Thread: Why are we doing #HCWForVaccines? 5.13B doses of #COVID19 #vaccine have been given worldwide (33% of 🌍w/ 1+ doses), but only 1.6% of people in low-income countries have had a dose. This is unconscionable. A picture is worth a thousand words. #MedTwitter 1/X
That means even high-risk ppl--elders, HCWs--may not have had a dose. In #Zambia, a country I have worked in twice, there are ~800 practicing drs. A simple 3d contest like #HCWforVaccines can enable ALL OF #MedTwitter there to #GetVaccinated. And more. Think about that! 🤯 2/X
You can think: "There are 1.2B people in #Africa. When we started #HCWforVaccines 3d ago, 2.48% were #vaccinated. When we end at 11p, that % will be the same." OR "The 💰 we've raised could vax thousands of #MedTwitter, who will be alive & healthy to save MANY lives." 3/X
You'll always find me in the half-full group when it comes to #activism. I believe deeply in #MedTwitter's personal agency. Our training sometimes makes us question it. A #pandemic with so many losses does not help. But, friends, YOU ARE POWERFUL. Don't forget it. #HCWForVaccines

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More from @tmprowell

27 Aug
A #HCWforVaccines thread about the power of #gratitude & action. So, 2 days ago, my #HCWvsHunger co-captain & muse tweeted this out of the blue, tagging me. 👇 1/X
And I immediately texted her that she needed to give me a heads up because:

1) I can’t say no to this
2) I can’t say no to @acweyand
3) Last time we did this (#HCWvsHunger, Team #FeedalizumabGiveocin), I didn’t shower or even sleep almost at all for 4d.

But also… 2/X
This was coming at a really bad time because in the last week:

1) My out of warranty iMac on which I depend had just permanently died.
2) My car on which I depend had just permanently died (& p.s. it’s impossible to find a 🚗 now: bit.ly/3DlS5oD).
3/X #HCWforVaccines
Read 8 tweets
13 May
Thread: An example of why we are struggling in the US to complete #COVIDVaccination of the willing but not yet #vaccinated people. I made appts for my 12-15 yr old kids. Like many busy parents, we’d prefer the predictability of an appt over walking up with an uncertain wait. /1
I tried several sites until i found one with open appts. The vaccine confirmation I received said to make sure I have a full tank of gas due to waits of an hour or more. With an appt. And there’s a gas shortage on the E. coast. Will people risk having no gas to go to work, etc?
The confirmation also said “you need to bring your govt-issued identification card to the appt” to #GetVaccinated. These appts are for kids <16. What govt issued ID card is this referring to? And for whom-the kid? The parent? No clue. Who do I ask? 🤷🏻‍♀️Confused parents may no show.
Read 4 tweets
15 Feb
A 🧵 on staying human in a #pandemic:

Every day I look at #COVID19 deaths in my own county. The number is always small. I can picture that number of people. I allow myself to imagine their last days, sit with the likelihood of their suffering, their regrets, their fear

/1
I have watched a lot of people die. I have tried desperately to save some. I have sat quietly with others who have asked us to stop & let them die peacefully. I have declared people dead. It’s a fact of being a doctor. It’s a fact of being an oncologist. So I can picture it.

/2
What I cannot picture is nearly 500,000 in the 🇺🇸 dead. It’s a 767 airplane full of Americans crashing every single day between now and 2028. It’s about 11 full Camden Yards stadiums. I can calculate it, but I still cannot picture it.

/3
Read 4 tweets
24 Aug 20
Time for some #biostats. Here's how I talk about risk reduction w/ pts in #oncology clinic. If someone says, there's a 50% reduction in the risk, you need to know if they're talking about relative risk or absolute risk.
#COVID19 #MedEd
Tweet #2: I explain relative & absolute risk using coupons. A 50% off coupon on a $1 candy bar is worth 50 cents. A 50% off coupon on a $20,000 car is worth $10,000. If you don't know the starting cost (or in med, the absolute risk), you don't know how valuable 50% off is. #MedEd
Tweet 3: "50%⬇️ in risk" headlines usually mean⬇️in relative risk. To calculate # of ppl needed to treat to benefit 1, you divide 1 by the absolute⬇️in risk. Here, ppl WITHOUT the med had a 2 in 100K (0.002%) risk. Ppl WITH the med had a 1 in 100K (0.001%) risk. #BioStats #MedEd
Read 5 tweets
28 May 20
A partial list of things I've still not seen adequately explained re #COVID19:
👉What causes the thrombosis?
👉Why are pts alert & not in distress w/ severe hypoxia?
👉Why the lymphopenia?
👉Why is death so rare in kids?
👉What is different about kids who get MIS-C w/ #SARSCoV2?
👉Why is proning so helpful?
👉What characteristics of the person or virus (not activity/environment) define a superspreader (eg, #SARSCoV2 VL, genetics, etc)?
👉How does #COVID19 immune response differ in pts w/ & w/o 2nd wave of sx at d8-10?
👉How long/complete is immunity?
👉Is there a metabolic link that explains severe #COVID19 in pts w/ HTN, DM, obesity?
👉Does exp to pt w/ high #SARSCoV2 VL ⬆️ risk of transmission or severe illness?
👉What pattern of immune response predicts survival/death?
👉How do antivirals improve outcomes w/o sig ⬇️ in VL?
Read 4 tweets
26 Mar 20
HELP! I have a family member in Orange County, CA on a vent in critical condition for #COVID19. We are urgently seeking a person who has recovered from #coronavirus infxn w/ no symptoms in past 14d & able to donate plasma asap. Irvine/Tustin or LA area. DM me w/ leads. Pls RT.
Tweet #2: Thank you SO MUCH for your kindness! I'm getting many Qs, so answering them here for efficiency. People are asking what criteria they need to meet to donate plasma & which patients with #COVID19 can get plasma & how. See here: bit.ly/2WK2NT9.
Tweet #3: Others are asking if the donor has to be where the recipient is. The answer is no unless there is time urgency to get the product to the pt. Blood products are routinely collected at blood drives & shipped where the need is, but that does introduce a delay. #COVID19
Read 9 tweets

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