It's deliberate self-harm.
3/ It's like the whole message of public health, the whole idea of it, is being tossed away. Apart from Koch Brothers money, what really drives the Great Barrington Declaration? Why is the notion of universal health so repellent to the far right?
en.wikipedia.org/wiki/Great_Bar…
Read 6 tweets
Dr David Berger, Absurdist Chronicler Profile picture
1 Aug
1/ People, I need help to understand this. Yesterday, @SharriMarkson accused me and others in The Australian newspaper of "perpetuating conspiracy theories" and thereby "undermining" the AstraZeneca vaccine.
2/ Meanwhile, I am a co-author on a peer-reviewed paper just published in Vaccine on the risk-benefits of the AstraZeneca vaccine within the Australian context:
sciencedirect.com/science/articl…
3/ And today we learn that Sky News Australia, another part of the Murdoch empire, has been banned from uploading videos to Youtube for spreading "covid misinformation".
Read 6 tweets
Dr David Berger, Absurdist Chronicler Profile picture
26 Jun
1/ Let us reflect for a moment on the magnitude of what @GladysB @NSWCHO @BradHazzard and @ScottMorrisonMP have achieved. Australia has abandoned being best in the world with #ZeroCovid and normal daily life and has jumped on the express down elevator to join the worst. How?
2/ Well, it took concerted effort. Firstly, it took complete intransigence on increasing hotel quarantine leaks and a total inability to comprehend and act upon the evidence of airborne transmission. Second, was the failure to procure adequate supplies of vaccine and...
3/ ... then a failure to effectively allocate what vaccines we had to the highest risk areas and a more general failure to implement an effective vaccination program at all. Third, an inability to comprehend the fast moving nature of the battlespace and that Delta...
Read 17 tweets

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