I don’t know, trainees, do you know what it REALLY means to practice clinical medicine, or do you need to be lectured by a narcissist who doesn’t practice clinical medicine anymore to truly understand? 🙄
The level of condescension is astounding, even for someone as entirely self-absorbed and bloated with underserved over-confidence as VP.

As someone nearly 5 years out of training, exactly as he references, I can tell you that I was as committed to the art of medicine as…
…as a medical student and a resident as I ever have been, if not more. Trainees are the backbone of academic hospitals. I will never forget so many of my patients from that time. So many names and faces. Some memories that haunt forever, because I cared so deeply.
One thing you do learn as you develop more experience is, frankly, exactly the type of distance that you don’t have as a trainee as an act of self-preservation. The closeness and time spent makes the focus on humanity and learning the art of medicine even stronger.
I have patients that I will never forget from medical school, when I only saw a few patients per day and had time to spend with them, learn about their lives and their families and their nicknames and pets.
A WWII veteran had his wife bring in his medals so he could tell me about them and about the war. I told the team about how his whole life he’s been called by his nickname that he earned during the war, not really by his first name. The rest of the team brushed it off…
…But sure, tell me all about seasoned attending or that overworked resident knew more about the humanity of medicine at that point. In fact, I think the opposite might be true, and that we could all humble ourselves a bit and realize that many of the real lessons…
…about the art of medicine and humanity specifically come from our training or from trainees, from that “why” that drove us in to medicine in the first place, from our world outside of the walls of the hospital or clinic. Maybe these two just need to be reminded.

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More from @tnicholsmd

22 Oct
His descent to Godwin was rapid:
“Dr. Prasad has previously expressed disdain for doctors who counter medical misinformation, comparing it to dunking on a 7-foot hoop…”

“As such, those of us who have long-believed that combating anti-vaccine misinformation was a worthwhile endeavor likely understand some important things about the anti-vaccine movement that he does not.”
“The risks of specious comparisons between public health measures and fascism becomes clear when one appreciates the extent to which many anti-vaxxers believe they are grievously persecuted victims and that vaccines pose an existential threat…”
Read 4 tweets
9 Oct
“Groups known for spreading medical misinformation, including FLCCC, America’s Frontline Doctors, Children’s Health Defense, Urban Global Health Alliance, and the Evidence-Based Medicine Consultancy Ltd., all have campaigns or donation pages.”

“Even though these fundraising efforts appear to violate the platforms’ policies, these groups have managed to raise tens of thousands of dollars to help fund their misinformation projects.”

Hey @nandoodles this seems right up your alley!
Read 4 tweets
4 Oct
For everyone who thinks that because on an individual level you have have a low risk of dying of COVID and therefore haven’t taken vaccinations or public health precautions seriously: I’m sorry.

A thread 🧵/
I’m sorry this year sucks again. I’m sorry we’re still stuck in a pandemic. I know that you don’t want to have to listen to more bad news and to have to think twice about seeing friends or family, about traveling, about attending big events...
...about having to calculate risk for what would have previously been easy decisions. Or at least that you should be doing these things, but maybe aren’t.

But most of all, I’m sorry that you’ve been lied to by the contrarians and grifters and sycophants.
Read 17 tweets
3 Oct
I don’t have words anymore.

I don’t know how @UCSF @UCSFHospitals @UCSF_Epibiostat could possibly believe that assertions from one of their physicians that public health measures for COVID are akin to Nazisim are appropriate or within the bounds of “academic freedom.”
This is outright offensive, and likely intentionally so given his trajectory towards increasingly inflammatory rhetoric and rallying his growing anti-science and conspiratorial follower base.

I just didn’t think he would reach Godwin’s law this quickly.
I feel sorry for folks who had tied themselves to him via his “lab,” working hard only to have hard work and publications linked to him. They are not at fault and should not have their work or reputations diminished because of him. Unfair to them.

Read 6 tweets
2 Oct
I wonder if @VPrasadMDMPH is going to say anything about this? Or acknowledge that this pre-print was used to specifically call vaccine safety into question, not just by dishonestly representing vaccine risks, but not presenting as a relative risk against disease.
Also, don’t listen to me, @PaulLantos is much smarter than I ever will be and this is an excellent thread.
The people who contributed to the distrust of vaccinations by overplaying the risks of vaccines and underplaying or outright refusing to fully acknowledge the risks of COVID in children need to be willing to own those consequences.

By @JHowardBrainMD
Read 4 tweets
28 Sep
Pfizer #1 Dec 2020.
Pfizer #2 Jan 2021.
Pfizer #3 sept 2022. ✅ Image
Thanks @CDCDirector for this.

I recognize that the data for the first two doses protecting against severe disease and death from the SARS-CoV-2 virus is excellent. We need more people to get vaccinated. And those who are should still be well protected.
The data also seems fairly strong for third doses, or “boosters,” for folks over 65 or who are immunocompromised.

I recognize that I am in neither of those categories. I am young and otherwise healthy.

I also recognize that third doses will not get us out of this pandemic.
Read 12 tweets

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