🧵 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

14 Jun
I see a shocking amount of vaguely weak elderly folks with decreased appetite but nothing else particularly wrong in the ER. Holding a hand and asking the right questions with empathy will often elicit tales of the overwhelming sadness of loss or fear of their own end. Short 🧵
It is easy for us to spot the anxious or depressed youth, the histrionic middle aged person, the substance use disorders. But so often the mental health issues in our elderly are brushed aside, written off as a result of the chronically “dirty” urine that is asymptomatic… 2/
Maybe they are thrown on Zoloft, or given trazodone for sleep. They are encouraged to go to a nursing home. They bounce to and from the ER, their primary care, and back again, frustrated because all their labs are good, but they still feel like dogshit. 3/
Read 6 tweets
6 Feb
Imagine being privileged enough to have been born into a situation that allowed for a stable income with no food insecurity, free of the scourge of addiction, being provided a good education and arguing that paying people 7.25 an hour is enough. 1/
Imagine sitting there in your nice house and thinking that you’re there SOLELY because of your smarts, your grit. And thinking that the child that was born to a heroin addicted mother in a trailer in rural America, or in section 8 housing in the inner city should just 2/
“Pull themselves up by their bootstraps “or whatever. Because that is so easy to do without guidance, or mentorship or MONEY. (Sarcasm font)So “easy” that when you see it happen, it’s rare enough that people write books about those who manage to escape the cycle of poverty. 3/
Read 7 tweets
12 Jan
Found online:
Huge numbers of our population believe in a complete alternate reality. Alternate facts as it were.

But just as intensely as I believe they are deluded, they think I am the one who is deluded. So how can I be confident in my perception? Here's a tip:

I have found that in times of political confusion, particularly when emotions are running high and creating tunnel vision, THE PRESENCE OF NAZIS can be an extremely helpful indicator.

If I am attending a local demonstration or event and I see Nazis…neo-Nazis, casual Nazis, 2/x
master race Nazis, or the latest-whatever-uber-mythology-Nazis, I figure out which side they are on.

And if they are on my side of the demonstration? I am on the wrong side.

It is tough to argue moral equivalence when I am standing next to a Nazi. 3/
Read 7 tweets
10 Dec 20
Dearest trolls of the interwebs. . If you post online on your page or in a comments section and tell people the vaccine:
1. Will alter your genetic code
2. Can cause infertility
3. Is more dangerous than COVID

4. Will not help because , flu, or something, without the basic understanding of antigenic drift/shift and how that affects the search for the vaccine.
5. That this technology was just invented and cannot be trusted.

6. That you have done your “research”, when you know good and damn well that your bullshit research consists of message boards, Facebook memes and YouTube videos...

You are:

Read 6 tweets
10 Sep 20
College 2020. My daughter went to school, moved into sorority house. Next day, many girls go to frat party (not my kid). Within 4-5 days she has to quarantine back here. Within 3-4 more days, her whole house is on quarantine. 1/
She is banned from campus due to contacts. We move her into an apt off campus with 3 other negative friends. Finally she gets to go back to campus for her ONE in person class. Day 1 AFTER class, a kid walks up to the prof and tells him that she has been feeling poorly. 2/
She has a headache, fatigue and has lost her sense of smell/taste. And oh- all her roommates have the same. Professor was like 👀. Of course she was at the closest desk to my kid. And yes, she tested positive. So now my daughter awaits her second ban from campus. 3/
Read 4 tweets
17 Jun 20
it is unfortunate that easy to say slogans can wipe out an entire movement. “Defund the police” does not mean “eliminate the police”, but unfortunately, it can be used as a weapon against reform since the vast majority Americans don’t read beyond slogans and headlines.
I wish it was “re-think the police”, “re-imagine the police” or something like that.
I see police’s problems much like the problems nationwide in emergency medicine since EMTALA made emergency departments nationwide the dumping ground for all of society’s ills.
I’ve always identified with cops more than even other doctors, because i see the same frustrations with our jobs and our “clients”. Let me explain-
Both of our professions are trained in a particular skill set. Mine is identifying and stabilizing immediate life threats.
Read 13 tweets

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