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Medical Axioms 🇺🇸 Profile picture
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17 Sep, 4 tweets, 1 min read
Do N95s protect the wearer from COVID?
Do paper surgical masks protect the wearer from COVID?
Do woven cloth masks protect the wearer from COVID?
How do you know cloth masks protect the wearer?
How sure are you?
Is it possible they do absolutely nothing?

Discuss below.

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More from @medicalaxioms

Medical Axioms 🇺🇸 Profile picture
19 Sep
If you are burned out, tired, angry or exhausted I want to help you.

I’d like to help you suffer less.

Let me offer you a suggestion that works for me. 1/15
You need to match your sphere of concern to your sphere of influence. 2/15
You need to match your responsibility to your agency. 3/15
Read 15 tweets
Medical Axioms 🇺🇸 Profile picture
17 Sep
This is what it looks like to me when people say “masks are good” or “kids need to wear masks at school.” 1/10
The answer to both questions depend on a lot of factors.

- What water/mask are we talking about?
- What’s the alternative?
- What else do you have to drink/what else can you do to mitigate your risks?
- How thirsty/immunocompromised are you? 2/10
If the choices are wear a cloth mask that doesn’t work into a crowded indoor space or avoid the space altogether, I’d skip the crowd. 3/10
Read 10 tweets
Medical Axioms 🇺🇸 Profile picture
15 Sep
Let’s discuss 3 facts:
1. You and your parents before you have been managing and balancing RISK v. DOING STUFF your whole life.
2. Over time your risk of dying of COVID will shrink beneath other risks.
3. We’ve been happily killing each other with infectious diseases forever. 1/
Like it or not (and style notwithstanding), this is the debate people like @VPrasadMDMPH and @drjohnm are trying to have right now.

And all of us will have sooner or later. 2/
Let’s look at my column together (from @CDCgov).

I’m 45-54. You could easily reduce some of my TOP 10 risks of death by:
- outlawing cars: unintentional injury
- outlawing firearms: homicide, suicide
- outlawing tobacco and alcohol: liver/lung dz

But… 3/
Read 13 tweets
Medical Axioms 🇺🇸 Profile picture
14 Sep
“If you don’t get your A1C under 8 you will die.”

“… don’t take this Lipitor you will die.”

“If you take lisinopril instead of Entresto you are dead.”

I’m not sure who teaches med students and residents this approach but it will fail more than it succeeds. 1/10
Hyperbole and threats somehow seem effective with less educated people.

They aren’t. Most patients have already tried your “deadly experiment” and lives to tell the tale. 2/10
They can see right through your bullshit and the superior sneering attitude behind it. 3/10
Read 10 tweets
Medical Axioms 🇺🇸 Profile picture
13 Sep
In case you haven’t figured it out, Twitter is not real life. It’s a fictional place full of made up characters.

Many of the stories are made up. Many of the accounts are just flimsy cardboard cutouts of people. Like a CGI crowd in a movie. 1/ ImageImageImageImage
It’s not a documentary. It’s more like Disneyland. The Disney princesses are just people at work. Creating an illusion. Because it’s their job.

The “people” you “like” play heroic lovable characters. 2/
The “people” you hate or who make you angry have written villainous characters.

Sometimes by accident and other times intentionally. 3/
Read 17 tweets
Medical Axioms 🇺🇸 Profile picture
1 Sep
There are 5 realms you will master if you want to be a good doctor. 5 bodies of knowledge about which we teach 3 in medical school. 1/
1. Diseases. You must learn their traits and character. Their prey and weaknesses. Their mimics and behavior. In some fields there are hundreds. In internal medicine we have tens of thousands. 2/
2. Bacteria and other infections beings. If you are an orthopod you will become an expert in staph aureus. OBs know Group B strep. Ophthos know that pseudomonas.

It’s weird to get to know some microorganism better than you know your neighbor on your block but you should. 3/
Read 7 tweets

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