I’m excited for the academic year to start and I’m glad CUNY is mandating vaccines. College students have died of COVID and students who cluster in campuses can bring COVID back to family and friends. With the new surge this is one way to keep people safe.
This being said, many people are still afraid of being vaccinated. My inbox is open if you have questions.

Vaccine card fraud and fraudulent exemptions are being sought by people who have no intentions of getting vaccinated. This is a poor move for several reasons:
1. Universities aren’t stupid
2. People talk
3. You will likely be expelled if found out
4. Your tuition will not be refunded
5. Medically frail people are on campus
6. Despite breakthrough cases in vaccinated people, the vast majority occur in unvaccinated people.
If people you follow make frightening claims about the vaccine, ask them for the study that supports that claim.

If they use VAERS data ask why they use unverified instead of verified data.

If their views differ from their peers, ask for even MORE proof of their beliefs.
When one goes against the majority opinion the burden is on them to have robust data to support their fringe view. So, hold them accountable and demand this of them.

This is called doing your research.

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More from @MarcusBlimi

9 Aug
An Ode to the 9th Floor

I’m not always calm at work.
I try to be-
Amidst the death
The scared patients
The exasperating family
The wavering choices.

But sometimes I get angry - when the elevator opens on the 9th floor
Where the walls are colorful
And Cinderella walks by.
I was mad
When I grabbed a quick lunch in the cafeteria
And saw a mom wheedling her baby
Weakly lying back in a stroller
Tube up her nose
Small scalp glinting
Refusing a bite of banana.
I got irate
When a group of doctors walked by
Deep in conversation
With red sponge noses
Extra-large ties under white coats
And clown shoes.
Read 5 tweets
28 Jul
Me: Hi can I get approval for a MUGA scan please?

Insurance agent: Y tho

Me: My patient had reduced EF 6 weeks ago and we need a short interval repeat.

I.A.: When was the last echo?

Me: … 6 weeks ago

I.A: What was her EF?

Me: 50-55%

I.A: That’s within normal range
Me: Not really. It dropped from 77%

I.A: Still within the normal range.

Me: She is 42 with metastatic breast cancer on hormonal therapy with a significant decrease in heart function CAN I GET APPROVAL PLEASE

I.A. (Testily): Please give me dates and results for last 6 ECHOS.
Me: [provides information]

I.A: I’ll submit it but it’ll have to go to clinical review.

Me: 🤦🏽‍♀️ ok. Please make sure it’s a MUGA, not an ECHO.

I.A: Y tho

Me: She had a mastectomy and reexcisions and alot of scar tissue. It’s painful and provides bad images.
Read 4 tweets
28 Jul
This is an insane week for the pandemic.

Cases are raging and vaccinated people are getting sick too.

The vaccine was created for the Wuhan strain, and it worked against several strains since - but it’s less effective against the delta variant.
So far US and UK data shows it’s still in the 80% effective range, and Israel is still crunching their numbers.

Masking is recommended again, and hospitals are filling up again.

If you feel sick and think you have a cold - get tested.
And if you’re positive, isolate and consider whether you should get monoclonal antibodies.

Be safe, but more important, be patient as we learn more about what this strain can and will do to all of us - vaccinated, unvaccinated, recovered.
Read 5 tweets
27 Jul
I know this is purely anecdotal and observational but maybe it’ll help some folks feel better about getting vaccinated.

I care for several hundred cancer patients at my clinic and i got them all vaccinated with the help of some volunteers who secured them appointments.
Cancer patients know what’s up: they possess none of the arrogance and disregard for disease shown by so many others. They understand immune systems and susceptibility. And they have long, close relationships with me, which helped in forging trust and discussing the vaccine.
So, close to 99% of my cancer patients got vaccinated.

And, as happens in cancer care, they continued to see me - weekly, biweekly, monthly. Some come several times a week (for chemo and close follow up).

Many suffered the expected side effects. They felt sick, tired, achy.
Read 7 tweets
19 Jul
My inbox today, after I closed a thread and blocked 2 people for calling me fundamentalist and assuring me that I am oppressed even if I think I’m not:

“I thought you were more open minded. I thought you were different. But really how are you different than every other
religious fundamentalist? Your words said you have choice yet your actions proved otherwise when you decided to shut down the conversation and block all of us. You get to walk from this entire conversation on social media with zero repercussions yet those who have been shunned
by the community have to start from zero. I hope that one day you recognize the truth of what myself and so many others are telling you. Just a few months ago, you came clean on social media about how just a few years ago you were opposed to vaccines.
Read 4 tweets
19 Jul
Orthodox Judaism is magnificent for many people.

But it is primarily meaningful if you are part of a nuclear family and fit into a mold. This is where some of the the benefits and strengths of Orthodoxy shine in the form of communal acceptance, kinship, loving-kindness.
Where you break an arm & Hatzalah shows up, calls an orthopedist and segues you into the ED. Where you are hospitalized & receive package of hot meals. Where your nephew doesn’t have a father but 3 uncles show up to his siyum. Where your community holds you up when you’re broken.
But, it’s not always magnificent if you are divorced, single, childless, widowed, gay, irreligious, rebellious, struggling with mental illness.

This is where we abandon you. Where we don’t know what to make of you. Where you don’t fit our mold and now we’re confused & worried.
Read 5 tweets

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