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Steve “JAFERD,MD” Sample🇺🇸 Profile picture
@Supermansings
Sep 14, 2021 • 4 tweets • 1 min read • Read on X
🧵 Hi. I’m an ER doctor. I’m vaccinated, but 10 months out with a high level of daily exposure to an airborne disease. I can’t get most patients to keep a mask on when I’m out of the room,or wear it properly when I’m in. I now have Covid. Mild for now. 1/
And hopefully, gonna stay that way. I am very optimistic that I will stay well, thanks to the vaccine. My body is already at war with this stupid bug, beating it back. If I had gotten this last year, I would have been very scared. I’m middle aged, and smoked for 25 years. 2/
My cousin almost died early in, before the world closed down. I am prone to health related anxiety at times, anyway. But now I feel irritable, not anxious. Could I get really really sick? Sure. Could I even die? Yep. But I’ve done the right thing to minimize those chances. 3/
I’m confident that I’ll be ok. You know what I’m not gonna do? Take HCQ. Or Ivermectin. Or gargle betadine. Or OD on vitamins. I may seek out some regeneron. I’ll check my oxygen levels, and I’ll sit bored as hell in my basement feeling crappy for a bit. Stay well. #vaccinate

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More from @Supermansings

Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Feb 25, 2023
Let me tell you a story about how my wife was almost killed 3 feet from a nurses station for lack one of the simplest pieces of equipment in the hospital. Many of you know that she almost died of cancer, but she was thisclose to never starting her fight. Buckle up. Long one. 1/x
Shortly after her dx of melanoma was made, she was in Louisville to go to meet with the team (with her sis who was covering while i worked). She had been having pretty bad back pain but late the night before her clinic appointment, I got a frantic call from SIL. 2/
“Steve, I think she had a seizure, I’m on the way to the hospital right now. Her pain suddenly became excruciating. I need you to get here.”I was alone panicked, crying, running the ED by myself with multiple workups ongoing.Frantically called the group one by one and got help.3/
Read 19 tweets
Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Feb 11, 2022
Seeing all over that Bob Saget’s autopsy report suggests he was murdered. Certainly, he had a terrible injury. Many seem to think the injuries to the frontal bone and superior orbits seem to indicate that he was struck multiple times. Almost certainly not, and here is why 1/x Image
The visible trauma externally was to the right sided occipital bone There was an abrasion and underlying bleeding as well as a linear fracture of the occipital bone.There were also fractures to the temporal bone and the frontal bone extending into the superior orbits. 2/
Let me introduce you to the basilar skull. A complex series of bones designed to keep yo brain out yo neck. Lots of stuff happens here and many cranial nerves leave through foramina in the skull base. Trauma to this area has some distinct features. 3/ Image
Read 15 tweets
Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Jan 17, 2022
Short 🧵
Observations from the midwestern front:
1. Holy crap.errybody got it.
2.timing the last week or so means my sickest patients are likely delta residuals.
3. Some triple vaxxed with cases, but vast minority.
4. More babies, kids and teens since the beginning.

1/
5. Seeing lots more teens and adults with fever and flu-ish body aches very early in disease than prior. More “I feel terribles” than people sucking wind.
6. Less real deal holy-shit pneumonia
7. Inpatient COVID census down a fair bit from peak here.

2/
8. Transfer hospitals still underwater.Bad time to be sick.

9. Beginning to feel a glimmer of optimism this weekend. I think we are peaking or very close

10. Though there are no guarantees, I am hopeful that we may get a respite in the spring. What comes after is TBD. 🤞

3/3
Read 4 tweets
Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Dec 25, 2021
Wanna hear a story? On Christmas Eve, 1944, my Paw-Paw was on a ship on the way to fight the Battle of the Bulge. It was torpedoed about 2 mi off the coast of France.He wrote this and read it to is my senior year of HS a few years before he died. It weighed on him. Please read.1/
Dedicated to Men of the 66th Infantry by Frank A. Sample

It was the night before Christmas in Nineteen and Fourty-Four

When twelve hundred soldiers or maybe more were loaded on a ship to go to the fore.

Most of the them 18 19 20 21 all of them their mother’s loving sons 2/
The Army had taught them to fight and carry a gun.

They were going to war to preserve our freedom………

Little they knew they had seen their last sun.

The soldiers were laughing and full of good cheer

For you see it was the holiday time of the year! 3/
Read 14 tweets
Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Oct 31, 2021
🧵 8 years ago today, my wife who was SO sick and so much pain with stage 4 melanoma with many bony mets received her first dose of the drug that was to become Keytruda. She was the last enrollee worldwide in the phase 2 trial.
1/
She had been given an effective death sentence. There was nothing left.She had failed traditional therapy and was in bed 23 hours a day, and dozed on the couch in a haze of narcotics the other hour. It was so painful to watch, and in the 6th and 9th grade my kids were reeling. 2/
When all hope was lost, I put my head into the lit, and became an ER doc specializing in the advances of immunotherapy and melanoma. I found the PD-1 drugs in trial and knew that I wanted her to have it. I emailed every oncologist in the nation studying the drug, and begged. 3/
Read 12 tweets
Steve “JAFERD,MD” Sample🇺🇸 Profile picture
Oct 24, 2021
🧵 on masks, vaccines and gathering in the age of COVID. There is so much confusion in the general public and even docs in the face of changing guidelines and all the misinformation out there, balanced with our desire for normalcy. I get asked often, so here is how I do it. 1/
I fully admit, it may not be perfect, but I have assessed the risks to myself and my family, and I am comfortable with this plan. We are all triple vaxxed and i have had a mild case of COVID. 2/
Situation 1- stores, indoors with mixed or unknown vax status, strangers. Mask up. Is it REALLY protecting me? Probably not. But I’m potentially protecting unvaxxed or under-vaxxed others, so I’m good with that. 3/
Read 12 tweets

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