1/🧵 Should a man who HAS COVID be allowed at the bedside in N95+PPE to be with his dying wife? In last week’s poll, votes cast made it clear that whether he’d gotten #vaccinated mattered a lot. 2 out of 3 said NO if he had not gotten #vaxxed.
WHY did people answer this way?
2/ This poll was stimulated by an actual patient/spouse situation I had where they both had COVID, and the spouse who wanted to visit the dying patient had just tested positive. (Thus, actively shedding virus.) I wondered if vaccination status would matter to people.
3/ For me as a physician, vaccination status does NOT factor into hospital visitation.
but SAFETY DOES!
⚠️ To understand the state of societal danger right now, I want to put forth an analogy about DEATH using airplanes. Bear with me…
4/ ✈️ “AIRPLAINES” of people have been dying daily 20 mos. But how does it break down by #Unvaxxed vs #Vaccinated?
Unvaxxed U.S. deaths equate to ~3 full 787 flights crashing EVERY DAY for 20 mos vs. Vaxxed is one 787 crashing only every 2 mos.
5/ I got help with this analogy & these calculations from Dr. Tina Boncyk (Vanderbilt ICU doc). We triple checked the numbers…and the CDC “vaxxed breath-through” data were obtained here: bit.ly/3m4ERX7
6/ The UNvaccinated Airplane Analogy:
A Dreamliner carries 330 people when fully booked. Assuming a Jan 2020 pandemic start date & that a plane crash kills all on board, we can take >615k U.S. COVID deaths/20 mo/30 dys = >1k deaths/day div by 330 = 3.1 planes per day! 🤯
7/ Vaccinated ✈️ : Of >615k deaths, only 1.2k (0.2%) deaths are in vaxxed (ref👆). Since vaccinations became widely accessible in Dec 2020, we’ve had ~7 months to be fully vaxxed, so 1.2k/7 mo/30 dys = 5.7 deaths/day div by 330 dths/flt = 0.017. Reciprocal = 1 flight every 58 dys
8/fin #Unvaxxed deaths ~3 crashing 787 flights/day. #Vaxxed deaths are only ~1 flight crashing per 60 days.
We are in a #PublicHealth Emergency! It isn’t political, it’s MEDICAL. Idolatry of self has a price, and it showed in the Poll Results.
3/🎥 I cared for 9/11 hero Colonel Victor Correa as he died in our @VA hospital years later. His story is told in #EveryDeepDrawnBreath. He carried men out of the Pentagon saving lives. Watch more of his testimonial…
1/🧵🎥 Tennessee has highest #COVID19 case rate IN THE WORLD 🌎‼️
1/3rd are KIDS, & we haven’t even peaked!
Dr. Jeff Balser, @VUMChealth President & CEO, explains our dire situation. Despite 375M doses of #Vaccine is US alone, we have ~50% overall #Vaxxed & need YOUR help.
2/ This surge is different. The children are disproportionately affected – 1 in 3 new cases. Overall, and this is hard to believe, but we are at our ALL TIME HIGH in admissions.
3/ 🎥 Except for immunocompromised patients, almost all in hospital are #unvaxxed. We are re-deploying OR personnel to the ICU and having to curb care for non-COVID pts. It’s just not fair to them. Not getting vaxxed means more suffering for everyone.
2/ Early in COVID, computers predicted “Berry” (for Bari-citinib), an FDA-approved medication for rheumatoid arthritis, could be repurposed to stop SARS-CoV-2 from killing us. Now we proved it! Why did the computers think it would work?
3/ Bari has antiviral mechanism but mainly we thought it would work by interfering with the intense inflammation the virus 🦠 causes, which is what leads to so much lung, heart, blood vessel, & brain damage (#delirium).
By no means do I think the #Unvaxxed patients filling our ICUs to capacity are evil. NO. But I do think there is evil involved in the misinformation leading many good, caring people to that decision. And I listen to each. Please hear me out.
2/ Philosophers define evil as “a deprivation of the rationality that proper human action requires individually and as a member of society.” In that sense, we can discuss choosing not to be vaccinated and “cooperation with evil.”
3/ Thus far, “cooperation with evil” has been used as an argument by some in the #antivaxx culture as a reason NOT to get #Vaccinated. The main argument is that Pfizer and Moderna were safety texted w the HEK-293 fetal cell line.
1/🧵 “Live every day like you have a terminal illness.”
The most important thing I learned @ISICEM, after 3 ✈️ & 4,400 miles to Belgium for this huge meeting of #COVID ICU doctors, had nothing to do w science.
The iconic @JRandallCurtis1 taught me…(pic & story shared w perm)
2/ My friend of 25 years opened his lecture on End-of-Life with, “I have a disclosure of sorts. I’ve been diagnosed with ALS (Amyotrophic Lateral Sclerosis, aka Lou Gehrig’s disease), so this will probably be the last time I lecture at this meeting.”
Then he asked us to PAUSE.
3/ Talk about a Frame Shift.
I already knew, but it all hit me like a thunderbolt⚡️. The Father of ICU EOL #PalliativeCare research & former president of @atscommunity had just told us all that he has a fatal illness, and we could hear it in his speech pattern.
2/ of every human being who comes into my care is such that they feel fully human, fully respected, and that they don’t think they lost part of themselves in the process of critical illness.”
Yet #LongCovid pts are telling me they’ve lost themselves.
3/ my colleague #delirium neuro @doctorShawniqua is haunted by this too. She’s trying to find out what exactly happens to the neurons & synapses in the brain of critical illness survivors so that we can manage people more safely during and after illness.