1/ WHY I'M ABOUT TO SPEND $3000 ON A PAPR (PPE)
I am going to buy one of these this week. It's a Cleanspace HALO lightweight PAPR. It delivers filtered, positive pressure air to a comfortably fitting mask for up to nine hours on a single charge.
2/ The 'fit factor' for this mask is usually around 5,000, compared to 100-200 for a disposable N95. In this study from Singapore it proved completely protective for HCWs. cleanspacetechnology.com/dr-swan-austra…
3/ A few hospital units in Australia are already using this Australian-made product, but it is still rare. Well, I have decided to spend $3000 and buy one and this is why:
4/ A) I can. I am lucky enough to be able to afford to purchase this absolute protection from COVID infection. Unfortunately, most HCWs cannot.
5/ B) Though double vaccinated, I am 55 years old and male and I am not prepared to risk getting COVID through the negligence of an infection control regime that does not protect me properly.
6/ In the chaos of a busy emergency department the risk of being forced into a position where my protective barrier is breached through a poorly fitting N95 is just too high.
7/ C) I now live with a 20 year old brittle Type 1 diabetic - my son's girlfriend - who slips into diabetic ketoacidosis at the drop of a hat.
8/ She is an incredible young woman, this "person with comorbidities" and, surprisingly enough, I am not willing to risk killing her by bringing home COVID.
9/ Now, of course, it is entirely possible that any department I work in may not allow me to use the HALO, because it is not part of their protocol. In that case, I will simply refuse to work.
10/ It is wrong that HCWs should be forced into this position, where to defend their right to a safe workplace they need to be so aggressive, but the failure of our employers to protect us and of our professional organisations to stand up for us means that there is no choice.
11/ So what should the situation be?
12/ The situation should be that Australia did not spend the last 18 months squandering its advantage, that every energy of the nation was devoted to safeguarding its quarantine and healthcare facilities, its HCWs and public and private indoor spaces. But we didn't do that.
13/ Cases are now spiralling in NSW, spreading to other states and hospital outbreaks are rife. I am spending $3000 to protect myself and my family, while wondering if that means I will lose my job. Other HCWs are traumatised or just resigned to getting COVID at work.
14/ Healthcare workers are not an unlimited resource, just an "asset to deploy". We are human beings, employees who deserve a safe workplace like any other employee. We deserve to be treated with compassion and respect, so don't patronise us, Dr "2200 Ventilators"...
15/ ... and above all don't clap for us if you aren't also prepared to protect us.
Thanks for reading. smh.com.au/national/pleas…
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1/ WHEN HUMAN LIVES BECOME ECONOMIC UNITS
As doctors we go to extraordinary efforts to save a single human life. And when things go wrong - even when they're not our fault - we beat ourselves up about it, try to figure out what went wrong and try not to repeat it.
2/ Politicians are entirely relaxed about sacrificing (killing and maiming) large swathes of the population for the benefit of their political donors. There is no real accountability for this and through talking in generalities they normalise fascism and eugenics.
3/ That's it. That's the difference. To us doctors you are all humans with special lives and a unique, invaluable existence. To the politicians, you are numbers, economic units, and can be subject to acceptable levels of attrition for the sake of utility.
1/ A SHORT THREAD ON HOW THE UPCOMING INFECTION CONTROL CONFERENCE IN GENEVA EXPLAINS WHY WE CAN'T CONTROL COVID
Firstly, it is fair to observe that Prof Didier Pittet is what they like to call in those parts, "Le Patron", of this conference. ("Mr Big" en anglais.) 👇
2/ Mais, qui est Professor Pittet? Well, he is a staunch proponent of the importance of hand hygiene, an important intervention in infection control, as Dr Ignaz Semmelweiss would certainly attest. Professor Pittet's Twitter profile shows us how strongly he feels about it. 👇
3/ You can read more about Professor Pittet's signal achievements in relation to hand hygiene and his many, many, many, many honours at his Wikipedia page, which he links to on his profile. en.wikipedia.org/wiki/Didier_Pi…
1/ HOW TO LIVE WITHOUT COVID-19: A PRIMER
The maddening thing about our (the world's) situation is that the tools to live without COVID are all readily available and technologically simple to implement. Read on to see how we can (and must) LIVE WITHOUT COVID...
2/ VACCINES
These are incredibly effective at preventing the most severe illness and death, much less so at preventing infection and transmission. But look, we haven't even had them for a year. They are an extraordinary scientific and technological achievement.
3/ They will be refined and developed in years to come and there is no reason to believe we will not eventually develop sterilising vaccines that will reduce transmission and have the potential to lead to herd immunity.
1/ I'm offering this reflection to help people understand what's going on. Many think thusly: "It's not worth going to much effort if only 1% of people die of this. Normal population growth will fill that in an instant. Not even noticeable."
2/ "And anyway most of those deaths will be the old or those with comorbidities. Sure, there'll be a few younger, healthy people. Or kids. But there's always collateral damage. Shit happens, man. Got to put on big boy pants and deal with it."
3/ "And look, we are keeping too many people alive these days anyway, what with the welfare state and medicine. It's an expensive drag on society, which WEAKENS us. This is actually cleansing for society, like an enema: unpleasant during, but a relief after."
Italy's largest kids hospital.
400% INCREASE IN HOSPITALISATION OF CHILDREN with Delta compared to previous variants.
"The age of the sick varies from the very youngest of 10 months up to adolescents of 15 years. Villani: "Now children must be vaccinated." roma.repubblica.it/cronaca/2021/0…